#FOAM

Management of Boarding Psychiatric Patients in the ED

A significant number of patients in the ED present with psychiatric complaints. Unfortunately, the resources available for these patients have not kept up with with the increase in psychiatric issues. Emergency medicine acts as a safety net for a large percentage of these patients. These patients present significant challenges to emergency providers. This post is full of pearls for providers managing the psychiatric patient.

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Critical Intracranial Hemorrhage: Pearls and Pitfalls in Evaluation and Management

Intracranial hemorrhage is the second most common cause of stroke, accounting for 10 to 15% of all acute strokes. These patients can present with many different symptoms and can be life-threatening. This post details pearls and pitfalls in the differential, evaluation, and management of these patients.

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Current Controversies in TIA Evaluation

TIA is a brief neurologic deficit due to cerebral ischemia, with no permanent infarction. It affects over 200,000 U.S. patients per year and may precede 14% to 23% of strokes. Many have sought risk stratification tools to determine who may be appropriate for discharge with follow-up. This post evaluates the new ACEP guidelines for TIA and the controversies in the ED evaluation of TIA.

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