Caring for the Acutely Psychotic in the ED, Psychosis or Not?
In this episode, Patrick Wallace and Sameed Shaikh, DO discuss the approach to working up an acutely Psychotic patient. Mr. Wallace is a medical student at Rocky Vista University and ’17-‘18 RSA Education Committee member. Dr. Shaikh is an emergency physician at UCHealth Memorial Hospital in Colorado Springs.
Currier G, Medori R. Orally versus intramuscularly administered antipsychotic drugs in psychiatric emergencies. J Psychiatr Pract 200;12:30-40.
Davenport J. Macrocytic anemia. Am Fam Physician. 1996;53:155-62.
Day E, Bentham PW, Callaghan R, Kuruvilla T, George S. Thiamine for prevention and treatment of wernicke-korsakoff syndrome in people who abuse alcohol. Cochrane Database Syst Rev. 2013.
Isenberg-Grzeda E, Kutner HE, Nicolson SE. Wernicke-korsakoff-syndrome: under-recognized and under-treated. Psychosomatics. 2012;53:507-16.
Janiak BD, Atteberry S. Medical clearance of the psychiatric patient in the emergency department. J Emerg Med 2012;43:866-70.
Koguchi K, Nakatsuiji Y, Abe K, Sakoda S. Wernicke’s encephalopathy after glucose infusion. Neurology. 2004;62:512.
Lane ZP, Singer A, Roffwarg DE, Messias E. Differentiating psychosis versus fluent aphasia. Clin Schizophr Relat Psychoses 2011;4:258-61.
Lulla A, Singh M, Bright J, Koyfman A. The art of the ED takedown. FOAM EM RSS. 2015.
Mathews M, Tesar GE, Fattal O, Muzina DJ. Schizophrenia and acute psychosis. Current Clin Med 2010:985-994.
Ottawa. Use of antipsychotics and/or benzodiazepines as rapid tranquilization in in-patients of metnal facilities and emergency departments: a review of the clinical effectiveness and guidelines [internet]. Canadian Agency for Drugs and Technologies in Health 2015.
Sachdeva A, Choudhary M, Chandra M. Alcohol withdrawal syndrome: benzodiazepines and beyond. J Clin Diagn Res 2015;9:1-7.
Shattell M. In psychiatric emergencies, emergency rooms not always safe. Huff Post 2013.
Simpson SA, Pasic J. The peregrinating psychiatric patient in the emergency department. West J Emerg Med 2016;17:600-6.
So YT. Wernicke encephalopathy. UpToDate 2016.
Zeller S. Treatment of psychiatric patients in emergency settings. Primary Psych. 2010.