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Panic attack after medical exclusion — RCPSC EM MCQ

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EasyPsychiatric emergenciesPanic attack after medical exclusionRCPSC EM

A 23-year-old with panic symptoms has chest tightness, perioral tingling and carpopedal spasm after an argument. ECG, troponin, glucose, oxygen saturation and examination are reassuring, and symptoms resolve with coaching. What is the most appropriate disposition?

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Correct answer: DDischarge with safety-net advice, primary care/mental health follow-up and return precautions

After medical mimics and safety risks are addressed, a resolved panic attack can be discharged with follow-up and clear return precautions.

Reference: Canadian psychiatric emergency standards