EmtBehavioral - Behavioral Emergencies Temple College EMS...

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Unformatted text preview: Behavioral Emergencies Temple College EMS Professions Psychiatric Emergency Patients behavior is disturbing to himself, his family, or his community Behavioral Change Never assume patient has psychiatric illness until all possible physical causes are ruled out Behavioral Change Causes Low blood sugar Hypoxia Inadequate cerebral blood flow Head trauma Drugs, alcohol Excessive heat, cold CNS infections Behavioral Change Clues suggesting physical causes Sudden onset Visual, but not auditory, hallucinations Memory loss, impairment Altered pupil size, symmetry, reactivity Excessive salivation Incontinence Unusual breath odors Psychiatric Problems Anxiety Most common psychiatric illness (10% of adults) Painful uneasiness about impending problems, situations Characterized by agitation, restlessness Frequently misdiagnosed as other disorders Anxiety Panic attack Intense fear, tension, restlessness Patient overwhelmed, cannot concentrate May also cause anxiety, agitation among family, bystanders Anxiety Panic attack Dizziness Tingling of fingers, area around mouth Carpal-pedal spasms Tremors Shortness of breath Irregular heartbeat Palpitations Diarrhea Sensation of choking, smothering Phobias Closely related to anxiety Stimulated by specific things, places, situations Signs, symptoms resemble panic attack Most common is agoraphobia (fear of open places) Depression Deep feelings of sadness, worthlessness, discouragement Factor in 50% of suicides Depression Signs, Symptoms Sad appearance Listless, apathetic behavior Crying spells Withdrawal Pessimism Loss of appetite Sleeplessness Fatigue Despondence Severe restlessness Depression Ask all depressed patients about suicidal thoughts Asking someone about suicide will NOT put the idea in their head. Bipolar Disorder...
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This note was uploaded on 12/21/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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EmtBehavioral - Behavioral Emergencies Temple College EMS...

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