ED Patients (non pregnant <65 yrs) With Severe Agitation - ACEP policy
Use droperidol/midazolam combo
If a single agent → droperidol
If no droperidol → atypical antipsychotic (eg olanzapine)
When safety calls for immediate sedation → KETAMINE
https://t.co/8jECiyALrV
@iceman_ex elevation in lactate means the epinephrine is working.
lactate is a fuel for the heart.
unless there is profound/refractory metabolic acidosis, would continue with epinephrine.
blog:
https://t.co/I49OkzvPJ3
@MicieliA_MD@MedFactChecks Personally I try to involve the patient in defining what is disabling to them during a risk benefit discussion if possible, usually seems to work well.
Trying to find if there's any evidence base for giving prophylactic levetiracetam for traumatic SDH. Not coming up with much @TheSGEM@srrezaie@docbotjeffrey@EMNerd_