Pediatric EM Morsels

NOVEMBER 3, 2023

For non-complicated malaria use oral Co ART em. PMID: 30666615 The post Imported Malaria appeared first on Pediatric EM Morsels. It appears after an asymptomatic period. It takes 3 negative smears collected at 12-24 hours to exclude malaria as the cause of fever in a returning traveler from an endemic region. vivax or P.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

PEMBlog

JUNE 7, 2023

After listening to this episode you will be able to: Identify unique aspects of the pre-hospital environment that impact assessment and treatment of agitated children Describe the role of EMS personnel and EMS director in the care of agitated children.

Pediatrics 123

Pediatrics Psychiatric Emergency Department EMS 123

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

EMergucate

MAY 17, 2016

– Aggressive / Agitated Patient – Eating Disorders – Psychiatric Assessment – Psychiatric Management Overview – Self-Harm / Suicidal – … Continue reading →

Psychiatric 40

Psychiatric EMS 40

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. Psychiatr Clin North Am. mg/kg/dose (PO/IM/IV) Midazolam – 0.25-0.5

Psychiatric 93

Psychiatric Pediatrics Emergency Department Administration 93

SheMD

OCTOBER 15, 2023

I write today because I wanted to share some of my perspectives on how to 1) be happy as a woman in EM and 2) how to “make it” as a woman in EM. So the answer to the million dollar question: how to be happy as a woman in EM? The Inequalities Facing Women in EM When I name these I get really angry.

Emergency Department 52

Emergency Department EMS Leadership Academics 52

ALiEM

OCTOBER 30, 2024

Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. Our experience: It was not long ago that we instructed our staff that: ‘COWS >8, give ’em 8 (mg of buprenorphine).’ J Am Psychiatr Nurses Assoc. They report insufflating ‘a bundle’ of tranq dope per day.

Emergency Department 64

Emergency Department Operations Psychiatric EMS 64

EM Curious

JUNE 3, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Watch this 10 minute video here.

COPD 52

COPD Ultrasounds EMS Psychiatric 52

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

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return of spontaneous circulation. She had an uneventful ICU course and was extubated for ongoing care with the inpatient psychiatric service.

EKG/ECG 131

EKG/ECG Documentation/Coding Psychiatric EMS 131

ACEP Now

JULY 7, 2023

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. However, when agitation is due to an underlying psychiatric disorder, SGAs are preferred. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

Emergency Medicine Cases

JANUARY 30, 2018

Alcohol is everywhere, and inevitably inebriated people show up at your ED with a myriad of medical and psychiatric problems. One, after an intentional suicide attempt where they tell you exactly what they took; two, when they come in agitated and won’t give you a history and the three, the inebriated patient found down.

Psychiatric 52

Psychiatric Poisoning EMS 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. Do we Redirect?

Pediatrics 98

Pediatrics Psychiatric Emergency Department Documentation/Coding 98

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

JANUARY 14, 2024

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. Many thanks to Dr. David Juurlink and Dr. Walter Himmel for their expert contributions to the EM Cases podcast that inspired this article.

Psychiatric 52

Psychiatric Emergency Department Hospitals EMS 52

Emergency Medicine Cases

SEPTEMBER 25, 2018

There is pathology lurking beneath - psychiatric, medical, traumatic and toxicological diagnoses driving these patients and we just won’t know which until we can safely calm them down. These are high risk patients and they are high risk to you and your ED staff.

Psychiatric 52

Psychiatric Resuscitation EMS 52

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

EMergucate

JUNE 7, 2016

A 53 year old with a history of psychiatric issues presents with altered mental state. She is tachypnoeic and looks … Continue reading →

Psychiatric 40

Psychiatric EMS 40

RebelEM

OCTOBER 5, 2022

Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 87.0 – Hypercalcemia appeared first on REBEL EM - Emergency Medicine Blog. mg/dL 10.5 – 12.0 Read More LITFL: QT Interval LITFL: Hypercalcemia LITFL: Hypercalcemia Post Peer Reviewed By: Salim R.

Dehydration 52

Dehydration Psychiatric Administration EKG/ECG 52

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. One drug that has been tried is haloperidol. Haloperidol blocks the dopamine receptors in the brain.

Psychiatric 40

Psychiatric Emergency Department Operations Administration 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

Dr. Smith's ECG Blog

SEPTEMBER 7, 2020

Read about Fascicular VT here: Idiopathic Ventricular Tachycardias for the EM Physician Case Continued He was completely stable, so adenosine was administered. Hence the latter part of the QRS is to the right and inferior (RBBB morphology and right and inferior axis). As a result — I’ll limit my comments to a few additional points.

EKG/ECG 52

EKG/ECG Psychiatric Wellness Resuscitation 52

EB Medicine

JULY 8, 2019

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. 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

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. Psychiatr Clin North Am. Acta Psychiatr Scand.

Emergency Department 83

Emergency Department Psychiatric Dehydration Pediatrics 83

EB Medicine

AUGUST 1, 2018

Nachi: Sometimes… Jeff: This month’s issue was authored by Mollie Williams, who is the EM residency program director at the Brooklyn Hospital Center. Jeff: In terms of psychiatric effects, several low-to-moderate quality studies have shown statistically significant associations between psychosis and self-reported cannabis use.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

ACEP Now

AUGUST 1, 2023

It should also differentiate boarding times for psychiatric patients, who are at high risk for very prolonged boarding. For example, EMS personnel, certified nursing assistants, and medical assistants could reduce the nursing work burden for tasks such as drawing blood, hanging simple fluids, placing IVs, and other tasks.

Military 98

Military Emergency Department Hospitals Leadership 98

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

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). Sixth, psychiatric evaluation can detect mental disorders associated with syncope in up to 25% of cases. Quinn et al.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

JUNE 7, 2023

She required further inpatient psychiatric care and was eventually discharged. Upon successful recovery, she explained she had been depressed and attempted to harm herself by drinking a bottle of insecticide containing malathion, an organophosphate.

Poisoning 98

Poisoning Airway Management Seizures PPE 98

SheMD

DECEMBER 10, 2023

Periodically, an ED evaluation is warranted and we need to call EMS for an ambulance. I learned about surveillance for the delayed effects of chemotherapy, long term concerns about decreased fertility and the very common psychiatric sequelae of anxiety and depression.

Pediatrics 98

Pediatrics EKG/ECG Psychiatric Wellness 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 64

Documentation/Coding Seizures Psychiatric Wellness 64

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 74

Psychiatric Emergency Department Administration Wellness 74