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A Potential Solution to America’s Psychiatric Boarding Crisis

ACEP Now

The emergency department (ED) was frequently overwhelmed by suicidal adolescents who needed inpatient psychiatric treatment but couldn’t be admitted, because the hospital had no free beds. 1 The problem of psychiatric boarding has gotten worse in the years since it began. She began to think, there had to be a better way. Pediatrics.

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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. An irritated brain can lead to such a wide array of symptoms. It is commonly missed during the first few ED visits.

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Agitation Podcast Series Episode 1: Differentiating organic versus psychiatric causes of agitation and altered mental status

PEMBlog

Most children who present to Pediatric Emergency Departments these days with mental health concerns – including agitation – have a known psychiatric problem or diagnosis. Psychiatric manifestations revealing inborn errors of metabolism in adolescents and adults. Psychiatric emergencies. Pediatrics 2021; 147.

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The Importance of Proper Control Arms

Sensible Medicine

I raise the issue because the prominent journal JAMA-Psychiatry published a paper purporting to show that placebos have great effects in many psychiatric conditions. The authors reported that most psychiatric disorders, especially depression and generalized anxiety disorder, had substantial placebo effects. This is wrong.

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Gelastic Seizures: No Laughing Matter

Pediatric EM Morsels

Striano, 2017 ] Precocious puberty Psychiatric disorders Cognitive difficulties (ex, autism spectrum disorders) May seem simple but become complicated. Can even become status gelasticus. Bacus, 2023 ] Cases as young as 4 months have been described.

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Schizophrenia: definition, causes, symptoms, diagnosis and treatment

Emergency Live

Schizophrenia comes from the Greek and literally means “separate mind”: those affected struggle to distinguish reality from imagination It is a psychiatric disorder that seriously compromises self-perception. In addition to negatively affecting social relationships and the performance of normal daily activities.

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Compulsive Excision Disorder (DEC): Skin Picking, Dermatillomania

Emergency Live

Compulsive Excision Disorder (DEC), also called 'Skin Picking' and 'dermatillomania', is a clinical condition characterised by constant picking at the skin causing skin lesions, and repeated attempts to curb this behaviour, according to the 2013 APA (American Psychiatric Association) guidelines The post Compulsive Excision Disorder (DEC): Skin Picking, (..)