Psychiatric Emergencies | Critical Intervention Protocols and Evidence-Based Medicine

Emergency Room · Clinical Specialties

How it begins

Una referencia para especialistas dedicada al diagnóstico diferencial, la estabilización biocomportamental y el manejo farmacológico crítico en el servicio de urgencias. Desde la neurobiología de la agitación psicomotriz hasta los síndromes toxicológicos emergentes y los aspectos médico-legales de la hospitalización involuntaria.

What it covers

1. Clinical Triage and Critical Incidents in the Emergency Department
2. · Triage and Temporal Prioritization Models
3. Physiology of Psychomotor Agitation
4. · Neurobiological Bases of Behavioral Hyperactivity
5. Verbal De-escalation Protocol in Acute Crisis
6. · The 10 Golden Rules of Verbal De-escalation (AAPP Consensus)
7. Physical, Mechanical Containment and Critical Pharmacological Intervention
8. · Step-by-Step Mechanical Containment Protocol
9. Neurobiology and Pathophysiology of Suicidal Behavior
10. · The Serotonergic Axis and Dysfunction of the Prefrontal Cortex
11. Autolytic Risk Assessment: Structured Clinical Scales
12. · SAD PERSONS Scale and C-SSRS in the Emergency Context
13. "Suicide Code" and Immediate Pharmacological Treatments
14. · Immediate Therapeutic Interventions with Antisuicidal Evidence
15. Delirium (Acute Confusional Syndrome): Neurobiology and Neuropathology
16. · The Neuroinflammation and Cholinergic Deficit Hypothesis
17. Delirium: DSM-5-TR Criteria, Clinical Types and Integrated Management
18. · DSM-5-TR Diagnostic Criteria and CAM Evaluation
19. Substance-Induced Emergencies: Diagnosis by Toxidromes
20. · Major Toxidromes in Emergencies
21. Delirium Tremens and Severe Alcohol Withdrawal Syndromes
22. · Pathophysiology of Hyperexcitability due to Alcohol Suppression
23. Severe Opioid Withdrawal Syndrome
24. · Pathophysiology and Hyperactivity of the Locus Coeruleus-Norepinephrine System
25. Schizophrenia and Acute Psychosis in the Emergency Department
26. · Diagnostic Approach and Structured Evaluation
27. Catatonia and Lorazepam Test
28. · Pathophysiology of Corticocortical Dysfunction
29. Neuroleptic Malignant Syndrome (NMS)
30. · Pathophysiology: Hypothalamic and Base Ganglia Blockade
31. Serotoninergic syndrome
32. · Pathophysiology: The 5-HT Intracellular Signaling Cascade
33. Lithium Toxicity and Mood Stabilizers
34. · Pharmacokinetics of Lithium and Dialectical Hyponatremia
35. Severe Extrapyramidal Syndromes and Acute Dystonias
36. · Acute Dystonic Reaction (ADR)
37. Psychiatric Emergencies in the Pregnant, Postpartum and Child and Adolescent
38. · Postpartum Psychosis: A True Puerperal Psychiatric Emergency
39. Legal, Ethical Aspects and Involuntary Hospital Admission
40. · Emergency Involuntary Psychiatric Admission