Behavioral Emergencies for the Emergency Physician

This comprehensive, go-to volume features cutting edge discussion of the emergency department management of mental health patients.

Leslie S. Zun (Edited by), Lara G. Chepenik (Associate editor), Mary Nan S. Mallory (Associate editor)

9781107018488, Cambridge University Press

Paperback, published 21 March 2013

414 pages, 13 b/w illus.
27.5 x 22 x 1.8 cm, 1.15 kg

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
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.

Subject Areas: Accident & emergency medicine [MMK], Psychiatry [MMH], Mental health services [MBPK], Care of the mentally ill [JKSM]