Handbook of Emergency Psychiatry / Edition 1

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This handbook is a practical, quick-reference guide to the evaluation and management of acute psychiatric symptoms seen in emergency departments and inpatient psychiatric and medical-surgical units. The book presents a step-by-step approach to each symptom, beginning with a list of questions necessary for initial assessment and proceeding to psychopharmacologic interventions, DSM-IV-TR criteria, differential diagnosis, and disposition guidelines. Additional chapters address safety concerns, the mental status examination, use of restraints and seclusion, child and elder abuse, and special needs of children, adolescents, geriatric patients, mentally retarded individuals, and patients with HIV. A chapter on legal and forensic issues is also included.

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Editorial Reviews

Doody's Review Service
Reviewer: Raj Tummala, MD (Wyeth Pharmaceuticals)
Description: This book is a very easy to read and useful pocket reference that delivers vital information in the rapid evaluation, management and treatment of psychiatric disorders in an emergency setting. Key topics are organized alphabetically and the information is presented in easy to read tables and algorithms.
Purpose: Psychiatric emergencies are encountered in the emergency room, medical-surgical units, inpatient psychiatric units as well as many other hospital and office settings. Dr. Petit's very worthy effort presents the most common emergent psychiatric disorders in a quick reference that can be used rapidly when such emergencies are encountered.
Audience: This handbook is meant for everyone dealing with patients in an acute setting such as the emergency room, medical and surgical units as well as psychiatric settings. Psychiatrists, emergency room physicians, residents and other health care professionals dealing with psychiatric emergencies either in a medical or psychiatric setting will find this book a most useful reference.
Features: The table of contents lists the psychiatric disorders alphabetically for quick reference. In an emergency setting, this feature will be greatly appreciated. The author does an excellent job of presenting the various psychiatric emergencies with the medical and neurological differential diagnoses. The first two chapters, which cover the general assessment, mental status examination and safety considerations, provide a comprehensive review of necessary lab tests, imaging techniques and important clues that a clinician needs to be aware of in the assessment and diagnosis of psychiatric emergencies. Chapter 4 covers the most commonly seen psychiatric presentations. The format for each presentation is easy to read with an initial section that defines and details the most common signs and symptoms. This is followed by guidelines for management and treatment of these presentations. Information is presented in easy to find tables and algorithms. One of the main highlights of the book is the way the author details the management and treatment of each disorder by listing the most commonly used pharmacological interventions. The sections on Special Topics and Special Populations are particularly useful for the clinician and are well covered for easy reference. The book ends with appendixes that are pertinent to the emergency setting.
Assessment: This is a must reference book for anyone working in emergency settings of any sort. In a market full of reference books, this is the one that I will be carrying from now on.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780781743822
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 9/28/2003
  • Series: Lippincott Williams & Wilkins Handbook Series
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 331
  • Product dimensions: 7.90 (w) x 4.30 (h) x 0.70 (d)

Table of Contents

1 General Psychiatric Assessment Guidelines 1
2 Mental Status Exam 10
3 Safety Considerations 22
4 Acute Psychiatric Presentations 34
4-1 Abnormal Movements 34
4-2 Agitation/Aggressive Behavior 47
4-3 Agoraphobia 52
4-4 Anxiety 55
4-5 Appetite Disturbance 62
4-6 Confusion/Disorientation 71
4-7 Delusions 77
4-8 Depersonalization/Derealization 82
4-9 Depressed Mood 85
4-10 Elated/Irritable Mood 92
4-11 Exposure to Traumatic Events 98
4-12 Homicidal Ideation/Violence 107
4-13 Impulsivity 116
4-14 Intoxication Phenomenon 123
4-15 Malingering 139
4-16 Memory Impairments 145
4-17 Obsessive/Compulsive Behavior 154
4-18 Overdose 158
4-19 Perceptual Disturbances 170
4-20 Sleep Disturbances 181
4-21 Suicidal Ideation/Attempts 189
4-22 Treatment-emergent Syndromes 204
4-23 Uncooperative Patient 216
4-24 Withdrawal Phenomenon 220
5 Special Topics 233
5-1 Specific Policies and Procedures 233
5-2 Restraints and Seclusion 237
5-3 Social Issues 242
5-4 Consultation-Liaison Psychiatry Issues 258
6 Special Populations 262
6-1 Children and Adolescents 262
6-2 HIV/AIDS 270
6-3 The Elderly 274
6-4 Mental Retardation and Developmental Disabilities 279
7 Legal/Forensic Issues 283
App. A: General Assessment Guidelines 295
App. B List of Controlled Substances 299
App. C List of Commonly Used Psychiatric Medications 303
App. D: Scales 309
App. E Suicide Statistics 322
Subject Index 327
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