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Previous Lesson
Screening For Delirium in the Emergency Department
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Screening For Delirium in the Emergency Department
Lesson Author:
Jin H. Han, MD, MSc
Lesson Objectives
Describe the reference standard for delirium assessment
Describe why there are no perfect delirium screens
Identify brief delirium screens that may be suitable for the Emergency Department
Patient-based
Proxy-based
Observational
Describe the 2-step approach to delirium screening
Disclosures
Funded by:
NHLBI/NIH 1R56HL141567
Geriatric Research, Education, and Clinical Center, Tennessee Valley Healthcare System
No conflicts of interest to disclose.
Lesson Content
0% Complete
0/20 Steps
Emergency Physicians Miss Delirium
Reference Standard for Delirium: DSM-5 Criteria
Delirium Assessment Caveats
Types of Delirium Assessments
Confusion Assessment Method (CAM)
CAM (5 minutes)
CAM Derivatives
bCAM (1 minute)
CAM-ICU (1 minute)
3D-CAM (3 minutes)
4AT (2 minutes)
Months of the Year Backwards (30 seconds)
SQiD (30 seconds)
RASS or mRASS
Choosing a Delirium Screen
Two-Step Approach to Delirium Screening
Delirium Triage Screen (DTS)
Implementing Delirium Screening in the ED
Conclusions
References
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