Behavioral Emergencies for the Emergency Physician

by Zun, Leslie S., M.D.; Chepenik, Lara G., M.D., Ph.D.; Mallory, Mary Nan S., M.D.

• ISBN13: 9781107018488
• ISBN10: 110701848X
• Edition: 1st
• Format: Paperback
• Copyright: 2013-05-31
• Publisher: Cambridge Univ Pr

Summary

Emergency physicians, in all practice settings, care for patients with both undifferentiated psycho-behavioral presentations and established psychiatric illness. This reference-based text goes beyond diagnostics, providing practical input from physicians experienced with adult emergency psychiatric patients. Physicians will increase their understanding and gain confidence working with these patients, even when specialized psychiatric back-up is lacking. Behavioral Emergencies for the Emergency Physician is comprehensive, covering the pre-hospital setting and advising on evidence-based practice; from collaborating with psychiatric colleagues to establishing a psychiatric service in your ED. Sedation, restraint and seclusion are outlined. Potential dilemmas when treating pregnant, geriatric or homeless patients with mental illness are discussed in detail, along with the more challenging behavioral diagnoses such as malingering, factitious and personality disorders. 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.

Table of Contents

Preface

General Considerations for Psychiatric Care in the Emergency Department

The magnitude of the problem of psychiatric illness presenting in the emergency department

Delivery models in emergency psychiatric care

Evaluation of the Psychiatric Patient

The medical clearance process for psychiatric patients presenting acutely to the emergency department

Advanced interviewing techniques for psychiatric patients in the emergency department

Use of routine alcohol and drug testing for psychiatric patients in the emergency department

Drug intoxication in psychiatric patients in the emergency department

Drug withdrawal syndromes in psychiatric patients in the emergency department

Psychiatric Illnesses

The patient with depression in the emergency department

Assessment of the suicidal patient in the emergency department

The patient with somatoform disorders in the emergency department

The patient with anxiety disorders in the emergency department

The patient with post traumatic stress disorder in the emergency department

The patient with psychosis in the emergency department

Personality disorders in the acute setting

The patient with factitious disorders and malingering in the emergency department

The patient with delirium and dementia in the emergency department

The patient with excited delirium in the emergency department

Medical illness in psychiatric patients in the emergency department

Acute care of eating disorders

Management of the emergency department patient with co-occurring substance abuse disorder

Treatment of the Psychiatric Patient

Use of verbal de-escalation techniques in the emergency department

Use of agitation treatment in the emergency department

Management of aggressive and violent behavior in the emergency department

Restraint and seclusion techniques in the emergency department

Use of psychiatric medications in the emergency department

The patient with neuroleptic malignant syndrome in the emergency department

Treatment of psychiatric illness in the emergency department

Rapidly acting treatment in the emergency department

Special Populations

Pediatric psychiatric disorders in the emergency department

Geriatric psychiatric emergencies

Disaster and terrorism emergency psychiatry

Trauma and loss in the emergency setting

Management of homeless and disadvantaged persons in the emergency department

Management of neurobehavioral sequelae of traumatic brain injury in the emergency department

Management of psychiatric illness in pregnancy in the emergency department

Cultural concerns and issues in emergency psychiatry

Rural emergency psychiatry

Administration of Psychiatric Care

Coordination of emergency department psychiatric care with psychiatry

Integration with community resources

The role of telepsychiatry

Emergency medical services psychiatric issues

Triage of psychiatric patients in the emergency department

The Emergency Medical Treatment and Active Labor Act (EMTALA) and psychiatric patients in the emergency department

Assessing capacity, involuntary assessment, and leaving against medical advice

Best practices for the evaluation and treatment of patients with mental and substance use illness in the emergency department

Improving emergency department process and flow

Physical plant for emergency psychiatric care

Legal issues in the care of psychiatric patients

Law enforcement and emergency psychiatry

Research in emergency psychiatry

Index

Table of Contents provided by Publisher. All Rights Reserved.