Kevin Pho, MD 3/4/2026

The Blanket Sign: Recognizing difficult patient encounters in the ER

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An emergency room physician narrates a difficult patient encounter, introducing the concept of the 'Blanket Sign'—the observation that adult patients bringing personal blankets often have underlying psychiatric issues. The article details the challenges of managing patients with chronic pain, opioid history, and complex psychosocial needs in a clinical setting.

The Blanket Sign: Recognizing difficult patient encounters in the ER

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