Sunday, February 12, 2017

Parkinson´s in the ED

Resultado de imagen de RCEM
RCEM - September 26, 2016 - By Jones 
"...People with PD rarely present purely because of PD itself. However, patients may attend ED with complications of their PD (for example falls, delirium, severe constipation or aspiration). In addition, PD may complicate the presentation and treatment of any emergency – for example pre-existing autonomic instability will make sepsis or hypovolaemia more difficult to assess, and the requirement to take regular time critical medications makes managing reduced conscious level or need for sedation/anaesthesia more difficult. Patients in ED may delay/miss their PD medication since this may not be seen as the immediate priority by ED staff. This can cause life threatening complications..."
Postural hypotension is common in PD. This may be the presenting complaint or can complicate any condition causing haemodynamic compromise.-2