Rejected from Emergency

Patient was rejected from the emergency department: What now?

People with eating disorders are not always admitted to hospital, despite the urgent need for inpatient care.

For indicators that require urgent hospital admission see: Is This An Emergency?

What to do when you think that someone should be in hospital, but is not or cannot be admitted:  

Important things to consider:

• Multi-vitamin and thiamine 
• Risk of refeeding (low but can be mitigated), see below
• Work through further investigations, as indicated, at own pace. See: Medical Monitoring: Routine Check-up and Medical Monitoring: Body Systems.
• Medications
• SSRIs may be beneficial in the treatment of co-occurring depression and obsessive-compulsive disorder.  Low dose of olanzepine may be helpful in anorexia nervosa, when patients are severely anxious and demonstrate obsessive eating-related ruminations. See also: Treatment Evidence Planning Tool
• Liaise with local specialist services - let them know what you can and cannot manage