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Compiled by Linda English Cambridge University Press 978-1-909-72630-7 — Emergency Psychiatry Edited by Kevin Nicholls Index More Information Index Compiled by Linda English ABCDE model 188–190, 203 relationship with psychiatric symptoms acute stress disorder (ASD) 252–253, 254 53–59 adjustment disorders 253 ‘responsible’ and ‘irresponsible’ drinkers 51 adrenaline 203 safeguarding 159 advance decision or statement 172, 278, 300, snoring 59 309 suicide 8, 52–53, 54, 63, 64 aggression see violence and aggression thiamine deiciency 56–57, 66, 74 agranulocytosis 106 tolerance 55 akathisia 95–96 units of alcohol 60–61 alcohol misuse 51–68, 86 Wernicke’s encephalopathy 56–57, 62, 66, acute intoxication 54, 63–64 74, 233 after assessment 64–66 withdrawal 55–56, 61, 65–66, 73–74, 208, alcohol diary 65 233, 274, 316 alcoholic hallucinosis 58 Alzheimer’s disease 231, 232 Alcoholics Anonymous (AA) 66 AM v South London & Maudsley NHS alcohol-induced symptoms 53–55 Foundation Trust & Secretary of State for anaphylaxis 57, 66 Health [2013] 304, 311 anxiolytic effect 53–55 anaphylaxis 57, 66, 189, 190, 202, 203 assessment and management 59–66, 233 anorexia nervosa 113, 116, 185, 240, 309 attitudes 67 anticholinergic side-effects 100–101 behavioural disturbance in general hospital anticonvulsants 102 266, 273–275 antidepressants breathalysers 62 ECT 168, 176 delirium tremens (DTs) 55, 58, 73–74, 233 elderly 229 depressed mood 53–54 self-poisoning 313, 316, 317, 324–326 detoxiication 65–66 side-effects 89, 92, 95, 97, 100, 103 elderly 232–233 tricyclics 316, 317, 324–325 ethanol 55, 60 see also individual drugs itness for assessment 62–63 antipsychotics 86, 87 gamma-glutamyl transferase 62 acute dystonic reactions 92, 94–95, 235 glucose administration 74 akathisia 95–96 hepatitis C 62 alcohol misuse 64, 66, 74 history-taking 59–62 anticholinergic side-effects 100 Korsakoff syndrome 56–57, 74 child and adolescent psychiatry 27, 121, 125 management of non-dependent drinking 65 dementia 232, 272 and other substances 58–59 elderly 232, 235, 272 pathoplastic effects and relapse of mental hyperglycaemia 101–102 illness 57–58 intellectual disability 222–223 physical disorder due to severe misuse neuroleptic malignant syndrome 97, 235 56–57 pregnancy 243 post-traumatic stress disorder 256 pseudo-Parkinsonism 96 333 © in this web service Cambridge University Press www.cambridge.org Cambridge University Press 978-1-909-72630-7 — Emergency Psychiatry Edited by Kevin Nicholls Index More Information INDEX QTc interval prolongation 326 CAGE questionnaire 233 self-poisoning 326–327 cannabinoids 32, 34, 35, 42–43, 52 substance misuse 45, 75, 273–274 capacity see Mental Capacity Act 2005 suicide 7 cardiac arrest 186, 192–199, 315, 316 upper airway obstruction 199, 200 cardiopulmonary resuscitation (CPR) 186, violence and aggression 23, 26, 27, 28, 187, 188–190, 192–199, 209 82–83, 222–223 advance decision 198 weight gain 101–102 automated external deibrillation (AED) see also individual drugs devices 195–197, 199 Asperger syndrome 18 chest compressions 195 asphyxiation 209–210 drugs for 197 aspirin 202 equipment 193 self-poisoning 314, 317, 322 nasopharyngeal airway 193–194 asthma attack, life-threatening 203–205 oropharyngeal airway 193 AVPU scale 190 paediatric life support 193, 194 resuscitation team 192–193 self-poisoning 315 termination or non-commencement 197–198 ‘Baby P’ 156 tracheal intubation 194 behavioural disturbance in general hospital training 193, 199 265–275 cardiovascular shock 190, 202–203 aetiology 266 Care Quality Commission 162–163 assessment and management 266–275 catatonia 116, 170, 171 delirium 266, 267–270, 272–273 chemical burns 211 dementia 266, 270–272 child and adolescent psychiatry 110–126 not result of mental disorder 266, 274–275 aggression 27, 111, 113, 115–116, 121, 124 presentation 266 assessment process 116–118 psychotic patient 272–273 biological domain 120–121 security staff 266, 267, 273 CAMHS emergency 111–114 staff 270, 275 CAMHS in-patient units 116 substance intoxication 266, 273–274 case studies 122–125 violence or aggression 267, 268–270 classiication of emergencies 112–113, 124 Behavioural Pathology in Alzheimer’s Disease clinical symptoms 113 rating scale 231 Common Assessment Framework (CAF) benzodiazepines 98, 100, 315 123–124 alcohol misuse 64, 66, 74 emergency department referrals 115–116 delirium 207 factors extraneous to CYP 113–114 dementia 272 four-by-three psychiatric formulation grid 118 discontinuation symptoms 92 management 119–122 elderly 236 medication 121 itting patient 208–209, 315 out-patient department 114–115 misuse of 43–44, 48 police station assessments 116 pregnancy 243 ‘pseudo-emergencies’ 112 psychological trauma 261 psychological domain 121–122 self-poisoning 316, 322–324 risks 113 side-effects 107, 236 role to contain anxiety of others 118 for substance misuse 45, 46, 75, 273 social domain 122 violence 23, 27, 28, 121 see also safeguarding see also individual drugs Children Act 1989: 152–153, 155–156, 306–307 beta-blockers 96 chlordiazepoxide 65–66, 74, 274 β2 agonist bronchodilator 205 choking 186–187, 199–200 bipolar disorder 52, 75, 103, 171, 240, 244 Chronological Assessment of Suicide Events see also mania 229 Bournewood case 298 Climbié, Victoria 155–156 Bröset Violence Checklist 135 clozapine 8, 23, 89, 309 buprenorphine 40, 47–48 breast feeding 246 burns 211–213 ECT 170, 171, 174 B v Croydon Health Authority [1995] 309, 311 side-effects 101–102, 105–106 334 © in this web service Cambridge University Press www.cambridge.org Cambridge University Press 978-1-909-72630-7 — Emergency Psychiatry Edited by Kevin Nicholls Index More Information INDEX cocaine 32, 34, 35, 44–45, 92, 94, 200, 273, nihilistic 87 316, 317 paranoid 74, 77, 171 Cohen–Mansield Agitation Inventory 231 perinatal psychiatry 245 Commissioner of the Police for the Metropolis schizophrenia 75 v ZH [2013] 303, 311 dementia 185, 199, 231–232 Confusion Assessment Method 231 ABC assessment framework 271 consciousness 71, 190, 317–318 aggression 19, 22, 27, 28, 232 contraception, emergency 241 assessment and diagnosis 231 conversion disorders, acute 283 behavioural disturbance in general hospital coronary syndrome, acute 201–202 266, 268, 270–273 cyber abuse 160–161 behavioural or psychological symptom of cytochrome P450 enzymes 89, 90–91, 320, dementia (BPSD) 231 321, 327 delirium 71, 206, 268 Lewy body 272 medication 232, 272 deaf people 286–296 ‘three Ts’ approach 272 British Sign Language (BSL) 287, 288, treatment 232 292–293, 294 unmet needs model for agitation 271–272 communication preferences 287–289 depression congenital deafness 286 child and adolescent psychiatry 112, 113, deaf advocates 293 115, 122–123 deaf children born to deaf parents 287 deaf people 291 differences between sign languages 288 ECT 166, 167–168, 169, 171, 179 disability 289 intellectual disability 219 hard of hearing 286–287 late-onset 228–229 homicides 292–293 postpartum 244, 245 lip-reading 288 psychological trauma 254, 255, 256, 258, 261 mental health 289–292 with psychotic symptoms 77, 80–81, 87–88 partial deafness 286 suicide 6–7, 158, 228–229 pre-lingually deaf 286, 287–288 Wilson’s disease 75 prisoners 294 Deprivation of Liberty Safeguards (DoLS) profound deafness 286 224–225, 302–304 psychiatric emergencies 292–294 diabetes 77–78, 101–102 specialist education 288 diazepam 44, 74, 92, 208, 220 Usher syndrome 289 dissociative disorders, acute 283 work with interpreters 293 Domestic Crime and Violence Act 2003: 161 de-escalation techniques 23, 28, 83, 107, 136, domestic violence 151, 161–162, 242 268, 274 dopamine blockade 97 delirium (acute confusional state) 206–207 DRESS (drug reaction with eosinophilia and assessment and diagnosis 230–231 systemic symptoms) acronym 102 behavioural disturbance in general hospital drug hypersensitivity syndrome 102 266, 267–270, 272–273 dystonic reactions, acute 92–95, 96, 235 elderly 230–231 hyperactive 206, 230 hypoactive 206, 230 ecstasy (MDMA) 44, 45–46, 261 intellectual disability 221–222 elderly see older persons’ psychiatry investigations 268 electrical burns 211 management 206–207 electroconvulsive therapy (ECT) 166–184, 186 mixed 206, 230 advance directive or decision 172, 309 psychosis 70–74 amnesia 167, 168, 177, 178, 179 treatment 231 bilateral 174, 178 violence 19, 28 brain damage 177 delirium tremens (DTs) 55, 58, 73–74, 233 changes in brain structure 169 delusions 70, 71 contemporary practice 169–172 delusional disorder 76, 85, 158–159 counter-kindling effect 168 grandiose 70, 76–77 ECT Accreditation Service 180 of inidelity 85 The ECT Handbook (3rd edn) 170, 172, 174 mood-congruent 77, 87 effects on neurotransmitters 169 335 © in this web service Cambridge University Press www.cambridge.org Cambridge University Press 978-1-909-72630-7 — Emergency Psychiatry Edited by Kevin Nicholls Index More Information INDEX elderly 176, 229 intellectual disability 217–227 endocrine effects 169 acute dystonic reactions 94 enhanced dendritic function 167 aggressive behaviour 220, 222, 223, 225 hippocampus 169, 177 arrange follow-up 223–224 history 166–167 assessment 221–224 laryngospasm 200 autistic disorders 219, 221, 222, 224, 225, mechanism of action 167–169 289 Mental Health Act 1983: 309 capacity to consent to treatment 218–219 NICE guidelines 170–171, 172, 179 communication dificulties 218 procedure 172–173 co-morbid conditions 219 safety 175–177 conception rate 240 Scottish ECT Accreditation Network deaf people 289 (SEAN) 180 ‘four Cs’ 217 seizure duration 167–168, 174 in general hospital 275 seizure threshold 168,
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