Behavioral Emergencies for the Emergency

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.

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.

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Behavioral Emergencies for the Emergency Physician

Summary

Table of Contents

Supplemental Materials