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 93

Psychiatric Pediatrics Emergency Department Administration 93

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. Ann Emerg Med.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

EMDocs

NOVEMBER 19, 2024

1,6 Agitation, delirium, psychosis, and hallucinations can occur and may be incorrectly attributed to concurrent psychiatric illness. Low-dose lipid emulsion for pediatric vasoplegic shock due to quetiapine and fluvoxamine overdose: a case report. J Emerg Crit Care Med Vol 6 (October 30, 2022) J Emerg Crit Care Med.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

EMDocs

JANUARY 11, 2025

Stercoral colitis in the emergency department: a review of the literature. International journal of emergency medicine, 17(1), 3. Stercoral Colitis in the Emergency Department: A Retrospective Review of Presentation, Management, and Outcomes. Annals of emergency medicine, 82(1), 3746. Stercoral Colitis.

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

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.

EMS 98

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.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 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?

Psychiatric 52

Psychiatric Pediatrics Emergency Department EKG/ECG 52

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 98

Pediatrics Psychiatric Emergency Department Documentation/Coding 98

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.

Emergency Department 52

Emergency Department Geriatric Emergencies Critical Access Ultrasounds 52

Broome Docs

FEBRUARY 22, 2024

MRIs may be warranted in a small subset of patients, but those MRIs do not need to occur in an emergency department. Transition to Schizophrenia Spectrum Disorder Following Emergency Department Visits Due to Substance Use With and Without Psychosis. Pediatrics. JAMA Psychiatry. 2023 Sep 27:e233582. JAMA Psychiatry.

Emergency Department 89

Emergency Department Psychiatric Resuscitation Wellness 89

PEMBlog

MAY 24, 2023

Emerg Med Clin North Am. Structured team approach to the agitated patient in the emergency department. Emerg Med Australas. Use and avoidance of seclusion and restraint: consensus statement of the american association for emergency psychiatry project Beta seclusion and restraint workgroup. doi: 10.1016/j.emc.2009.07.003.

Emergency Department 59

Emergency Department Pediatrics Psychiatric Administration 59

Taming the SRU

JANUARY 12, 2024

pediatric small groups WITH our cchmc colleagues Dermatologic emergencies Children can present with a wide range of rashes, many of which are benign, however identifying concerning rashes is very important. Use your resources to differentiate scary from benign! Children are not just small adults!

Fluid Resuscitation 59

Fluid Resuscitation Pediatrics Sepsis Shock 59

Northwestern EM Blog

JANUARY 2, 2023

The next question is whether the same trend of decreased suicidality also applies to the pediatric population. A pediatric emergency department in Texas looked at the resulted of their routine suicide risk screenings for patients aged 11-21. Pediatrics. JAMA Netw Open. 2021;4(1):e2034261. 2020.34261 5. Brenner, J.

Emergency Department 52

Emergency Department Research Pediatrics CDC 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. There is also an increased risk of self-harm emergencies after bariatric surgery, mostly in patients with known psychiatric co-morbidities.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

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. 2009) ‘Paediatric social admission to hospital’ International Pediatrics 24(20):56–64 Ombudsman for Children (2020).

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

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

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. cuffed ETT) preloaded and intubate through the stoma if PPV needed Infection (i.e.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

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. American Psychiatric Association. Arlington, VA: American Psychiatric Association; 2013.

Forensics 98

Forensics Psychiatric Seizures Pediatrics 98

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

Don't Forget the Bubbles

JULY 17, 2023

Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. Pediatr Nephrol. JAMA Pediatr. Eur J Pediatr. Pediatr Infect Dis J. Pediatr Infect Dis J. Eur J Pediatr. Eur J Pediatr. Pediatr Infect Dis J. Pediatr Infect Dis J. Eur J Pediatr. Sethi SK, et al.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

EMDocs

JUNE 7, 2023

mg/kg pediatrics) Double dose every 5 min Titrate up to end point of therapy and may require very large doses Target End Point of Therapy = clear chest sounds, HR > 80/min, pupil size greater than pinpoint, and dry axillae. She required further inpatient psychiatric care and was eventually discharged. See figure below. 8 Figure 1.

Poisoning 98

Poisoning Airway Management Seizures PPE 98

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., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S.,

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

Don't Forget the Bubbles

FEBRUARY 5, 2024

In the review part of the list, we found an interesting systematic review in JAMA Pediatrics about the relationship between 100% juice consumption and weight gain. Pediatr Nephrol. Pediatr Infect Dis J. Eur J Pediatr. Pediatrics. Pediatrics. Eur J Pediatr. Eur J Pediatr. Pediatrics.

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