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The Confusion Assessment Method (CAM) is a diagnostic tool developed to allow physicians and nurses to identify delirium in the healthcare setting. [1] It was designed to be brief (less than 5 minutes to perform) and based on criteria from the third edition-revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R).
The recommended tools are preschool and pediatric Confusion Assessment Methods for the ICU (ps/pCAM-ICU) or the Cornell Assessment for Pediatric Delirium (CAPD) as the most valid and reliable delirium monitoring tools in critically ill children or adolescents. [72] More emphasis is placed on regular screening over the choice of tool used.
A large, high quality (STARD-compliant) diagnostic randomized controlled trial comparing the 4AT and the Confusion Assessment Method (CAM) found that the 4AT had higher sensitivity and similar specificity to the CAM. [38]
A research study of 400 adult patients emerging from general anesthesia in the PACU were assessed for delirium using the Confusion Assessment Method for the ICU (CAM-ICU) found rates of emergence delirium of 31% at PACU admission with rates declining to 8% by 1 hour. [11]
The method is so widespread that it has been glamorized in film and TV procedurals such as "Law and Order": a tough and driven detective goes into "the box," as interrogation rooms are sometimes ...
As such, she developed the Confusion Assessment Method as a new tool for the identification of delirium in 1990, now the most widely used tool for identification of delirium worldwide. [7] In 1999, she published a landmark study in the New England Journal of Medicine demonstrating a 40% reduction in delirium using a multi-component non ...
Her assailant strangled her nearly unconscious twice. Morgan Metzer: It's the worst feeling in the world to think you're dying. And you feel like you're going to be tortured beforehand.
But the boy’s death haunts him, mired in the swamp of moral confusion and contradiction so familiar to returning veterans of the wars in Iraq and Afghanistan. It is what experts are coming to identify as a moral injury: the pain that results from damage to a person’s moral foundation. In contrast to Post-Traumatic Stress Disorder, which ...