Psychiatric and Behavioral Emergencies, An Issue of Emergency Medicine Clinics of North America

Dick C. Kuo

Description

Guest editors Dr. David Kuo and Dr. Veronic Tucci have assembled an expert team of authors on the topic of Psychiatric and Behavioral Emergencies. Articles include: The Emergency Physician's role in the Medical Clearance of the Psychiatric Patient, Stabilization and Management of the Acutely Agitated or Psychotic Patient, Stabilizing and Managing Patients with Altered Mental Status and Delirium, Depression and Suicidal Patients, The New Drugs of Abuse and Withdrawal Syndromes, Strategies for Managing Patients with Personality and Somatoform Disorders, Special Considerations in the Trauma Patient, and more!

Sujets

• Médecine
• Médecine d'urgence
• Médecine Générale
• Emergency Medicine
• Medical

Informations

• Publié par: Elsevier
• Date de parution: 07 janvier 2016
• Nombre de lectures: 0
• EAN13: 9780323416856
• Langue: English
• Poids de l'ouvrage: 1 Mo

Extrait

Psychiatric and Behavioral Emergencies
Emergency Medicine Clinics of North America
Editors
Dick C. Kuo, MD
Section of Emergency Medicine, Department of Medicine, Baylor College of Medicine, Houston, TX, USA
Veronica Tucci, MD, JD
Section of Emergency Medicine, Department of Medicine, Baylor College of Medicine, Houston, TX, USA
Consulting Editor
Amal Mattu

Clinics Review Articles

www.emed.theclinics.com

November 2015 Volume 33 Number 4
Table of Contents
Cover image
Title page
Copyright
Contributors
Consulting Editor
Editors
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
CME Accreditation Page
Foreword. Behavioral and Psychiatric Emergencies
Preface. The Hidden Costs of Behavioral and Psychiatric Emergencies
References
Down the Rabbit Hole: Emergency Department Medical Clearance of Patients with Psychiatric or Behavioral Emergencies
Key points
Introduction
Clinical evaluation
Medical problems presenting as psychiatric complaints
Laboratory and ancillary testing
Summary
References
Stabilization and Management of the Acutely Agitated or Psychotic Patient
Key points
Introduction
Pathophysiology
Assessment
Management goals
Nonpharmacologic strategies
Pharmacologic strategies
Summary
References
Stabilizing and Managing Patients with Altered Mental Status and Delirium
Key points
Introduction
Recognizing delirium
Differentiating psychiatric presentation from delirium
History
Physical examination
Work up for altered mental status
Stabilization and management
Summary
References
Depression and the Suicidal Patient
Key points
Background and epidemiology
Definition of depression
Differential diagnosis
Role of emergency department physician in evaluating patients with depression
The emergency department interview of depressed patients
The role of collateral and family support
Screening tools for depression
Assessment of suicide
Disposition in the emergency department
Summary
References
New Drugs of Abuse and Withdrawal Syndromes
Key points
NBOMe
Stimulants
Synthetic cannabinoids
Evaluation and management in the emergency department setting
Evaluation and management in the outpatient setting
References
Shift, Interrupted: Strategies for Managing Difficult Patients Including Those with Personality Disorders and Somatic Symptoms in the Emergency Department
Key points
Introduction
Somatoform disorders: diagnostic difficulty and poor response to routine treatments
Patients with difficult personalities
Difficulty caused by provider feelings-bias and countertransference
Summary
References
Special Considerations in Pediatric Psychiatric Populations
Key points
Introduction
Triage of the pediatric emergency patient
Depression and suicidal ideation
Patient evaluation overview
Pharmacologic treatment
Disposition
The aggressive or violent pediatric patient
Treatment
Autism spectrum disorders and attention deficit hyperactivity disorder introduction
Patient evaluation overview
Oppositional-defiant disorder and conduct disorder
Effect of social media and internet on pediatric psychiatric presentations
Summary
References
Psychiatric Emergencies in the Elderly
Key points
Introduction
Delirium
Dementia
Depression
Suicide
Alcohol dependence and substance abuse
Polypharmacy
Elder abuse and neglect
Altered mental status
Summary
References
Psychiatric Emergencies in Pregnant Women
Key points
Introduction
Medical screening of psychiatric illness in pregnancy
Agitation in pregnancy
Specific disorders during pregnancy
Summary
References
Special Considerations in Trauma Patients
Key points
Introduction
Evaluation and treatment
Chronic traumatic encephalopathy
Acute stress disorder and posttraumatic stress disorder
Summary
References
Ethical Issues in Emergency Psychiatry
Key points
Introduction
Capacity and Consent
Privacy and confidentiality
Involuntary treatment
Summary
References
Health Policy Considerations in Treating Mental and Behavioral Health Emergencies in the United States
Key points
History of mental health services in the United States
Emergency mental health delivery in the United States today
Emergency psychiatric care: a tattered system
Treating mental and behavioral health emergencies: mental health system considerations
Treating mental and behavioral health emergencies: emergency department policy considerations
Treating mental health emergencies: policy considerations beyond the hospital
Summary
References
Index
Copyright
ELSEVIER
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EMERGENCY MEDICINE CLINICS OF NORTH AMERICA Volume 33, Number 4
November 2015 ISSN 0733-8627, ISBN-13: 978-0-323-41684-9
Editor: Patrick Manley
Developmental Editor: Casey Jackson
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Contributors
Consulting Editor
AMAL MATTU, MD, FAAEM, FACEP , Professor and Vice Chair, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland
Editors
DICK C. KUO, MD , Associate Professor, Section of Emergency Medicine, Department of Medicine, Baylor College of Medicine, Houston, Texas
VERONICA TUCCI, MD, JD , Assistant Professor, Section of Emergency Medicine, Department of Medicine, Baylor College of Medicine, Houston, Texas
Authors
MICHAEL K. ABRAHAM, MD, MS , Clinical Assistant Profess