Being Careful With Benzodiazepines

I frequently see patients in the hospital who receive benzodiazepines from their doctors in outpatient clinics, both psychiatric and primary care. Many of them are diverting their prescriptions, overusing the benzodiazepines, and getting them for conditions which are not indications for this class of drug. I guess my perspective on benzodiazepines probably speaks to the different … Continue reading Being Careful With Benzodiazepines

Delirium Order Set! Now Will We Change?

Yesterday, one of our best resident physicians, Dr. Paul Thisayakorn, MD, dropped by our staff psychiatric consultation office just before our Clinical Problems in Consultation Psychiatry (CPCP) case conference to tell us about a new quality improvement project he's involved in. He's rotating through the Palliative Care Medicine service and the director asked Paul to come … Continue reading Delirium Order Set! Now Will We Change?

CPCP: Drugs for Delirium by Rock Star Residents and A Medical Student

http://www.youtube.com/watch?v=-Ux3-a9RE1Q We heard a great Clinical Problems in Consultation Psychiatry (CPCP) presentation from rock star residents Thomas Salter, Paul Thisayakorn as well as medical student Rick Siel.  Tom and Paul took the lead in making the slides. The topic was psychopharmacology for agitation of delirium. I wish I could have found pictures for all of … Continue reading CPCP: Drugs for Delirium by Rock Star Residents and A Medical Student

NMS and Serotonin Syndrome: CPCP Review

We have a weekly case conference on our psychiatry consultation service in which we discuss relevant medical literature in connection with patients we've seen. It's a continuous improvement activity relevant to the practice-based improvement competency called the Clinical Problems in Consultation Psychiatry (CPCP) and a recent meeting focused on differentiating neuroleptic malignant syndrome (NMS) and … Continue reading NMS and Serotonin Syndrome: CPCP Review

The Geezer’s Dirty Dozen on Common Psychiatry Consult Issues

https://www.youtube.com/watch?v=z5aKxIOT54k This is a quick Dirty Dozen on common issues in Consultation Psychiatry. It can hardly be comprehensive because the field is so broad. If I had to pick the problems I encounter most often though, these would be highest on the list. This is just a brief bird's-eye overview for the junior trainee in psychiatry residency programs. On … Continue reading The Geezer’s Dirty Dozen on Common Psychiatry Consult Issues

POGOe Has a New Face and Quizzes!

I just had a chance to have a look at  the facelift of The Portal of Geriatrics Online Education (POGOe) at link POGOe - Portal of Geriatric Online Education | The Portal of Geriatrics Online Education. It looks great and there's a nice quiz feature; see link POGOe QBank | POGOe - Portal of Geriatric … Continue reading POGOe Has a New Face and Quizzes!

Educational Impact on Delirium in the Medical Intensive Care Unit by a Psychiatric Liaison?

I ran across an interesting article the other day about what educational impact a psychiatric liaison had on beliefs and attitudes about delirium among nurses and internal medicine residents in a medical intensive care unit (MICU) [1]. The short answer: not much at all. This is despite the willingness of the MICU staff to host … Continue reading Educational Impact on Delirium in the Medical Intensive Care Unit by a Psychiatric Liaison?