The COVID Central
Academic Information System:
https://emaindia.net/home/covid_central
PSYCHIATRIC
EMERGENCIES
VERONICA
TUCCI, MD, JD, FAAEM, FACEP
COVID-19 and governmental response of
quarantine has impacted men, women and children across the globe. It is
unknown whether the United States experience will be unique.
The volume, demographics and
presentations of emergency psychiatric patients have been evolving during the
COVID-19 pandemic with initial volumes significantly lower than 2019 levels.
Cited concerns include wait times, lack of PPE and risk of COVID-19 infection
but levels may rise once local levels of COVID-19 decrease. Associated
lockdown/quarantine visit statistics may be different from pre-pandemic stats.
Our psychiatric colleagues have noted an
increased utilization of non-ED care options including telehealth for those
with established psychiatric issues and care providers with some clinics
reporting an almost 100% visit show rate.
We have seen an uptick in those
seeking care in the ED with addiction.
We have also seen the number of
pediatric psychiatric visits and referrals decrease. However, whether this is
drop in peds volume is because the stress on children and adolescents from
bullying has been reduced/removed with the closure of schools or whether it is
because of the failure of our schools as a safety net to identify and report
signs of abuse or psychiatric distress remains unknown at this time.
The SUNY Story of NYC
& COVID19
Dr. Bonnie Arquilla,
DO, FAIM
SUNY Downstate Medical Center took a
large brunt of the COVID19 Pandemic. Data was presented which covered each in
every health services aspects of the pandemic and the gaps and challenges faced
to counter the huge volume of infected patients.
Lessons learnt were:
Having a team
that you trust is vital
Senior administration does not have the
same goals as Clinicians
Plan and remember it will get worse
Keep track of the wins and losses
The clinical picture changes "it's not just the flu"
Infection control does work but you have to practice it
Plan for deaths
Have a follow-up clinic organized asap
Spend money on people, not stuff likes tents except PPE!
Make sure everyone has the same mission the specialist must
step up and take care of patients
Jefferson-WACEM
Sepsis Summit 2020
In September 2020 WACEM along with
Jefferson University will host the World Wide Web Summit on Sepsis 2020. It was
announced that all WACEM Members could attend the summit and participate as
speakers. Dr. David Gaieski is the Leader of this Summit.
25th Week Commendations of Weekly WACEM-ACAIM
Summit are on 29th August, 5th September and 12th September
2020
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