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Confusion et al

Confusion et al. =. Confusion Corner. Delirium. Classic Mnemonic. AEIOU TIPS A alcohol E endocrinopathy, encephalopathy , electrolytes I insulin Diabetes O oxygen, opiates U uraemia T Toxins I infection P psychogenic

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Confusion et al

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  1. Confusion et al

  2. =

  3. Confusion Corner

  4. Delirium

  5. Classic Mnemonic AEIOU TIPS • A alcohol • E endocrinopathy, encephalopathy , electrolytes • I insulin Diabetes • O oxygen, opiates • U uraemia • T Toxins • I infection • P psychogenic • S seizure, syncope, space occupying lesion

  6. Structural

  7. Metabolic / Systemic

  8. Assessment • Blood Tests arterial blood gas/ glucose FBC, EUC, LFT, Clotting, TFT toxicology studies blood cultures • Radiological Investigations CT Brain Remember it is unsafe to send a patient with an unprotected airway to the CT scan

  9. Systemic vs intracranial*

  10. Confused Geriatric Patient Treat with dignity Don’t be confrontational when communicating Get a relative to talk and listen Leave the light on Make sure they cant fall Don’t dismiss as “normal for them”

  11. FOAM = Free Open Access Medical Education • www.lifeinthefastlane.com • www.emergencypedia.com • www.injectableorange.com

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