# Management of Delirium in Older Adults in the Emergency Department What's Inside? Delirium is a key ED symptom – like chest pain or abdominal pain.  It is common among older ED patients and commonly missed in their assessment. This toolkit provides resources to help you make changes in your ED to provide better care for those patients presenting with delirium. It includes resources and tools and links to the evidence to support their implementation. Download Complete Toolkit Everyone working in the ED – RN, MD, everyone – has a role to play in delirium management. And it is essential to establish a “delirium champion” whose role includes getting senior hospital management involved in making delirium a priority for your institution. Roles and Responsibilities Toolkit Resource Suggested roles in the ED including key attributes and responsibilities for interdisciplinary team members. Continue The Role of the Delirium Champion Toolkit Resource Definition, qualities, and responsibilities of the ED Delirium Champion. Continue The following three examples demonstrate how to build delirium screening using the Delirium Triage Screen (DTS) and bCAM into your ED workflow. Example Delirium Screening Workflow in the ED Sample Workflow Stepwise workflow for using two evidence-based scales to improve screening for delirium in the ED. Continue Example bCAM Workflow Sample Workflow Building the administration of the bCAM into your ED workflow. Continue Example Delirium Workflow (Initiating at Bedside) Sample Workflow Building the administration of the DTS and the bCAM into your ED workflow. Continue These screening tools are evidence-based and are optimized for use in the Emergency Department. Delirium Pocket Cards A quick reference for the most common delirium screening tools: DTS and b-CAM. Continue Brief Confusion Assessment Method (bCAM) Flow Sheet The bCAM – a quick and easy assessment tool to identify the presence of delirium in the ED. Continue Richmond Agitation and Sedation Scale The RASS is a standard ED tool that is a part of the Delirium Triage Screen. Continue Delirium Process & Outcome Measures Here we highlight some metrics to follow to ensure you’re making progress with high-quality delirium care. Continue These two helpful infographics can be given to caregivers of ED patients with delirium or of patients being discharged who are at risk of developing delirium. Delirium in the ED: Things for Caregivers to Know A one-pager for ED professionals to provide to caregivers. Important things for caregivers to know about delirium. Continue Post-Discharge: Family Education A one-pager for caregivers to help them recognize delirium and provide steps on what to do if their loved one shows signs of delirium after discharge. Continue EDUCATIONAL VIDEOS | November 3, 2022 Brain Health in the ED: Educational Videos Two educational videos created as part of a collaboration between ARP and GEDC. These videos were designed to educate and raise awareness of challenges with delirium and dementia in the ED and how to provide better care for older adults. Explore Resource Faculty The West Health Institute and the Geriatric Emergency Department Collaborative (GEDC) co-produced these toolkits to provide resources for implementing the best standards of care for older adults in the Emergency Department. You are encouraged to choose and adapt the resources which are most relevant to your site.