Browsing: Psychiatry

Psychiatry

RUSH Exam in Undifferentiated and Unstable Psychiatric Patients

9/12/2024 Sallyan Rusnak, MD , Shannon Lovett, MD, FACEP

In this case, the patient’s altered mental status and limited history presented challenges. The RUSH exam was utilized to evaluate hypotension. Without this bedside evaluation, diagnosis and treatment

Psychiatry , Patient Interactions , Health Care Administration

Unique Psychiatric Care: The Role of EmPATH Units

4/15/2024 George V. Koshy, DO, MPH , Eric Melnychuk, DO

Most EDs are not designed to provide comprehensive psychiatric care, leading to suboptimal treatment for psychiatric patients, particularly those with suicidal ideations. Boarding in the ED often resu

Psychiatry , Neurology , OB/GYN

Anti-N-Methyl-D-Aspartate Receptor Encephalitis During Pregnancy

1/15/2024 Haad Arif , Sunny Bang, MD

Emergency physicians should maintain a high degree of suspicion for anti-NMDA receptor encephalitis (ANMDARE) and ovarian teratomas in young female patients presenting acutely with psychiatric symptom

Mental Health , Psychiatry , Patient Interactions

Case Report: Ketamine for Treatment of Acute Suicidality

1/15/2024 Cheng-Wei Isaac Chuang, MD , Christopher Fox, MD , Christian Munk, DO , Patrick Olivieri, MD

Depression and suicidality are common presenting complaints in the ED and require vast resources to fully evaluate, treat, and determine appropriate dispositions for patients. Our case illustrates how

Psychiatry , Patient Interactions

Factitious Disorder Manifesting as Acute Tetanus

10/10/2023 Alex Avery Powell, MD , Mary-Claire O’Brien , Mary Wittler, MD

Our case highlights the importance of recognizing factitious disorder as early as possible and connecting these patients with appropriate resources, as even specialists have difficulty diagnosing and

Behavioral Health , Psychiatry , Mental Health

Patient Boarding During COVID-19: A Literature Review

6/10/2022 Kelsey Mercedes Morgan, RN-BSN, CEN, PMHN , Christina Brown, MD , Nicholas Stark, MD, MBA

Since the beginning of the COVID-19 pandemic, emergency departments across the country have seen a well-documented increase in patient volume and boarding. Psychiatric boarding specifically has been a

Psychiatry , Administration & Operations

ED Psychiatric Petitioning: An Unvarnished Glance

10/9/2020 Molly Enenbach , Gwen Levitt, DO, DFAPA

As providers on the front line in the emergency department, resident physicians need to pause and understand the process of petitioning patients for psychiatric placement, as this is essential to bett

Toxicology , Psychiatry , Neurology

Phenibut Overdose: Coming to an ED Near You

10/10/2019 Megan Hoffer, DO , Michael Tranovich, DO , Richard Houck, DO

This OTC anxiolytic might cause you a little anxiety in cases of overdose. Here's an overview on how to help affected patients.

Mental Health , Pediatric EM , Clinical , Psychiatry

A Reflection on Mental Health and Emergency Medicine

4/15/2014 Kyra D. Reed, MD

A Reflection on Mental Health and Emergency Medicine After a knock on the door, I entered the hospital room to find Lisa, a 12-year-old patient who was seated on the exam table, eyes fixed on her sho