急诊实践中的精神状态检查。

The mental status examination in emergency practice.

作者信息

Koita Jasmine, Riggio Sylvana, Jagoda Andy

机构信息

Department of Emergency Medicine, Mount Sinai School of Medicine, One Gustave Levy Place, Box 1620, New York, NY 10029, USA.

出版信息

Emerg Med Clin North Am. 2010 Aug;28(3):439-51. doi: 10.1016/j.emc.2010.03.008.

DOI:10.1016/j.emc.2010.03.008

PMID:20709237

Abstract

A systematic approach to assessing mental status in the emergency department is key to identifying alterations in mental status and to directing diagnostic testing and management. After initial stabilization of the patient, it is critical to assess a patient's alertness, attention, and cognition, and perform a brief psychiatric assessment to fully evaluate a patient with mental status changes. This article offers an approach to allow better management of a patient with altered mental status.

摘要

在急诊科评估精神状态时采用系统方法，对于识别精神状态改变以及指导诊断性检查和治疗至关重要。在对患者进行初步稳定处理后，评估患者的警觉性、注意力和认知能力，并进行简短的精神科评估以全面评估精神状态改变的患者，这一点至关重要。本文提供了一种方法，以便更好地处理精神状态改变的患者。