ALiEM

OCTOBER 30, 2024

We have certainly seen patients who have pain which is controlled and still have psychomotor agitation and sympathetic activation, leading some to require ICU admission for dexmedetomidine and/or ketamine infusion. Multimodal medication options for fentanyl-xylazine withdrawal management in London et al. mg IVP Tizanidine 4 mg PO 0.15

E-9-1-1 161

E-9-1-1 Naloxone Emergency Department ALS 161

ACEP Now

DECEMBER 10, 2023

Though paramedics administered naloxone, he remained somnolent. You ultimately begin a slow naloxone infusion and admit him to the medical ICU. You question yourself for ordering IV potassium and starting a naloxone infusion, knowing you are causing discomfort for the patient who has known significant cancer-related pain.

Naloxone 52

Naloxone Life Support Paramedic ALS 52

EMDocs

JUNE 27, 2024

mg q20-30 min per dose) PRN naloxone in case of respiratory depression Some patients have SCD crises pain plan for reference Antimicrobials 11 Ceftriaxone + azithromycin if penicillin allergy for both children and adults. Alkindi S, Al-Busaidi I, Al-Salami B, Raniga S, Pathare A, Ballas SK. C or 100.4 mg/kg, max 0.4

E-9-1-1 97

E-9-1-1 ICU ACS EMS 97

Core EM

JANUARY 16, 2025

It is true, someone finally did an RTC on ICU level patients and found that first pass success IS better with VL than DL (Prekker 2023), but the fact remains that sometimes VL fails. naloxone), the person is likely to get intubated. et al (2022). Baker JB, et al. Blunt, MC, et al. Apfelbaum, J. Asai T, Morris S.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130

Don't Forget the Bubbles

JULY 5, 2023

Naloxone (opioid antidote) should be available in ED in case of severe respiratory depression. They should be admitted to hospital in case of clinical deterioration to receive ICU treatment. This treatment is usually done in the ICU setting. Macharia AW et al. Sinkin JC, Wood BC, Sauerhammer TM, et al. Ware et al.

E-9-1-1 126

E-9-1-1 ACS OR ICU 126