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EM Basic

Psychiatric Emergencies Part 2

EM Basic

EM Basic LLC

Residency, Student, Medicine, Er, Em, Intern, Health & Fitness, Medical, Education, Emergency

4.6665 Ratings

🗓️ 17 September 2014

⏱️ 34 minutes

🧾️ Download transcript

Summary

Today's episode is the second and final part of Dr. Sheyna Gifford's interview with Dr. Les Zun on psychiatric emergencies.  This episode will talk more about treating depressed patients, what you can do for patients who board in your ED for hours to days to even a week, and medications used for treatment of acute agitation in the ED.

Transcript

Click on a timestamp to play from that location

0:00.0

This is Steve Carroll, and you're listening to the Am Basic Podcast. Today's episode is part

0:05.3

two of psychiatric emergencies by Dr. Shane Agiford and Dr. Les Zun. This episode will talk about

0:11.4

how to treat patients who are depressed without being suicidal, how to interact with the patient's

0:16.4

family members to do the best thing for the patient, and Dr. Zun's recommendations for drugs and dosages

0:22.2

for agitated patients, as well as a few other topics. In part one of this series, Dr. Zun disclosed

0:28.9

consulting work for Teva Pharmaceuticals and Alexa Pharmaceuticals, and that disclosure still applies.

0:35.1

My disclosures are the same. I have none and Dr. Zun's

0:38.3

discussion of drugs he consults on does not imply endorsement by myself or the

0:42.5

EMBASA podcast. Before we start the episode, I want to let you know that EM Basic

0:47.7

may be going out a little bit of a hiatus. In the next week I will be deploying to

0:52.2

Afghanistan for four and a half months to help staff the ED of a well-established hospital.

0:57.7

Believe it or not, the person I am replacing has told me that he has excellent internet access, so I may be able to keep recording episodes in my downtime.

1:06.3

However, nothing is guaranteed regarding internet access and the time I'll have available,

1:11.4

so you may not be hearing anything for me in Basic for the next few months.

1:15.1

I want to thank everyone who has contributed scripts for recording.

1:18.4

If I have internet access in Afghanistan, in enough time, I will try to record as many

1:22.5

of them as possible.

1:24.1

I am scheduled to return in mid-February, and my new assignment is at San Antonio Military Medical Center, where I did my residency.

1:31.0

They've been very supportive of the podcast, so I'm excited to get the chance to publish lots of new content when I get back from deployment.

1:38.0

One last disclaimer before we get started, as always, this podcast is a present of the views of British and Border Defense to the U.S. Army with the Shawshack EM residency program.

1:45.7

Now let's begin part two of psychiatric emergencies with Dr. Shana Gifford and Dr. West Soon.

1:52.3

So with our depressed patient, let's say they're not endorsing SI and they're acutely depressed.

...

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