Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department

Patients with Suicidal Ideation and Evidence of Alcohol Use are Discharged at Higher Rates from the Emergency Department

“…Consistent with previous studies, the UDS should be used sparingly and only for patients who have a clinical question unanswered based on initial clinical encounter, similar to other lab work and imaging required for medical clearance of SI patients. part of the ED assessment", although this was listed as only a Level C recommendation [27]. Later recommendations from ACEP have echoed this sentiment, although have not explicitly addressed urine drug screens [10].…”

Manejo do paciente com transtornos relacionados ao uso de substância psicoativa na emergência psiquiátrica

“…11 Data were collected by means of a critical literature review performed in the Medline database using the descriptors: "acute intoxication", "abstinence", "alcohol", "cocaine", "cannabis", "opioids", "inhalants", and "management". Empirical and review articles written in English were selected.…”

“…Ideally, agitation is better managed by using interpersonal and nursing approaches instead of additional medication, which may complicate and delay the elimination of alcohol. 11 Nevertheless, situations in which psychomotor agitation is so intense as to pose risk for the patient and staff members may require the use of potent antipsychotic medication at low doses.…”

Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms

“…66 Thus, "although droperidol can be associated with prolongation of the QT interval, there is not convincing evidence that the drug causes severe cardiac events." 60 Despite these and other studies, since the black box warning was issued, use of droperidol has declined exponentially. 67,68 Neurologic Acute extrapyramidal syndromes associated with antipsychotic medications include acute dystonia, akathisia, and a Parkinsonian syndrome.…”