PEMBlog

SEPTEMBER 8, 2023

Did you know that screening laboratory tests in the medical clearance process of pediatric patients who require inpatient psychiatric admission are not recommended unless clinically indicated? Any diagnostic testing should be based on a thorough history and physical examination.

Psychiatric 98

Psychiatric Pediatrics 98

PEMBlog

JUNE 7, 2023

Describe the role of medical control in determining destination and goals of safe transport This episode is a co-production of the Emergency Medical Services for Children Innovation and Improvement Center whose mission is to minimize morbidity and mortality of acutely ill and injured children across the emergency continuum.

Pediatrics 123

Pediatrics Psychiatric Emergency Department EMS 123

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. Now it is time to review pharmacologic management. mg/kg/dose PO; 0.2-0.3

Psychiatric 94

Psychiatric Pediatrics Emergency Department Administration 94

PEMBlog

MAY 31, 2023

Pediatric Agitation in the Emergency Department: A Survey of Pediatric Emergency Care Coordinators. Acad Pediatr. Psychiatr Clin North Am. Erratum in: West J Emerg Med. 2019 Jul;20(4):688-689. PMID: 30881565; PMCID: PMC6404720. Foster AA, Saidinejad M, Duffy S, Hoffmann JA, Goodman R, Monuteaux MC, Li J. 2023.03.005.

Psychiatric 93

Psychiatric Emergency Department Pediatrics Administration 93

EMDocs

NOVEMBER 19, 2024

1,6 Agitation, delirium, psychosis, and hallucinations can occur and may be incorrectly attributed to concurrent psychiatric illness. Low-dose lipid emulsion for pediatric vasoplegic shock due to quetiapine and fluvoxamine overdose: a case report. 1,2,6 Neurologic effects: Sedation is a primary concern with overdose. Hum Exp Toxicol.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

PEMBlog

AUGUST 28, 2023

Staring this week, and continuing for the next five, we will be releasing new content supporting the key Pediatric Emergency Medicine recommendations of Choosing Wisely. Do not obtain screening laboratory tests in the medical clearance process of pediatric patients who require inpatient psychiatric admission unless clinically indicated.

Pediatrics 52

Pediatrics Seizures Psychiatric 52

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

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

EMDocs

JANUARY 11, 2025

Pediatric Emergency Care 34(9):p e159-e160, September 2018. | Up to 1/3 of adults over 60 suffer from chronic constipation. Fecal Impaction and Nonperforated Stercoral Colitis: Red Flags for Poor Outcomes. Cureus, 15(7), e41705. link] Proulx, Erik MD * ; Glass, Casey MD . Constipation-Associated Stercoral Colitis. DOI: 10.1097/PEC.0000000000001600

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

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.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

Don't Forget the Bubbles

NOVEMBER 29, 2023

In some cases, patients require psychiatric or psychological attention. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department. Pediatric Emergency Care 28(11): p 1129-1131, November 2012. | To be fully conscious, hypoxic and paralysed can only be described as a scene from a nightmare.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

Don't Forget the Bubbles

AUGUST 2, 2023

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. Pediatr Rheumatol Online J.

Psychiatric 98

Psychiatric Pediatrics Outcomes Fractures 98

Sensible Medicine

MAY 28, 2024

Medical illness, other psychiatric illness, and life circumstances can lead to positive results on the PHQ-9. The FDA recently approved escitalopram for pediatric generalized anxiety disorder based on an 8-week trial that found the medication increased suicidal ideation 6.5-fold PHQ-9 scores tended to improve regardless.

Military 144

Military Outcomes Psychiatric Wellness 144

Emergency Medicine News

MAY 8, 2023

No abstract available

Psychiatric 40

Psychiatric Wellness Pediatrics 40

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. Do we Redirect?

Pediatrics 98

Pediatrics Emergency Department Psychiatric Documentation/Coding 98

Taming the SRU

JANUARY 12, 2024

pediatric small groups WITH our cchmc colleagues Dermatologic emergencies Children can present with a wide range of rashes, many of which are benign, however identifying concerning rashes is very important. Use your resources to differentiate scary from benign! Children are not just small adults!

Fluid Resuscitation 59

Fluid Resuscitation Pediatrics Sepsis Shock 59

PEMBlog

MAY 24, 2023

We have developed a series of pain focused episodes.

Emergency Department 59

Emergency Department Pediatrics Psychiatric Administration 59

Broome Docs

FEBRUARY 22, 2024

PMID: 37755727 Bottom line: Substance abuse and psychiatric disease go hand in hand. Pediatrics. Transition to Schizophrenia Spectrum Disorder Following Emergency Department Visits Due to Substance Use With and Without Psychosis. JAMA Psychiatry. 2023 Sep 27:e233582. doi: 10.1001/jamapsychiatry.2023.3582. Epub ahead of print.

Emergency Department 89

Emergency Department Psychiatric Resuscitation Wellness 89

Pediatric Emergency Playbook

JULY 1, 2018

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

Psychiatric 40

Psychiatric Pediatrics Research Outcomes 40

American Medical Compliance

FEBRUARY 29, 2024

Implications for Pediatric Health Care Providers There is an increasing understanding that antipsychotic medication should be used as a last resort if parental skills training and other behavioral interventions have failed. Also, Smooth muscle contraction is the primary effect of muscarinic receptor stimulation.

Psychiatric 52

Psychiatric Administration Pediatrics Research 52

ACEP Now

OCTOBER 9, 2024

Physician/Other Hospital Staffing Emergency Department Planning and Resource Guidelines Guidelines Regarding the Role of Physician Assistants and Nurse Practitioners in the ED Role of the Emergency Physician in the Care of Trauma Patients Social Work and Case Management in the Emergency Department Physician Contracting Due Process for Physician Medical (..)

Emergency Department 52

Emergency Department Critical Access Geriatric Emergencies Ultrasounds 52

Pediatric Education

OCTOBER 6, 2024

His mother was worried because his cousin, who attended the same high school, had just been released from inpatient psychiatric treatment for newly diagnosed schizophrenia. Child Adolesc Psychiatr Clin N Am. D’Alessandro, MD Professor of Pediatrics, University of Iowa The past medical history was non-contributory.

Psychiatric 40

Psychiatric Pediatrics Stroke Wellness 40

Pediatric Education

JUNE 16, 2024

This includes appropriate treatment for any concomitant psychiatric disorders. Medical and psychiatric differential diagnoses of pediatric globus sensation: A case study with review discussion. D’Alessandro, MD Professor of Pediatrics, University of Iowa Neurogastroenterology and Motility. 2020;32(9):e13850.

Psychiatric 40

Psychiatric Pediatrics Burns Ultrasounds 40

Pediatric Education

AUGUST 11, 2024

The pediatrician thought that this likely was more benign, but because the hallucinations continued to be frequent and were causing some distress to the patient, felt that psychiatric evaluation was needed. What should be considered when “medically clearing” a psychiatric patient? 2018;57(5):308-312. doi:10.1016/j.jaac.2018.01.021

Psychiatric 40

Psychiatric Infectious Diseases Pediatrics Seizures 40

Pediatric Education

FEBRUARY 18, 2024

Later the senior resident had heard from another pediatric resident in the emergency room that they were treating the child for a diagnosis of probable seizures as the radiologic evaluation of head imaging was normal and it didn’t appear that the child had other problems such as respiratory causes. Curr Opin Pediatr.

Seizures 40

Seizures Pediatrics Psychiatric Radiology 40

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. 2009) ‘Paediatric social admission to hospital’ International Pediatrics 24(20):56–64 Ombudsman for Children (2020).

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Northwestern EM Blog

JANUARY 2, 2023

The next question is whether the same trend of decreased suicidality also applies to the pediatric population. A pediatric emergency department in Texas looked at the resulted of their routine suicide risk screenings for patients aged 11-21. Suicide ideation and attempts in a pediatric emergency department before and during COVID-19.

Emergency Department 52

Emergency Department Research Pediatrics CDC 52

Pediatric Emergency Playbook

JUNE 1, 2017

Repeated use causes multiple psychiatric, personality, and neurologic changes. J Curr Pediatr. World Journal for Pediatric Congenital Heart Surgery. Pediatr Cardiol. Pediatr Rev. Pediatr Nephrol. Ann Pediatr Cardiol. Risky behavior, violence, and motor vehicle accidents are all linked to this drug.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Taming the SRU

APRIL 13, 2023

EtOH, amphetamines, or cocaine) Prescription drugs (i.e. beta blockers decrease ability to dissipate heat through increase CO, diuretics predispose to dehydration, or anticholinergic agents can affect thermoregulation) Clinical Presentation: Temperature elevation, usually 40.5C

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Don't Forget the Bubbles

FEBRUARY 19, 2024

The American Psychiatric Association (APA) and the World Health Organization (WHO) have highlighted the need for research into the potential dysregulated aspects of Internet-based gaming. Pediatrics , 127 (2), pp.e319-e329. Journal of adolescence , 27 (1), pp.5-22. Gentile, D.A., and Khoo, A., and Engels, R.C., Hanghøj, T.,

Academics 59

Academics Leadership Research Teamwork 59

EB Medicine

AUGUST 1, 2018

Jeff: For more on synthetic intoxications in the ED, be sure to take a look at the recent May 2018 issue of Pediatric Emergency Medicine Practice on Synthetic Drug Intoxication in Children if you haven’t already read it. Nachi: Let’s talk about some special populations next -- starting with Pediatrics.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

ACEP Now

MARCH 11, 2025

Common, Deadly, Elusive Eating disorders, which include anorexia nervosa, bulimia nervosa, binge eating disorder and avoidant/restrictive food intake disorder (ARFID), are common with increasing prevalence, increasing visits to EDs, and the highest mortality of any psychiatric illness.

Emergency Department 83

Emergency Department Psychiatric Dehydration Pediatrics 83

Dr. Smith's ECG Blog

SEPTEMBER 7, 2020

In this pediatric study, it was 71% successful and better than amiodarone. Procainamide is another reasonable solution to the problem. It does not block the AV node but does slow phase 0 of depolarization, which will also frequently break the re-entrant cycle. As a result — I’ll limit my comments to a few additional points.

EKG/ECG 52

EKG/ECG Psychiatric Wellness Resuscitation 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. There is also an increased risk of self-harm emergencies after bariatric surgery, mostly in patients with known psychiatric co-morbidities. 2015;25(4):622-627. Surg Obes Relat Dis.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

ACEP Now

MAY 10, 2024

Pediatric neurology and pediatric intensive care unit PICU were consulted and recommended obtaining anti-epileptic drug levels and starting D5 containing IV fluid. American Psychiatric Association. Arlington, VA: American Psychiatric Association; 2013. Pediatric Emergency Care. Examination is unremarkable.

Forensics 98

Forensics Psychiatric Seizures Pediatrics 98

Don't Forget the Bubbles

MAY 15, 2023

Depending on the presenting symptoms, it may be misdiagnosed as a variety of conditions, including psychiatric disorders, e.g. anorexia nervosa , depression, viral illness, post-viral fatigue, acute abdomen, cardiovascular disorders and sepsis. The Journal of Pediatrics. What’s all this fuss about ketones? 2015;167(2):238–45.

Wellness 103

Wellness Seizures Hospitals Dehydration 103

ACEP Now

AUGUST 1, 2023

1 The letter detailed ED physician stories, highlighting the preventable harms from boarding, crowding, long waits, staff shortages, burnout, and the disproportionate impact on behavioral health and pediatric populations. It should also differentiate boarding times for psychiatric patients, who are at high risk for very prolonged boarding.

Military 98

Military Emergency Department Hospitals Leadership 98