Ketamine reduces the need for intubation in patients with acute severe mental illness and agitation requiring transport to definitive care: An observational study
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 […]
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.
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.
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 […]
Remember 2 Things: How to monitor violent, restrained patients https://t.co/2ZKw0LAS6b
— Minh Le Cong (@ketaminh) July 6, 2016
— EMS1 (@EMS1) May 24, 2016
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.…