Stabilizing and Managing Patients with Altered Mental Status and Delirium

被引：7

作者：

Odiari, Ebelechukwu A. ^{[1
]}

Sekhon, Navdeep ^{[2
]}

Han, Jin Y. ^{[3
]}

David, Elizabeth H. ^{[3
]}

机构：

[1] Baylor Coll Med, Sect Emergency Med, Houston, TX 77030 USA

[2] Baylor Coll Med, Sect Emergency Med, Houston, TX 77007 USA

[3] Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, Houston, TX 77030 USA

来源：

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2015年 / 33卷 / 04期

关键词：

Altered mental status; Delirium; Emergency department; Management; Antipsychotics; CRANIAL COMPUTED-TOMOGRAPHY; DOUBLE-BLIND; ATYPICAL ANTIPSYCHOTICS; ACUTE AGITATION; RISK-FACTORS; EMERGENCY; HALOPERIDOL; MANAGEMENT; BENZODIAZEPINES; MEDICATIONS;

D O I：

10.1016/j.emc.2015.07.004

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页码：753 / +

页数：13

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