Psychiatric Patient Management
Define the most common psychiatric patient’s EMS is likely to encounter
Review Dr. J. Stuart Ablon’s approach to dealing with psychiatric patients:
- Review “Changeable”
- Review his process of 'Collaborative Problem Solving'
Psychiatric Medications
- Neuroleptics
- Antidepressants
- Antimanic Drugs
Psychiatric
-
- Depression
- Mood changes
- Difficulty concentrating
- Anxiety
- Suicidal or homicidal ideation
- Irritability
- Sleep disturbances
- Fatigue on waking
- Introduction
- Prevalence
- Medical-legal considerations
- Safety
- Pathophysiology
- Biological/Organic
- Environment
- Psychosocial
- Socio-cultural
- Injury and illness
- Substance-related
- Abuse
- Dependence
- Intoxication
- Medication non-compliance
- Understanding Behavior
- Normal
- Abnormal
- Overt
- Violent
- Acute psychosis
- Pathophysiology
- Related to mental illness
- Organic psychosis
- Prehospital management
- Non-pharmacologic
- Pharmacologic
- Pathophysiology
- Agitated delirium
- Pathophysiology
- Risk factors
- Signs and symptoms
- Management
- Specific Behavioral/Psychiatric Disorders
- Cognitive Disorders
- Thought Disorders
- Schizophrenia
- Psychosis
- Mood Disorders
- Bipolar
- Depression
- Neurotic disorders
- Substance-Related Disorders/Addictive behavior
- Somatoform Disorders
- Factitious Disorders
- Fastidious Disorders
- Impulse Control Disorders
- Personality Disorders
- Suicide
- Patterns of Violence, Abuse, and Neglect
- Assessment findings for behavioral/psychiatric patients
- Mental Status Exam (MSE)
- consciousness
- orientation
- activity
- speech
- thought
- memory
- affect and mood
- perception)
- Physiological changes
- Medical/social history
- Consider if the patient is danger to self and/or others
- Consider medical causes of acute crises
- Mental Status Exam (MSE)
- Providing Empathetic and Respectful Management
- Communication techniques
- Crisis intervention skills
- Use of force/restraints Medications
- Pharmacodynamics of prescribed medications for behavioral/psychiatric disorders
- Amphetamines
- Antidepressants
- Antipsychotic
- Phenothiazines
- Problems associated with non-compliance
- Emergency use
- Pharmacodynamics of prescribed medications for behavioral/psychiatric disorders
- Consider age-related variations in pediatric and geriatric patients
- Communication to medical facility and documentation
- Transport decisions
Content Creator: Carli Wymore
CAPCE Course Number: 20-EMTP-F3-1207
Total CE Hours: 1.5
Level: Advanced
EMT-CE uses the NEMSES guidelines as the foundation for every course outline.