Sensible Medicine

MAY 31, 2023

Her outpatient follow-up appointments were scheduled; we had reviewed her safety plan; she felt well and ready to leave the hospital. Her hospital course was uneventful, and she made good therapeutic use of her time on the unit. She had been brought to our hospital from jail, where she had been taken for some misdemeanor.

Psychiatric 96

Psychiatric Hospitals Wellness Military 96

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. Mood disorders, such as depression, are the most common psychiatric comorbidity, followed by anxiety disorders and schizophrenia.[10] Despite supplemental oxygen, she remained hypoxic.

EMS 97

EMS Psychiatric Emergency Department Poisoning 97

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

Don't Forget the Bubbles

NOVEMBER 29, 2023

A retrospective cohort analysis of the ED portion of the National Hospital Ambulatory Medical Care Survey from 2006 to 2009 in the US revealed that less than one-half of patients undergoing ETI in the ED received sedative drugs while in the ED. In some cases, patients require psychiatric or psychological attention.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

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

American Medical Compliance

MARCH 19, 2024

Although anyone working at a hospital can be a victim of violence, nurses and aides who have the most direct contact with patients are especially vulnerable. Some higher risk settings include psychiatric units, emergency rooms, geriatric units, and behavioral health units to name a few.

Psychiatric 104

Psychiatric Hospitals 104

American Medical Compliance

MARCH 18, 2024

Although anyone working at a hospital can be a victim of violence, nurses and aides who have the most direct contact with patients are especially vulnerable. Some higher risk settings include psychiatric units, emergency rooms, geriatric units, and behavioral health units to name a few.

Psychiatric 97

Psychiatric Hospitals 97

ACEP Now

MARCH 10, 2025

National Hospital Ambulatory Medical Care Survey: 2021 Emergency Department Summary Tables. Leaving the hospital against medical advice among people who use illicit drugs: a systematic review. J Psychiatric Research. National Center for Health Statistics. Accessed January 7, 2025. Jeong J, Song KJ, Kim YJ, et al. Am J Emerg Med.

Documentation/Coding 52

Documentation/Coding Emergency Department Psychiatric Risk Management 52

EMDocs

JANUARY 11, 2025

Up to 1/3 of adults over 60 suffer from chronic constipation.

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

American Medical Compliance

MARCH 18, 2024

Although anyone working at a hospital can be a victim of violence, nurses and aides who have the most direct contact with patients are especially vulnerable. Some higher risk settings include psychiatric units, emergency rooms, geriatric units, and behavioral health units to name a few.

Psychiatric 99

Psychiatric Hospitals Wellness 99

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

PEMBlog

MAY 31, 2023

Psychiatr Clin North Am. PMID: 35545394; PMCID: PMC9096567. New A, Tucci VT, Rios J. A Modern-Day Fight Club? The Stabilization and Management of Acutely Agitated Patients in the Emergency Department. 2017 Sep;40(3):397-410. doi: 10.1016/j.psc.2017.05.002. 2017.05.002. PMID: 28800797.

Psychiatric 93

Psychiatric Emergency Department Pediatrics Administration 93

American Medical Compliance

MARCH 19, 2024

Although anyone working at a hospital can be a victim of violence, nurses and aides who have the most direct contact with patients are especially vulnerable. Some higher risk settings include psychiatric units, emergency rooms, geriatric units, and behavioral health units to name a few.

Psychiatric 104

Psychiatric Hospitals 104

American Medical Compliance

MARCH 18, 2024

Although anyone working at a hospital can be a victim of violence, nurses and aides who have the most direct contact with patients are especially vulnerable. Some higher risk settings include psychiatric units, emergency rooms, geriatric units, and behavioral health units to name a few.

Psychiatric 95

Psychiatric Documentation/Coding Hospitals 95

American Medical Compliance

MARCH 19, 2024

Although anyone working at a hospital can be a victim of violence, nurses and aides who have the most direct contact with patients are especially vulnerable. Some higher risk settings include psychiatric units, emergency rooms, geriatric units, and behavioral health units to name a few.

Psychiatric 98

Psychiatric Hospitals Wellness 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

Sensible Medicine

NOVEMBER 14, 2023

In one scene Shakur asks his friend, played by Roth, to stab him because a knife wound seems to be the only way to get past the emergency room's crowded waiting area and into the hospital. They are not regulated as tightly as hospitals. Again and again, Roth tries to do it, but they’re both wimps, and the knife is too dull.

Psychiatric 134

Psychiatric Research CDC Best Practices 134

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?

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 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.

Psychiatric 52

Psychiatric Hospitals Academics Research 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. Decades ago, psychiatric complaints in the pediatric ED were infrequent.

Psychiatric 52

Psychiatric Pediatrics Emergency Department EKG/ECG 52

Sensible Medicine

SEPTEMBER 26, 2024

We have seen tweets about anxiety disorders, suicide attempts, and psychiatric drug dosing. Employers will not hesitate to hire an applicant they discover has been hospitalized for 2 weeks with community acquired pneumonia or after a suicide attempt. US News and World Report hospital rankings don’t tell you who is a good doctor.

Psychiatric 99

Psychiatric Research Operations Hospitals 99

ALiEM

OCTOBER 30, 2024

Clinical impact: Rather than arguing with the patient about the likelihood of this phenomenon occurring and whether this is a true allergy, the patient is informed that they do not need to immediately start treatment to receive care in the hospital. J Am Psychiatr Nurses Assoc. DOI Bartholow LAM, Huffman RT. 2023;29(6):470-476.

Emergency Department 64

Emergency Department Operations Psychiatric EMS 64

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. Civil Monetary Penalties Resulting from Violations of the Emergency Medical Treatment and Labor Act (EMTALA) Involving Psychiatric Emergencies, 2002 to 2018.

Psychiatric 40

Psychiatric Academics Emergency Department Hospitals 40

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

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.

Pediatrics 98

Pediatrics Psychiatric Emergency Department Documentation/Coding 98

Northwestern EM Blog

MAY 9, 2022

For this reason, carbidopa/levodopa should never be discontinued during hospital admission - or ED boarding. [1] Bromocriptine acts more centrally as a dopamine agonist but should be used cautiously in patients with psychiatric diseases as it may exacerbate psychosis. A tricky cause of NMS is the removal of a dopamine agonist.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Psychiatric Emergency Department 52

Don't Forget the Bubbles

JANUARY 8, 2024

Dr Elyssia Bourke, based at Ballarat Base Hospital, is actively engaged in this area through her ongoing PhD research. These include: Mental Health Disorders : Including a range of conditions from mood disorders to severe psychiatric illnesses. Psychosocial Factors : Family dynamics, social pressures, and environmental stressors.

Research 105

Research Emergency Department Psychiatric Academics 105

EMDocs

JULY 20, 2023

– Inclusion criteria: Included patients aged 18 or above, who had a baseline NIHSS 10 or greater (obtained within one hour before measuring infarct volume) across 26 hospitals in the United States, Canada, Europe, and Australia. Patient had to be able to be randomized between 6-24 hours after last known well.

Stroke 97

Stroke Outcomes Head Injuries Psychiatric 97

ACEP Now

NOVEMBER 13, 2023

A study done at the University of Kansas found that approximately 10 percent of the ED volume at a local county hospital was attributed to some type of behavioral emergency and that approximately one in eight ED visits in the U.S The Story in Data Violence experienced in the ED is often due to agitated, confused, or delirious patients.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 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. Dr. Helman is an emergency physician at North York General Hospital in Toronto. Adverse drug events in hospitalized patients.

Psychiatric 52

Psychiatric Emergency Department Hospitals EMS 52

ACEP Now

JUNE 13, 2024

ACEP prioritized attendance of hospital groups at this boarding summit so they could hear firsthand the impact that boarding is having on patients, physicians, and other health care workers, and also answer to this growing crisis. Representatives from both groups attended.

Hospitals 52

Hospitals Psychiatric Emergency Department Administration 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. None specified.

Emergency Department 52

Emergency Department Psychiatric Hospitals 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. 2019;10:491.

Psychiatric 52

Psychiatric Wellness Emergency Department EMS 52

ACEP Now

OCTOBER 9, 2024

We understand there are large community hospitals, academic centers and rural hospitals with vastly different resources and needs. ED ACCREDITATION ACEP’s ED Accreditation Program will include Level 1, Level 2, Level 3 and Rural Emergency or Critical Access Hospital accreditation. There are five sets of domains.

Emergency Department 52

Emergency Department Geriatric Emergencies Critical Access Ultrasounds 52

American Medical Compliance

MARCH 18, 2024

Although anyone working at a hospital can be a victim of violence, nurses and aides who have the most direct contact with patients are especially vulnerable. Some higher risk settings include psychiatric units, emergency rooms, geriatric units, and behavioral health units to name a few.

Psychiatric 52

Psychiatric Hospitals 52

EB Medicine

MAY 3, 2019

Jeff: As a quick survey of our audience before we begin, how many of you routinely encounter co-morbid psychiatric conditions in your ED patients, especially depression? Jeff: And how many of you struggle to admit or transfer patients for a formal psychiatric eval? Nachi: That would certainly be all of our listeners!

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

Maria Yang, MD

MARCH 18, 2024

Consider the person with a diagnosis of schizophrenia who has been hospitalized multiple times in the past. The history of psychiatry holds these two goals in tension, too: On one end are the state psychiatric hospitals (also called asylums) where some people with severe symptoms (or not) were held (warehoused?) ”

Psychiatric 52

Psychiatric Hospitals Wellness 52