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ICU Delirium and Cognitive Impairment Study Group

   Delirum overview
Delirium is confusion that comes on very fast, sometimes in just a few hours. When someone becomes delirious, it means that they can not think clearly, have trouble paying attention and are not aware of what is going on around them. Sometimes they may even see or hear things that are not really there but seem very real to them.

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Risk Factors
Study
Terminology and
Mnemonics
Assessment Implementation
of CAM-ICU
FAQ Patients and
Family
Video Video: Some common sedatives could negatively affect the brain Video Video: Dr. Valerie Page - Delirium in ICU
Video Video: 10 Key Points Tutorial Video Video: Using the CAM-ICU
Video Video: Improving the lives of people we will never meet Video Video: Using the CAM-ICU v2

ICU Delirium Assessment Resources

The following resources are instruments offered to assist in the monitoring of delirium for ICU patients. The Confusion Assessment Method for the ICU (CAM-ICU) and the Intensive Care Delirium Screening Checklist (ICDSC) are well validated delirium assessment tools that are easy to administer. Below are links to these resources in several formats (i.e. training manuals, worksheets, etc.).

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Download
The Complete CAM-ICU Training Manual 2010
A newly revised training manual including delirium Info, CAM-ICU worksheet, CAM-ICU flowsheet, detailed instructions for each feature, FAQs, case studies, and more.
Download
CAM-ICU Flowsheet 2010
The CAM-ICU presented as a newly revised algorithm.
Download
CAM-ICU Worksheet 2010
The CAM-ICU presented in a newly revised checklist form, and beneficial with initial teaching of CAM-ICU.
Download
CAM-ICU Pocket Cards 2010
Pocket card version of RASS scale and newCAM-ICU Flowsheet.
Download
pCAM-ICU Pocket Card

The Pediatric Pocket Card is a quick reference for the assessment tool. It is designed for easy access as a resource for the clinician trained in the use of the tool.
Download
Top 10 Tips for Teaching Delirium Monitoring

For resources in other languages click here.


Delirium Practice Alert
Delirium Assessment and Management. AACN

 


 

ABCDEs of Prevention and Safety

ABCDE is a standard bundle of ICU measures that include spontaneous Awakening and Breathing Coordination, attention to the Choice of Sedation, Delirium monitoring, and Early mobility and exercise. All individual components of this bundle are evidence based and can help standardize communication, improve interdisciplinary patient care, reduce mortality, and improve long-term cognitive and functional outcomes.

ABCDE Bedside Checklist
ABCDE Pocket Reference
ABCDE Education Slides
ABCDE Bundle
ABCDE Chest Article
ABCDE Crit Care Med Article
WALL STREET JOURNAL covers ABCDE
CAM-ICU Training Slides
An ICU Quality and Safety Challenge

Video Video: Middle aged man walking POD-1 following pancreatic pseudocyst drainage
Video Video: Middle aged man walking POD-4 following pancreatic pseudocyst drainage
Video Video: Elderly Parkinsonian man with pneumonia walking intubated
Video Video: 84 y/o woman with H1N1 walking on day 1 after intubation on no sedation
Video Video: PT/OT team ambulating with intubated middle aged woman
Video Video: PT/OT team ambulating with intubated young male - session 1
Video Video: PT/OT team assisiting extubated young male with ambulation and cognitive activity - session 2

 

Sedation

Increased scrutiny has recently been placed on appropriate titration of sedative and analgesic medications in critically ill patients, especially those being treated with mechanical ventilation.

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Sedation Resources Wake Up and Breathe Study
Video Improving ICU Sedation and Delirium – 2010
This presentation was originally filmed by the Institute for Healthcare Improvement (IHI) and made available through Passport.
Outcomes and reports of ICU patients

Research indicates that at least 1 in 3 survivors of critical illness will experience long-term cognitive impairment of a severity consistent with mild to moderate dementia.

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About Long Term Cognitive Impairment
Associated Outcomes
Reports of ICU Patients
Post-traumatic Stress Disorder
Patient Testimonials
The Return Home

Video Video: ARDS Patient - Survivor Story
Video Video: Long-term Neuropsychological Dysfunction
News

Flashbacks plague former ICU patients
by Dr. Daniela J. Lamas

SCCM Pod 205 CCM: New Pain, Agitation and Delirium Guidelines
by sccm.org/icriticalcare

Issues in Diagnosing Heparin-Induced Thrombocytopenia in the ICU
by CHEST

Read more news here.

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