ACEP Now

JULY 7, 2023

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Mental health evaluation teams can rely on documentation and interviews to understand a patient’s initial agitation level. However, when agitation is due to an underlying psychiatric disorder, SGAs are preferred.

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ACEP Now

NOVEMBER 13, 2023

5 Hospitals commonly activate a “code” in response to agitated patients, alerting security personnel to the location of that patient. From the law enforcement perspective, hospital policies regarding behavioral codes were “vague” and the same patients are often seen multiple times with similar behavioral crises, he noted in an interview.

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RebelEM

MARCH 9, 2023

It may be mistaken for acute intoxication, psychiatric illness, or other occult pathology. Consider a psychiatric consult (and labs needed for psychiatric admission) or check blood work if there is a concern for concomitant underlying medical pathology as a cause of hallucinations. Acta Psychiatr Scand.

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Psychiatric Emergency Department Documentation/Coding Fractures 52

Don't Forget the Bubbles

JANUARY 1, 2024

The study suggests the importance of increased screening, safety planning, and early interventions for children with PO-MDD to address the risk of future psychiatric morbidity and mortality. Point-of-care brain ultrasound and transcranial doppler or color-coded doppler in critically ill neonates and children. Pediatrics. Eur J Pediatr.

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EMDocs

MAY 26, 2023

Podcast: Play in new window | Download (Duration: 17:49 — 24.5MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Non-Pharmacologic Management In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children. Do we Redirect?

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EB Medicine

MAY 3, 2019

Jeff: As a quick survey of our audience before we begin, how many of you routinely encounter co-morbid psychiatric conditions in your ED patients, especially depression? Jeff: And how many of you struggle to admit or transfer patients for a formal psychiatric eval? Nachi: That would certainly be all of our listeners!

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Emergency Department Psychiatric Documentation/Coding Outcomes 40

Mind The Bleep

JUNE 18, 2023

ICD-10 codes: F00-03 are the ICD codes for dementia and its subtypes F02. Treatment Strategies Like with all psychiatric conditions always consider a biopsychosocial approach. This article outlines the main factors related to the presentation, aetiology, and treatment of BPSD.

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Psychiatric Documentation/Coding Stroke Fractures 52

Sensible Medicine

AUGUST 11, 2023

Psychiatric disease, dementia, and delirium ( whose differential diagnosis itself is practically a textbook of medicine) will render a patient unable to provide an accurate history. iii] I have had numerous people appear on my schedule with the chief concern of “chest pain” documented by the nurse.

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Don't Forget the Bubbles

MARCH 19, 2024

This has coincided with a widespread shortage of specialist placements for children facing behavioural, psychiatric, and child protection challenges, leading to an over-reliance on the placement of these children in hospitals. Key messages Consider social determinants of health and document these in a child’s clinical notes.

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Sensible Medicine

SEPTEMBER 13, 2024

She presents with a folder of records and codes for outside EMRs. Take a good family history, looking for histories of psychiatric disease, early-onset dementia, and rheumatologic diseases – things other doctors might have shied away from and that patients might not know well. Sensible Medicine is a reader-supported publication.

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Psychiatric Documentation/Coding Radiology Radiology 60

Maria Yang, MD

NOVEMBER 1, 2023

He goes on to note: Sending people to a psychiatric institution is particularly practical because hospitalisation has no end and thus, if need be, people can be locked away forever, or as long as they continue to have views that are considered politically or socially dangerous, or remain inconvenient to the authorities. …

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ACEP Now

SEPTEMBER 13, 2023

billion for specialty-care rate increases, $500 million for hospital emergency-department reimbursement, at least $500 million for family planning and reproductive-health care, and $600 million for behavioral-health facilities, including some for new inpatient psychiatric beds. billion for primary-care rate increases, $1.15

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Dr. Smith's ECG Blog

APRIL 17, 2023

Later, this info was supplied by Sam: This ECG was recorded in a 23-year-old African American man with a history of psychiatric illness, acute alcohol/drug intoxication, brought in by police officers status post being tazed. His HEAR score (before troponin resulted) was documented at 3, with documentation stating "low suspicion for ACS."

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Pediatric Emergency Playbook

JUNE 1, 2017

The best documented cormorbidity is sickle cell disease, although other pro-thrombotic conditions also put the child at risk. Repeated use causes multiple psychiatric, personality, and neurologic changes. Take the child seriously who has disproportionate symptoms to what should be a minor injury. 1986; 108(2):198-203. Pongratz G et al.

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Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

JULY 8, 2019

Jeff: Also, be on the lookout for self-harm emergencies as patients with known psychiatric disorders are at increased risk following bariatric surgery. Vitamin D, B12, Calcium, foate, iron, and thiamine deficiencies are all well documented complications. PA’s and NP’s - make sure to use the code APP4 at checkout to save 50%.

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Taming the SRU

JUNE 6, 2023

BROADSTOCK Suicidal Ideation & Behavior with Concomitant Substance-Use Difficult to distinguish suicidal ideation/behavior from primary decompensated psychiatric disease versus substance-induced in the ED Statement of Belief Aka pink slip, 72 hour hold, involuntary civil commitment, etc.

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Documentation/Coding Seizures Psychiatric Wellness 63

EB Medicine

AUGUST 1, 2018

In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. Jeff: In terms of psychiatric effects, several low-to-moderate quality studies have shown statistically significant associations between psychosis and self-reported cannabis use.

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Dr. Smith's ECG Blog

APRIL 8, 2015

Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful. Syncope and cause of death were identified by codes from the International Classification of Disease, Ninth Revision.

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Emergency Department EKG/ECG Outcomes Seizures 52

Sensible Medicine

NOVEMBER 21, 2024

Here is a prime example: As journalist Jesse Singal has documented , the trans activist Andrea James publishes a defamatory page on her web site of any public figure, no matter how remote, who speaks with even a remotely critical voice about pediatric gender medicine. And they entered the study between 2013 and 2017.

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Pediatrics Domestic Violence Research Psychiatric 108

Don't Forget the Bubbles

DECEMBER 9, 2024

Consider the following conditions: Low blood sugar Systemic or Cerebral infections Reduced blood flow to the brain Abnormalities in metabolism Disorders of the blood vessels in the brain Psychosis/psychiatric history 2. See their website for more: [link] References Abu-Sultaneh S, Iyer NP, Fernndez A, et al. Am J Respir Crit Care Med.

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Maria Yang, MD

DECEMBER 21, 2024

Singer, that the psychiatric profession has yet to designate internet addiction or social media addiction as a mental disorder in the authoritative Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR). And, like weve already seen in this document, the approach seems to be all or nothing. or the government?

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