Lastly, this article focuses on the medical workup of agitation when a medical etiology is suspected or when etiology is unclear. Chepenik, Yale University School of Medicine Associate Editor: Mary Nan S. Shih -- Section 3 Psychiatric illnesses -- 8. Legal issues in the care of psychiatric patients; 49. Ketamine was administered for agitation on 32 visits involving 27 patients.
It has been criticized by some as having been fabricated as a diagnosis to justify deaths that occur in some agitated individuals during police arrest involving restraint. The American College of Emergency Physicians' White Paper on Excited Delirium Syndrome describes the benefits of ketamine as a fast-acting medication in agitated and violent patients with a low rate of side effects 18. Oral antipsychotics are preferred interventions in these collaborative interventions. Drug intoxication in psychiatric patients in the emergency department 7. Copyright © 2015 Elsevier Inc. Medical illness in psychiatric patients in the emergency department 19.
Trauma and loss in the emergency setting; 33. Legal issues in the care of psychiatric patients 49. This chapter discusses the current controversy over behavioral restraints, long-standing efforts to reduce the use of these restraints, restraint types, and the safe application of restraints should these be required. This go-to, comprehensive volume is invaluable for trainee and experienced emergency physicians, as well as psychiatrists, psychologists, psychiatric and emergency department nurses and other mental health workers. The magnitude of the problem of psychiatric illness presenting in the emergency department 2. Treatment of psychiatric illness in the emergency department; 28. While the precise cause and mechanism of lethality remains controversial, we have demonstrated that there are network-level changes in dopaminergic synaptic markers in brain that identify and help to confirm the occurrence of the excited delirium syndrome.
Assessment of the suicidal patient in the emergency department 10. Sedation, restraint and seclusion are outlined. Use of verbal de-escalation techniques in the emergency department; 22. Cultural concerns and issues in emergency psychiatry 37. Emergency medical services psychiatric issues; 42.
Zun ; assistant editors, Lara G. . The patient with depression in the emergency department; 9. The mechanism of death in patients struggling against restraints remains a topic of debate. Management of homeless and disadvantaged persons in the emergency department 34. Acute care of eating disorders; 20. However, the forensic autopsies fail to demonstrate a history of illicit drug use or positive toxicologic basis for the diagnosis.
This go-to, comprehensive volume is invaluable for trainee and experienced emergency physicians, as well as psychiatrists, psychologists, psychiatric and emergency department nurses and other mental health workers. Drug intoxication in psychiatric patients in the emergency department; 7. Advanced interviewing techniques for psychiatric patients in the emergency department; 5. This is a narrative review, using a multidisciplinary approach of analyzing reports from physiological, legal-medical, and police-strategy literature sources. The patient with delirium and dementia in the emergency department; 17. The patient with psychosis in the emergency department; 14. Rapidly acting treatment in the emergency department; Part V.
Acute exhaustive mania and sudden death presents with behavioral signs and symptoms that are the same as in cases of cocaine excited delirium. Treatment of the psychiatric patient -- 21. Nonetheless, emergency physicians are often required to make decisions about restraining violent patients. Management of aggressive and violent behavior in the emergency department 24. Restraint and seclusion techniques in the emergency department 25. No patients became hypoxic; 62.
Stimulant drugs such as cocaine may promote further metabolic acidosis and impair normal behavioral regulatory responses. Evaluation of the Psychiatric Patient: 3. Use of agitation treatment in the emergency department 23. Ward, James Ahn, Louis Scrattish, Andy Jagoda, Silvana Riggio, Eric L. This reference-based text goes beyond diagnostics, providing practical input from physicians experienced with adult emergency psychiatric patients. Pharmacovigilance data and posters were requested from the manufacturers. Sedation, restraint and seclusion are outlined.