A 23-year-old male with autism, ADHD and prior self-harm presents with suicidal hallucinations. Initially cooperative, he later becomes agitated and violent, requiring urgent intervention for safety despite de-escalation attempts.
This blog is something a bit different. Based on real Coroner’s cases, we’ve pulled out some critical decision moments, so you can work your way through the patient journey and decide what you would do.
This month we have Pre-hospital Thoracotomy Outcomes | Acute behavioural disturbance in the ED (Part One) | Systematic review of resuscitative hysterotomy | New Online
Every patient has the right to be involved in decisions about their treatment and care. Informed consent ensures that patients have all the necessary information to make free and informed decisions about their medical care.
You've just arrived for your first ED shift, excited to be allocated to resus. The red phone rings. A 45-year-old female, amitriptyline overdose, P120, BP85/45, GCS 5, ETA 5 minutes.
SBA session on the RCEM recommendations about the management of an aggressive patient with acute behavioural disturbance (ABD). How to keep your patient, your colleagues, and yourself safe!
The legal aspects of Emergency Medicine can be difficult and often a trainee spends less time reading about these, unless a specific situation arises in work.
How to recognise and manage patients with Acute Behavioural Disturbance in order to support their emergency care whilst maintaining safety of the patient, staff, and others.
As emergency medicine clinicians you’ll be used to patients with behaviours that are really challenging. Did you know that there’s an actual definition of this?
This module identifies the clinical features of acute behavioural disturbance (ABD) and covers the initial assessment and management of patients with ABD in the Emergency Department.
This session identifies the clinical features of acute behavioural disturbance (ABD) and covers the initial assessment and management of patients with ABD in the ED.
In this blog, we've collated all our infographics, and some pictures, around mental health in the ED. We hope that the pictures will spark your curiosity, and you'll delve further into the original resource for further learning.
It’s Friday night, a 19-year-old male who alleges he’s been assaulted is shouting / being aggressive in the waiting area. The triage nurse asks you to discharge him.
With a huge burden of mental and physical health needs carried by patients with eating disorders, ED clinicians need to be aware of how they can give the care needed.
A patient with acute behavioural disturbance is proving very hard to manage, you need to gain control but by what means and what powers do you have to achieve this?
A conducted energy device (CED) ‘taser’ was discharged into a patient’s shoulder. Before this patient is taken into police custody, you’ve been asked to assess them in your ED.
This month Susie and Rajesh talk about Emergency Physicians experience of stress during resuscitation and strategies for mitigating the effects of stress on performance.
The Police have brought a patient to your ED that has had a controlled energy device discharged into their upper back. You are called to assess this patient.
What happens if your personality is disordered or disrupted by psychiatric illness? How can your ‘self’ then be accurately discerned from your personality disorder? Where does the condition end and you begin?
This session covers important aspects of history taking, examination and investigation, alongside national guidelines and risk assessment tools, to help guide patient management.
A patient presents to the Emergency Department suspected of having illicit concealed drugs. This SAQ explores the clinical management, combined with the ethical and medicolegal aspects of their care.
A 22-year-old healthy male attends ED with sudden onset of headache. He reports taking 100 mg Sildenafil before the headache started. On examination there is right arm weakness.
A 16-year-old is brought in by ambulance to your resuscitation room with a reduced level of consciousness and then starts to see monkeys everywhere. What’s going on?
Fabricated or induced illness (FII) is a form of child abuse. It is associated with significant morbidity (physical and psychological) and mortality. Recognition of FII is frequently difficult and subsequent management is complex.
Working in the emergency department, you are guaranteed to see and treat patients from all specialties of medicine and surgery. Most will prove to be interesting but also challenging at the same time.
Patients with mental health problems often present to the Emergency Department (ED). They will commonly be assessed and then treated, initially, by junior doctors.
Why is this a hot topic? It is a sign of serious distress. It is common. It is strongly associated with suicide. Suicide is one of commonest causes death in young people. 200% increase in self harm 1985-1995.
If ever you have the opportunity to save a young persons life - it is now.
It is Monday morning 09.00hrs and you are checking your email inbox. You have received the following email from the StR who has just finished weekend nights
"Toni is a 35 year old lady who attends the emergency department regularly with chest pain. Nothing seems to make it better, and her troponin is always normal. You wonder if there is a potential cause. Read on to find out that there is more to IBS than abdominal pain."
It's Friday evening and you're at work in the ED (where else would you rather be??). Jack is a 15 year old boy who has taken an overdose of paracetamol a couple of hours ago. He texted his girlfriend soon after and she called an ambulance
Approximately 10% of all admissions to the Emergency Department (ED) are related to patients having a mental health crisis. With the ever increasing numbers of patients requiring mental health input, it is important that we understand the law that underpins our treatment (RCEM, 2018)
Alcohol use disorder (AUD) is defined by the World Health Organisation as consuming more than 40g/day of alcohol for males and 30mg/day of alcohol for females
Working in the emergency department, you are guaranteed to see and treat patients from all specialties of medicine and surgery. Most will prove to be interesting but also challenging at the same time.
It's your second day on the 'shop floor' and your next patient is handed over as a 51 year old man who has been brought in by ambulance with sudden onset generalised abdominal pain and vomiting
Alcohol abuse is undoubtedly a huge social problem in the UK. It is responsible for many unnecessary attendances to Emergency departments (ED) and is an enormous burden on the NHS, which must treat the complications of alcohol abuse
This is the fifth in a series of Emergency Casebooks from the virtual hospital CFN General, with key learning points for staff working in an Emergency Department
This is the first in a series of Emergency Casebooks from the virtual hospital CFN General, with key learning points for staff working in an Emergency Department
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