The link above takes the reader to the Academy of Psychosomatic Medicine (APM) web site’s first in a series of clinical monographs, this one about delirium. You get the complete and unvarnished skinnny on the evidence base on evaluation and treatment of delirium, with up to date references and the strength of evidence in support of interventions. You can view this in web-based or pdf versions and, in my opinion, it is a “must have” item in your list of resources in the war on delirium. The item about the ICU study using intravenous Haloperidol to prevent delirium is especially intriguing. I would just remind the reader that there are risks to using IV Haloperidol and they include cardiac conduction abnormalities, e.g., torsades de pointe, which can degenerate into potentially life-threatening ventricular arrhythmias.
And don’t forget the APM Annual Meeting in Atlanta, Georgia in November 2012 (APM 2012 Annual Meeting). The theme is Bioethics at the Interface of Psychiatry and Medicine. I hope to see you there.