Category Archives: Neurology and Psychiatry
Be ADEPT: An approach to the older patient with confusion or agitation
Older adults often present to the ED for or with confusion or agitation. It is important to have a framework for assessing these patients, diagnosing the presence of delirium or dementia, looking for underlying causes, preventing worsening, treating the underlying … Continue reading
Are Orthostatic Vital Signs Helpful in the ED?
There is some confusion, disagreement, and misunderstanding surrounding orthostatic vitals in the ED. Older patients have a high rate of incidentally-found positive orthostatic vital signs, typically because of heart-rate changes. So emergency physicians may be reluctant to request orthostatics. However, … Continue reading
How to Reverse Oral Anticoagulants
The number of new oral anticoagulants has grown dramatically in the last few years. And with that growth has come the need for new reversal agents. Reversing anticoagulation in patients with acute intra-cranial hemorrhages can be complex and dependent on … Continue reading
Diagnosing and Managing Delirium in Older Adults
Welcome to GEMCAST! In this inaugural episode, first published 09/2015, Kevin Biese talks us through some practical tips for preventing, identifying, and managing delirium in older adults in the Emergency Department.Delirium is incredibly common among older adults in the ED, … Continue reading
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