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IBCC chapter & cast: Delirium
Delirium occurs in about half of critically ill patients. Some fairly simple measures may reduce the risk of delirium. When it occurs, delirium is a diagnostic challenge because occasionally it can be a sign of undiagnosed underlying illness. Treatment is challenging, with little evidence to support most of the standard therapies.
Tox and Hound – Twisted Interactions
by Andrew Stolbach I. Depolarization Medicine should center on the patient, so I start this story with an anonymous person dropping dead.1 Perhaps this person first heard about the medication from a friend who raved about his new allergy pill. Then, the day of a routine doctor’s appointment, our patient saw an advertisement for […]
COMM CHECK: Sterile Cockpit
Post is coauthored by Ashley Keiler-Green MD, EM/Critical Care Attending, University of New Mexico School of Medicine This post is part of the COMM CHECK series on communication during resuscitation. Silence is a source of great strength -Lao Tzu The Sterile Cockpit Communication is a key aspect of safe and efficient task execution in all high-risk […]
PulmCrit: No more antipsychotics for delirium? Not so fast!
Recently the MINDS-USA trial evaluated the use of haloperidol or ziprasidone for delirium in critical illness. Before jumping into the results of this study, it will help to establish a couple of foundational principles.