Hi there, I'm Prerak Juthani - a third year internal medicine resident at Stanford! I always struggling with understanding the nuances of delirium and how exactly to be diagnose and treat it. This video is my way to address these nuances. From understanding what it is and how to diagnose it using the CAM method, to exploring the importance of early recognition and insights from the MIND-USA trial, this video provides a comprehensive overview. I’ll also cover the basics of clinical trial design and share practical, evidence-based strategies for managing delirium effectively in the hospital setting. Whether you're a healthcare worker, medical student, or just curious about delirium, this video is packed with useful takeaways! Different ways to connect with me (so sorry in advance it takes me a bit to respond since residency is destroying my time haha): - LinkedIn (publications, professional stuff I'm up to!): https://www.linkedin.com/in/prerakjuthani - Twitter (my random thoughts and love of econ/medicine memes): https://x.com/PJuthani - IG (literally me being extra af): https://www.instagram.com/prerakcity/?hl=en - Snapchat (literally me being extra af): @prerakcity - Tiktok: https://www.tiktok.com/@prerakjuthani - My Board Game: www.reactgame.com - My Podcast: https://podcasts.apple.com/us/podcast/red-white-brown/id1505136595 Here are some of my more popular videos: - Anki: All You Will Ever Need PLAYLIST: https://www.youtube.com/playlist?list=PLoRUsKSPCHAYv6OnDZQnb_TjGn6WGIpud - How to Make Anki Cards from Med School Lectures (Part 1): https://www.youtube.com/watch?v=ye89MBXPPws&list=PLoRUsKSPCHAYv6OnDZQnb_TjGn6WGIpud&index=14&t=47s 5 HUGE Limitations of ANKI (...And How to Get Around Them!): https://www.youtube.com/watch?v=nMHU_mu_elU&list=PLoRUsKSPCHAYv6OnDZQnb_TjGn6WGIpud&index=29 - How to EFFECTIVELY CRAM Using Anki (College Classes + Med School): https://www.youtube.com/watchv=8w47pZtFCs0&list=PLoRUsKSPCHAYv6OnDZQnb_TjGn6WGIpud&index=30 - 5 SIMPLE Ways to UP Your Anki Game! (EVERYTHING You Need; Strategies for ALL Subjects): https://www.youtube.com/watchv=1RfrWC9oq8M&list=PLoRUsKSPCHAYv6OnDZQnb_TjGn6WGIpud&index=31 TIME STAMPS: 00:00-00:28 - Introduction and Who I Am! - Internal Medicine Resident at Stanford; Medical School (MD/MBA) from Yale - Interested in Medical Education and Hospitalist Medicine 00:29-02:14 - What is Delirium? (And Different Subtypes!) Delirium is a sudden and severe disturbance in mental function that causes confusion, reduced awareness of the environment, and an inability to focus, think clearly, or understand what's happening. It develops quickly, often over hours to days, and is usually temporary, though it can persist if the underlying cause isn't treated. 02:15-03:06 - What is the CAM Method for Diagnosing Delirium? - The Confusion Assessment Method (CAM) is a widely used tool to diagnose delirium at the bedside. It is simple, quick to administer, and highly reliable when performed by trained healthcare workers. I got over the basics in this video! 03:07-04:36 - Why is Recognizing Delirium Important? (w/ Brief Insight into the MIND-USA Trial) - Increased Risk of Death: Delirium is associated with a higher risk of mortality, especially in hospitalized patients and older adults. - Complications: Untreated delirium can lead to falls, aspiration, pressure ulcers, and prolonged immobility. - MIND-USA Trial - Ziprasidone (second generation antipsychotic) and Haldol (first generation antipsychotic). 04:37-7:52 - Understanding Clinical Trails 101 (MIND-USA Trial) - The basics of understanding clinical trial design is included here and we also go over what this means in terms of delirium management! 07:53 -08:39 - Next Steps (After Take-Aways of this Clinical Trial!) 08:39 -10:27 - What is the BEST Way to Treat Delirium? - You'll be surprised to learn the answer is actually a lot of things that are VERY easy to implement in the hospital.