Toxicology , Psychiatry

Rethinking B52

5/13/2025 Adrianne Buckles, DO , Jonathan Dobrinsky, MD

Acute agitation is a common presentation in the emergency department. Are your practice protocols keeping up with the latest evidence on appropriate medications? It could be time to rethink the fall-b

Toxicology , Psychiatry

A Case of Lithium Toxicity Masked by Behavioral Symptoms in a Psychiatric Patient

5/6/2025 Rebecca Notini Kirby, MD , James O'Neill, MD , Jennifer Hannum, MD

Distinguishing between medical and psychiatric causes of altered mental status (AMS) can be challenging, as the two may present with similar clinical manifestations.1 As a result, patients with underl

Trauma , Urology , Psychiatry , Toxicology

Auto-Orchiectomy: Examining Cases, Causes, and Motives

12/3/2024 Samantha K. Kos, MS , Hannah G. Davis-Adams, BS, BA , Brooke M. Beers, MS , Bryan R. Troop, MD, FACS

Auto-orchiectomy has been linked to psychosis, substance use, and psychiatric disorders. Treating the result of the behavior is critical - but it’s also important to address the underlying impetus.

Toxicology , Dermatology , Psychiatry

Osteomyelitis and Auditory Hallucinations Associated with Long-Term Inhalant Use

12/2/2024 Laura Szczesniak, MD, PhD , Michael J. Uihlein, MD, CAQ Sports Medicine

The use of inhalants can lead to classic findings in the emergency department, but don’t forget to perform a thorough skin exam in any patient experiencing the effects of huffing.

Psychiatry

RUSH Exam in Undifferentiated and Unstable Psychiatric Patients

9/12/2024 Sallyan Rusnak, MD , Shannon Lovett, MD, FACEP

In this case, the patient’s altered mental status and limited history presented challenges. The RUSH exam was utilized to evaluate hypotension. Without this bedside evaluation, diagnosis and treatment

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

Psychiatry , Neurology , OB/GYN

Anti-N-Methyl-D-Aspartate Receptor Encephalitis During Pregnancy

1/15/2024 Haad Arif , Sunny Bang, MD

Emergency physicians should maintain a high degree of suspicion for anti-NMDA receptor encephalitis (ANMDARE) and ovarian teratomas in young female patients presenting acutely with psychiatric symptom

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

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

Behavioral Health , Psychiatry , Mental Health

Patient Boarding During COVID-19: A Literature Review

6/10/2022 Kelsey Mercedes Morgan, RN-BSN, CEN, PMHN , Christina Brown, MD , Nicholas Stark, MD, MBA

Since the beginning of the COVID-19 pandemic, emergency departments across the country have seen a well-documented increase in patient volume and boarding. Psychiatric boarding specifically has been a

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