Feature Film - Could There Be Light At The End Of The Behavioral Health Tunnel?

Feature Film - Could There Be Light At The End Of The Behavioral Health Tunnel?

Tomorrow, countless acute mental health patients will present to their local emergency department asking for help.  Our typical response?  Detain them for days until definitive resources are available.  Ironic for a specialty whose defining characteristic is timely diagnosis and treatment.  Door to balloon time for STEMI?   t-PA for stroke within the window?  Most emergency departments have complex operations, funding and resources to meet these goals.  How about a door to psychiatric bed time?  Not so much.  Sadly, the behavioral health care crisis in this country is only getting worse. While the demands on emergency providers to treat these patients continues to rise, resources continue to decline.  In this feature film, Dr. Kivela, current ACEP president, proposes some novel solutions to improve the care, cost and boarding times for this vulnerable population.  

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ACEP clinical policy - Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department

ACEP clinical policy - Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department

As the emergency department has increasingly become more crowded with acute psychiatric emergencies, we thought it was timely to review the ACEP clinical policy for emergency department psychiatric patients.   It is hot off the press from January 2017 and updates the 2006 policy on the utility of routine labs, head imaging for new psychosis, risk-assessment tools for suicide, and use of ketamine for agitation.  

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