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SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients

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The mental status examination in emergency practice.

Jasmine Koita¹, Sylvana Riggio, Andy Jagoda

¹Department of Emergency Medicine, Mount Sinai School of Medicine, One Gustave Levy Place, Box 1620, New York, NY 10029, USA. jasmine.koita@mssm.edu

Emergency Medicine Clinics of North America

|August 17, 2010

Summary

A systematic approach helps identify altered mental status in emergency departments. This method guides diagnostic testing and patient management for better outcomes.

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Area of Science:

Emergency Medicine
Neurology
Psychiatry

Background:

Altered mental status (AMS) is a common emergency department presentation.
Timely and accurate assessment is crucial for effective management.
Systematic approaches improve diagnostic yield and patient care.

Observation:

Initial patient stabilization is a prerequisite for mental status assessment.
Key assessment components include alertness, attention, and cognition.
A brief psychiatric evaluation is essential for comprehensive assessment.

Findings:

A structured approach facilitates the identification of AMS.
This systematic method aids in directing appropriate diagnostic tests.
It supports the development of targeted management plans.

Implications:

Implementing a systematic assessment improves the care of patients with AMS.
This approach can reduce diagnostic errors and optimize treatment strategies.
Standardizing AMS evaluation enhances emergency department efficiency and patient safety.