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

1st Edition, Volume 42-1 - November 17, 2023
Editors: Eileen F. Baker, Catherine Anna Marco
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 2 3 6 - 5
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 2 3 7 - 2

In this issue of Emergency Medicine Clinics, guest editors Drs. Eileen F. Baker and Catherine A. Marco bring their considerable expertise to the topic of Psychiatric and Behaviora… Read more

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

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In this issue of Emergency Medicine Clinics, guest editors Drs. Eileen F. Baker and Catherine A. Marco bring their considerable expertise to the topic of Psychiatric and Behavioral Emergencies. Top experts cover key topics such as the emergency psychiatric interview; the agitated patient; the suicidal or homicidal patient; excited delirium; substance use disorders; schizophrenia; depression; and more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
The Emergency Psychiatric Interview
Key points
Introduction
Phase 1: The opening phase
Phase 2: Data collection
Phase 3: Assessment and plan: Summary
Summary
Clinics care points
Management of the Agitated Patient
Key points
Introduction
Non-pharmacologic interventions
Pharmacologic interventions
Pharmacologic options
Unique considerations for special populations
Documentation and legal considerations
Ethical considerations/psychological complications
Summary
Clinics care points
Disclosure
Emergency Department Care of the Patient with Suicidal or Homicidal Symptoms
Key points
Introduction
Initial evaluation
After plan is developed: assess, discuss, evaluate, and review
Disposition
Summary
Clinics care points
Disclosures
Hyperactive Delirium with Severe Agitation
Key points
Background and controversies
Clinical features
Epidemiology
Pathophysiology
Management
Clinics care points
Disclosure
Substance Use Disorder
Key points
Introduction
Clinics care points
Disclosure
Physiologic Effects of Substance Use
Key points
Introduction
Summary
Clinics care points
Disclosure
Schizophrenia and Emergency Medicine
Key points
Introduction: epidemiology
Schizophrenia as a diagnosis
Pathophysiology
Treating schizophrenia
Schizophrenia and safety considerations
Special topics in schizophrenia
Summary
Clinics care points
Disclosures
Overview of Depression
Key points
Introduction
Diagnosis
Pathophysiology
Epidemiology
Differential diagnosis
Initial management and evaluation
Special considerations
Clinics care points
Disclosure
Bipolar Disorders in the Emergency Department
Key points
Epidemiology and pathophysiology
Morbidity and mortality
Acute psychiatric presentation in the emergency department
Medical clearance of patients with bipolar disorder
Treatment in the emergency department
Disposition
Summary
Clinics care points
Disclosure
Recognizing and Responding to Patients with Personality Disorders
Key points
Introduction
Definitions/background
Discussion
Summary
Clinics care points
Disclosure
Geriatric Psychiatric Emergencies
Key points
Introduction
Summary
Clinics care points
Disclosure
Pediatric Psychiatric Emergencies
Key points
Introduction
Case vignette
Mental illness in children and adolescents
General principles
Medical assessment
Suicidal ideation/plan
Homicidal ideation/aggression
Major depressive disorder
Anxiety
Summary
Case wrap-up
Clinics care points
Disclosure
Eating Disorders
Key points
Introduction
Anorexia nervosa
Bulimia and binge-eating disorder
Gastrointestinal
Clinics care points
Disclosure
Difficult Patients: Malingerers, Feigners, Chronic Complainers, and Real Imposters
Key points
Introduction
Malingering cases
Differential diagnosis for malingered somatic symptoms
Ethical considerations arising when malingering is suspected
Existing laws to uphold ethical considerations
Red Flag Rules, 2008 and clarification 2010
Resolution of cases
Summary
Clinics care points
Disclosure
Legal and Ethical Considerations in Psychiatric Emergencies
Key points
Introduction
Case 1
Patient rights
Case 2
In-custody issues
Case 3
Escaping a trial appearance
Summary
Clinics care points

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

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Eileen F. Baker

Catherine Anna Marco