EMPsych

About EMPsych

EMPsych is a podcast focused on the emerging subspecialty of Emergency Psychiatry. EMPsych discusses critical topics that are relevant to Physicians, Psychiatrists, Clinicians, and staff working with patients in psychiatric crisis, as well as interviews with experts in the field. We believe that bringing these discussions to the forefront will continue to bridge the knowledge gap in this new and essential psychiatry specialty.

Publisher

Vituity

Category

health & fitness · health & fitness · health & fitness

Language

en

Explicit

No

First episode

1 Feb 2023

Latest episode

15 Apr 2023

Latest episodes

3 episodes in the feed.

1. 

   15 Apr 2023

   Don't miss: Anchoring Bias and Autoimmune Encephalitis

   On this episode Neal Christopher, DO, interviews Mark Ard, MD, about the problematic role of anchoring bias in emergency psychiatric evaluations and medical diagnoses, and we review lessons learned from auto immune encephalitis cases. Don't miss the links and references for a ton of helpful follow up information. LINKS: Cognitive biases associated with medical decisions: a systematic review (https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-016-0377-1) Catalogue of Bias (https://catalogofbias.org/) REFERENCES: Abboud, Hesham, John C Probasco, Sarosh Irani, Beau Ances, David R Benavides, Michael Bradshaw, Paulo Pereira Christo, et al. 2021. “Autoimmune Encephalitis: Proposed Best Practice Recommendations for Diagnosis and Acute Management.” Journal of Neurology, Neurosurgery & Psychiatry 92 (7): 757–68. Al-Diwani, Adam, Adam Handel, Leigh Townsend, Thomas Pollak, M Isabel Leite, Paul J Harrison, Belinda R Lennox, David Okai, Sanjay G Manohar, and Sarosh R Irani. 2019. “The Psychopathology of NMDAR-Antibody Encephalitis in Adults: A Systematic Review and Phenotypic Analysis of Individual Patient Data.” The Lancet Psychiatry 6 (3): 235–46. Berg SA, Moss JH. Anchoring and Judgment Bias: Disregarding Under Uncertainty. Psychol Rep. 2022;125(5):2688-2708. doi:10.1177/00332941211016750 Dalmau, Josep, Thais Armangué, Jesús Planagumà, Marija Radosevic, Francesco Mannara, Frank Leypoldt, Christian Geis, et al. 2019. “An Update on Anti-NMDA Receptor Encephalitis for Neurologists and Psychiatrists: Mechanisms and Models.” The Lancet Neurology 18 (11): 1045–57. Endres, Dominique, Frank Leypoldt, Karl Bechter, Alkomiet Hasan, Johann Steiner, Katharina Domschke, Klaus- Peter Wandinger, et al. 2020. “Autoimmune Encephalitis as a Differential Diagnosis of Schizophreniform Psychosis: Clinical Symptomatology, Pathophysiology, Diagnostic Approach, and Therapeutic Considerations.” European Archives of Psychiatry and Clinical Neuroscience 270 (7): 803–18. Graus, Francesc, Maarten J Titulaer, Ramani Balu, Susanne Benseler, Christian G Bien, Tania Cellucci, Irene Cortese, et al. 2016. “A Clinical Approach to Diagnosis of Autoimmune Encephalitis.” The Lancet Neurology 15 (4): 391– 404. Hemmat S, Santhosh L. Diagnostic Error and Anchoring Bias in a Patient with Schizophrenia. Am J Med. 2020;133(3):e98-e99. doi:10.1016/j.amjmed.2019.08.030 Lieder F, Griffiths TL, M Huys QJ, Goodman ND. The anchoring bias reflects rational use of cognitive resources. Psychon Bull Rev. 2018;25(1):322-349. doi:10.3758/s13423-017-1286-8 Rocker JA, Oestreicher J. Focused Medical Assessment of Pediatric Behavioral Emergencies. Child Adolesc Psychiatr Clin N Am. 2018;27(3):399-411. doi:10.1016/j.chc.2018.02.003 Saposnik G, Redelmeier D, Ruff CC, Tobler PN. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138. Published 2016 Nov 3. doi:10.1186/s12911-016-0377-1

2. 

   23 Feb 2023

   Psychiatric Intervention in the Emergency Department: Medical Clearance & Early Intervention

   On this episode Seth Thomas, MD and Neal Christopher, DO discuss the medical screening of patients in the ED requesting, or needing, mental health services and EPI (Emergency Psychiatric Intervention) or beginning psychiatric treatment for patients while still in the ED. Links: https://www.vituity.com/healthcare-insights/emergency-psychiatric-intervention/ (https://www.vituity.com/healthcare-insights/emergency-psychiatric-intervention/) https://smartmedicalclearance.org/ (https://smartmedicalclearance.org/) Janiak, B. D., & Atteberry, S. (2012). Medical clearance of the psychiatric patient in the emergency department. The Journal of emergency medicine, 43(5), 866–870. https://doi.org/10.1016/j.jemermed.2009.10.026 (https://doi.org/10.1016/j.jemermed.2009.10.026 ) Related podcast appearances by Seth Thomas: https://zdoggmd.com/emergency-psychiatry/ (https://zdoggmd.com/emergency-psychiatry/ ) https://kevinmd.libsyn.com/a-new-paradigm-for-psychiatric-emergencies (https://kevinmd.libsyn.com/a-new-paradigm-for-psychiatric-emergencies)

3. 

   1 Feb 2023

   Creating and Learning from Emergency Psychiatric Assessment, Treatment, and Healing (EMPATH) Units

   Interview with Scott Zeller, MD (https://www.linkedin.com/in/scott-zeller-md-2467aba/) on the creation, research, and best practices from Emergency Psychiatric Assessment, Treatment, and Healing (EMPATH) Units in Emergency Psychiatry. Email: EMPsych@Vituity.com (mailto:EMPsych@Vituity.com) Links: Effects of a dedicated regional psychiatric emergency service on boarding of psychiatric patients in area emergency departments https://pubmed.ncbi.nlm.nih.gov/24578760/ (https://pubmed.ncbi.nlm.nih.gov/24578760/) Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America https://pubmed.ncbi.nlm.nih.gov/34403550/ (https://pubmed.ncbi.nlm.nih.gov/34403550/) Economic Evaluation of the Emergency Department After Implementation of an Emergency Psychiatric Assessment, Treatment, and Healing Unit https://onlinelibrary.wiley.com/doi/10.1111/acem.14118 (https://onlinelibrary.wiley.com/doi/10.1111/acem.14118) Healthcare Design Names 2020 HCD 10 Winners https://healthcaredesignmagazine.com/news/healthcare-design-names-2020-hcd-10-winners/ (https://healthcaredesignmagazine.com/news/healthcare-design-names-2020-hcd-10-winners/)