Emergency
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Experts Detail Remaining Barriers to Facilitating Evidence-Based Treatment for OUD
A lack of universal education in medical school and residency programs might perpetuate a reluctance to engage, diagnose, treat, and appropriately refer patients with opioid use disorder. Silos that keep substance use treatment outside mainstream healthcare can limit the collaboration and streamlined referral processes needed between EDs and outpatient providers.
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Is an EmPATH-Style Unit Right for Your ED?
When deliberating, remember the busy, noisy environment of the ED often makes symptoms worse for patients who have presented with psychiatric emergencies. Many EmPATH units consist of designated open spaces where patients are free to roam while under observation.
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Novel Unit Accelerates Psychiatric Care, Keeps Patients Flowing
Some departments have designated space where patients with psychiatric emergencies will be taken as soon as they are medically cleared in the ED. Here, they will be evaluated promptly and treated by psychiatric specialists. This model has prevented boarding, opened more beds, made transfers smoother, and produced better outcomes.
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New Solutions to Help Young Patients Who Present with Behavioral Health Crises
Behavioral health mobile teams, comprised of psychiatrists, psychologists, experts in autism and developmental disabilities, nurses, social workers, and case managers, can support medical teams caring for patients in crisis.
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American Academy of Pediatrics Offers Solutions to Ease ED Crowding
Group says “coordinated effort across the healthcare delivery system” needed to ensure continuity of care.
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Legal Landmines for Patients Referred to ED for Psychiatric Evaluation
These risks relate to information-sharing for care coordination and continuity of care.
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‘Medical Clearance’ of Psychiatric Patient Can be Legally Risky
What does "medical clearance" really mean? Does it indicate a patient has no acute issues, or that all the patient’s chronic issues are stable? Or is it both? The answer depends on who you ask.
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Does Surviving an ECMO Stay Put Patients at Greater Risk for Mental Health Problems?
Survivors of extracorporeal membrane oxygenation (ECMO) demonstrated a modest increase in risk of new mental health diagnoses after discharge vs. ICU survivors who do not undergo ECMO.
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Out of Options: When Parents Abandon Pediatric Psychiatric Patients at Hospital
Parents often are faced with an impossible choice. They must decide whether to bring home a child who poses a threat to self and others, or risk a child abandonment charge. The criteria for acute psychiatric hospitalization are so high that children might be discharged only to be rehospitalized within weeks or days — and retraumatized in the process.
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Novel Bedside Procedure Improves Tracheostomy Outcomes
Nurse-driven initiative led to zero incidents of tracheostomy medical device-related pressure injuries for three years.