article thumbnail

You don’t need labs to medically clear a psych patient

PEMBlog

When should the emergency physician obtain lab tests to medically clear such patients? There is abundant evidence showing that routine lab tests in such patients have a very low yield and are not indicated, in adults as well as in children. Decades ago, psychiatric complaints in the pediatric ED were infrequent.

article thumbnail

Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

Additional lab testing can be completed to account for the broader differential diagnoses. For providers in community hospital settings, it is crucial to engage pediatric nephrology or intensive care unit providers as soon as possible to guide management and facilitate transfer to other institutions.