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Psych singletons (debriefing, ADHD, inhalant abuse)

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Teaching point

Routine psychological debriefing after acute trauma is NOT recommended (may worsen PTSD) -> support + watchful waiting. ADHD with impairment -> methylphenidate + behavioural. Teen with intoxication + peri-oral rash/ulcers + ataxia -> inhalant (volatile substance) abuse.

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