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Delirium

Yes, PEM Currents is a Pediatric Emergency Medicine podcast, but during the COVID-19 pandemic we may be tasked with seeing patients outside of our area of expertise. Plus, there’s a lot we can learn from big people that we can extrapolate to children. I have partnered with POPCoRN, the Pediatric Overflow Planning Contingency Response Network to deliver content that will benefit those of us who may have been asked to care for adults both in their native habitat, and in our pediatric facilities. This episode, brought to you by yours truly and Barrett Burger, a Medicine-Pediatrics Resident from the University of Arkansas focuses on delirium and confusional states and delivers some sound advice on how to address the confused patient. Though this is geared towards the care of adults there are some great pearls to help with patients of any age.

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References

Things We Do for No Reason: Neuroimaging for Hospitalized Patients with Delirium. J. Hosp. Med. 2019 July;14(7):441-444. March 20, 2019. | DOI 10.12788/jhm.3167

Inouye SK. The dilemma of delirium: clinical and research controversies regarding diagnosis and evaluation of delirium in hospitalized elderly medical patients. Am J Med 1994; 97:278.

Inouye S, Westendorp R, Saczynski J. Delirium in elderly people. Lancet. 2014;383(9920):911-922.

Marcantonio. Delirium in Hospitalized Older Adults, NEJM, 2017.

Setters B, Solberg LM. Delirium. Prim Care 2017; 44:541.

Shenvi. Assessing and Managing Delirium and Older Adults. Academic Life in Emergency Medicine. July 25, 2015. http://www.aliem.com/delirium-in-older-adults/. Accessed June 7, 2020.

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