Sensible Medicine

MAY 31, 2023

Her outpatient follow-up appointments were scheduled; we had reviewed her safety plan; she felt well and ready to leave the hospital. Well, for what it’s worth, I think it’s excellent. A lot has been written lately about the need for, and workings of, involuntary psychiatric treatment, and I won’t review it all here.

Psychiatric 79

Psychiatric Hospitals Wellness Military 79

ACEP Now

JULY 11, 2024

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.

Emergency Department 98

Emergency Department Psychiatric Outcomes Wellness 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

Broome Docs

FEBRUARY 22, 2024

PMID: 36946338 Bottom line: This is a well done RCT that demonstrates pretty convincingly that you should not bother trying to but fingernails back on after nail bed repair (and my guess is you definitely shouldn’t be removing them either). PMID: 37755727 Bottom line: Substance abuse and psychiatric disease go hand in hand.

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Emergency Department Psychiatric Resuscitation Wellness 103

American Medical Compliance

MARCH 19, 2024

Some higher risk settings include psychiatric units, emergency rooms, geriatric units, and behavioral health units to name a few. Additionally, providing your staff with the resources and information to keep themselves safe will help reduce the risk of workplace violence in your medical facility.

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Psychiatric Hospitals Wellness 73

Sensible Medicine

NOVEMBER 14, 2023

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. Confrontational interventions are inhumane and ineffective.

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Research Psychiatric CDC Best Practices 117

American Medical Compliance

MARCH 18, 2024

Some higher risk settings include psychiatric units, emergency rooms, geriatric units, and behavioral health units to name a few. To learn more about requirements specific to the state of Nevada and as well as to keep your medical staff safe, click the button below. These acts of violence can also come in four potential variations.

Psychiatric 67

Psychiatric Hospitals Wellness 67

SheMD

DECEMBER 10, 2023

Why would we choose to take care of children as well? One time, I spent ten minutes of a two year old well visit listening to nursery rhymes and songs on a portable karaoke machine. Internists share this interest as well. Similarly, shared decision making is essential in the care of adults as well.

Pediatrics 98

Pediatrics EKG/ECG Wellness Psychiatric 98

Maria Yang, MD

APRIL 8, 2024

If our community isn’t doing well, that will affect our individual mental health. Contrast this Transdomain Model of Health with this recent Psychiatric News article, Lifestyle Psychiatry Emphasizes Behaviors Supporting Mental Health. The authors call this the Transdomain Model of Health : I like this model. (Do

Psychiatric 52

Psychiatric Leadership Wellness 52

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

ACEP Now

JULY 7, 2024

One night I found myself on the other side of the stretcher, as a patient waiting for a psychiatric assessment in an emergency department (ED). I knew it would not be until morning before I was “medically cleared” for my psychiatric evaluation, and I wanted to let them know they could head home.

Psychiatric 52

Psychiatric Wellness Emergency Department EMS 52

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. Document what you gave and why, as well as the impact. mg/kg/dose PO; 0.2-0.3

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Psychiatric Pediatrics Emergency Department Administration 66

Dr. Smith's ECG Blog

OCTOBER 23, 2023

She had an uneventful ICU course and was extubated for ongoing care with the inpatient psychiatric service. Conduction and refractoriness alternans may be seen with WPW-related as well as AV Nodal-dependent reentr y tachycardias — atrial fibrillation — acute pulmonary embolus — myocardial contusion — and severe LV dysfunction.

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EKG/ECG Documentation/Coding Psychiatric EMS 128

SheMD

MAY 21, 2023

But not to worry, in this blog post, I’ll be sharing some tips and tricks that can help you ace your psychiatry rotation and be well on your way to matching into Psychiatry. Practice your Psychiatric Interview: The psychiatric interview is a unique component of this rotation and getting the hang of it takes skill and patience.

Psychiatric 52

Psychiatric Wellness Research 52

ACEP Now

JULY 7, 2023

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. The article also will not address severe agitation, which is already well covered elsewhere and is the topic of an ACEP clinical policy currently in development. Ann Emerg Med. Apr 2017;69(4):480-498. West J Emerg Med.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

Sensible Medicine

SEPTEMBER 26, 2024

We have seen tweets about anxiety disorders, suicide attempts, and psychiatric drug dosing. Doctors need to be upfront about issues with their doctors and some well-chosen friends and colleagues. This debate stems from a long running conversation between Vinay and Adam. I am convinced this will make for a healthier workplace.

Psychiatric 82

Psychiatric Research Operations Hospitals 82

SheMD

APRIL 20, 2023

We specialize in psychiatric illness and medications before, during and after pregnancy. Psychiatric illness and pregnancy often go hand in hand. We understand the risks of untreated depression, anxiety, and psychosis on baby as well as the risks of exposing baby to medications. What is perinatal psychiatry?

Psychiatric 52

Psychiatric Wellness 52

Taming the SRU

JANUARY 12, 2024

r4 case follow up - r1 clinical knowledge: interstitial lung disease - halo - pediatric simulation - pediatric small groups r4 case follow up WITH dr. yates Psychiatric emergency department visits are on the rise in the United States, with roughly 15-19% of all ED visits associated with mental health diagnoses Roughly twenty percent of patients presenting (..)

Fluid Resuscitation 59

Fluid Resuscitation Pediatrics Sepsis Shock 59

ACEP Now

JANUARY 14, 2024

Patients with psychiatric illness and renal disease should give us pause not only for unexplained presentations but also when ordering and prescribing medications for these patients in the ED. Predicting the risk of drug-drug interactions in psychiatric hospitals: a retrospective longitudinal pharmaco-vigilance study. Acad Emerg Med.

Psychiatric 52

Psychiatric Emergency Department Hospitals EMS 52

Northwestern EM Blog

MAY 9, 2022

There is no gold standard with respect to its definition, and it requires a medication history (which we typically don't do very well in the emergency department). Bromocriptine acts more centrally as a dopamine agonist but should be used cautiously in patients with psychiatric diseases as it may exacerbate psychosis.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Psychiatric Administration 52

Mind The Bleep

MAY 17, 2024

People with ADHD may have co-existing psychiatric and physical conditions including conduct disorder , oppositional defiant disorder , mood disorders , anxiety disorders , autism spectrum disorders , substance-use disorders, sleep disorders, epilepsy, and movement disorders.

Psychiatric 52

Psychiatric Academics Forensics Wellness 52

Maria Yang, MD

MARCH 18, 2024

Maybe “well” versus “unwell”? It is more common to hear “I’m physically doing well,” rather than “My physical health is high.”) I started doodling to try to determine where psychiatry should intervene along the axes of mental illness and mental wellness: I have yet to come up with any convincing answers.

Psychiatric 52

Psychiatric Hospitals Wellness 52

American Medical Compliance

NOVEMBER 20, 2023

million New Zealanders, researchers discovered correlations between these illnesses and other psychiatric disorders as well as dementias of all kinds, including Alzheimer’s. After three decades of examining the medical records of 1.7

Psychiatric 52

Psychiatric Research Wellness Outcomes 52

EB Medicine

MAY 3, 2019

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!

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

Pediatric Education

OCTOBER 6, 2024

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.

Psychiatric 40

Psychiatric Pediatrics Wellness Stroke 40

Don't Forget the Bubbles

JANUARY 1, 2024

While adenotonsillectomy may not directly impact cognitive functions, it can benefit other aspects of health and well-being in children with mild sleep-disordered breathing. However, children who had an operation experienced improvements in behaviour, symptoms, and quality of life and had lower blood pressure.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

ACEP Now

NOVEMBER 13, 2023

For the safety of staff as well as patients, interventions that interrupt escalations before they blossom into violence deserve further study. The well-being of our patients, staff, and ourselves depends on finding tailored and effective solutions and dissemination of these best practices. Community Ment Health J. 2021;(7):1278-1287.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

American Medical Compliance

AUGUST 15, 2023

Cognitive decline becomes more apparent, even to people who don’t know the patient that well. Psychiatric manifestations in the form of delusions can also occur. The middle-stage of Alzheimer’s disease is often much longer than the early or late stages. Large group outings should be avoided to prevent sensory overload.

Psychiatric 52

Psychiatric Wellness 52

Sensible Medicine

SEPTEMBER 13, 2024

Accept that the patient knows more about his symptoms, and may very well know more about his disease, than you do. Take a good family history, looking for histories of psychiatric disease, early-onset dementia, and rheumatologic diseases – things other doctors might have shied away from and that patients might not know well.

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Psychiatric Documentation/Coding Radiology Radiology 60

The Skeptics' Guide to EM

APRIL 29, 2023

You desire a psychiatric consult and learn that you don’t have in-person consult availability at this facility, but instead use telehealth services. TMH was significantly associated with increased ED/UCC length of stay and decreased odds of placing an involuntary psychiatric hold.

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

Pediatric Education

AUGUST 11, 2024

He is described as being a quieter child but is well-liked at school and has friends at home and school that he plays with. 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.

Psychiatric 40

Psychiatric Infectious Diseases Pediatrics Seizures 40

Sensible Medicine

AUGUST 11, 2023

Psychiatric disease, dementia, and delirium ( whose differential diagnosis itself is practically a textbook of medicine) will render a patient unable to provide an accurate history. I have learned that for VG, as well as for many patients like him, these concerns require a visit.

Psychiatric 77

Psychiatric Documentation/Coding Wellness 77

SheMD

AUGUST 6, 2023

You may not have endless amounts of time to dedicate to these activities, but they will bring you joy and scheduling them in for yourself is important for your well-being. Find a therapist or a psychiatrist that you can check in with periodically and make sure that you are well throughout this process.

Psychiatric 52

Psychiatric Wellness Academics Hospitals 52

EMDocs

NOVEMBER 19, 2024

1,6 Agitation, delirium, psychosis, and hallucinations can occur and may be incorrectly attributed to concurrent psychiatric illness. In overdose, central nervous system (CNS) and cardiovascular complications are most common, however many organ systems can be affected. 1,2,6 Neurologic effects: Sedation is a primary concern with overdose.

Poisoning 90

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 90

Mind The Bleep

JUNE 18, 2023

Treatment Strategies Like with all psychiatric conditions always consider a biopsychosocial approach. In a general hospital there are the dementia and delirium team, as well as Liaison Psychiatry who you can refer to. The green arrows represent insults causing a delirium e.g. infection.

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Psychiatric Documentation/Coding Stroke Fractures 52

The Skeptics' Guide to EM

NOVEMBER 25, 2017

You know her well, and none of the usual anti-emetics seem to help her symptoms. Unfortunately, nothing really works well for this condition. It is an antipsychotic drug used for a number of psychiatric conditions including schizophrenia. This is the third time this month, and nothing ever seems to help.

Psychiatric 40

Psychiatric Emergency Department Hospitals Administration 40

EMDocs

DECEMBER 18, 2024

fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold

Seizures 61

Seizures Emergency Department Hyperthermia / Hypothermia EMS 61