Background: Interhospital transfers are shown to be associated with increased length of stay (LOS), mortality, and discharge to facility.[1,2] Delirium has been associated with similar outcomes.[3] Our prior data showed that interhospital transfers had 1.91 times the risk of delirium when compared to ED admissions. We hypothesized that an interaction between admission source, namely interhospital [...]

Case Presentation: A 62-year-old male with hypertension, CAD s/p CABG, atrial fibrillation on oral anticoagulation, type 1 diabetes s/p pancreatic and renal transplant in 1999 on maintenance Tacrolimus and Mycophenolate presented to the ED complaining of severe headache and confusion. He was very agitated and unable to follow commands. At one point, he was sitting [...]