Description
Book SynopsisThis comprehensive book covers all aspects of psychiatric emergencies, providing the expertise emergency physicians need to comfortably manage these patients, even when specialized psychiatric back-up is lacking. Relevant pharmacology, management options, potential dilemmas in special populations and challenging diagnoses such as malingering, factitious and personality disorders are discussed.
Table of ContentsPreface; Part I. General Considerations for Psychiatric Care in the Emergency Department: 1. The magnitude of the problem of psychiatric illness presenting in the emergency department; 2. Delivery models in emergency psychiatric care; Part II. Evaluation of the Psychiatric Patient: 3. The medical clearance process for psychiatric patients presenting acutely to the emergency department; 4. Advanced interviewing techniques for psychiatric patients in the emergency department; 5. Use of routine alcohol and drug testing for psychiatric patients in the emergency department; 6. Drug intoxication in psychiatric patients in the emergency department; 7. Drug withdrawal syndromes in psychiatric patients in the emergency department; Part III. Psychiatric Illnesses: 8. The patient with depression in the emergency department; 9. Assessment of the suicidal patient in the emergency department; 10. The patient with somatoform disorders in the emergency department; 11. The patient with anxiety disorders in the emergency department; 12. The patient with post traumatic stress disorder in the emergency department; 13. The patient with psychosis in the emergency department; 14. Personality disorders in the acute setting; 15. The patient with factitious disorders and malingering in the emergency department; 16. The patient with delirium and dementia in the emergency department; 17. The patient with excited delirium in the emergency department; 18. Medical illness in psychiatric patients in the emergency department; 19. Acute care of eating disorders; 20. Management of the emergency department patient with co-occurring substance abuse disorder; Part IV. Treatment of the Psychiatric Patient: 21. Use of verbal de-escalation techniques in the emergency department; 22. Use of agitation treatment in the emergency department; 23. Management of aggressive and violent behavior in the emergency department; 24. Restraint and seclusion techniques in the emergency department; 25. Use of psychiatric medications in the emergency department; 26. The patient with neuroleptic malignant syndrome in the emergency department; 27. Treatment of psychiatric illness in the emergency department; 28. Rapidly acting treatment in the emergency department; Part V. Special Populations: 29. Pediatric psychiatric disorders in the emergency department; 30. Geriatric psychiatric emergencies; 31. Disaster and terrorism emergency psychiatry; 32. Trauma and loss in the emergency setting; 33. Management of homeless and disadvantaged persons in the emergency department; 34. Management of neurobehavioral sequelae of traumatic brain injury in the emergency department; 35. Management of psychiatric illness in pregnancy in the emergency department; 36. Cultural concerns and issues in emergency psychiatry; 37. Rural emergency psychiatry; Part VI. Administration of Psychiatric Care: 38. Coordination of emergency department psychiatric care with psychiatry; 39. Integration with community resources; 40. The role of telepsychiatry; 41. Emergency medical services psychiatric issues; 42. Triage of psychiatric patients in the emergency department; 43. The Emergency Medical Treatment and Active Labor Act (EMTALA) and psychiatric patients in the emergency department; 44. Assessing capacity, involuntary assessment, and leaving against medical advice; 45. Best practices for the evaluation and treatment of patients with mental and substance use illness in the emergency department; 46. Improving emergency department process and flow; 47. Physical plant for emergency psychiatric care; 48. Legal issues in the care of psychiatric patients; 49. Law enforcement and emergency psychiatry; 50. Research in emergency psychiatry; Index.
