Browsing: Patient Interactions

Agitation Anchor Art.jpg
Patient Interactions , Medications

Introducing the ‘Fiver’: A Modernized Alternative to the ‘B-52’ for Acute Agitation Control

7/22/2024 LT Matthew J. Christensen, MD
Violence against health-care workers caused by acutely agitated patients is an unfortunate reality for many of us. When attempts at verbal redirection do not successfully de-escalate the situation, ex
Hospice Anchor Art.jpg
Palliative Care , Patient Interactions

Palliative Care vs. Hospice: The Role of the Emergency Physician

7/16/2024 Syna Daudfar, DO , Geoff Comp, DO, FAWM , Jonathan Burton, DO
Palliative care providers exist to give expert consultation and assistance with complex decision-making conversations; however, emergency physicians and primary care providers carry initial palliative
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Pain Management , Patient Interactions

Strategies and Insights for Procedural Pain Management in the ED

6/25/2024 Jennifer Mirrielees, MD , Jada Thompson
Effective pain management is challenging under any circumstances, particularly for patients presenting to the ED with painful injuries. Many factors contribute to how patients experience and manage pa
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Psychiatry , Patient Interactions , Health Care Administration

Unique Psychiatric Care: The Role of EmPATH Units

4/15/2024 George V. Koshy, DO, MPH , Eric Melnychuk, DO
Most EDs are not designed to provide comprehensive psychiatric care, leading to suboptimal treatment for psychiatric patients, particularly those with suicidal ideations. Boarding in the ED often resu
Ketamine Anchor Art.jpg
Mental Health , Psychiatry , Patient Interactions

Case Report: Ketamine for Treatment of Acute Suicidality

1/15/2024 Cheng-Wei Isaac Chuang, MD , Christopher Fox, MD , Christian Munk, DO , Patrick Olivieri, MD
Depression and suicidality are common presenting complaints in the ED and require vast resources to fully evaluate, treat, and determine appropriate dispositions for patients. Our case illustrates how
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Patient Interactions , Geriatrics

Is That Really What They Want?

12/10/2023 Justin Brooten, MD
Despite our best intentions when speaking with a patient or their family, subtle aspects of our communication can dramatically influence these conversations and our conclusions regarding the patient’s
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Psychiatry , Patient Interactions

Factitious Disorder Manifesting as Acute Tetanus

10/10/2023 Alex Avery Powell, MD , Mary-Claire O’Brien , Mary Wittler, MD
Our case highlights the importance of recognizing factitious disorder as early as possible and connecting these patients with appropriate resources, as even specialists have difficulty diagnosing and
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Patient Interactions , Addiction Medicine

Buprenorphine-Naloxone Initiation in a New York City ED: Interview With a Frontline Provider

8/1/2023 Georgianna Stoukides , Anthony Almeida, DO
Initiating buprenorphine-naloxone treatment in the ED helps patients who are ready to start treatment and educates them about their options. Introducing buprenorphine-naloxone as an option in the ED w
Unfavorable Patient Anchor Art.jpg
Op-Ed , Patient Interactions

The Ethics of Caring for an Unfavorable Patient

4/15/2023 Adiba Matin, MD
Debriefing, leaning on peers, and seeking mental health help are all important steps in caring for unfavorable patients. Acknowledge the emotional toll that this may take on you, approach the situatio
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Medico Legal , Patient Interactions

What Does It Mean for My Patient to Have Decision-Making Capacity?

2/10/2023 Blythe Fiscella, MD , Jeremy Berberian, MD
Our responsibility to attempt therapeutic relationships and try to understand where our patients are coming from is not “window dressing.” Capacity assessments often, but not always, appear at moments