He's all clear

 

This SAQ is worth 17 marks

A 25 year old patient is in the emergency department for 8 hours of observation following a polypharmacy ingestion. You have been asked to provide “medical clearance” prior to transfer of the patient for mental health assessment.

Question 1.
List three (3) factors that you would consider for this safe transfer.
(3 marks)

1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________



Question 1.
Provide seven (7) factors that distinguish between a delirium and a psychosis. (14 marks)

   Delirium Psychosis
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This SAQ is worth 17 marks

A 25 year old patient is in the emergency department for 8 hours of observation following a polypharmacy ingestion. You have been asked to provide “medical clearance” prior to transfer of the patient for mental health assessment.

Question 1.
List three (3) factors that you would consider for this safe transfer.
(3 marks)

Examiner Comments: Poor answers concentrated on very specific factors when determining safety for transfer e.g. normal ECG rather than no features of ongoing toxicity. There was also confusion about assessing risk of toxicity versus medical clearance, e.g. paracetamol levels.


Question 1.
Provide seven (7) factors that distinguish between a delirium and a psychosis. (14 marks)

In differentiating delirium from psychosis poor answers gave multiple specific examples such as “normal temperature” and “normal pulse” rather than normal vital signs.


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medical   clearance   delirium   psychosis   ACEM_2015.1  



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