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You don’t need labs to medically clear a psych patient

PEMBlog

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.

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How Common Is Schizophrenia?

Pediatric Education

Overall he was doing well in school and was looking forward to his upcoming cross-country, basketball and baseball seasons. 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.

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Behavioural and Psychological Symptoms of Dementia (BPSD)

Mind The Bleep

Treatment Strategies Like with all psychiatric conditions always consider a biopsychosocial approach. – One stroke is prevented for every 37 patients with dementia who avoid 2-3 months of antipsychotic symptoms for their BPSD. The green arrows represent insults causing a delirium e.g. infection.

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EM@3AM: Stercoral Colitis

EMDocs

Well keep it short, while you keep that EM brain sharp. Admission allows for close monitoring, given the risks of perforation, ischemic bowel, and ulceration, as well as appropriate management of the condition and patient symptoms. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days.

EMS 72
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Episode 28 - Depressed and Suicidal Patients in the Emergency Department: An Evidence-Based Approach

EB Medicine

Jeff: As a quick survey of our audience before we begin, how many of you routinely encounter co-morbid psychiatric conditions in your ED patients, especially depression? Jeff: And how many of you struggle to admit or transfer patients for a formal psychiatric eval? Nachi: That would certainly be all of our listeners!

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MI in Children

Pediatric Emergency Playbook

This child is at risk for expected complications, as well as overdiagnosis and iatrogenia. These children depend on their preload to run blood passively into the pulmonary circuit; afterload reduction is also important to compensate for a poor left ejection fraction, as well as to avoid the development of pulmonary hypertension.

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Grand Rounds Recap 4.5.23

Taming the SRU

stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e. Vaishnav Hyperthermia: abnormally high body temperature due to thermoregulatory failure Severe hyperthermia: temp greater than 40.5C