The Medical Screening Process for Psychiatric Patients Presenting Acutely to Emergency Departments

2021 ◽  
pp. 29-38
Author(s):  
Vaishal Tolia ◽  
Michael P. Wilson
Keyword(s):  
Emergency Departments ◽  
Psychiatric Patients ◽  
Medical Screening ◽  
Screening Process

scholarly journals Psychiatric patients at general hospital emergency departments

2020 ◽  
Vol 31 (1) ◽  
pp. 7-14
Author(s):  
Shafquat Waheed ◽  
Md Golam Rabbani ◽  
Abdullah Al Mamun ◽  
Jhunu Shamsun Nahar ◽  
Khaleda Begum ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Psychiatric Illness ◽  
Single Case ◽  
Psychiatric Patients ◽  
Conversion Disorder ◽  
Income Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Total Study Population ◽  
Medical College

A cross-sectional descriptive type of study on 357 patients was carried out in the emergency departments of Dhaka Medical College Hospital (DMCH) and Shahid Sohrawardy Medical College (SSMCH), Dhaka in 2011 to find out the incidence and socio-demographic characteristics of psychiatric morbidities among the patients attended there. The patients were interviewed using GHQ-28 and SCID-I, All GHQ-28 screen positive and 25% of screen negative respondents (total 158) were assessed by SCID-I. Among them 42 (11.76% of all 357 cases) respondents were found with some form of psychiatric illness. Diagnosis of psychiatric illness was significantly higher in those scored 4 or more in GHQ-28. More psychiatric cases were found among 18-25 years age group (50%), male gender (54.76%), urban population (69.05%), Muslims (85.71%), being single (54.76%), patients with secondary level of education (45.24%), housewives (26.19%), members of nuclear families (78.57%), and members of lower-income group. Among these 42 psychiatric cases, 22 were assessed by a psychiatrist who was blind about GHQ-28 score and SCID-I diagnosis. Out of these psychiatrically ill 42 cases, Major Depressive Disorder was in 9 (2.52% of the total study population of 357), Conversion Disorder was in 8 (2.24%) and Anxiety Disorder was in 7 (1.96%) respondents. There were two cases of Bipolar I Disorder and a single case of extrapyramidal side effects (EPSEs) with schizophrenia. Psychiatric illnesses are important issues at the emergency departments which require special attention. Bang J Psychiatry June 2017; 31(1): 7-14

OP121 Experiences With Using The GRADE-CERQual Approach In Systematic Review

2018 ◽  
Vol 34 (S1) ◽  
pp. 45-46
Author(s):  
Lotte Groth Jensen ◽  
Kathrine Carstensen
Keyword(s):  
Decision Making ◽  
Qualitative Research ◽  
Outcome Measures ◽  
Systematic Reviews ◽  
Emergency Departments ◽  
Psychiatric Patients ◽  
Qualitative Studies ◽  
List Type ◽  
Amount Of Knowledge ◽  
The Impact

Introduction:There are many approaches to synthesis of qualitative studies. The GRADE-CERQual approach (Confidence in the Evidence from Reviews of Qualitative research) provides a transparent method for assessing the confidence of evidence from reviews of qualitative research. This presentation aims at giving examples of applying CERQual, presenting and discussing its strengths and limitations.Methods:This presentation draws on practical experiences with the conduction of three qualitative systematic reviews using the CERQual approach. The reviews differ in aim and field of research.Results:The three CERQual reviews to be discussed in this presentation are: (i) Emergency departments and mental health patients - Purpose: Uncovering knowledge in a project on merging emergency departments to include both somatic and psychiatric patients. (ii) Parental responses to severe or lethal prenatal diagnosis – Purpose: Providing physicians with knowledge on a patient group from their daily clinical practice. (iii) Patients' experiences with home mechanical ventilation – Purpose: Disseminating important knowledge from a national project to an international audience.CERQual strengths: •Presents complex and large amount of knowledge in a clear way•Pools knowledge from different studies into common outcome measures across studies•Presents an assessment of the quality and strength of outcome measures•The clear presentation makes it useful in decision making.CERQual weaknesses: •Time consuming to conduct the reviews•Simplification of qualitative research, missing out on context and nuances.Conclusions:CERQual represents a useful tool to facilitate the use of qualitative evidence in clinical and political decision making. CERQual is time-consuming to learn, but a useful tool to apply when learned. CERQual may encourage more uniform reporting of qualitative research, including assessment of confidence in findings. This may increase the impact of systematic reviews of qualitative studies.

Implementing a Medical Screening and Referral Program for Rural Emergency Departments

2014 ◽  
Vol 31 (2) ◽  
pp. 126-134
Author(s):  
Terri L. Menser ◽  
Tiffany A. Radcliff ◽  
Kristin A. Schuller
Keyword(s):  
Emergency Departments ◽  
Medical Screening

EMTALA and Deferred Care

2020 ◽  
pp. 11-18
Author(s):  
Jay M. Brenner
Keyword(s):  
Medical Treatment ◽  
Emergency Departments ◽  
Ronald Reagan ◽  
Emergency Physicians ◽  
Medical Screening ◽  
Ethical Obligation ◽  
Ability To Pay ◽  
Emergency Medical ◽  
Active Labor

As physicians, we have the inherent duty to care for all patients, and as emergency physicians, we have the ability to stabilize and treat myriad problems that present to us in our emergency departments. A patient’s ability to pay should not matter. This ethical obligation was enshrined into law when US President Ronald Reagan signed the Emergency Medical Treatment and Active Labor Act (EMTALA). This law, however, has undergone several clarifications over the three decades since it went into effect, and the application of it in the clinical arena can sometimes be nuanced. The need to address emergency medical treatment and active labor may occur. One must always perform a medical screening exam (MSE) and arrange for appropriate transfer when indicated.

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