Succinct Approach to Delirium in the Emergency Department.
Agitation
Delirium
Emergency department
Older adults
Pharmacotherapy
Screening
Journal
Current emergency and hospital medicine reports
ISSN: 2167-4884
Titre abrégé: Curr Emerg Hosp Med Rep
Pays: United States
ID NLM: 101604815
Informations de publication
Date de publication:
2021
2021
Historique:
accepted:
03
03
2021
pubmed:
25
3
2021
medline:
25
3
2021
entrez:
24
3
2021
Statut:
ppublish
Résumé
This study aims to provide a concise delirium review for practicing emergency medicine providers using the Assess, Diagnose, Evaluate, Prevent, and Treat (ADEPT) framework. Delirium is a form of acute brain dysfunction that results in significant mortality and morbidity for older emergency department (ED) patients. Delirium is frequently missed by healthcare providers, but monitoring for this syndrome using brief delirium assessments may improve recognition. Once delirium is diagnosed, emergency medicine providers' primary goal is to perform a comprehensive history and physical examination to uncover the underlying etiology for delirium. This includes obtaining history from a collateral historian and obtaining an accurate medication history. If posssible, emergency physicians (EPs) should treat the medical etiology that precipitated the delirium. If agitated, non-pharmacologic interventions such that minimize the use of tethers are preferred. Pharmacologic agents such as antipsychotic medications should be used as a last resort. Delirium is a common geriatric emergency and requires the EP to assess, diagnose, evaluate, prevent, and treat. Delirium is a key geriatric syndrome that geriatric ED providers should routinely screen for. A strong emphasis is on the widespread use of delirium screening, followed by prevention and treatment efforts.
Identifiants
pubmed: 33758677
doi: 10.1007/s40138-021-00226-9
pii: 226
pmc: PMC7971395
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
11-18Subventions
Organisme : NHLBI NIH HHS
ID : R56 HL141567
Pays : United States
Informations de copyright
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.
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