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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. Community Ment Health J. 2021;(7):1278-1287. Choi KR, Omery AK, Watkins AM.

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52 in 52 – #39: DAWN – Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct

EMDocs

Pre-existing neurologic or psychiatric disease that would act to confound evaluation pre and post intervention. . – Exclusion criteria: Medical history of severe head injury with lasting neurologic deficit in past 90 days. Prompt correction of NIHSS to less than 10 or vessel recanalization before randomization preformed.

Stroke 72
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SGEM#252: Blue Monday- Screening Adult ED Patients for Risk of Future Suicidality

The Skeptics' Guide to EM

Although she has no other health problems, and no other complaints, you are aware of data that indicates there is a high level of psychiatric illness and suicidal ideation among emergency department patients and wonder what is the best way to approach this problem? million visits a year in the United States [1].

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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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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Jeff: Also, be on the lookout for self-harm emergencies as patients with known psychiatric disorders are at increased risk following bariatric surgery. There is also an increased risk of self-harm emergencies after bariatric surgery, mostly in patients with known psychiatric co-morbidities. Obesity (Silver Spring).

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Hypoglycaemia in the ED

Don't Forget the Bubbles

Depending on the presenting symptoms, it may be misdiagnosed as a variety of conditions, including psychiatric disorders, e.g. anorexia nervosa , depression, viral illness, post-viral fatigue, acute abdomen, cardiovascular disorders and sepsis. What’s all this fuss about ketones? All of the cases so far have featured ketotic hypoglycaemia.

Wellness 103
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ED Boarding

ACEP Now

It should also differentiate boarding times for psychiatric patients, who are at high risk for very prolonged boarding. The admission LOS measure formerly reported only the median time. Future versions should also report the 75th and 90th percentile times for full transparency.