Clinical Grand Rounds March 7, 2014, 12:00 pm - 1:30 pm WPIC Auditorium
Clinical Grand Rounds
Diagnostic Evaluation Center
Western Psychiatric Institute and Clinic
the Office of Clinical Affairs of WPIC and
the Department of Psychiatry
University of Pittsburgh School of Medicine
This clinical grand round addresses the evaluation and management of agitation. Agitated patients are at significant risk for becoming violent and potentially harming themselves or others. Managing these difficult situations can also be a traumatic experience for the agitated patient and those witnessing the events. Further, staff injuries often occur. As part of this Grand Round presentation, we will review guidelines for a rapid initial assessment of agitation and discuss strategies for management. This will include a discussion of guidelines published by the American Association for Emergency Psychiatry’s Project BETA (Best Practices in Evaluation and Treatment of Agitation) Workgroup. Several cases will be discussed with recommendations for assessment and management of agitation, including de-escalation in the field and pharmacologic approaches in both adult and child patients.
Project BETA links: http://escholarship.org/uc/uciem_westjem?volume=13;issue=1 or http://bit.ly/1d295jb
Keith R. Stowell, MD, MSPH. Dr. Stowell is an Assistant Professor of Psychiatry and the Associate Medical Director, Psychiatric Emergency and Intake Services at Western Psychiatric Institute and Clinic of UPMC where he currently spends the majority of his clinical time and is responsible for the administrative oversight of approximately 13,000 emergency visits per year. Dr. Stowell is a staff psychiatrist in psychiatric emergency services at UPMC Mercy and supervises the resident clinic at Benedum Geriatric Center. Dr. Stowell completed his residency and geriatric psychiatric fellowship at Western Psychiatric Institute and Clinic of UPMC. His current interests include management of agitation and quality improvement initiatives on improving length of stay and patient experience in psychiatric emergency services.
Jack Rozel, MD, MSL. Dr. Rozel is Assistant Professor of Psychiatry and the Medical Director, re:Solve Crisis Network of Western Psychiatric Institute and Clinic of UPMC. Dr. Rozel is a practicing psychiatrist with interests in emergency psychiatry and with mental health law. He earned his medical degree at Brown University and completed his general child and forensic residency at Western Psychiatric Institute and Clinic of UPMC. In addition to his teaching and clinical duties, Dr. Rozel also serves on the Pennsylvania Mental Health and Justice Advisory Committee for the Pennsylvania Commission on Crime and Delinquency.
Gregory Thorkelson, MD. Dr. Thorkelson is an Assistant Professor of Psychiatry and the Associate Medical Director, Center for Integrative Medicine, UPMC. He is at attending psychiatric in the Diagnostic Evaluation Center. He is also the Associate Medical Director of the Center for Integrative Medicine. Dr. Thorkelson works in a number of clinical areas with a focus on gastrointestinal and inflammatory process as a staff psychiatrist both at the Visceral Inflammation and Pain (VIP) Center in the Department of Medicine’s Division of Gastroenterology, Hepatology & Nutrition and through the John Merck Child and Adolescent Outpatient Clinic. Dr. Thorkelson completed his general psychiatric residency training at Temple University and his Child and Adolescent Psychiatry fellowship at Western Psychiatric Institute and Clinic of UPMC.
Learning Objectives: At the conclusion of the lecture, participants will be able to:
- Identify common causes of agitation.
- Describe approaches to verbal de-escalation.
- Discuss pharmacologic approaches to agitation.
All are welcome to attend.
Continuing Education Credit: The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credits TM. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded .15 continuing education units (CEUs), which are equal to 1.5 contact hours. In accordance with Accreditation Council for Continuing Medical Education requirements on disclosure, information about relationships of presenters with commercial interests (if any) will be included in materials which will be distributed at the time of the conference. WPIC is approved by the American Psychological Association to offer continuing education for psychologists. WPIC maintains responsibility for this program and its contents. This program is being offered for 1.5 continuing education credits.
Please indicate any personal accommodations you may need for this Clinical Grand Round such as sign language interpreter, large print conference materials, Braille Conference materials, accessible parking. Please contact Ann 412-246-6608 before the Clinical Grand Round should you need accommodations.
Faculty Disclosure: In accordance with Accreditation Council for Continuing Medical Education requirements on disclosure, information about relationships of presenters with commercial interests (if any) will be included in materials available at the time of the conference.