Hey everyone, welcome to our new series here at EM Clerkship. It's called Upstairs. This new content will explore some high-yield pearls and key medications we are exposed to on off-service rotations. I've named this series upstairs as a kind reminder that consults are often like upstairs neighbors. Everything is easier when we all get along.

If you haven't heard from me yet, I'm Isabel.

Hi. I'm one of the newest members of the EM clerkship team.

As an intern resident, I have been spending quite a lot of time outside of the department,

rotating with other services.

While these months are often lovingly

referred to as career reaffirming rotations, I'm here to highlight a few key things to prepare

you for a time outside the department or remind you of some facts we should bring back home to

the ED. We'll keep it quick, to the point, and hopefully mildly entertaining for all of

our EM scatterbrains. Before we begin, I want to offer a brief disclaimer. While I have done

quite a bit of research for these episodes, I am still a resident, and therefore obviously

not an expert in any of these off-service fields. These recommendations are just based on things I have learned

from my own experiences and my own research. So take them with a grain of salt. I will do some case

scenarios to keep the content interesting and interactive, but please know that these are made up

and not based on any real cases that I have had while on rotations. All right, let's get to the episode.

Today, we are taking a trip to the psychiatric emergency department.

Now, we all see many, many patients with psychiatric complaints or history in our general ERs.

However, I've had the opportunity to spend time in some specialized psychiatric facilities designed

to treat patients in need of acute psychiatric care.

At a glance today, we'll look at one psychiatric pearl and three psychiatric medications

I pulled from these experiences.

Our pearl holds.

...