Περιγραφή
Psychiatric emergencies are encountered throughout the practice of medicine, in many clinical settings. They may range from a patient expressing suicidal thoughts in an outpatient medical visit to an agitated, threatening patient with psychosis who is acutely intoxicated brought to the Emergency Department by ambulance. Decisions regarding admission, discharge, treatment, and referral are time-sensitive in the emergency setting or when acute safety issues are at stake. A broad knowledge of psychiatry and an understanding of potential medical etiologies of behavioral changes are important, as well as skills navigating what can be a complicated consultation relationship with the emergency department and challenging systems-based issues. In a time when emergency department visits continue to grow, resources for inpatient beds remain scarce and outpatient care can be difficult to access, the demand for psychiatric care and evaluation in the emergency setting is crucial.
This volume, the 12th in the Primer On series, provides a straightforward approach to evaluating and managing common psychiatric emergencies. Blending case examples with up-to-date evidence-based approaches, this book serves as both a reference and introductory text for clinicians who are working in an emergency department or emergency consult setting.
- Diverse set of authors from all across the country encompassing both psychiatrists and emergency medicine physicians
- User friendly format that was specifically constructed to serve a variety of readers
- Applicability to both hospital-based and community-based settings
Περιεχόμενα
Section I: The Approach to Emergency Psychiatric Evaluation
1. An Initial Approach to the Emergency Evaluation (Pitfalls, Pearls, and notice of Countertransference)
2. Evaluating and Managing the Agitated Patient
3. Medical Assessment of the Psychiatric Patient
4. Assessing for Suicidality and Overall Risk of Violence
5. Telepsychiatry and Beyond: Future Directions in Emergency Psychiatry
6. Cultural Competence in Emergency Psychiatry
Section II: Specific Disorders, Diagnoses, and Symptoms frequently encountered as Psychiatric Emergencies
1. Altered Mental Status and Neurologic Syndromes
2. Intoxication, Withdrawal, and Symptoms of Substance Use Disorders
3. Psychosis, Psychotic Disorders, and the Schizophrenia Spectrum
4. Emergency Psychiatry Evaluation and Treatment of Mood Disorders
5. Anxiety, PTSD, and other Trauma Related Disorders
6. Personality Disorders
7. Deception in the Emergency Setting: Malingering and Factitious Disorder
8. Eating Disorders and Somatic Symptom Disorders
Section III: Specific Populations frequently encountered as Psychiatric Emergencies
1. Children and Adolescents
2. Geriatrics
3. Developmental Disabilities
4. Perinatal Patients and related Illnesses, Symptoms, and Complications related to Pregnancy
5. Victims of Physical and Sexual Violence (including identification and reporting issues)
Section IV: Disposition, Aftercare, Legal Issues, and Future Directions
1. Tool, Constraint, Liability, Context: Law and Emergency Psychiatry
2. Documenting risk assessments and high acuity discharge presentations
3. Trauma Informed Care, Psychological First Aid, and Recovery Oriented Approaches in the ER
4. Collaborations WITHIN the ED: observation units, consult models, boarding processes, and future directions
5. Collaborations BEYOND the ED: mobile crisis teams, peer services, and working with law enforcement
6. Quality Improvement in Psychiatric Emergency Settings: Making Care Better and Safer
