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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

Rebellion in EM 2019: 3 Things That Have Changed the Way I Intubate

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martes, 27 de agosto de 2019

Depression

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emDocs - August 26, 2019 - By Pillai S and Desai S 
Edited by: Simon E; Koyfman A; Long B

"Key Points
  • 34% to 50% of patients who present to the ED with psychiatric complaints have a coexisting medical illness.
  • Situations that favor a substance-induced depressive disorder include: absence of depression history, absence of symptoms prior to substance exposure/intoxication /withdrawal, absence of persistent symptoms following substance use or abuse.
  • Seek out an underlying etiology for depression in patients presenting with: new-onset depression with psychotic features, recurrent depression not readily explained by the psycho-social stressors, or treatment-resistant depression.
  • Laboratory studies and imaging should be obtained if indicated by history and physical examination.
  • Antipsychotics or benzodiazepinesmay be administered to the distressed patient with psychotic features during the ED course.Initiation of outpatient anti-depressant therapy from the ED is not advised."