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We also run the Behavioural Stabilization and Assessment Program for the BC Neuropsychiatry Program, providing services for patients from throughout the province.By virtue of our providing tertiary services we provide care for people who cannot be cared for in general hospitals in their home community, so often have to transport people both to our facility for treatment, and back to their home hospital once they have stabilized or improved.This is particularly troubling as the use of multiple medications with vague indication puts the patient at risk of significant complications, including delirium or other side effects like akathisia, which can make agitation worse.

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Many individuals with relapsing illness live in the community where they are free to work, parent, operate motor vehicles, and engage in other safety-sensitive activities under certification by the Mental Health Act if that is deemed necessary by their treating physician to help prevent substantial deterioration in their psychological health as part of a comprehensive treatment plan.

One of the most puzzling recommendations in the article is the “three medication rule,” whereby the group determined that using three medications, including an antinauseant, a benzodiazepine, and an antipsychotic medication, was an appropriate ap­proach to sedation of people with mental illness, regardless of diagnosis and without any evidence to support that recommendation.

Transient hypoxemia that responds to gentle stimulation and bradycardia resolving with cessation of endoscope advancement are viewed as physiologic responses and not complications.

All occurrences were immediately identified and corrected appropriately, and no morbidity resulted.

The blanket application of a three medication approach without reference to existing medications is not medically sound. Solid-organ transplantation in HIV-infected patients. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.

In our experience this often results in patients already on one or even more antipsychotic medications, already at high dose (as their treatment resistance is a reason for their transfer), receiving high doses of a high potency antipsychotic like halo­peridol intramuscularly in addition to various sedative medications. The cognitive impact of anticholinergics: A clinical review. An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows: Above is the information needed to cite this article in your paper or presentation. The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. Its requirements for manuscripts, including formats for bibliographic references developed by the U. National Library of Medicine (NLM), were first published in 1979.

Given how common psychiatric illness is, even among people reading this journal, the application of the term “psychiatric patient” and the implication that this is someone who can easily lose control in an aircraft is stigmatizing and of no value in determining risk.

The guidelines also make no distinction for where the individual is in the course of illness—whether he or she is in an acute relapse or not, implying that people with mental illness are always at risk.

Routine use of these medications in individuals without a history of motion sickness or of psychosis adds little therapeutic benefit and significantly increases the risk of toxicity. Above is the information needed to cite this article in your paper or presentation. The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. Its requirements for manuscripts, including formats for bibliographic references developed by the U. National Library of Medicine (NLM), were first published in 1979.

Most patients who require air transport to or from a tertiary facility are already in hospital and already on a variety of medications. Antipsychotic-induced extrapyramidal side effects in bipolar disorder and schizophrenia: A systematic review. The International Committee of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally accepted citation style for scientific papers: Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually.

A practical method of monitoring such patients includes continuous oxygen saturation measurements and EKG monitoring.

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