Psychiatric Patient Management

Course overview

Objectives Identify pharmacologic agents used to treat psychiatric disorders Explain tools used to diagnose treat or manage patients with possible or diagnosed psychiatric conditions Content Define the most common psychiatric patients EMS is likely to encounter Review Dr J Stuart Ablons approach to dealing with psychiatric patients Review Changeable Review his process of Collaborative Problem Solving Psychiatric medications Neuroleptics Antidepressants Antimanic drugs Psychiatric presentation 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 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 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 Consider age related variations in pediatric and geriatric patients Communication to medical facility and documentation Transport decisions