SheMD

OCTOBER 15, 2023

Yes, I am a woman, yes I am a feminist, yes I am a physician, yes I am in academic leadership for a well-known emergency department… The yes’s are many, but what do I have to say that is so meaningful or useful that people would want to publish it? So the answer to the million dollar question: how to be happy as a woman in EM?

Emergency Department 52

Emergency Department EMS Leadership Academics 52

EMDocs

JUNE 2, 2023

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. Now it is time to review pharmacologic management. mg/kg/dose PO; 0.2-0.3

Psychiatric 91

Psychiatric Pediatrics Emergency Department Administration 91

ALiEM

OCTOBER 30, 2024

Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. J Am Psychiatr Nurses Assoc. Journal of general internal medicine.

Emergency Department 64

Emergency Department Operations Psychiatric EMS 64

EMDocs

JUNE 16, 2023

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.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

RebelEM

MARCH 9, 2023

However, evaluating and managing patients with acute alcohol intoxication in the emergency department can be challenging. It may be mistaken for acute intoxication, psychiatric illness, or other occult pathology. Unsuspected Critical Illness Among Emergency Department Patients Presenting for Acute Alcohol Intoxication.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

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

Psychiatric 40

Psychiatric Emergency Department Forensics Hospitals 40

The Skeptics' Guide to EM

NOVEMBER 25, 2017

It is an antipsychotic drug used for a number of psychiatric conditions including schizophrenia. You can find a good review on this paper on REBEL EM. Population: Adults 18 years and older presenting to the emergency department with abdominal pain due to their known gastroparesis. AEM November 2017.

Psychiatric 40

Psychiatric Emergency Department Operations Administration 40

EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. Upon EMS arrival the male is noted to be anxious and tremulous with a GCS of 14. Acad Emerg Med. This series provides evidence-based updates to previous posts so you can stay current with what you need to know.

Seizures 105

Seizures Hyperthermia / Hypothermia Emergency Department EMS 105

Taming the SRU

DECEMBER 11, 2023

PATIENT PRESENTATION A young woman with a past medical history of major depressive disorder presented to the emergency room via EMS for a report of intentional ingestion of an unknown substance. EMS reported that she was vomiting profusely on their arrival to the scene but during transport became increasingly lethargic.

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EMS Psychiatric Emergency Department Poisoning 98

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. Emerg Med Clin North Am. Emerg Med Australas. Do we Redirect?

Pediatrics 97

Pediatrics Psychiatric Emergency Department Documentation/Coding 97

ACEP Now

JANUARY 14, 2024

Many common presentations to the emergency department (ED) are related to drug interactions that are commonly missed and largely preventable. Patients with psychiatric illness and renal disease should give us pause not only for unexplained presentations but also when ordering and prescribing medications for these patients in the ED.

Psychiatric 52

Psychiatric Emergency Department Hospitals EMS 52

ACEP Now

JULY 7, 2024

One night I found myself on the other side of the stretcher, as a patient waiting for a psychiatric assessment in an emergency department (ED). I knew it would not be until morning before I was “medically cleared” for my psychiatric evaluation, and I wanted to let them know they could head home. Why are women leaving EM?:

Psychiatric 52

Psychiatric Wellness Emergency Department EMS 52

ACEP Now

AUGUST 1, 2023

In November 2022, the American College of Emergency Physicians sent a letter to President Biden on behalf of 34 organizations, asking to convene stakeholders to identify solutions to address the emergency department (ED) boarding crisis.1 The effect of emergency department crowding on clinically oriented outcomes.

Military 98

Military Emergency Department Hospitals Leadership 98

ACEP Now

MARCH 11, 2025

A 16-year-old male presents to the emergency department (ED) with his mother with the chief complaint of intermittent abdominal pain and constipation for several weeks. 7 A more recent study surveyed emergency physicians knowledge and training and found that of 1.9 Parental blame is counter-therapeutic and should be avoided.

Emergency Department 83

Emergency Department Psychiatric Dehydration Pediatrics 83

Dr. Smith's ECG Blog

APRIL 8, 2015

in 2010 EM Clinics of North America (full text link) For an Exhaustive Review of Syncope and its full management outside the ED environment, go to the 2009 European Society of Cardiology Guidelines (full text pdf). The ROSE (Risk Stratification of syncope in the emergency department) Study.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

ACEP Now

APRIL 5, 2024

Wetli was referring to his and a colleague’s publication of a case report, in 1981, and a seven-case series in 1985 describing the novel “excited delirium syndrome” in individuals under the influence of cocaine, “a medical emergency but with a psychiatric presentation.”

Forensics 49

Forensics Psychiatric Burns Hospitals 49

EMDocs

MARCH 6, 2025

If the dosage can be lowered safely, this can be done in the outpatient psychiatric setting, to monitor for development of any psychotic features. Psychiatric consultation should be considered. link] American Psychiatric Association. 2 The first intervention to consider is whether antipsychotics can be weaned.

Psychiatric 73

Psychiatric Emergency Department Administration Wellness 73

EMDocs

JUNE 7, 2023

She required further inpatient psychiatric care and was eventually discharged. Parenteral organophosphorus poisoning in a rural emergency department: a case report. She is speaking one word at a time and constantly coughing. Iran Red Crescent Med J 16: e5072, 2014. BMC Res Notes. 2013; 6:524. Published 2013 Dec 9.

Poisoning 98

Poisoning Airway Management Seizures PPE 98

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 65

Documentation/Coding Seizures Psychiatric Wellness 65