Posts from the ‘sedation’ Category
WARNING : CONTENT INCLUDES GRAPHIC VIDEO OF RESTRAINT IN A PRISON CELL
A prospective observational study of midazolam and droperidol for pre-hospital acute behavioural disturbance
Brilliant prehospital research from Queensland once again that will likely change practice in other states. Just like what we did with ketamine in aeromedical retrieval!
This post is based on a talk prepared by Dr Andrew Weatherall for the South African Society of Anesthesiologists Congress for 2017 held in Johannesburg. As invited faculty I think when they first offered this the plan was to do sedation in the dental chair. Which I’ve never done. And this is for a refresher […]
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.