- Last edited on February 4, 2024
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on-call:approach-to-im-on-call-emergencies-issues [on February 19, 2023] psychdb [Seizures] |
on-call:approach-to-im-on-call-emergencies-issues [on February 19, 2023] psychdb |
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| <WRAP group> | <WRAP group> | ||
| <WRAP half column> | <WRAP half column> | ||
| - | <callout type="success">{{fa>arrow-circle-right?color=green}} See main article: **[[neurology:1-approach-neuro-emergencies#altered-level-of-consciousness|Approach to Neurologic Emergencies: Altered Level of Consciousness]]**</callout> | + | <alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success"> |
| + | See main article: **[[neurology:1-approach-neuro-emergencies#altered-level-of-consciousness|Approach to Neurologic Emergencies: Altered Level of Consciousness]]** | ||
| + | </alert> | ||
| </WRAP> | </WRAP> | ||
| <WRAP half column> | <WRAP half column> | ||
| Line 355: | Line 356: | ||
| ===== Insomnia ===== | ===== Insomnia ===== | ||
| - | <callout type="success">{{fa>arrow-circle-right?color=green}} See main article: **[[sleep:2-insomnia-disorder]]**</callout> | + | <alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success"> |
| + | See main article: **[[sleep:2-insomnia-disorder]]** | ||
| + | </alert> | ||
| + | * Always try non-pharmacological interventions first | ||
| + | * Earplugs | ||
| + | * Eye mask | ||
| + | * Are there other sources of environmental disturbance? | ||
| * If a patient is chronically on a benzodiazepine at home, do not stop them abruptly | * If a patient is chronically on a benzodiazepine at home, do not stop them abruptly | ||
| * Can trial melatonin 3mg PO qHS (though there is poor evidence for use of melatonin in insomnia) | * Can trial melatonin 3mg PO qHS (though there is poor evidence for use of melatonin in insomnia) | ||