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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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Ep 202 Eating Disorders: Common, Commonly Missed, Mismanaged and Misunderstood

Emergency Medicine Cases

Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the Emergency Department as they can be elusive. Eating disorders need to be thought of as both a psychiatric condition and medical condition to optimize the pick up rate and appropriate management.

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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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Blurred Lines: The Ethical Pitfalls of Urine Drug Screens

EM Ottawa

Urine drug (or toxicologic) screens are a fairly standard tool used in addictions, psychiatry and the Emergency Department (ED), often employed to detect substance use in patients presenting with altered mental status, trauma, psychiatric or abnormal behaviour.

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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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