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

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 80

Psychiatric Hospitals Wellness Military 80

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

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

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

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

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

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

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

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.

Emergency Department 109

Emergency Department Psychiatric Resuscitation Wellness 109

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

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

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

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

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

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

Maria Yang, MD

APRIL 21, 2024

This article, 5 things to know about the Grants Pass homelessness case before the US Supreme Court , summarizes the issue well: “The repercussions could have national implications for how cities can regulate homelessness.” Gloria Johnson. They instead asked people if they had ever experienced certain symptoms (e.g.,

Research 52

Research Psychiatric Wellness 52

EMDocs

JULY 20, 2023

Patient had to be able to be randomized between 6-24 hours after last known well. Pre-existing neurologic or psychiatric disease that would act to confound evaluation pre and post intervention. Pre-stroke disability had to be insignificant measured by mRS (modified Rankin Scale) of 0 or 1.

Stroke 72

Stroke Outcomes Head Injuries Psychiatric 72

Don't Forget the Bubbles

MARCH 19, 2024

This has coincided with a widespread shortage of specialist placements for children facing behavioural, psychiatric, and child protection challenges, leading to an over-reliance on the placement of these children in hospitals. Just 20% of a person’s health and general well-being is related to access to care and the quality of services.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

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.

EKG/ECG 108

EKG/ECG Documentation/Coding Psychiatric EMS 108

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 78

Psychiatric Documentation/Coding Wellness 78

Don't Forget the Bubbles

FEBRUARY 19, 2024

The Role of Gaming in Emotional Well-being Stress Relief: Gaming can be a form of relaxation and stress relief, providing an escape from the pressures of daily life. There is a complex interplay between gaming, psychological needs, and adolescent well-being. It can offer a safe environment to unwind and engage in enjoyable activities.

Academics 59

Academics Leadership Research Teamwork 59

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

PulmCCM

FEBRUARY 26, 2024

hours of their last time known to be well. When compared to healthy controls, people who had recovered from severe Covid had lower scores on cognitive testing and other psychiatric and neurologic tests. Limited data have suggested thrombolytics may be beneficial beyond 4.5 after thrombolysis) became standard care.

Stroke 40

Stroke Hospitals Psychiatric CDC 40

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 Operations 40

The Skeptics' Guide to EM

MAY 12, 2018

Bell distinguished these cases of extreme agitation from delirium tremens, diseases of the meninges and advanced typhoid based on a list of clinical criteria, as well as autopsy results from the brains and intestines of the patients.

Psychiatric 52

Psychiatric Emergency Department Hospitals Wellness 52

PulmCCM

OCTOBER 31, 2021

The TOGETHER trial is a well-regarded, randomised, adaptive platform trial investigating repurposed treatments for COVID-19 among high-risk, adult, outpatients. As well, did the difference in fluvoxamine dosing play any role [i.e., In an effort to replicate the findings of Lenze et al.

Outcomes 40

Outcomes Hospitals Psychiatric Wellness 40

Taming the SRU

DECEMBER 11, 2023

The patient was notably uninsured due to losing her job six months ago, which prevented her from accessing psychiatric care during that time frame. 8] While there is no standardized screening tool for SRB, there are well established trends that emergency medical providers may use to identify patients at risk.[9]

Psychiatric 86

Psychiatric EMS Emergency Department Poisoning 86

Dr. Smith's ECG Blog

APRIL 17, 2023

Later, this info was supplied by Sam: This ECG was recorded in a 23-year-old African American man with a history of psychiatric illness, acute alcohol/drug intoxication, brought in by police officers status post being tazed. 4) There is well formed J-point notching. Smith by SamGhali (@EM_RESUS) with zero other info.

EKG/ECG 52

EKG/ECG Documentation/Coding Emergency Department Psychiatric 52

Taming the SRU

APRIL 13, 2023

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. EtOH, amphetamines, or cocaine) Prescription drugs (i.e.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 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

Dr. Smith's ECG Blog

SEPTEMBER 7, 2020

Next : try verapamil, which will convert it as well as adenosine does, but has a much longer duration of action and so will maintain sinus rhythm. You may also see a LBBB pattern in the chest leads with LVOT VT ( as well as the inferior axis in limb leads ). First: try giving 2-4 g of Magnesium, then adenosine again.

EKG/ECG 52

EKG/ECG Psychiatric Wellness Resuscitation 52

EB Medicine

JULY 8, 2019

Jeff: Well that’s kind worrisome. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in. For the sake of completeness, just be aware that there is also the biliopancreatic diversion with or without a duodenal switch, as well as a vertical banded gastroplasty.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EB Medicine

AUGUST 1, 2018

Jeff: Because the current DEA controlled substances schedule designations are based on original chemical names, synthetics have gained popularity as manufacturers are able to produce newer compounds and circumvent DEA designation as well as routine urine drug screening tests. Jeff: And the etiology of CHS is not well understood.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Don't Forget the Bubbles

AUGUST 2, 2023

in 2018, 16% of patients diagnosed with CRPS had comorbid depression, and two-thirds had at least one psychiatric diagnosis, significantly higher than in the general population. As well as nonpharmacological treatments included physiotherapy and psychological therapy, 79% were also prescribed medication, most commonly gabapentin.

Psychiatric 98

Psychiatric Pediatrics Outcomes Academics 98

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

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 Emergency Department Pediatrics Administration 65