Remove Documentation/Coding Remove Psychiatric Remove Sepsis
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Bubble Wrap PLUS – January 2024

Don't Forget the Bubbles

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. 2023 Dec 12 Pediatric Sepsis Diagnosis, Management, and Sub-phenotypes. You will find the list is broken down into four sections: 1.Reviews

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Agitation Treatment in the Emergency Department

ACEP Now

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Patients with sepsis get antibiotics. Mental health evaluation teams can rely on documentation and interviews to understand a patient’s initial agitation level. Patients with opiate overdose get naloxone.

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Managing the Patient with Alcohol Intoxication

RebelEM

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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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Jeff: Also, be on the lookout for self-harm emergencies as patients with known psychiatric disorders are at increased risk following bariatric surgery. Leakage from the staple line typically presents within the first week, but can present up to 35 days, usually with fevers, tachycardia, abdominal pain, nausea, vomiting sepsis, or peritonitis.

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Grand Rounds Recap 5.3.23

Taming the SRU

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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Weaning Sedation in Paediatric Intensive Care

Don't Forget the Bubbles

Clinical recommendations for pain, sedation, withdrawal, and delirium assessment in critically ill infants and children Pediatric Acute Lung Injury and Sepsis Investigators ( PALISI ). Examples of these are linked below: European Society of Paediatric and Neonatal Intensive Care ( ESPNIC ). Am J Respir Crit Care Med. 2023;207(1):17-28.