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Probably the biggest problem is that the consultation process described in the article to develop new guidelines consisted only of six transport advisors meeting and reviewing the literature, which is unfortunately very scanty.
There was no outside consultation and, in particular, no psychiatrist or, in fact, anyone with expertise in mental health was involved in the discussion.
As a result we regularly use both ground and air ambulance services to move our patients both at times when they are markedly distressed and at times when they are much more stable.
I am writing in response to the recent article, “Criteria for sedation of psychiatric patients for air transport in British Columbia” in the BCMJ. The article, although helpful in clarifying expectations of the ambulance service with respect to level of sedation, in fact reinforces many of the problems that we encounter on a regular basis in transporting people with psychiatric illness within the province of BC when distances require the use of air ambulance.
At Hillside Centre, we provide tertiary psychiatric care in our PICU, adult, and geriatric programs for people from throughout the northern and southern interiors of BC.
The blanket application of a three medication approach without reference to existing medications is not medically sound. Solid-organ transplantation in HIV-infected patients. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
In our experience this often results in patients already on one or even more antipsychotic medications, already at high dose (as their treatment resistance is a reason for their transfer), receiving high doses of a high potency antipsychotic like haloperidol intramuscularly in addition to various sedative medications. The cognitive impact of anticholinergics: A clinical review. An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows: Above is the information needed to cite this article in your paper or presentation. The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. Its requirements for manuscripts, including formats for bibliographic references developed by the U. National Library of Medicine (NLM), were first published in 1979.
Many individuals with relapsing illness live in the community where they are free to work, parent, operate motor vehicles, and engage in other safety-sensitive activities under certification by the Mental Health Act if that is deemed necessary by their treating physician to help prevent substantial deterioration in their psychological health as part of a comprehensive treatment plan.
One of the most puzzling recommendations in the article is the “three medication rule,” whereby the group determined that using three medications, including an antinauseant, a benzodiazepine, and an antipsychotic medication, was an appropriate approach to sedation of people with mental illness, regardless of diagnosis and without any evidence to support that recommendation.
Supplemental nasal oxygen was routinely given at 2 L per minute and real-time monitoring was performed with electrocardiograph and continuous pulse oximeter.
There were no deaths and only four untoward events related to medication that altered the course of the examination.
A person with dementia who is being transferred for assessment to a psychogeriatric facility is seen as “a psychiatric patient,” whereas the same person being transferred to a neurological service is not.Tags: Adult Dating, affair dating, sex dating