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Does this T wave pattern mean anything?

Dr. Smith's ECG Blog

She had an uneventful ICU course and was extubated for ongoing care with the inpatient psychiatric service. Macroscopic T-Wave Alternans: A Red Flag for Code Blue. Teaching Points: 1. T wave alternans is characterized by variation in T-wave morphology in the setting of consistent pacemaker and QRS morphology. (1) J Am Coll Cardiol.

EKG/ECG 131
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PEM Currents – Agitation in Children – Episode 3: Pharmacologic Management

EMDocs

Podcast: Play in new window | Download (Duration: 19:53 — 27.3MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Pharmacologic Management In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children. Document what you gave and why, as well as the impact.

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A Safety Solution for Emergency Department Staff and Patients

ACEP Now

For the safety of staff as well as patients, interventions that interrupt escalations before they blossom into violence deserve further study. 5 Hospitals commonly activate a “code” in response to agitated patients, alerting security personnel to the location of that patient. Community Ment Health J. 2021;(7):1278-1287. J Nurs Admin.

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PEM Currents – Agitation in Children – Episode 5: The Boarded ED Patient

EMDocs

Podcast: Play in new window | Download (Duration: 13:57 — 19.2MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Management of the child with mental health problems who is boarding in the ED In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

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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. 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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Friday Reflection 27: The Poor Historian

Sensible Medicine

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. I have learned that for VG, as well as for many patients like him, these concerns require a visit. The anxiety clouds VG’s experience of the symptom.

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Friday Reflection 44: Diagnostic Enigma

Sensible Medicine

She presents with a folder of records and codes for outside EMRs. Accept that the patient knows more about his symptoms, and may very well know more about his disease, than you do. 1 This never works out well. For the last 12-18 months she has been suffering from fatigue, headache, joint pain, and rashes. PJ is the exception.