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Anti-NMDA Receptor Encephalitis in Children and Adolescents

Pediatric EM Morsels

It is even more challenging when the initial symptoms seem to align with what we perceive as psychiatric concerns. Often initially misdiagnosed as a psychiatric illness. Higher titers in both CSF and serum were associated with poor outcomes. Earlier diagnosis leads to better outcomes. Brain MRI Can be normal!

Seizures 269
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An Obstetric and Psychiatric Emergency: Managing Acute Agitation Among Pregnant Patients in the Emergency Department

AENJ: Current Issue

Managing agitation in pregnancy is a challenging dilemma due to the fear of adverse maternal and neonatal outcomes as well as the legal risk involved.

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Universal Depression Screening Leads to Unnecessary Harm

Sensible Medicine

A 2008 Cochrane review found adult depression screening does not improve outcomes. The last two trials convincingly demonstrate that when patients with postpartum depression have better access to mental health services, outcomes improve. Screening had no impact on depression, anxiety, or a host of other mental health outcomes.

Military 135
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Problem Drinking Remains a Big Problem

ACEP Now

This medication has limited outcomes data and multiple contraindications. On the other hand, naltrexone and acamprosate are well-tolerated, affordable medications with promising outcomes data for harm reductions and, in some cases, abstinence. American Psychiatric Association. American Psychiatric Association Publishing; 2022.

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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

In studies including patients with trauma or Glasgow Coma Scale less than 8, intubation without sedation led to poorer neurological outcomes. In some cases, patients require psychiatric or psychological attention. The Impact of Prehospital Intubation with and Without Sedation on Outcome in Trauma Patients With a GCS of 8 or Less.

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Sedation for the agitated adolescent

Don't Forget the Bubbles

This led to her death at 19, an outcome ruled as homicide at inquest, indicating others’ contribution to her demise. 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
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Treatment Options.

Maria Yang, MD

I’ll say more about compulsory mental health care (also called involuntary psychiatric treatment) and involuntary medications in a separate post. So what does this anecdote have to do with involuntary psychiatric treatment? To be clear: I have provided involuntary psychiatric treatment. thanks for spending decades with me!)