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Review
. 2015 Nov;33(4):753-64.
doi: 10.1016/j.emc.2015.07.004.

Stabilizing and Managing Patients with Altered Mental Status and Delirium

Ebelechukwu A Odiari  1 , Navdeep Sekhon  2 , Jin Y Han  3 , Elizabeth H David  3
Affiliations
Review

Stabilizing and Managing Patients with Altered Mental Status and Delirium

Ebelechukwu A Odiari et al. Emerg Med Clin North Am. 2015 Nov.

Abstract

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.

Keywords: Altered mental status; Antipsychotics; Delirium; Emergency department; Management.

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