Psychiatric emergency department volume during Covid-19 pandemic

One commonly reported phenomenon in the first months of the Covid-19 era in the United States has been the reduction in emergency department (ED) visits and hospitalizations of patients with heart attacks, strokes and other acute, non-Covid illnesses [1]. Less is known about whether and how the number of patients presenting to EDs for psychiatric problems has changed.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research

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The COVID-19 pandemic has brought a slew of new challenges for clinical facilities, including how to deliver as much care as possible at a distance. The Department of Cardiovascular Medicine at Tokyo Medical and Dental University (TMDU) Medical Hospi...
Source: Medgadget - Category: Medical Devices Authors: Tags: Cardiology Neurology Public Health Rehab Telemedicine Source Type: blogs
Retired endocrinologist and senior Society member, John Bevan, is raising money for charity during the COVID-19 lockdown by walking a million steps.As a stroke survivor, John Bevan decided to help some neglected charities during the pandemic by being sponsored to walk a million steps in his garden - equivalent to 417 miles!He will donate his sponsorship to:When you Wish upon a Star - Grants Wishes to Children aged 4-16 who live with a life-threatening illnessInternational Justice Mission - Aims to Rescue people of all ages held in Slavery, and to End Slavery in our lifetimeStroke Association - Deve...
Source: Society for Endocrinology - Category: Endocrinology Source Type: news
While previous studies and case reports have found that COVID-19 patients have experienced vascular and neurological problems, a newstudy inthe Lancet Psychiatry reports that patients are also showing symptoms of psychiatric disorders, including psychosis and depression.The study was the result of a collaborative effort of specialists in the United Kingdom to document COVID-19 complications.“To our knowledge, this is the first systematic, nationwide U.K. surveillance study of the breadth of acute complications of COVID-19 in the nervous system,” wrote Aravinthan Varatharaj, M.R.C.P., of University Hospital Sout...
Source: Psychiatr News - Category: Psychiatry Tags: Aravinthan Varatharaj brain hemorrhage brain inflammation cognition COVID-19 depression Lancet Psychiatry pain psychiatric disorders psychosis stroke United Kingdom weakness Source Type: research
The outbreak of a novel coronavirus since December 2019, became an emergency of major international concern. As of June 21, 2020, the SARS-CoV-2 pandemic has caused 8,769,844 confirmed infections with 463,745 ...
Source: Diagnostic Pathology - Category: Pathology Authors: Tags: Case Report Source Type: research
We present a case of bilateral occipito-temporal infarction revealed by a sudden cortical blindness with haemorrhagic transformation after intravenous thrombolysis in a diabetic patient infected by Covid-19. Differential diagnoses are discussed in front of this unusual presentation and evolution.
Source: Journal of Stroke and Cerebrovascular Diseases - Category: Neurology Authors: Tags: Case Report Source Type: research
Routine inpatient and outpatient health care has been greatly disrupted by the COVID-19 pandemic and both equipment and personnel have been redeployed in order to manage the crisis (https://www.cms.gov/newsroom/press-releases/cms-releases-recommendations-adult-elective-surgeries-non-essential-medical-surgical-and-dental). There have been anecdotal accounts (https://www.nytimes.com/2020/04/06/well/live/coronavirus-doctors-hospitals-emergency-care-heart-attack-stroke.html) and a publication (1) discussing the decrease in the number of ST-segment elevation myocardial infarction (STEMI) activiations.
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research
A study of 153 patients treated in UK hospitals during the acute phase of the COVID-19 pandemic describes a range of neurological and psychiatric complications that may be linked to the virus. The research carried out by the CoroNerve Studies Group, including the Royal College of Psychiatrists, and published today in The Lancet Psychiatry journal reveals that while stroke was the most commonly reported neurological complication in hospitalised COVID-19 patients, many younger patients developed an altered mental state such as psychosis or catatonia. To investigate the breadth of COVID-19 complications that affect the brain,...
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news
Abstract The recent emergence of SARS-CoV-2 and the ensuing global pandemic has presented a health emergency of unprecedented magnitude. Recent clinical data has highlighted that COVID-19 is associated with a significant risk of thrombotic complications ranging from microvascular thrombosis, venous thromboembolic disease and stroke. Importantly, thrombotic complications are markers of severe COVID-19 and are associated with multi-organ failure and increased mortality. The evidence to date supports the concept that the thrombotic manifestations of severe COVID-19 is due to the ability of SARS-CoV-2 to invade endo&n...
Source: Circulation Research - Category: Cardiology Authors: Tags: Circ Res Source Type: research
This report describes trends in ED visits for three acute life-threatening health conditions (myocardial infarction [MI, also known as heart attack], stroke, and hyperglycemic crisis), immediately before and after declaration of the COVID-19 pandemic as a national emergency. These conditions represent acute events that always necessitate immediate emergency care, even during a public health emergency such as the COVID-19 pandemic. In the 10 weeks following the emergency declaration (March 15-May 23, 2020), ED visits declined 23% for MI, 20% for stroke, and 10% for hyperglycemic crisis, compared with the preceding 10-week p...
Source: MMWR Morb Mortal Wkl... - Category: Epidemiology Authors: Tags: MMWR Morb Mortal Wkly Rep Source Type: research
Preventive measures against COVID-19 should protect the public from the dual burden of communicable and non-communicable diseases, particularly in the elderly. In addition to active COVID-19 surveillance, policymakers should utilize this evidence as a guide for prevention and coordination of health services. This model is timely, as many countries have begun to reduce social isolation.
Source: Journal of Stroke and Cerebrovascular Diseases - Category: Neurology Authors: Source Type: research
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