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

Sensible Medicine

NOVEMBER 14, 2023

The higher-quality studies described programs that offered evidence-based psychological therapies, addressed psychiatric disorders, and responded to the social challenges in their clients’ lives, like housing or criminal justice issues. These higher quality studies usually achieved better outcomes.

Research 113

Research Psychiatric CDC Best Practices 113

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, rapid initiation of treatment is actually patient-centered care that can both lead to better outcomes and limit ED boarding. Future articles will highlight solutions and success stories. Ann Emerg Med.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

Don't Forget the Bubbles

JULY 17, 2023

Clinical Outcomes of COVID-19 in Newborns and Infants: A Multicenter Experience of 576 Cases. 2023 Jun Oral food challenge outcomes in children and adolescents in a tertiary centre: A 5-year experience. Effects of size at birth on health, growth and developmental outcomes in children up to age 18: an umbrella review. 2023 Jun 9.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

EMDocs

DECEMBER 18, 2024

Alcohol withdrawal syndrome: improving outcomes through early identification and aggressive treatment strategies. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold

Seizures 79

Seizures Hyperthermia / Hypothermia Emergency Department EMS 79

Don't Forget the Bubbles

JANUARY 1, 2024

The study suggests the importance of increased screening, safety planning, and early interventions for children with PO-MDD to address the risk of future psychiatric morbidity and mortality. Outcomes From a Randomized Clinical Trial. Two-Year Autism Risk Screening and 3-Year Developmental Outcomes in Very Preterm Infants.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

American Medical Compliance

AUGUST 14, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve patient care outcomes.

Psychiatric 74

Psychiatric Outcomes 74

The Skeptics' Guide to EM

APRIL 29, 2023

You desire a psychiatric consult and learn that you don’t have in-person consult availability at this facility, but instead use telehealth services. Clinical Question: What is the effect of TMH, versus in-person consult, on 30-day outcomes and processes of care during the visit? Reference: Han et al.

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

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

American Medical Compliance

NOVEMBER 20, 2023

million New Zealanders, researchers discovered correlations between these illnesses and other psychiatric disorders as well as dementias of all kinds, including Alzheimer’s. Psychotherapy has not received as much attention from researchers as treatment has, but some trials have shown encouraging outcomes.

Psychiatric 52

Psychiatric Research Wellness Outcomes 52

Pediatric Emergency Playbook

JULY 1, 2018

Psychiatric outcomes after pediatric sports-related concussion. References Churchill NW et al. The first week after concussion: Blood flow, brain function and white matter microstructure. Neuroimage Clin. 2017; 14: 480–489. Ellis MJ et al. J Neurosurg Pediatr. 2015; 16:709-718. Graham R et al.

Psychiatric 40

Psychiatric Pediatrics Research Outcomes 40

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. Current results may help identify families in need of additional intervention and may improve patient outcomes.

Emergency Department 40

Emergency Department Psychiatric Research Outcomes 40

The Skeptics' Guide to EM

JUNE 26, 2021

AEM June 2021 * Population: Female patients 18 years of age or older who were judged by the treating practitioner to need NG/CT testing * Exclusions: Incarcerated any acute psychiatric condition precluded understanding instructions or giving informed consent, not English or Spanish proficient, or treated for NG/CT within the previous four weeks.

Emergency Department 40

Emergency Department Psychiatric Outcomes Research 40

PulmCCM

OCTOBER 31, 2021

Patients were excluded from study if any of the following criteria were met: a negative diagnostic examination for SARS-CoV-2, vaccinated status, dyspnea secondary to another cause, uncontrolled psychiatric disorders, unwillingness to follow research guidelines and procedures, or pregnancy.

Outcomes 40

Outcomes Hospitals Psychiatric Wellness 40

EMDocs

JUNE 7, 2023

She required further inpatient psychiatric care and was eventually discharged. Indira M, Andrews MA, Rakesh TP: Incidence, predictors, and outcome of intermediate syndrome in cholinergic insecticide poisoning: a prospective observational cohort study. In: Mattu A and Swadron S, ed. CorePendium. Burbank, CA: CorePendium, LLC.

Poisoning 84

Poisoning Airway Management Seizures PPE 84

Don't Forget the Bubbles

FEBRUARY 5, 2024

Their main outcome measure was the proportion of pictures inconsistent with current safety recommendations. Are sucking patterns and early spontaneous movements related to later developmental functioning outcomes? Doxapram for apnoea of prematurity and neurodevelopmental outcomes at age 5-6 years. 2024 Jan 11:113910. Pediatrics.

Pediatrics 52

Pediatrics Research Resuscitation Psychiatric 52

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.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Northwestern EM Blog

JANUARY 2, 2023

While this may be surprising, there is literature that shows that catastrophic events can be associated with increased social support and reduce suicidal outcomes [4]. Assessing psychiatric safety in suicidal emergency department patients. However, as the pandemic lengthens, more research is needed to see the trends in the data.

Emergency Department 52

Emergency Department Research Pediatrics CDC 52

Dr. Smith's ECG Blog

APRIL 17, 2023

Full case details and outcomes are below. Later, this info was supplied by Sam: This ECG was recorded in a 23-year-old African American man with a history of psychiatric illness, acute alcohol/drug intoxication, brought in by police officers status post being tazed. Case 1: Case 2: Case 1: What do you think?

EKG/ECG 52

EKG/ECG Documentation/Coding Emergency Department Psychiatric 52

EB Medicine

JULY 8, 2019

Jeff: Also, be on the lookout for self-harm emergencies as patients with known psychiatric disorders are at increased risk following bariatric surgery. with generally good clinical outcomes including improved quality of life and reducing or staving off comorbidities. Jeff: Still, the complication rate is low - about 2.3%

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

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 87

Psychiatric Seizures Emergency Department Pediatrics 87

Don't Forget the Bubbles

AUGUST 2, 2023

Early management leads to better outcomes. in 2018, 16% of patients diagnosed with CRPS had comorbid depression, and two-thirds had at least one psychiatric diagnosis, significantly higher than in the general population. Psychiatric Disorders in Complex Regional Pain Syndrome (CRPS): The Role of the Consultation-Liaison Psychiatrist.

Psychiatric 98

Psychiatric Pediatrics Outcomes Academics 98

ACEP Now

MAY 10, 2024

3,4 Perpetrator risk factors include: female sex, mother of child, health care worker, history of obstetric complications, history of childhood maltreatment, and psychiatric illness (factitious disorder imposed on self, borderline personality disorder, histrionic personality disorder, and depression). American Psychiatric Association.

Forensics 98

Forensics Psychiatric Seizures Pediatrics 98

EMDocs

JULY 20, 2023

A second primary outcome was added at the 30-month time frame by request of the FDA, the trial was still blinded at that time. A second primary outcome was added at the 30-month time frame by request of the FDA, the trial was still blinded at that time. POWER: 86% to detect a 1-point difference in the group’s first primary outcome.

Stroke 74

Stroke Outcomes Head Injuries Psychiatric 74

ALiEM

OCTOBER 30, 2024

Emergency department-initiated buprenorphine for opioid dependence with continuation in primary care: outcomes during and after intervention. J Am Psychiatr Nurses Assoc. 2022 May;14(5). PMID 35774687 D’Onofrio G, Chawarski MC, O’Connor PG, et al. Journal of general internal medicine. 2017 Jun;32:660-6. Cureus 16(9): e69274.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

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 63

Documentation/Coding Seizures Psychiatric Wellness 63

The Skeptics' Guide to EM

FEBRUARY 29, 2020

The process for medical clearance and psychiatric evaluation can take quite a while, and you notice that this patient seems stressed and anxious. Case: One night during an overnight shift, you are taking care of a patient who presented to the emergency department (ED) due to anxiety and vague suicidal ideation.

Emergency Department 40

Emergency Department Academics Psychiatric Outcomes 40

The Skeptics' Guide to EM

APRIL 14, 2019

Although she has no other health problems, and no other complaints, you are aware of data that indicates there is a high level of psychiatric illness and suicidal ideation among emergency department patients and wonder what is the best way to approach this problem? million visits a year in the United States [1]. .

Emergency Department 52

Emergency Department Psychiatric Patient Safety Outcomes 52

ACEP Now

AUGUST 1, 2023

It should also differentiate boarding times for psychiatric patients, who are at high risk for very prolonged boarding. ED crowding and boarding are causing patient experiences and outcomes to worsen. The effect of emergency department crowding on clinically oriented outcomes. Letter to President Biden. ACEP website.

Hospitals 98

Hospitals Military Emergency Department Leadership 98

PulmCCM

FEBRUARY 26, 2024

Read in JAMA Covid Update: Two new drugs for mild-moderate symptoms; Fluvoxamine RCT; Covid “brain fog” Paxlovid improves outcomes for the elderly and other people at high risk for severe Covid, but the best available data suggest it doesn’t meaningfully help healthier, younger people. anytime soon.

Stroke 40

Stroke Psychiatric Hospitals CDC 40

EB Medicine

AUGUST 1, 2018

Jeff: In terms of psychiatric effects, several low-to-moderate quality studies have shown statistically significant associations between psychosis and self-reported cannabis use. Jeff: It’s also worth noting that cannabis is known to cause adverse outcomes on babies such as low birth weight and more frequent perinatal ICU placement.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS. Abnormal ECG – looks for cardiac syncope. Hemoglobin less than 10 (SF rule) 6. Syncope with Exertion (EGSYS) 7. S yncope while supine (EGSYS) 8.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Sensible Medicine

NOVEMBER 21, 2024

Colton Lipfert A prior post by science journalist Benjamin Ryan critiques how gender researchers caved to political pressure and suppressed data showing that puberty blockers failed to improve psychological outcomes for gender distressed minors. I have several concerns with his piece. And they entered the study between 2013 and 2017.

Pediatrics 108

Pediatrics Domestic Violence Research Psychiatric 108

Don't Forget the Bubbles

DECEMBER 9, 2024

The SANDWICH trial found that children exposed to prolonged sedation and ventilation had a higher incidence of delirium, indicating the strong influence of sedation practices on delirium outcomes in critically ill patients. Incidence, associated factors, and outcomes of delirium in critically ill children in China: a prospective cohort study.

Pediatrics 59

Pediatrics Hospitals Sepsis Administration 59