AENJ: Current Issue

SEPTEMBER 30, 2023

Nevertheless, clinicians should continue to assess the patient without delay, differentiate underlying causes of agitation, treat the mother and fetus aggressively, and consult obstetric and psychiatric services early.

Psychiatric 52

Psychiatric Emergency Department Outcomes Wellness 52

ACEP Now

JULY 7, 2023

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Emergency departments (EDs) focus on rapid initiation of medical treatment. However, when agitation is due to an underlying psychiatric disorder, SGAs are preferred. Ann Emerg Med.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

PEMBlog

JUNE 14, 2023

Thousands of children and adolescents spend days at time in Emergency Departments waiting for definitive mental health disposition. West J Emerg Med. Mental Health Revisits at US Pediatric Emergency Departments. Prolonged emergency department length of stay for US pediatric mental health visits (2005-2015).

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

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.

EMS 97

EMS Psychiatric Emergency Department Poisoning 97

ACEP Now

MARCH 10, 2025

1,2 Approximately 2 percent of emergency department (ED) patients in the United States leave prior to evaluation or AMA. Understanding Against Medical Advice, Informed Consent, and Emergency Medical Treatment and Labor Act. Emerg Med Clin North Am. BMC Emerg Med. Ann Emerg Med. Acad Emerg Med.

Documentation/Coding 52

Documentation/Coding Emergency Department Psychiatric Risk Management 52

Intensive Blog

FEBRUARY 14, 2025

A 34-year-old patient presents to the emergency department with a suspected recreational drug overdose and is intubated for a low Glasgow Coma Scale (GCS). ethanol, nicotine, cannabis, amphetamines, GHB, opioids), or psychiatric disorders such as psychosis or bipolar disorder. There is no past medical history of note.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Psychiatric Forensics PPE 52

ACEP Now

NOVEMBER 13, 2023

Physicians, nurses, and staff in emergency departments (EDs) across the country have encountered workplace violence for years. 1,2 In a 2018 study by ACEP, nearly half of emergency physicians polled reported a physical assault while at work. J Emerg Nurs. J Emerg Nurs. Accessed October 10, 2023. 2023;(3):415-424.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

PEMBlog

JUNE 7, 2023

Describe the role of medical control in determining destination and goals of safe transport This episode is a co-production of the Emergency Medical Services for Children Innovation and Improvement Center whose mission is to minimize morbidity and mortality of acutely ill and injured children across the emergency continuum.

Pediatrics 123

Pediatrics Psychiatric Emergency Department EMS 123

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

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.

Psychiatric 93

Psychiatric Emergency Department Pediatrics Administration 93

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 94

Psychiatric Pediatrics Emergency Department Administration 94

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. His roommate found an empty pill bottle on the floor next to him. In overdose, central nervous system (CNS) and cardiovascular complications are most common, however many organ systems can be affected.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

ACEP Now

JULY 11, 2024

2 Although the opiate epidemic is certainly worthy of attention, it accounts for only about half of the number of deaths annually and only around a quarter of the number of emergency department visits annually relative to alcohol use. He returned to the emergency department, and you had the great privilege of saving his life.

Emergency Department 98

Emergency Department Psychiatric Outcomes Wellness 98

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.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

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?

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

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

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

Emergency Medicine Journal

SEPTEMBER 27, 2023

Methods This cross-sectional study included parents of children <18 years old presenting to a paediatric ED in Orange County, California, USA, for a non-psychiatric complaint between 20 January 2021 and 26 March 2021. Parents were, on average, 34.76±9.10 years old, 87.5% were mothers, 59.2%

Emergency Department 40

Emergency Department Psychiatric Research Outcomes 40

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? Soc Psychiatry Psychiatr Epidemiol 2014;49:791-809.

Emergency Department 52

Emergency Department EMS Leadership Academics 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 Emergency Department Psychiatric Documentation/Coding 98

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. JAMA Psychiatry. 2023 Sep 27:e233582. doi: 10.1001/jamapsychiatry.2023.3582.

Emergency Department 89

Emergency Department Psychiatric Resuscitation Wellness 89

Don't Forget the Bubbles

JANUARY 8, 2024

Dr Bourke’s work is not only about deepening academic understanding but also about forging practical approaches to help healthcare professionals navigate the nuanced and often uncertain waters of adolescent care in emergency settings. Psychosocial Factors : Family dynamics, social pressures, and environmental stressors.

Research 105

Research Emergency Department Psychiatric Academics 105

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 Critical Access Geriatric Emergencies Ultrasounds 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.

Psychiatric 40

Psychiatric Academics Emergency Department Hospitals 40

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. She is […] The post SGEM#360: We Care a Lot – The EmPATH Study first appeared on The Skeptics Guide to Emergency Medicine. AEM February 2022. AEM February 2022.

Psychiatric 52

Psychiatric Hospitals Academics Research 52

Taming the SRU

OCTOBER 1, 2024

However, patients receiving ketamine at higher doses are at increased risk of airway compromise requiring intubation r3 taming the sru WITH dr. rodriguez Up to 17% of third-degree AV block is secondary to ischemia or an MI.

Dislocations 74

Dislocations Fractures Poisoning Academics 74

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

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

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. We have developed a series of pain focused episodes. 2009 Nov;27(4):655-67, ix. 2009.07.003.

Emergency Department 59

Emergency Department Pediatrics Psychiatric Administration 59

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

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

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). Bromocriptine acts more centrally as a dopamine agonist but should be used cautiously in patients with psychiatric diseases as it may exacerbate psychosis.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Psychiatric Emergency Department 52

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.

Leadership 40

Leadership Psychiatric Emergency Department Hospitals 40

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

Taming the SRU

JANUARY 12, 2024

r4 case follow up - r1 clinical knowledge: interstitial lung disease - halo - pediatric simulation - pediatric small groups r4 case follow up WITH dr. yates Psychiatric emergency department visits are on the rise in the United States, with roughly 15-19% of all ED visits associated with mental health diagnoses Roughly twenty percent of patients presenting (..)

Fluid Resuscitation 59

Fluid Resuscitation Pediatrics Sepsis Shock 59