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Updated: Oct 13, 2025

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
Published on: February 6, 2021
[Emergency medical assessment of the patient with psychiatric conditions]
Nathan Haber1, Anthony Chauvin2, Pascal Le Vaou3
1Structure des urgences, hôpital Bel-Air, centre hospitalier régional Metz-Thionville, 2 rue de Friscaty, 57126 Thionville cedex, France.
Abstract:
The evaluation by the emergency doctor of the patient presenting with a psychiatric symptom before being taken care of by the psychiatric team is described by the term medical clearance. There is little work on the performance of complementary examinations on these patients. A retrospective multicentre study conducted at the Metz-Thionville regional hospital (57) shows that at least one complementary examination was carried out in 61% of hospitalised patients, compared with 28% of non-hospitalised patients. For 2.4% of patients, the final diagnosis was organic.
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