Delir in der Notaufnahme: erkennen, vorbeugen, richtig behandeln

Delirium in the emergency room is common, relevant – and yet often overlooked. In this episode of "Never Lose the Wire," Anna Munk talks with Dorothee Riedlinger about delirium in acute and emergency medicine: How do we recognize delirium early? Which patients are particularly at risk? What triggers should we actively look for? And what really helps – beyond sedation and simply "keeping them calm"? They discuss typical risk factors, the PINCHME scheme, delirium screening with tools like 4AT and Nu-DESC, non-pharmacological measures in the emergency room, and the question of when medication even plays a role. Because delirium is not a fringe issue. It affects prognosis, complications, the course of hospital stay – and above all, the safety of our patients. Chapters: 00:00 Delirium: frequently underestimated, often overlooked 00:39 Why delirium is genuine emergency medicine 01:39 What is delirium? 02:28 Why delirium can also develop in the emergency room 03:35 Who is particularly at risk? 04:03 PINCHME: The most important triggers of delirium 06:26 Screening: actively searching instead of overlooking 07:31 Delirium treatment is a team effort 08:15 What really helps: orientation, calm, family members 10:13 Medication for delirium: when to use it, when not to 11:44 Conclusion: Recognizing delirium and treating it in the best possible way Further links: S3 guideline "Delirium in old age": https://register.awmf.org/assets/guid... Clinical Frailty Scale: https://www.dggeriatrie.de/images/Bil... PINCH ME: https://www.bgs.org.uk/end-of-life-ca... Outcomes of Older Adults with Delirium Discharged From the Emergency Department: https://pubmed.ncbi.nlm.nih.gov/40072... Contributors: Host: Anna Munk Expert: Dorothee Riedlinger Scientific Advisor: Prof. Martin Möckel Camera: Felix Bangert Post-production: Anna Hummel Publisher: Charité – Universitätsmedizin Berlin Production: "Never Lose the Wire" Team "Never Lose the Wire" is a video-based orientation aid for emergency and acute care medicine. Note: This video is intended for medical education and training. It does not replace clinical decision-making in individual cases, nor does it replace local standard operating procedures (SOPs), guidelines, or internal hospital policies. ... Contact: [email protected] #NeverLoseTheWire #NLTW #EmergencyRoom #EmergencyMedicine #AcuteMedicine #Delirium #GeriatricEmergencyMedicine #ED #EmergencyMedicine #Charité