Sunday, May 26, 2019 • 10:15 - 11:45
Track 5 - Psychiatry
Track Chair: Dr. Michael Howlett

Suicide Risk Assessment - Dr. Claude Botha

Description:

Learning Objectives
At the end of this presentation, participants will be able to:

Pearls

Medical Clearance of the Mental Health Patient - Dr. Tracy Meyer

Description: Medical clearance can be performed quickly and safely. These patients can have a range of comorbid conditions and/or intoxications. Differentiating between an organic and a psychiatric cause can be challenging, and it’s easy to rely on laboratory tests. These tests can be time consuming, invasive to the patient and often misleading.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Know how to develop a safe and efficient protocol for medical clearance.
  2. Know when is it appropriate for a patient to be evaluated by the psychiatric team.
  3. Know when investigations are necessary in the medical clearance of the mental health patient.

Pearls

  1. Any protocol for medical clearance should be developed collaboratively with the Mental Health Department.
  2. Differentiating between a psychiatric cause and an organic cause can be complicated, however. Much of the evaluation is based on the physical exam.
  3. Many patients presenting for mental health assessment have some level of intoxication. Their blood alcohol level can give you misleading information. The Hack’s Impairment index is a tool that can help determine when an intoxicated patient is ready to be evaluated by the mental health team.

Dr. Tracy Meyer, MD FRCPC is an Emergency Physician in Saint John. She has an interest in marginalized populations and addiction medicine with a mixed practice of Emergency Medicine and a clinic for Opioid Use Disorder. She works with the psychiatry department for improved collaboration with the Emergency Department and is an advocate for harm reduction in New Brunswick.

Borderline Personality Disorder - Dr. Claude Botha

Description:

Learning Objectives
At the end of this presentation, participants will be able to:

Pearls