ALiEM

OCTOBER 30, 2024

A trans-esophageal echocardiogram showed a normal ejection fracture, normal right ventricular function, and no vegetations. Your patient ultimately is diagnosed with a spinal epidural abscess requiring operative care. J Am Psychiatr Nurses Assoc. Clinical impact: The patient’s DVT ultrasounds were negative.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

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. Alcohol Alcohol.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

Don't Forget the Bubbles

NOVEMBER 29, 2023

Ben has a possible skull fracture and has been intubated, but his oxygen requirement is minimal. Awake fiberoptic intubation where the patient consents, co-operative AND the airway is prepared with local anaesthesia. In some cases, patients require psychiatric or psychological attention. His name is Ben.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135