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.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

RebelEM

OCTOBER 5, 2022

mg/dL 10.5 – 12.0 mg/dL 10.5 – 12.0

Dehydration 52

Dehydration Psychiatric Administration EKG/ECG 52

EM Curious

JUNE 3, 2015

ECG Weekly More FOAMed CORE EM CONTENT NON PREGNANT VAGINAL BLEEDING [PODCAST]: EM Basic continues to put out great content on core EM topics, listen to the podcast here discussing the workup and initial management of non pregnant vaginal bleeding in the ED. It probably doesn't change our management and is rather low yield.

COPD 52

COPD Ultrasounds EMS Psychiatric 52

Mind The Bleep

DECEMBER 19, 2023

ECG: to monitor T wave changes due to hypokalaemia. ECG features of Hypokalaemia: Increased P wave amplitude (peaked P waves) Prolonged PR interval Widespread ST depression T wave flattening or inversion Prominent U waves (most noticeable in the precordial leads) Figure 2 : ECG of a patient with serum K+ of 1.9

Dehydration 98

Dehydration Fluid Resuscitation Shock Resuscitation 98

Dr. Smith's ECG Blog

SEPTEMBER 7, 2020

WPW does not always have delta waves on the baseline ECG. y following initial presentation, including 13 patients with apparent pre-excitation on resting ECG. For clarity — I have put the 2 ECGs in today’s case together in Figure-1. Figure-1: The 2 ECGs in today’s case ( See text ). This is called "Concealed conduction".

EKG/ECG 52

EKG/ECG Psychiatric Wellness Resuscitation 52

Mind The Bleep

JUNE 18, 2023

Treatment Strategies Like with all psychiatric conditions always consider a biopsychosocial approach. It is important to complete an ECG prior to initiating pharmacological therapy as drugs, such as antipsychotics can prolong the QT interval, increasing the risk of arrhythmias. If there is no benefit this should be stopped.

Psychiatric 52

Psychiatric Documentation/Coding Stroke Fractures 52

Taming the SRU

APRIL 13, 2023

stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e. EtOH, amphetamines, or cocaine) Prescription drugs (i.e.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Pediatric Emergency Playbook

JUNE 1, 2017

Electrocardiography (ECG) should be performed on any patient with significant blunt chest injury. A negative ECG is highly consistent with no significant blunt myocardial injury. Any patient with a new abnormality on ECG (dysrhythmia, heart block, or signs of ischemia) should be admitted for continuous ECG monitoring.

Pediatrics 52

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. Nachi: Check an EKG immediately after arrival for any patient that may be concerning for ACS. A normal ekg of course does not rule out a cardiac cause of their presentation.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EB Medicine

AUGUST 1, 2018

Jeff: In terms of psychiatric effects, several low-to-moderate quality studies have shown statistically significant associations between psychosis and self-reported cannabis use. Jeff: For any patient arriving with suspected cannabis or synthetic abuse, consider checking an EKG.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

ACEP Now

MARCH 11, 2025

Common, Deadly, Elusive Eating disorders, which include anorexia nervosa, bulimia nervosa, binge eating disorder and avoidant/restrictive food intake disorder (ARFID), are common with increasing prevalence, increasing visits to EDs, and the highest mortality of any psychiatric illness.

Emergency Department 83

Emergency Department Psychiatric Dehydration Pediatrics 83

Dr. Smith's ECG Blog

APRIL 8, 2015

Abnormal ECG – looks for cardiac syncope. Abnormal Electrocardiogram (ECG): Defined (San Fran syncope rule) as any new changes when compared to the last ECG or presence of non-sinus rhythm. If no previous ECG was available, ECG was classified as abnormal if any abnormality was present. orthostatic vitals b.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., mg/kg (of 0.1 2x maintenance rate

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

SheMD

DECEMBER 10, 2023

If a patient calls with chest pains or palpitations, instead of referring them without thought to cardiology or the ER, we can often see them in the office, run EKGs, labs, place event monitors, and get cardiology involved if needed. But I don’t need to refer out to simply get an EKG, or know if a patient needs a stress test.

Pediatrics 98

Pediatrics EKG/ECG Psychiatric Wellness 98

Don't Forget the Bubbles

FEBRUARY 5, 2024

Does ECG monitoring affect resuscitation for neonates with pulseless electrical activity in the delivery room? Substance Use, Suicidal Thoughts, and Psychiatric Comorbidities Among High School Students. JAMA Pediatr. 2024 Jan 22:e236032. Antimicrobial prophylaxis for vesicoureteral reflux: which subgroups of children benefit the most?

Pediatrics 52

Pediatrics Research Resuscitation Psychiatric 52

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.

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64