Podcast
Questions and Answers
What is the typical oral dose of THC when consumed as an edible?
What is the typical oral dose of THC when consumed as an edible?
Which of the following is commonly associated with frequent THC use?
Which of the following is commonly associated with frequent THC use?
What is a suggested effective treatment for cyclic vomiting syndrome in THC users?
What is a suggested effective treatment for cyclic vomiting syndrome in THC users?
What unconventional treatment has shown success for cyclic vomiting in some patients?
What unconventional treatment has shown success for cyclic vomiting in some patients?
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Why is it important to be cautious with THC products in pediatric patients?
Why is it important to be cautious with THC products in pediatric patients?
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What is a risk factor that may lead to an increased incidence of drug intoxication in younger populations?
What is a risk factor that may lead to an increased incidence of drug intoxication in younger populations?
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What therapy has NOT shown success in treating cyclic vomiting syndrome related to THC?
What therapy has NOT shown success in treating cyclic vomiting syndrome related to THC?
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Which of the following types of products may pose a risk of overdose in adolescents?
Which of the following types of products may pose a risk of overdose in adolescents?
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How are some individuals attempting to alleviate cyclic vomiting at home?
How are some individuals attempting to alleviate cyclic vomiting at home?
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What challenges are presented by the new availability of synthetic drugs?
What challenges are presented by the new availability of synthetic drugs?
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What is the primary concern when caring for patients who use unregulated drugs?
What is the primary concern when caring for patients who use unregulated drugs?
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Which symptoms are commonly increased in patients using stimulants?
Which symptoms are commonly increased in patients using stimulants?
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What should you do to protect yourself when transporting a patient requiring medical attention?
What should you do to protect yourself when transporting a patient requiring medical attention?
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In the case of suspected alcohol intoxication, what is an important test to conduct on the patient?
In the case of suspected alcohol intoxication, what is an important test to conduct on the patient?
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What mnemonic is used to remember the components of a mental status exam?
What mnemonic is used to remember the components of a mental status exam?
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Which component is NOT included in the Coast Map assessment?
Which component is NOT included in the Coast Map assessment?
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What should be assessed to determine a patient's memory function?
What should be assessed to determine a patient's memory function?
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In what scenario should physical restraints be considered for a patient?
In what scenario should physical restraints be considered for a patient?
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When should restraints be used on patients?
When should restraints be used on patients?
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What potential issue can arise if a patient is assumed to be alcohol intoxicated without proper testing?
What potential issue can arise if a patient is assumed to be alcohol intoxicated without proper testing?
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What should you evaluate to assess a patient's perception during a mental health exam?
What should you evaluate to assess a patient's perception during a mental health exam?
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What is the recommended practice regarding personnel when restraining a patient?
What is the recommended practice regarding personnel when restraining a patient?
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Which type of restraints can be used in addition to physical ones?
Which type of restraints can be used in addition to physical ones?
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What should be done if police are on the scene when restraining a patient?
What should be done if police are on the scene when restraining a patient?
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Why is it important to memorize medication doses for chemical restraints?
Why is it important to memorize medication doses for chemical restraints?
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What should you avoid doing when needing medication during a crisis?
What should you avoid doing when needing medication during a crisis?
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What is the primary goal when using restraints on a patient?
What is the primary goal when using restraints on a patient?
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What is a potential chemical restraint option mentioned in the context?
What is a potential chemical restraint option mentioned in the context?
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Which situation does not warrant the use of restraints?
Which situation does not warrant the use of restraints?
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What approach should be taken towards team safety while restraining patients?
What approach should be taken towards team safety while restraining patients?
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Study Notes
Psychiatric Emergencies - Mental Status Exam & Risk Factors
-
Mental Status Exam (Coast Map): Use this assessment for patients with psychiatric illnesses. Mnemonic: C O A S T M A P
- Consciousness: Evaluate Glasgow Coma Scale (GCS).
- Orientation: Assess awareness of self, location, time (date & year), and possibly current events (president).
- Activity: Observe appropriate level of activity. Note if it's abnormally high or flat.
- Speech: Evaluate speed and content (e.g., flight of ideas).
- Thoughts: Assess thought content (e.g., delusions). Example: patient describing a violin in their abdomen.
- Memory: Evaluate short-term and long-term memory.
- Affect/Mood: Assess emotional state.
- Perception: Assess patient's perception of environment (e.g., hallucinations). Example of a patient hearing dogs barking.
Substance Use & Intoxication
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THC (Tetrahydrocannabinol):
- Increasing availability, especially in edible forms.
- Typical oral dose: 10 mg.
- Overdose: Large quantities of THC gummies can cause severe illness. Example: patient eating entire 1000 mg bag.
-
Cyclic Vomiting Syndrome (CVS): A common presentation in frequent THC users.
- Treatment: Haldol often effective, while typical antiemetics (Reglan, Zofran) are less effective in THC-related CVS.
- Unconventional Treatment: Topical capsaicin cream (hot pepper application) sometimes used successfully in CVS treatment.
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Synthetic THC & Other Drugs:
- Lack of Regulation: These unregulated substances pose uncertainty regarding their composition and effects. Found in gas stations and smoke shops
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Stimulants: Increase heart rate, blood pressure, body temperature, and agitation in patients.
- Safety: Ensure safety during transport of these patients. Don't handle alone. Bring support (e.g., Police) to transport and care for patient
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Alcohol Intoxication:
- Glucose Check: Essential in suspected alcohol intoxication to rule out hypoglycemia or very high hyperglycemia as underlying cause of symptoms.
- Case Study: Example of a patient misdiagnosed as acutely intoxicated due to absence of glucose assessment, highlighting the importance of a proper assessment. In this case, a very high glucose level, not alcohol, was the cause
Restraint Use
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Physical Restraints: Used for patient safety or team safety.
- Conditions requiring restraint: the patient's behavior directly threatens the safety of the patient or responders.
- Minimal Force: Use the minimum necessary restraints & avoid non-essential use.
- Personnel: Ensure adequate staff in the vehicle to support safe restraint procedures. Consider bringing police as back-up assistance
-
Chemical Restraints (Benzodiazepines):
- Necessary medication dosages should be memorized for faster and safer administration in emergencies
- Protocols: Follow local protocols for administrations.
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Description
Dive into the essential components of the Mental Status Exam using the COAST MAP mnemonic. Learn to assess psychiatric patients effectively by evaluating consciousness, orientation, activity, speech, thoughts, memory, affect/mood, and perception. This quiz will enhance your understanding of psychiatric emergencies.
