急诊科的精神科医生

Jim Bolton
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引用次数: 12

摘要

在急诊科(EDs)就诊的患者中,高达5%的患者存在原发性精神问题,另外20-30%的患者除了身体障碍外还存在精神症状。这篇文章讨论了ed最常见的精神病学表现,包括自残、急性精神病、酒精和药物滥用。它还描述了急诊科常见的临床问题,包括频繁就诊、不等人就诊的病人、暴力和攻击以及对创伤的心理反应。还讨论了服务提供和安全问题。成功的急诊科精神科服务的关键是急诊科与精神卫生人员之间良好的工作关系。
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Psychiatry in the emergency department

Up to 5% of patients attending emergency departments (EDs) present with primary psychiatric problems, and a further 20–30% have psychiatric symptoms in addition to physical disorders. This article discusses the commonest psychiatric presentations to EDs, including self-harm, acute psychosis, and alcohol and substance misuse. It also describes common clinical problems in EDs, including frequent attenders, patients who do not wait to be seen, violence and aggression, and psychological responses to trauma. Issues of service delivery and safety are also discussed. The key to a successful ED psychiatric service is a good working relationship between ED and mental health staff.

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Contents Editorial Board Mental illness, dangerousness and protecting society Personal autonomy and mental capacity The Mental Health Act and the Mental Capacity Act: untangling the relationship
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