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{
    "pk": 8670,
    "title": "Psychiatric and Medical Management of Marijuana Intoxication in the Emergency Department",
    "subtitle": null,
    "abstract": "We use a case report to describe the acute psychiatric and medical management of marijuana intoxication in the emergency setting. A 34-year-old woman presented with erratic, disruptive behavior and psychotic symptoms after recreational ingestion of edible cannabis. She was also found to have mild hypokalemia and QT interval prolongation. Psychiatric management of cannabis psychosis involves symptomatic treatment and maintenance of safety during detoxification. Acute medical complications of marijuana use are primarily cardiovascular and respiratory in nature; electrolyte and electrocardiogram monitoring is indicated. This patient’s psychosis, hypokalemia and prolonged QTc interval resolved over two days with supportive treatment and minimal intervention in the emergency department. Patients with cannabis psychosis are at risk for further psychotic sequelae. Emergency providers may reduce this risk through appropriate diagnosis, acute treatment, and referral for outpatient care. [West J Emerg Med. 2015;16(3):414–417.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8tb1396z",
    "frozenauthors": [
        {
            "first_name": "Quan",
            "middle_name": "M.",
            "last_name": "Bui",
            "name_suffix": "",
            "institution": "University of Colorado School of Medicine, Department of Psychiatry, Aurora, Colorado; University of Colorado School of Medicine, Denver Health Medical Center, Department of Psychiatry, Denver, Colorado",
            "department": "None"
        },
        {
            "first_name": "Scott",
            "middle_name": "",
            "last_name": "Simpson",
            "name_suffix": "",
            "institution": "University of Colorado School of Medicine, Department of Psychiatry, Aurora, Colorado; University of Colorado School of Medicine, Denver Health Medical Center, Department of Psychiatry, Denver, Colorado",
            "department": "None"
        },
        {
            "first_name": "Kimberly",
            "middle_name": "",
            "last_name": "Nordstrom",
            "name_suffix": "",
            "institution": "University of Colorado School of Medicine, Department of Psychiatry, Aurora, Colorado; University of Colorado School of Medicine, Denver Health Medical Center, Department of Psychiatry, Denver, Colorado",
            "department": "None"
        }
    ],
    "date_submitted": "2014-12-23T19:37:57-08:00",
    "date_accepted": "2014-12-23T19:37:57-08:00",
    "date_published": "2015-04-09T13:21:20-07:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/8670/galley/4981/download/"
        }
    ]
}