El Ali Jalal, Coufal Pavel, Engvall Christian, Hellström Vogel Åslög
specialistläkare i akutsjukvård, ST-läkare, VO anestesi och intensivvård, , Helsingborgs lasarett.
specialistläkare i akutsjukvård , iDoc Läkarbilar.
Lakartidningen. 2024 Mar 25;121:23080.
Patients who present to the Emergency Department with altered mental status may suffer from serious, time-sensitive conditions where appropriate initial management improves prognosis. The differential diagnoses of altered mental status is broad and the assessment is complicated by the patient's inability to provide a detailed history. This article presents a systematic approach to patients with altered mental status in the Emergency Department. Data from a structured physical examination and bedside tests are interpreted in light of the medical background and available history. A checklist is recommended to consider key time-sensitive conditions. The article covers the emergency treatment of selected time-sensitive conditions and provides guidance for when head CT-scan is warranted.
因精神状态改变而前往急诊科就诊的患者可能患有严重的、对时间敏感的疾病，恰当的初始治疗可改善预后。精神状态改变的鉴别诊断范围广泛，且患者无法提供详细病史使评估变得复杂。本文介绍了一种针对急诊科精神状态改变患者的系统方法。根据医学背景和现有病史对结构化体格检查及床旁检查的数据进行解读。建议使用清单来考虑关键的对时间敏感的疾病。本文涵盖了部分对时间敏感疾病的紧急治疗，并为何时进行头部CT扫描提供指导。
