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Pediatric emergencies in children with psychiatric conditions
1Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
Insights
This review addresses pediatric emergencies in children with psychiatric conditions, focusing on critical information for emergency care. It covers psychiatric emergencies, medication side effects, and neurological or somatic presentations.
Area of Science:
- Pediatric Emergency Medicine
- Child Psychiatry
- Clinical Toxicology
Background:
- Children with psychiatric conditions present unique challenges in emergency settings.
- Emergency practitioners often lack integrated resources for managing these complex cases.
Purpose of the Study:
- To review essential considerations for pediatric emergency care of children with psychiatric conditions.
- To consolidate relevant information from diverse scientific disciplines for emergency practitioners.
Main Methods:
- Literature review integrating information from various scientific disciplines.
- Focus on information directly applicable to pediatric emergency assessment and management.
Main Results:
- Identification of true psychiatric emergencies in children.
- Analysis of psychotropic medication side effects impacting emergency care.
- Discussion of neurological disorders with psychiatric symptoms.
- Exploration of psychiatric disorders with somatic presentations.
Conclusions:
- Specialized knowledge is crucial for effective pediatric emergency care in psychiatric cases.
- Integrating information on psychiatric emergencies, medication effects, and related disorders improves patient outcomes.
Abstract:
This article reviews special considerations for children with psychiatric conditions when they present with pediatric emergencies. The review spans a variety of scientific disciplines and attempts to integrate information that is not usually available to the emergency practitioner from a single source; the intent is not to be exhaustive on any particular topic but to organize what is most relevant to pediatric emergency care. Topics that are discussed include: 1) a brief review of true psychiatric emergencies, 2) side effects of psychotropic medications that have direct implications for emergency assessment and management, 3) neurologic disorders that present with psychiatric manifestations, and 4) psychiatric disorders that present with somatic manifestations.