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Dissociative Amnesia01:21

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Dissociative amnesia is a complex psychological condition that manifests as an inability to recall personal information, often tied to traumatic or stressful events. Unlike general amnesia, individuals with this condition retain the ability to perform routine activities and procedural tasks, such as operating a phone or navigating public transportation, yet experience profound gaps in autobiographical memory. These lapses may encompass significant life events, such as suicide attempts or...
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Dissociative Disorders01:27

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Dissociative disorders represent complex psychological conditions characterized by disruptions in consciousness, memory, identity, or perception. These disruptions cause individuals to experience a disconnection from their thoughts, emotions, and memories. The phenomenon is not merely an occasional lapse in attention but a profound alteration in mental functioning that can severely impact daily life.
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
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Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
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Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
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Updated: Mar 8, 2026

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Emergency Department Fugue.

Bonnie Salomon1

  • 1Department of Emergency Medicine, Lutheran General Hospital, Park Ridge, IL.

Annals of Emergency Medicine
|February 1, 2017
PubMed
Summary

Fugue, a rare dissociative disorder, can present in emergency departments. Early recognition and diagnosis are crucial for effective patient management and treatment strategies.

Area of Science:

  • Neurology
  • Psychiatry
  • Emergency Medicine

Background:

  • Dissociative fugue is a rare neurological and psychiatric condition.
  • It is characterized by sudden, unexpected travel away from home or customary surroundings.
  • Patients often experience amnesia for their identity and past events.

Purpose of the Study:

  • To highlight the presentation of dissociative fugue in an emergency department setting.
  • To emphasize the importance of considering psychiatric disorders in patients with unexplained altered mental status.
  • To discuss the diagnostic challenges and management approaches for fugue states.

Main Methods:

  • Case report presentation.
  • Review of clinical presentation and diagnostic considerations.

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  • Discussion of differential diagnoses.

    • Main Results:

    • The case illustrates a patient presenting with fugue symptoms in the emergency department.
    • Diagnostic challenges include differentiating fugue from other causes of altered mental status.
    • Prompt psychiatric evaluation is essential.

    Conclusions:

    • Dissociative fugue, though rare, must be considered in emergency medicine evaluations.
    • A thorough history, physical examination, and psychiatric assessment are key to diagnosis.
    • Appropriate management involves addressing the underlying psychological distress and ensuring patient safety.