Emergency Department Medical Clearance of Patients with Psychiatric or Behavioral Emergencies, Part 2: Special Psychiatric Populations and Considerations

被引：9

作者：

Alam, Al ^{[1
,2
]}

Rachal, James ^{[3
]}

Tucci, Veronica Theresa ^{[4
]}

Moukaddam, Nidal ^{[5
]}

机构：

[1] Weill Cornell Med Coll, NewYork Presbyterian Westchester, 21 Bloomingdale Rd, White Plains, NY 10605 USA

[2] SUNY Stony Brook, Stony Brook, NY USA

[3] Carolinas Hlth Care Syst, Behav Hlth, 501 Billingsley Rd, Charlotte, NC 28211 USA

[4] Baylor Coll Med, Sect Emergency Med, 1504 Taub Loop, Houston, TX 77030 USA

[5] Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, 1502 Taub Loop,NPC Bldg 2nd Floor, Houston, TX 77030 USA

来源：

PSYCHIATRIC CLINICS OF NORTH AMERICA | 2017年 / 40卷 / 03期

关键词：

Pediatric medical clearance; Geriatric medical screening; Medical stability; Psychiatric and behavioral emergencies; EATING-DISORDERS; COMPLICATIONS; ROOM;

D O I：

10.1016/j.psc.2017.05.001

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Patients who present to the emergency department (ED) with mental illness or behavioral complaints merit workup for underlying physical conditions that can trigger, mimic, or worsen psychiatric symptoms. However, there are wide variations in quality of care for these individuals. Psychiatry and emergency medicine specialty guidelines support a tailored, customized approach to patients. Our group has long advocated a dynamic comanagement approach for medical clearance in the ED, and this article summarizes best-practice approaches to the medical clearance of patients with psychiatric illness, tips on history taking, system reviews, clinical/physical examination, and common pitfalls in the medical clearance process.

引用

页码：425 / +

页数：10

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