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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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Agitation Treatment in the Emergency Department

ACEP Now

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. However, when agitation is due to an underlying psychiatric disorder, SGAs are preferred. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department.

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A Safety Solution for Emergency Department Staff and Patients

ACEP Now

Led by psychiatric-trained nurses, teams responding to behavioral codes used a variety of de-escalation methods including non-confrontational communication, moving the patient to a less stimulating environment, and adjusting medications as necessary. “But Dr. Santamaria is a current second year medical student at A.T J Emerg Nurs.

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PEM Currents – Agitation in Children – Episode 5: The Boarded ED Patient

EMDocs

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. Why are we boarding?

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Agitation Podcast Series Episode 5: Management of the child with mental health problems who is boarded in the ED

PEMBlog

Boarding of Mentally Ill Patients in Emergency Departments: American Psychiatric Association Resource Document. Parent/Professional Advocacy League: Best Practices: Pediatric Emergency Department Psychiatric Boarding Kraft CM, Morea P, Teresi B, et al. Pediatrics March 2023; 151 (3): e2022057383. 10.1542/peds.2022-057383

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Imported Malaria

Pediatric EM Morsels

Food and Drug Administration Approval of Artesunate for Severe Malaria: Enough to Achieve Best Practice? It appears after an asymptomatic period. Clin Microbiol Rev. 2020 Mar 11;33(2):e00104-19. PMID: 32161068 Thomas CM, Stauffer WM, Alpern JD. Clin Infect Dis. 2023 Feb 1; 76(3): e864–e866. PMID: 36056897 World Health Organization.

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“Rehab” for Addiction is a Problem and a Solution

Sensible Medicine

The higher-quality studies described programs that offered evidence-based psychological therapies, addressed psychiatric disorders, and responded to the social challenges in their clients’ lives, like housing or criminal justice issues. Taken together, the review found “moderate quality evidence” for their effectiveness.

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