PEMBlog

MAY 31, 2023

Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. West J Emerg Med. Erratum in: West J Emerg Med. Psychiatr Clin North Am. 2019 Mar;20(2):409-418. doi: 10.5811/westjem.2019.1.41344.

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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

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Psychiatric Pediatrics Emergency Department Administration 93

ALiEM

OCTOBER 30, 2024

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. Emergency department-initiated buprenorphine for opioid dependence with continuation in primary care: outcomes during and after intervention. J Am Psychiatr Nurses Assoc.

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Emergency Department Operations Psychiatric Hospitals 64

EMDocs

JUNE 9, 2023

Podcast: Play in new window | Download (Duration: 15:51 — 21.8MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Safe prehospital transport of the agitated child In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children. In today’s episode, we’re taking our show on the road.

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EMS Documentation/Coding Pediatrics Psychiatric 98

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. Why are we boarding?

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Psychiatric Pediatrics Emergency Department Best Practices 52

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. A paediatric social admission is one where a child is admitted to the hospital but not for a medical reason.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

ACEP Now

OCTOBER 9, 2024

Emergency physicians have long taken pride in delivering care every day of the week, every hour of the day. ACEP’s Emergency Department Accreditation program adds a layer to that, says Marianne Gausche-Hill, MD, FACEP, FAAP, FAEM, Chair of the program’s Board of Governors. There are five sets of domains.

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Emergency Department Critical Access Geriatric Emergencies Ultrasounds 52

PEMBlog

SEPTEMBER 6, 2023

However, the vast majority of pediatric patients with psychiatric complaints do not present with undifferentiated acute psychosis; rather, they are seen for behavioral concerns or suicidal ideation. When should the emergency physician obtain lab tests to medically clear such patients?

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Psychiatric Pediatrics Emergency Department EKG/ECG 52

The Skeptics' Guide to EM

FEBRUARY 26, 2022

Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America. Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America.

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Psychiatric Hospitals Academics Research 52

ACEP Now

FEBRUARY 12, 2024

On October 6, 2023, the ACEP Board of Directors approved a clinical policy developed by the ACEP Clinical Policies Committee on the evaluation and management of adult out-of-hospital or emergency department (ED) patients presenting with severe agitation. Verbal de-escalation should be considered as first-line management.

Emergency Department 52

Emergency Department Psychiatric Hospitals 52

The Skeptics' Guide to EM

MAY 19, 2019

Civil Monetary Penalties Resulting from Violations of the Emergency Medical Treatment and Labor Act (EMTALA) Involving Psychiatric Emergencies, 2002 to 2018. AEM May 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine.

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Psychiatric Academics Emergency Department Hospitals 40

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.

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Psychiatric Emergency Department Fractures Documentation/Coding 52

ACEP Now

JUNE 13, 2024

This fall, ACEP will participate in the Agency for Healthcare Research and Quality (AHRQ) Director’s summit on emergency department boarding. ACEP helped make the summit possible by mobilizing Congress to request action from the Department of Health and Human Services (HHS) during the Leadership and Advocacy Conference in 2023.

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Hospitals Emergency Department Administration Psychiatric 52

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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Psychiatric Emergency Department Forensics Hospitals 40

ACEP Now

OCTOBER 3, 2023

Urge Your Legislators to Support New Bill to Combat Boarding, Support Mental Health Access from the ED The bipartisan Improving Mental Health Access from the Emergency Department Act was recently reintroduced in the House for the 118th Congress by Reps. Raul Ruiz, MD (D-CA) and Brian Fitzpatrick (R-PA). ACEP President Christopher S.

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Leadership Psychiatric Emergency Department Hospitals 40

The Skeptics' Guide to EM

NOVEMBER 25, 2017

AEM November 2017 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. He is the creator of the excellent #FOAMed […] The post SGEM#196: Gastroparesis – I Feel Like Throwing Up first appeared on The Skeptics Guide to Emergency Medicine.

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Psychiatric Emergency Department Operations Hospitals 40

EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. This series provides evidence-based updates to previous posts so you can stay current with what you need to know. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold

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Seizures Hyperthermia / Hypothermia Emergency Department EMS 105

Taming the SRU

DECEMBER 11, 2023

The patient was notably uninsured due to losing her job six months ago, which prevented her from accessing psychiatric care during that time frame. 1,2] Patients at risk for suicide often interact with emergency medical care. Her sister provided collateral history that the patient had been drinking heavily over the last several days.

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EMS Psychiatric Emergency Department Poisoning 97

ACEP Now

MAY 10, 2024

A 9-month-old male presents to emergency department (ED) with his mother for seizure. The child was diagnosed with seizure disorder at 2 months of age and has had multiple visits to the emergency department (ED) for seizures. These resolved during hospitalization. Immunizations are up to date.

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Forensics Psychiatric Seizures Pediatrics 98

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. In some cases, patients require psychiatric or psychological attention. His name is Ben.

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Airway Management Emergency Department Resuscitation Psychiatric 135

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. Patients may be brought to hospital by police under restraint (e.g.

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Pediatrics Emergency Department Psychiatric Documentation/Coding 98

Don't Forget the Bubbles

JANUARY 8, 2024

In paediatric emergency care, addressing the challenge of adolescent agitation is a complex and evolving task. Dr Elyssia Bourke, based at Ballarat Base Hospital, is actively engaged in this area through her ongoing PhD research. As we are not used to sedating children in this way, choosing drugs and doses can be difficult.

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Research Emergency Department Psychiatric Academics 105

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.

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Psychiatric Emergency Department Hospitals EMS 52

PEMBlog

MAY 24, 2023

Alice Kuo and Ilene Claudius Podcast EIIC: Safe Control of the Agitated Patient Webinar Series with Dr. Emerg Med Clin North Am. Structured team approach to the agitated patient in the emergency department. Emerg Med Australas. 2009 Nov;27(4):655-67, ix. doi: 10.1016/j.emc.2009.07.003. 2009.07.003. PMID: 19932399.

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Emergency Department Pediatrics Psychiatric Administration 59

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 Even more so, nurses left practice or migrated to non-hospital settings.

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Military Hospitals Emergency Department Leadership 98

EB Medicine

MAY 3, 2019

This month, we’re moving into uncharted territories for the podcast… we’re talking psychiatry Nachi: Specifically, we’ll be discussing Depressed and Suicidal Patients in the emergency department. Jeff: And how many of you struggle to admit or transfer patients for a formal psychiatric eval?

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Emergency Department Psychiatric Documentation/Coding Outcomes 40

Northwestern EM Blog

MAY 9, 2022

There is no gold standard with respect to its definition, and it requires a medication history (which we typically don't do very well in the emergency department). For this reason, carbidopa/levodopa should never be discontinued during hospital admission - or ED boarding. [1] References 1. 12 March 2015.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Psychiatric Emergency Department 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. Front Psychiatry.

Psychiatric 52

Psychiatric Wellness Emergency Department EMS 52

The Skeptics' Guide to EM

APRIL 29, 2023

The effect of telemental versus in-person mental health consults in the emergency department on 30-day utilization and processes of care. AEM April 2023 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Reference: Han et al.

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

The Skeptics' Guide to EM

MAY 12, 2018

Case: A 24-year-old male is brought into the emergency department by police. He is brought to the emergency department extremely agitated and despite being held down by two police and three security guards he is still trying to bite the staff.

Psychiatric 52

Psychiatric Emergency Department Hospitals Wellness 52

The Skeptics' Guide to EM

FEBRUARY 29, 2020

Randomised control trial of adult therapeutic colouring for the management of significant anxiety in the Emergency Department. AEM February 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Reference: Rajendran et al.

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Emergency Department Academics Psychiatric Outcomes 40

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.

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Emergency Department Psychiatric Dehydration Pediatrics 83

Dr. Smith's ECG Blog

APRIL 8, 2015

Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to general hospital: the EGSYS score. 2) Boston syncope rule: J Emerg Med. The ROSE (Risk Stratification of syncope in the emergency department) Study. Other studies 1) EGSYS score (full text link). Del Rosso A, et al.

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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.” References Gehrke D.

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Forensics Psychiatric Burns Hospitals 49

Don't Forget the Bubbles

JULY 17, 2023

The Bubble Wrap Plus is a monthly paediatric journal club reading list from Anke Raaijmakers, working with Professor Jaan Toelen and his team at the University Hospitals in Leuven. 2023 Jun 1;76(6):731-736 The Association Between Media-Based Exposure to Nonsuicidal Self-Injury and Emergency Department Visits for Self-Harm.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

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. She complains of dizziness, nausea, and abdominal cramps. Iran Red Crescent Med J 16: e5072, 2014.

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Poisoning Airway Management Seizures PPE 98

Don't Forget the Bubbles

FEBRUARY 5, 2024

The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). Procedural sedation programme minimising adverse events: a 3-year experience from a tertiary paediatric emergency department. Arch Dis Child.

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Pediatrics Research Resuscitation Psychiatric 52