Abstract
Clinical Vignette: A 14-year-old male patient with history of attention-deficit/hyperactivity disorder (ADHD), disruptive mood dysregulation disorder (DMDD), and autism spectrum disorder (ASD) was brought to the emergency department (ED) when he was found to be aggressive towards family members. He has history of multiple psychiatric hospitalizations relating to aggression and was taking a complex regimen of psychotropic medications. ED staff recommended inpatient psychiatric care. After waiting for hours in the ED, a decision was made to transfer him to a pediatric medical floor, and he was put on waitlist without immediate bed availability in any of the inpatient units in the area. Due to lack of child psychiatry consultation liaison services at our institution, an outpatient child and adolescent psychiatrist was called by pediatric hospitalists for “curbside consultation” to provide input on treatment for this patient while he waited placement at an inpatient psychiatric facility.
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