Identification and initial management of intoxication by alcohol and other drugs in the pediatric emergency room

Pianca, Thiago Gatti; Sordi, Anne; Hartmann, Thiago Casarin; Diemen, Lísia von

doi:10.1016/j.jped.2017.06.015

Cited by 14 publications

(9 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Two mental health assessment tools for young people have been developed in Canada: HEARTSMAP [35] and HEADS-ED [36]. Tools acknowledged for use of substance use assessment are the CRAFFT tool, which considers a variety of substances; AUDIT/AUDIT-C, which consider alcohol use disorders; and two questions on the NIAA tool [37,38]. However, participants acknowledged that youth-oriented assessments that do exist for MHSU concerns are not mandated or regulated in Canada; thus, use of them varies depending on the clinician.…”

Section: Discussionmentioning

confidence: 99%

Exploring How to Enhance Care and Pathways Between the Emergency Department and Integrated Youth Services for Young People With Mental Health and Substance Use Concerns.

Glowacki

Whyte

Weinstein

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: Integrated youth services (IYS) provide multidisciplinary care (including mental, physical, and social) prioritizing the needs of young people and their families. Despite a significant rise in emergency department (ED) visits by young Canadians with mental health and substance use (MHSU) concerns over the last decade, there remains a profound disconnect between EDs and MHSU integrated youth services. The first objective of this study was to better understand the assessment, treatment, and referral of young people (ages 12-24 years) presenting to the ED with MHSU concerns. The second objective was to explore how to improve the transition from the ED to IYS for young people with MHSU concerns. Methods: We conducted semi-structured one-on-one video and phone interviews with stakeholders in British Columbia, Canada in the summer of 2020. Snowball sampling was utilized, and participants (n=26) were reached, including ED physicians (n=6), social workers (n=4), nurses (n=2), an occupational therapist (n=1); a counselor (n=1); staff/leadership in IYS organizations (n=4); mental health/family workers (n=3); peer support workers (n=2), and parents (n=3). A thematic analysis (TA) was conducted using a deductive and inductive approach conceptually guided by the Social Ecological Model.Results: We identified three overarching themes, and factors to consider at all levels of the Social Ecological Model. At the interpersonal level inadequate communication between ED staff and young people affected overall care and contributed to negative experiences. At the organizational level, we identified considerations for assessments and the ED and the hospital (wait times, staffing issues, and the physical space). At the community level, the environment of IYS and other community services were important including wait times and hours of operation. Policy level factors identified include inadequate communication between services (e.g., different charting systems and documentation). Conclusions: This study provides insight into important long-term systemic issues and more immediate factors that need to be addressed to improve the delivery of care for young people with MHSU challenges. This research supports intervention development and implementation in the ED for young people with MHSU concerns.

show abstract

Section: Discussionmentioning

confidence: 99%

Exploring How to Enhance Care and Pathways Between the Emergency Department and Integrated Youth Services for Young People With Mental Health and Substance Use Concerns.

Glowacki

Whyte

Weinstein

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

Section: Methodsunclassified

“…O uso de substâncias psicoativas (SPA) entre CA é importante problema de saúde na maioria dos países, bem como em nosso meio 19 . O álcool etílico (AE) é a SPA mais utilizada por CA no Brasil, seguida pela maconha e por inalantes 19 . Estudo com adolescentes escolares de Porto Velho (RO) indicou prevalência de 24% para consumo prévio de AE e de 2,3% para outras SPA 20 .…”

Section: Methodsunclassified

“…Considerando que as CA apresentam maior susceptibilidade fisiológica aos efeitos do álcool, ocorre agravamento dos sintomas da embriaguez19,24 . Também foi observada diferença nos resultados positivos dos exames toxicológicos entre as VH (66% dos casos pesquisados) e das VA (19%).Entretanto, o número de casos positivos para SPA no IML-BH é provavelmente maior, uma vez que as pesquisas toxicológicas e de alcoolemia foram realizadas em 82-80% das vítimas de homicídio, mas em apenas 36-48% dos acidentados, respectivamente.…”

unclassified

See 1 more Smart Citation

Homicídios e Acidentes de Crianças e Adolescentes: Análise de 2.462 Necropsias Médico-Legais

Bordoni¹,

Marçoni²,

Reis³

et al. 2019

BJFS

View full text Add to dashboard Cite

Resumo. Mortes de crianças e adolescentes (CA) por causas externas são um importante problema mundial de saúde pública. Para uma melhor compreensão epidemiológica destes óbitos este estudo analisou laudos necroscópicos forenses de CA vítimas alegadas de acidentes e homicídios no período de 2006 a 2012 periciadas no Instituto Médico Legal de Belo Horizonte. Os homicídios compreenderam 65% dos 2.462 laudos de menores de 18 anos estudados. O trauma penetrante ("tiros" e "facadas") foi mais prevalente nos homicídios (93%) enquanto o não penetrante prevaleceu nos acidentes (99%) (p<0,05). As vítimas de "tiros" foram mais frequentes que as de "facadas" e foi observada média de 4,8 lesões de entradas de projéteis por autopsia naquelas. Os acidentes mais comuns foram os de trânsito e os afogamentos. O final de semana foi o período com o maior número de necropsias tanto de homicídios como de acidentes e a faixa etária de 12 a 17 anos concentrou o maior número de casos. A idade média foi de 10,6 anos nos acidentes e de 15,5 nos assassinados (p<0,05). A maior proporção de óbitos por homicídio foi na faixa de

show abstract

“…Gerade Alkoholintoxikationen haben in den letzten Jahren im Kindes-und Jugendalter ("Komasaufen", "Kampftrinken") deutlich zugenommen (Pianca et al, 2017;Stolle et al, 2009). Im Rahmen der ersten Untersuchung der Patientin bzw.…”

Section: Spezifi Sche Kinder-und Jugendpsychiatrische Notfälleunclassified

Das pharmakologische Management kinder- und jugendpsychiatrischer Notfälle

Vloet

Fekete

Gerlach

et al. 2022

Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapi

View full text Add to dashboard Cite

Zusammenfassung. Kinder- und jugendpsychiatrische Notfälle sind häufig und stellen die beteiligten ärztinnen und ärzte vor besondere Herausforderungen, da eine erhebliche Gefahr für die Patient_innen oder Dritte unter Anwendung möglichst wenig invasiver Mittel abzuwenden ist. In diesem Kontext werden neben haltgebenden, deeskalierenden und psychotherapeutischen Optionen häufig auch pharmakologische Interventionen eingesetzt. Da ein Mangel an systematisch erhobenen Daten besteht, findet die pharmakologische Notfallbehandlung in der Kinder- und Jugendpsychiatrie regelhaft im off-label-Bereich statt. Vor dem Hintergrund der komplexen klinischen und rechtlichen Anforderungen an die ärztinnen und ärzte werden im vorliegenden Artikel praxisrelevante Hinweise insbesondere zum pharmakologischen Management von in der Praxis häufig auftretenden kinder- und jugendpsychiatrischen Notfällen wie akuter Suizidalität, akut psychotischem Erleben, Delir und Bewusstseinsstörungen sowie akuter Intoxikation und Alkoholentzugssyndrom gegeben. Weiterhin werden Maßnahmen zur Qualitätssicherung und Arzneimittelsicherheit diskutiert.

show abstract

Identification and initial management of intoxication by alcohol and other drugs in the pediatric emergency room

Cited by 14 publications

References 31 publications

Exploring How to Enhance Care and Pathways Between the Emergency Department and Integrated Youth Services for Young People With Mental Health and Substance Use Concerns.

Exploring How to Enhance Care and Pathways Between the Emergency Department and Integrated Youth Services for Young People With Mental Health and Substance Use Concerns.

Homicídios e Acidentes de Crianças e Adolescentes: Análise de 2.462 Necropsias Médico-Legais

Das pharmakologische Management kinder- und jugendpsychiatrischer Notfälle

Contact Info

Product

Resources

About