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Emergency Medicine Settings

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On-Call Geriatric Psychiatry

Abstract

The aging of the population worldwide has been accompanied by increases in the survival of older persons with chronic diseases and the need for urgent evaluation and management when these conditions have exacerbations. The number of individuals with major neurocognitive disorders (NCDs, formerly termed dementia) has been rising exponentially, and patients with schizophrenia and bipolar disorder are living longer with their chronic illnesses. The combination of complex chronic diseases, limited access to primary and psychiatric care, and challenges coordinating timely referrals in the outpatient arena has resulted in the emergency department becoming the de facto portal for psychiatric care for many geriatric patients.

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References

  1. Carpenter CR, Bromley M, Caterino JM, et al. Optimal older adult emergency care: introducing multidisciplinary geriatric emergency department guidelines from the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine. Acad Emerg Med. 2014;21(7):806–9.

    Article  PubMed  Google Scholar 

  2. Terrell KM, Hustey FM, Hwang U, et al. Quality indicators for geriatric emergency care. Acad Emerg Med. 2009;16(5):441–9.

    Article  PubMed  Google Scholar 

  3. Han JH, Zimmerman EE, Cutler N, et al. Delirium in older emergency department patients: recognition, risk factors, and psychomotor subtypes. Acad Emerg Med. 2009;16(3):193–200.

    Article  PubMed  Google Scholar 

  4. Misek RK, DeBarba AE, Brill A. Predictors of psychiatric boarding in the emergency department. West J Emerg Med. 2015;16(1):71–5.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Andrew MK, Rockwood K. Psychiatric illness in relation to frailty in community-dwelling elderly people without dementia: a report from the Canadian Study of Health and Aging. Can J Aging. 2007;26(1):33–8.

    Article  PubMed  Google Scholar 

  6. Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people. Lancet. 2014;383(9920):911–22.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Young J, Murthy L, Westby M, Akunne A, O’Mahony R, Group GD. Diagnosis, prevention, and management of delirium: summary of NICE guidance. BMJ. 2010;341:c3704.

    Article  PubMed  Google Scholar 

  8. Mouzopoulos G, Vasiliadis G, Lasanianos N, Nikolaras G, Morakis E, Kaminaris M. Fascia iliaca block prophylaxis for hip fracture patients at risk for delirium: a randomized placebo-controlled study. J Orthop Traumatol. 2009;10(3):127–33.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Roberts KC, Brox WT, Jevsevar DS, Sevarino K. Management of hip fractures in the elderly. J Am Acad Orthop Surg. 2015;23(2):131–7.

    Article  PubMed  Google Scholar 

  10. Eubank KJ, Covinsky KE. Delirium severity in the hospitalized patient: time to pay attention. Ann Intern Med. 2014;160(8):574–5.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Inouye SK, Marcantonio ER, Metzger ED. Doing damage in delirium: the hazards of antipsychotic treatment in elderly persons. Lancet Psychiatry. 2014;1(4):312–5.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Rossi J, Swan MC, Isaacs ED. The violent or agitated patient. Emerg Med Clin North Am. 2010;28(1):235–56. x.

    Article  PubMed  Google Scholar 

  13. Coller JK, Christrup LL, Somogyi AA. Role of active metabolites in the use of opioids. Eur J Clin Pharmacol. 2009;65(2):121–39.

    Article  CAS  PubMed  Google Scholar 

  14. Power I. An update on analgesics. Br J Anaesth. 2011;107(1):19–24.

    Article  CAS  PubMed  Google Scholar 

  15. Kuo YF, Raji MA, Chen NW, Hasan H, Goodwin JS. Trends in opioid prescriptions among part D medicare recipients from 2007 to 2012. Am J Med. 2015;129(2):221.e21–30. doi: 10.1016/j.amjmed.2015.10.002. Epub 2015 Nov 11.

    Google Scholar 

  16. Paulozzi LJ, Strickler GK, Kreiner PW, Koris CM. Controlled substance prescribing patterns – prescription behavior surveillance system, eight states, 2013. MMWR Surveill Summ. 2015;64(9):1–14.

    Article  PubMed  Google Scholar 

  17. Chen LY, Strain EC, Alexandre PK, Alexander GC, Mojtabai R, Martins SS. Correlates of nonmedical use of stimulants and methamphetamine use in a national sample. Addict Behav. 2014;39(5):829–36.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Glasner-Edwards S, Mooney LJ. Methamphetamine psychosis: epidemiology and management. CNS Drugs. 2014;28(12):1115–26.

    Article  CAS  PubMed  Google Scholar 

  19. Pandharipande P, Shintani A, Peterson J, et al. Lorazepam is an independent risk factor for transitioning to delirium in intensive care unit patients. Anesthesiology. 2006;104(1):21–6.

    Article  CAS  PubMed  Google Scholar 

  20. Mirijello A, D’Angelo C, Ferrulli A, et al. Identification and management of alcohol withdrawal syndrome. Drugs. 2015;75(4):353–65.

    Article  CAS  PubMed  Google Scholar 

  21. Khouzam HR, Emes R. Late life psychosis: assessment and general treatment strategies. Compr Ther. 2007;33(3):127–43.

    Article  PubMed  Google Scholar 

  22. Piechniczek-Buczek J. Psychiatric emergencies in the elderly population. Emerg Med Clin North Am. 2006;24(2):467–90. viii.

    Article  PubMed  Google Scholar 

  23. Patkar AA, Mago R, Masand PS. Psychotic symptoms in patients with medical disorders. Curr Psychiatry Rep. 2004;6(3):216–24.

    Article  PubMed  Google Scholar 

  24. Targum SD. Treating psychotic symptoms in elderly patients. Prim Care Companion J Clin Psychiatry. 2001;3(4):156–63.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Ekeh AP, Parikh PP, Walusimbi M, Woods RJ, Hawk A, McCarthy MC. The prevalence of positive drug and alcohol screens in elderly trauma patients. Subst Abus. 2014;35(1):51–5.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Geriatric Emergency Medicine Fellowship Director, Department of Emergency Medicine, University of California, Davis, Sacramento, CA, USA

    Katren Tyler MD

  2. Department of Internal Medicine, Division of General Medicine, University of California Davis Medical Center, Sacramento, CA, USA

    Calvin H. Hirsch MD

  3. Department of Psychiatry, University of California, Davis, Davis, CA, USA

    Lorin M. Scher MD & Dane E. Stevenson MD, MS

Authors
  1. Katren Tyler MD
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  2. Calvin H. Hirsch MD
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  3. Lorin M. Scher MD
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  4. Dane E. Stevenson MD, MS
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Corresponding author

Correspondence to Katren Tyler MD .

Editor information

Editors and Affiliations

  1. Dept. of Psychiatry & Behavioural Neuros, McMaster University, Hamilton, Ontario, Canada

    Ana Hategan

  2. Dept. of Psychiatry/Langley Porter Psych, University of California San Francisco, San Francisco, New York, USA

    James A. Bourgeois

  3. Dept.of Internal Med.,Div of General Med, University of California Davis, Sacramento, California, USA

    Calvin H. Hirsch

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© 2016 Springer International Publishing Switzerland

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Tyler, K., Hirsch, C.H., Scher, L.M., Stevenson, D.E. (2016). Emergency Medicine Settings. In: Hategan, A., Bourgeois, J., Hirsch, C. (eds) On-Call Geriatric Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-30346-8_16

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  • DOI: https://doi.org/10.1007/978-3-319-30346-8_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-30344-4

  • Online ISBN: 978-3-319-30346-8

  • eBook Packages: MedicineMedicine (R0)

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