Stabilizing and Managing Patients with Altered Mental Status and Delirium

Present in all patient populations, altered mental status (AMS) is a common, but nonspecific emergency department (ED) presentation that can signify serious underlying pathology. Delirium is a more defined mental status change caused by another medical condition that carries a high morbidity and mor...

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Bibliographic Details
Published inEmergency medicine clinics of North America Vol. 33; no. 4; p. 753
Main Authors Odiari, Ebelechukwu A, Sekhon, Navdeep, Han, Jin Y, David, Elizabeth H
Format Journal Article
LanguageEnglish
Published United States 01.11.2015
Subjects
Delirium - diagnosis
Delirium - therapy
Disease Management
Emergency Service, Hospital
Humans
Mental Status Schedule
Delirium
Antipsychotics
Altered mental status
Emergency department
Management
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Summary:Present in all patient populations, altered mental status (AMS) is a common, but nonspecific emergency department (ED) presentation that can signify serious underlying pathology. Delirium is a more defined mental status change caused by another medical condition that carries a high morbidity and mortality if missed. However, ED physicians miss the condition in more than 50% of cases. The ED physician should maintain a high index of suspicion for delirium, because if missed in the ED, delirium is more likely to be missed on the floors as well. Management of delirium is directed toward treating the underlying course.
ISSN:1558-0539
DOI:10.1016/j.emc.2015.07.004