Authors: Amy Talbot / Editor: Frances Balmer / Codes: / Published: 31/03/2022
Description:
The number of patients presenting to the emergency department with an eating disorder, or complications arising from an eating disorder, is increasing yearly.
It is important that emergency clinicians can assess patients with eating disorders and identify those that are high risk who require admission.
This session will cover important aspects of history taking, examination and investigation, alongside national guidelines and risk assessment tools, to help guide patient management.
Learning objectives:
- Identify the different types of eating disorders and clinical features associated with them
- Assess a patient presenting to the emergency department with an eating disorder
- Risk assess patients with eating disorders to identify if medical admission is necessary
References
- National Institute for Health and Care Excellence. Resource impact report: Eating disorders: recognition and treatment. NICE guideline (NG69). May 2017.
- Royal college of Psychiatrists. Position statement on early intervention for eating disorders (PS03/19). May 2019
- National Institute for Health and Care Excellence. Clinical Knowledge Summaries. Eating Disorders. NICE CKS. Last reviewed July 2019.
- BEAT. Learn about eating disorders (internet).
- Allison E, Dawson N, et al. Fifteen minute consultation: A structured approach to the management of children and adolescents with medically unstable anorexia nervosa. Arch Dis Child Educ Pract Ed. 2017 Aug;102(4):175-181.
- Royal College of Psychiatrists. Junior MARSIPAN: Management of Really Sick Patients under 18 with Anorexia Nervosa. 2012.
- Royal College of Psychiatrists. MARSIPAN: Management of really sick patients with anorexia nervosa 2nd edition. 2014.
- Morgan, JF, Reid F, Lacey JH. The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ. 1999;319:1467 1468.