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Posts from the ‘agitation’ Category

Ketamine reduces the need for intubation in patients with acute severe mental illness and agitation requiring transport to definitive care: An observational study

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Ketamine reduces the need for intubation in patients with acute severe mental illness and agitation requiring transport to definitive care: An observational study

Victorian prehospital chemical restraint 2017 update

It’s time for another post on everyone’s favourite drug: ketamine! Hooray! Ok, so this is not entirely about ketamine, but ketamine does come into it. AV paramedics have recently received training to administer IM ketamine to agitated patients as part of a greater focus on paramedic safety when managing these situations(MICA paramedics have had ketamine for […]

via Just Kalm Down! — AmboFOAM

Editors note : I find it surprising given the Australian research published on acute behavioural disturbance and updated guidelines in Queensland and NSW recently, that droperidol is not included in these latest Victorian Ambulance protocols. Why it has not replaced midazolam given its superior safety profile in the research, is baffling. And when its written that mild – moderate agitation can be managed with “a little midazolam”, I would suggest an oral agent is likely just as effective in this situation than a needle.

 

Chemical restraint should not be lethal injection

PHARM Podcast 164 VerSed gives you Cred in Victoria

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A little bit of this and a little bit of that..

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PHARM Podcast 163 Better Dead than VerSed Or How We ditched Midazoslam in Queensland for chemical restraint

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Pronounced VER – SED (propietary name of Midazolam)

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Surviving Sedation – a cautionary ketamine tale

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PHARM Podcast 156 Surviving Sedation 2016 guidelines

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Surviving Sedation Guidelines 2016 update

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PHARM Podcast 152 Nursing the Acutely agitated patient with Kirra Parks

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Disruption, Danger, and Droperidol: Emergency Management of the Agitated Patient — Intensive Care Network

The role of physical and chemical restraints, neuroleptics, benzodiazepines, and ketamine, and the diagnostic and therapeutic priorities for the acute care provider. The post Disruption, Danger, and Droperidol: Emergency Management of the Agitated Patient appeared first on Intensive Care Network.

via Disruption, Danger, and Droperidol: Emergency Management of the Agitated Patient — Intensive Care Network

Things That Come Afterwards — Songs or Stories

The bit at the start is controlled. Mostly. The bit at the end is more at the mercy of other things. Dr Andrew Weatherall has a practical review on emergence delirium. In showbusiness there is apparently a saying that you should never work with animals or children. I guess the theory is that both kids and […]

via Things That Come Afterwards — Songs or Stories

Remember 2 Things: How to monitor violent, restrained patients

 

Ketamine for agitation: a key cog in the prehospital treatment armamentarium wheelhouse

Ketamine for agitation: a key cog in the prehospital treatment armamentarium wheelhouse

Study: Ketamine found more effective for treating highly-agitated patients during transport

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Acute Behavioural Disturbance — St.Emlyn’s

St.Emlyn's – Meducation in Virchester #FOAMed A 31 year old gentleman is wheeled into your resuscitation room by two paramedics and four police officers. You were pre-alerted five minutes ago that you would be receiving an agitated man who was found in the street acting aggressively. The police tell you they found evidence of cocaine use.…

via Acute Behavioural Disturbance — St.Emlyn's