Best Practices in Managing Child and Adolescent Behavioral Health Emergencies (Pharmacology CME) is organized by EB Medicine.
Date of Original Release: January 1, 2018
Date of most recent review: December 15, 2017
Termination date: January 1, 2021..
CME Expiration Date: February 1, 2021
This enduring material is designed for emergency medicine physicians, physician assistants, nurse practitioners, and residents.
4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Behavioral Health CME and 1 Pharmacology CME credits
About this Issue:
It is often assumed that a behavioral health issue is solely due to a psychiatric cause. However, many medical pathologies may present with behavior problems and must be ruled out. In this issue, you will learn:
• Risk factors for suicide, aggression, and violence
• The common presentations of behavioral health emergencies, including depression, anxiety, suicidal behavior, aggression, and severe disorganization, as well as potential underlying medical causes of these behaviors
• Steps to ensure a safe environment for the patient and ED staff
• Key aspects of evaluating and examining patients with suicidal behaviors, psychosis, and disorganized behaviors
• When screening laboratory tests and radiologic studies are warranted
• Environmental, verbal, pharmacologic, and physical de-escalation interventions
• Which patients require inpatient psychiatric or medical admission, as well as various options for outpatient care
Upon completion of this activity, you should be able to:
• demonstrate medical decision-making based on the strongest clinical evidence;
• cost-effectively diagnose and treat the most critical ED presentations
• describe the most common medicolegal pitfalls for each topic covered.
Upon completion of this article, you should be able to:
• Discuss the differential diagnosis, evaluation, workup, and disposition planning for acute presentations of behavioral emergencies
• Recognize emergency presentations related to side effects of psychotropic medications
• Describe the steps involved in behavioral and pharmacologic management of agitation in children and adolescents
• Discuss challenges in triage, consultation, medical or psychiatric clearance, legal issues, and disparities unique to the behavioral health needs of patients in emergency settings.
Child and Adolescent Psychiatry