Pediatric emergency medicine trisk 4151 4151
Bạn đang xem bản rút gọn của tài liệu. Xem và tải ngay bản đầy đủ của tài liệu tại đây (101.7 KB, 1 trang )
ED physicians must be competent at assessing and managing
psychiatric emergencies and have systems in place to safely
manage acutely suicidal or aggressive patients.
All patients with mental health complaints should receive a medical
evaluation to identify significant underlying or comorbid illnesses.
Verbal de-escalation and trauma-informed care are key
components to managing agitation. Specific techniques are
available to help limit the distress of children with autism and other
developmental disabilities.
All suicidal comments and acts should be taken seriously. Means
restriction is an essential component of disposition planning.
ED physicians are typically best served using their usual “pretest
probability threshold” for ordering testing/interventions on children
with suspected somatization/conversion disorder.
The Children’s Hospital of Philadelphia Clinical Pathway
ED Pathway for Evaluation/Treatment of Children With
Behavioral Health Issues
URL: />Authors: J. Lavelle, MD; M. M’Farrej, MD; J. Esposito, MD; A.
Jhonsa, MD; E. Perry, MSW; K. White, MSW; E. Steinmiller, RN; A.
Felix, CRNP; K. Crescenzo, RN; M. K. Abbadessa, RN; A. Fu, MD;
C. Jacobstein, MD; K. Osterhoudt, MD; E. Friedlaender, MD
Posted: February 2013, last revised October 2018
REQUIREMENTS OF THE EMERGENCY DEPARTMENT
The ability to respond effectively to psychiatric emergencies of children and
families requires special capacities of the ED and its staff. Ensuring safety
includes not only the physical characteristics of the patient room but also the
access to medical and hospital security personnel, as well as appropriate
safety procedures and policies.
