Define and Identify
This Mnemonic helps EMS providers recall the medical causes of altered behavior including alcohol, epilepsy, insulin, overdose, uremia, trauma, infection, psychiatric and stroke
Delusions
These positive Symptoms of Schizophrenia include false beliefs such as believing one is being monitored by the government or has special powers
Delusions
In childhood behavioral emergencies who have neurodevelopmental condition ... EMS should minimize sensory stimuli, avoid surprised touch and allow the trusted caregiver to remain present
Autism Spectrum Disorder
Before assuming a Psych patient lacks decision making capacity, EMS must assess whether the patient understands the situation, proposed treatment risk of refusal and has the ability to communicate, this is called assessing this
Decision - Making Capacity
When approaching a behavioral emergency indoors where should the provider position themselves in order to maintain an escape route
The exit door
This term describes any situation in which a patients, emotions, thoughts or actions are so abnormal or dangerous that immediate intervention is required
A behavioral emergency
A Manic patient presents with elevated mood, grandiosity, decreased need for sleep and rapid speech The likely diagnosis is...
Bipolar Disorder
A geriatric patient with a 2-day history of worsening confusion and fever is likely experiencing this acute and potentially reversible change in mental status - not a new psychiatric illness
Delirium
The 3 criteria used to justify involuntary Psych detention are danger to self, danger to there self and...
Gravely disabled
The most important initial action when dispatched to a behavioral emergency of reported violence is to stage and await for what
Police to indicate the scene is safe
False sensory perceptions without external stimuli- most commonly auditory in psychiatric conditions, but visual perceptions of this type often suggest a medical or toxic cause
Hallucinations
The patient presents with sudden onset chest pain, palpitations, Dyspnea, diaphoresis, a sense of impending doom and cardiac work up is normal is
Panic Disorder/Panic Attack
This substance causes dissociation, extreme agitation and apparent impervious to pain is
PCP
When EMS is documenting a behavioral emergency call the report should include direct quotes from patients and objective behavioral descriptions, avoiding subjective labels. This type of documentation is called
Objective Documentation
What is the most effective technique of de-escalation a patient who is physically agitated
Communication
This structured prehospital tool uses domains including appearance, behavior, cognition, delusions emotion, flow of thought, gross perceptions and harm assessment to evaluate a Psych patient.
The Mental Status Exam ( MSE)
Tremors, diaphoresis, seizures and severe cases of visual hallucinations and autonomic instability characterize this life threatening condition
Alcohol withdrawal. Delirium Tremens ( DTS)
A Veteran patient becomes combative when EMS providers approach rapidly and touch him without warning despite calling for help . This reoccurring episode is what condtion
PTSD ( Post Traumatic Stress disorder)
When applying physical restraints with the least restrictive means necessary how often should the patient be reassessed
Every 5 minutes
During de-escalation, how many member should be speaking to a patient
One member
This single strongest predictor of future suicide attempt or completion. This historical factor should always be asked about during the behavioral emergency assessment
Previous Suicide Attempt.
A patient in police custody is disrobing, hyperthermic and appears to have superhuman strenght and is impervious to pain is what type of medical emergency
Excited Delirium Syndrome
In geriatric patients this common and often overlooked medical condition and not a psychiatric illness is a frequent cause of acute behavioral and altered mental status, particularly in women
Urinary tract Infection ( UTI)
To be deemed mentally competent which 3 criteria must be meet?
Danger to self, others and gravely disabled.
When a patient presents with the following physical cues ... clenched fists, pacing and a shift in stance with weight forward what is the patient about to do
Become violent