Pediatric Catatonia

Catatonia is a syndrome that consists of motor and behavioral signs and symptoms in the setting of neurochemical insult. It can be seen with psychiatric, neuromedical, and substance induced conditions. Though the prevalence of catatonia among the general pediatric population has not been established, it is estimated to be between 0.6% and 17% among child and adolescent psychiatric inpatients [1]. Pediatric patients with catatonia are mostly likely to have a primary diagnosis of psychotic disorder (18.3%) or a neurologic, developmental, and inflammatory illness, such as autoimmune and infectious processes (11.8%) [2]. In comparison, adult patients have a higher proportion of underlying mood disorders, especially bipolar disorder [4].

RESEARCH HIGHLIGHT: The Experience of Survivors of Firearm Suicide Attempts: A Retrospective Case Series

Firearm-related suicides are a significant public health issue in the United States, accounting for more than half of all suicide deaths…

The Acutely Agitated Child in the Emergency Department

A 9-year-old boy with a history of oppositional defiant disorder, as well as prior admissions to a psychiatric hospital for behavioral concerns, presents to the Emergency Department (ED) of an academic children’s hospital with acute agitation. The patient is brought to the ED via ambulance by emergency medical services and police...

Pediatrics, Social EM, PsychiatryTaylor MarquisSeptember 10, 2024pediatric EM, agitation, safety, PsychiatryComment

Suboxone for Opioid Use Disorder: An Underutilized Lifesaving Treatment

While opiates have been utilized for thousands of years, Opioid Use Disorder (OUD) has been increasing drastically since the turn of the 21st century…

Angioedema?

A female in her 30’s presents to the emergency department for acute onset of facial swelling, shortness of breath and a change to the sound of her voice. Although she denied any known allergic exposures, she self-administered an epi-pen at home with little improvement in her symptoms…

Emergency Medicine, ENT, PsychiatryKaitlin LipnerJanuary 30, 2023Emergency Medicine, Airway, PsychiatryComment

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