CPCP: A Primer on Neuroleptic Malignant Syndrome by the Medical Students

Pablo Kollmar M4

Pablo Kollmar M4

Paul Meirick M4

Paul Meirick M4

Here’s another excellent CPCP by a pair of medical students, Paul Meirick, who’s interested in internal medicine and Pablo Kollmar, who’s interested in anesthesia. They both matched in their chosen residency programs so, congratulations! they also contributed the Epic Delirium Order Set slide for the screensaver post, the one with the 4-armed character. They worked hard, helping us change the world of medicine, a little bit at a time!Delirium order set pablopaul

Their presentation is about neuroleptic malignant syndrome (NMS). Nowadays, NMS is considered a medication-induced variety of malignant catatonia. As I’ve indicated in other posts, NMS and catatonia can also possibly be considered a behavioral subtype of delirium. It’s also been recorded elsewhere that a low serum iron might be helpful in differentiating NMS from serotonin syndrome.

Psychiatric consultants are often called to help manage NMS, partly because one of the best treatments for it is electroconvulsive therapy (ECT), which can be lifesaving. This can be a logistically and legally difficult treatment to apply in many jurisdictions, partly related to stigma against it.

Because it can be difficult to diagnose NMS, it can be helpful to contact the Neuroleptic Malignant Syndrome Information Service for additional guidance.

In order to see the picture galleries of photos or powerpoint slides, click on one of the slides, which will open up the presentation to fill the screen. Use the arrow buttons to scroll left and right through the slides or up and down to view any annotations.

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