Delirium is a clinical syndrome characterized by acute changes in awareness, cognition, and perception with a waxing and waning course.
Delirium is a syndrome secondary to an underlyi...
Can have mixed hyperalert and hypoactive state with rapid oscillations
Pulse oximetry to monitor respiratory status:
Naloxone if associated respiratory insufficiency
Advanced life support (ALS...
When cause is unclear, admit.
If delirium has not resolved, admit.
Treatable cause is found and treated
Identify underlying cause
Delirium is often missed by emergency physicians and maintaining an awareness of delirium as a syndrome is critical.
Han JH, Zimmerman EE, Cutler N, et al. Delirium in older emergency department patients: Recognition, risk factors, and psychomotor subtypes. Acad Emerg Med. 2009;16:193–200...
291.0 Alcohol withdrawal delirium
293.0 Delirium due to conditions classified elsewhere
780.09 Other alteration of consciousness
292.81 Drug-induced delirium
290.11 Presenile dementia with delir...
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