Homicidal ideation is often fabricated or embellished by psychiatric patients in both the emergency room and inpatient settings. Typically, this symptom is malingered to achieve short-term hospital admission and temporary relief from complications of substance abuse, homelessness, and illicit activities. Very rarely, a patient may feign homicidal intent for the primary purpose of remaining in t...

Introduction by the column editors: This column is based on the use of an electronic mailing list (e-list) to generate a collaborative problem-solving process. For this column, Dr. Theccanat put together responses from himself and other e-list alumni of the Columbia University Public Psychiatry Fellowship to questions posed by Vanessa Bobb, M.D., who works at a free-standing licensed mental hea...

INTRODUCTION A high prevalence of psychological/ mental disorders has frequently been reported among nursing staff. However, there is a scarcity of data about 'psychological, mental and behavioural problems' among Nepalese nurses. Current study aimed to measure the prevalence of psychiatric problems among nursing staff in a tertiary care hosital. METHODS All nursing staffs working in the hosp...

OBJECTIVE This study aimed to compare diagnoses obtained from routine psychiatric assessment in accident and emergency (A&E) settings with those from a standardized diagnostic interview. METHODS Using Cohen's kappa, the agreement between diagnoses from routine psychiatric assessment and structured interview was calculated. Further statistical analysis was used to investigate differences betwe...

Movement disorders usually do not require emergent intervention; nevertheless, there are acute/subacute clinical settings in which the neurologist is consulted. It is in these circumstances that the neurologist must be prepared to accurately diagnose and properly treat the patient. We have reviewed the literature regarding movement disorder emergencies and divided them into hypokinetic (part 1)...

Acute confusional states (ACS, syn. delirium) represent a medical emergency with significant morbidity, mortality and socio-economic consequences. This paper offers an overview on nonpsychiatric causes of acute confusional states and their management. Identification of risk and precipitating factors for acute confusional states, neurological (stroke, traumatic brain injury, encephalitis, non-co...

Background. Patients with psychiatric problems often seek help and assistance in hospital emergency departments. An important task of emergency room staff is to decide whether such patients need to be admitted or whether they can be treated on an outpatient basis. Methods. Psychiatric treatments given in the Central Interdisciplinary Emergency Department (CED) at the Medical University of Hanno...

BACKGROUND Patients with psychiatric problems often seek help and assistance in hospital emergency departments. An important task of emergency room staff is to decide whether such patients need to be admitted or whether they can be treated on an outpatient basis. METHODS Psychiatric treatments given in the Central Interdisciplinary Emergency Department (CED) at the Medical University of Hanno...

The paradigm of Emergency Medicine (EM) is to provide the right care at the right time in the right place by the right professionals. This requires a combination of key service elements to be brought together, including triage, resuscitation, mobile response units (ambulances, trauma helicopters, blue lights) and out of duty services. In Holland, integration of Emergency Medicine has been empha...

This review evaluates some of the international literature on triage in order to provide evidence-based data for the medical community in Saudi Arabia specifically and the Eastern Mediterranean Region in general. The aim is to encourage national health planners and decision-makers to apply formal triage systems in the emergency departments of general and specialist hospitals and other relevant ...