The Case A 29 year-old man is brought to the ED by police. He was found wandering on the street, predictably at 3 a.m. He is well-dressed and appropriately-groomed, slightly agitated, paranoid, apparently responding to internal stimuli, and uncooperative. He has no known history on file. The Question What is required for ‘medical clearance’ before referral to the psychiatry service? The Background Patients presenting to the ED with psychiatric complaints represent a sizeable …