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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. An irritated brain can lead to such a wide array of symptoms. Brain MRI Can be normal!

Seizures 269
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Universal Depression Screening Leads to Unnecessary Harm

Sensible Medicine

The adoption of depression screening is, of course, well-intentioned. 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.

Military 135
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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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Problem Drinking Remains a Big Problem

ACEP Now

The United States Preventive Services Task Force (USPSTF) recommends screening for problem drinking in the primary setting, but we know that patients who present to the ED are twice as likely to engage in dangerous drinking, so arguably the ED is an important venue for screening as well. American Psychiatric Association. 2018.16789.

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“Rehab” for Addiction is a Problem and a Solution

Sensible Medicine

Criticism of these programs is both well-deserved and unfair. Despite these well-deserved criticisms, I’ve found that residential treatment programs and therapeutic communities can be essential to my patients, and there’s evidence to support that. These higher quality studies usually achieved better outcomes.

Research 113
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emDOCs Revamp: Alcohol Withdrawal

EMDocs

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

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Bubble Wrap PLUS – July ’23

Don't Forget the Bubbles

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.