Title: Addressing the need to diagnose and manage Pediatric Delirium – A Clinical Pathway 
Objective
1)	Consider the use of a Clinical Pathway to guide recognition and management of pediatric delirium 
2)	Collaboration between specialties and a Delirium Clinical Pathway

Pediatric Delirium is increasingly acknowledged to be highly prevalent, about 50% of critically ill youth.  This non-traumatic brain injury or final common pathway of CNS disruption by illness, medications, and other toxic metabolic stressors is associated with concerning short and long-term outcomes. The development of screening tools, new approaches to sedation, and management of critically ill children has provided new opportunities for improving care. PaCC  generated screening and intervention pathways for pediatric delirium that utilizes validated tools and evidence based recommendations for intervention where available.  Implementation of these pathways informs and emerges from collaboration between medical personnel. 

Method
Emerging research identifying prevalence of pediatric delirium and associated increased morbidity and mortality is exposing the vulnerability of the brain in our youngest patients.  There is a need for health care professionals in the ER, critical care, and those working with vulnerable populations to have guidance in recognition, prevention and management of Pediatric Delirium to improve collaboration and improve care.  These Clinical Pathways developed by expert consensus, using evidence base can help institutions develop and implement necessary, structured screening, prevention and management systems.  This pathway was developed by a team of consultation child and adolescent psychiatry experts  incorporating stakeholder feedback.
Results and Conclusion
Collaborative efforts between healthcare providers with the guidance of well designed, easy to use and widely accepted clinical pathway for delirium recognition, prevention and management may greatly facilitate consensus and evidence based approach to improve outcomes for pediatric patients. 
Given that Pediatric delirium is an important contributor to morbidity and mortality in Pediatrics a need for approaches that guide clinical and research efforts is needed.

14 - Addressing the need to diagnose and manage Pediatric Delirium – A Clinical Pathway