Admission is recommended for all patients with<unk>  due to the high risk of complications
Patients with autonomic instability or hyperthermia should be admitted to ICU
Discharge from the ED is not recommended for these patients
Catatonia
Hypoxic encephalopathy
Dysphonia
Acute toxic-metabolic encephalopathy 
Opsoclonus
Hypoglycemia
Tremor
Hyperosmolar state 