In the past few years, the US Preventive Services Task Force | Figure 1
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In the past few years, the US Preventive Services Task Force (USPSTF) has issued several recommendations that are far more liberal in promoting interventions. Experts are now raising concern over advice from the task force to screen all US adults and teens for depression. Learn about a new special report on this topic published by The BMJ. Associate Editor Jeanne Lenzer (@jlenzer) will take questions on Friday, March 3 at 11am ET (8am PT, 4pm GMT).
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Hello everyone, I'm an EMT/medic student and I've noticed that precious few of the HCPs and other students I know take their job-related mental health seriously. I am a new student also, so I'm not going to claim that I have experience that I don't. But we have whole chapters in our books devoted to burnout and stress reactions and depression, yet no one to my knowledge has taken them seriously. Suicide and depression should be a big discussion topic but none of us newbies wants to admit that we're human and can get stressed and we hurt for our patients. There's a sense of bravado among many of us and compassionate people are still treated as emotional and "weak". It's natural to care about our patients; it should be what brought us into medicine in the first place. What can/should be done to help us, as providers and students, take our job-related stress seriously within the culture of EMS?
Cases:
67 year old female: this one was very difficult. Client had history of depression, but primary dx was vascular dementia making placement under LPS WIC 5150 hold (psych hold) virtually impossible, tying my hands. [Link]
Mid-50's male: suicide attempt via GSW. Txp by EMS from home, responsive to verbal. [Link]
Appx. 80 yo f: psychiatric patient with two knitting needles, stuck just medial beneath the left eyeball through the orbita right into her brain in a suicidal attempt. [Link]
A 52-year-old man: presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department. [Link]
A 28-year-old woman: presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area. [Link]
A 4-month-old male infant: presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest. [Link]
Patient in late teens: presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg? [Link]