by Jessica Tat | Feb 16, 2023 | Critical Care, Featured, Grand Round Summaries, psychiatry, Resuscitation
The Emergency Department is no stranger to the acutely agitated patient. Agitation remains a broad and multifactorial syndrome with a high potential for significant morbidity or mortality if not recognized and managed appropriately. This can be tricky at times when...
by Michael Schlegelmilch, Sam Wilson | Mar 10, 2022 | Featured, Pediatrics, psychiatry, Resuscitation
Pediatric mental health complaints are common presentations to the emergency department. Many providers are comfortable managing symptoms of depression, anxiety, suicidality. But what about pediatric patients with severe agitation and aggression? Between 6 and 10% of...
by Elyssia Adamo, Hans Rosenberg | Dec 30, 2021 | Full Article, Journal Club, mental health, psychiatry, Toxicology
Methodology: 3.5/5 Usefulness: 3.5/5 Barbic D, et al. Ann Emerg Med. 2021 Aug 2:S0196-0644(21)00433-9. Question and Methods: Randomized, single center, blinded clinical trial comparing the rapidity of onset, level of sedation and adverse effect profile of Ketamine...
by Shahbaz Syed | Oct 28, 2021 | Commentary, Featured, psychiatry
It is with increasing frequency that we are seeing higher volumes of patients presenting to their family physicians and the Emergency Department with complaints related to anxiety. It was certainly an issue that was noticed pre-COVID19, but the effect that the...
by Michael Wong, Alex Coutin | Aug 20, 2020 | Addictions, Critical Care, Featured, mental health, psychiatry
In part 1 of this 2-part series, we discussed diagnosis and initial management of alcohol withdrawal. In part 2, we discuss the role of the benzodiazepines on discharge, how to use gabapentin, naltrexone, and communication strategies to optimize discharge to help your...
by Michael Wong, Alex Coutin | Aug 13, 2020 | Critical Care, Featured, psychiatry, Toxicology
In Ontario, Canada, alcohol-related ED visits have increased 4.4x faster than the overall increase in visits from 2003-2016, and was responsible for more admissions than heart attacks in 2016. In part 1 of this 2-part series, we will discuss tips for the diagnosis and...
by Shahbaz Syed | Jun 11, 2020 | Featured, Grand Round Summaries, psychiatry
In the past 5-10 years we have seen a significant increase in mental health-related complaints in the Emergency Department (ED), and during COVID this is especially noticeable. Historically, we’ve classically been taught to focus on performing safety...
by Daniel Beamish, Pascale King | Dec 19, 2019 | Featured, Grand Round Summaries, mental health, psychiatry
This post is a continuation of Borderline Personality Disorder – Part 1. In this second post, Dr. Beamish discusses the management of BPD in the emergency department and shares some valuable resources. Borderline Personality Disorder – Part 2 Case 2 A 22...
by Daniel Beamish, Pascale King | Dec 12, 2019 | Grand Round Summaries, mental health, psychiatry
Borderline Personality Disorder (BPD) is a personality disorder that describes the emotional dysregulation, impulsivity, recurrent self-harm and suicidal behaviour experienced by many individuals. People suffering from this personality disorder frequently live chaotic...
