Psychiatry

Emergency Psychiatry

Questions discussed in this category

How would you decide between escalation to clozapine vs xanomeline-tropsium (Cobenfy) for treatment-resistant schizophrenia?

5 Answers available

How do you approach patients who present repeatedly to the ED with suicidal ideation but no clear acute change in risk?

3 Answers available

How do you approach firearm safety counseling for outpatients with elevated suicide risk who do not meet the criteria for involuntary psychiatric hospitalization?

3 Answers available

Which patients do you think would benefit most from xanomeline-tropsium (Cobenfy) monotherapy?

How does the general goal of reducing anticholinergic burden in schizophrenia play into your decision?

3 Answers available

What opportunities do you see for combining xanomeline-tropsium (Cobenfy) with other anti-psychotic agents?

E.g. LAIs, clozapine

2 Answers available

What strategies have you found effective for obtaining insurance approval for xanomeline-tropsium (Cobenfy)?

1 Answer available

What approaches have you used to reduce boarding times for patients in the emergency department awaiting inpatient psychiatric admission?

4 Answers available

How do you approach titration or transitioning to Cobenfy in patients currently on an antipsychotic?

Are there any special concerns for antipsychotics with a higher anticholinergic burden?

2 Answers available

What is your approach to using ketamine for agitation in the ED setting?

1 Answer available

What do you consider when selecting an antipsychotic medication for acute agitation?

Many institutions have been using droperidol in place of haloperidol due to drug shortages.

1 Answer available

Papers discussed in this category

The American journal of emergency medicine, 2017-07

Ketamine as a first-line treatment for severely agitated emergency department patients.

The Journal of emergency medicine, 2019 Nov 15

Evaluation of Ketamine for Excited Delirium Syndrome in the Adult Emergency Department.

Am J Emerg Med, 2020 Jul

Effectiveness and safety of droperidol in a United States emergency department.

The western journal of emergency medicine, 2012 Feb

The psychopharmacology of agitation: consensus statement of the american association for emergency psychiatry project Beta psychopharmacology workgroup.

Focus (American Psychiatric Publishing), 2023 Jan 16

Updates in the Assessment and Management of Agitation.

The western journal of emergency medicine, 2020 Jul 02

The Incidence of QT Prolongation and Torsades des Pointes in Patients Receiving Droperidol in an Urban Emergency Department.

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