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Nebulized Ketamine for Analgesia in the Prehospital Setting

Handtevy

The study, conducted by Casey Patrick, Michael Smith, Zubaid Rafique, Kelly Rogers Keene, and Xavier De La Rosa, explores the use of nebulized ketamine for pain management in an urban, ground-based emergency medical services (EMS) system. The average time from ketamine administration to ED arrival was approximately 23 minutes.

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PEM Currents – Agitation in Children – Episode 5: The Boarded ED Patient

EMDocs

Podcast: Play in new window | Download (Duration: 13:57 — 19.2MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Management of the child with mental health problems who is boarding in the ED In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

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PEM Currents – Agitation in Children – Episode 4: Safe prehospital transport

EMDocs

There are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. NASEMSO: Clinical care and restraint of agitated or combative patients by emergency medical service practitioners. Prehosp Emerg Care.

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PEM Currents – Agitation in Children – Episode 3: Pharmacologic Management

EMDocs

The fourth episode in this series will shift gears and talk about safely transporting children to the ED via prehospital services. Haloperidol (Haldol) – 0.5-5 5 mg PO; 0.05-0.15 mg/kg IM (up to 5 mg/dose) Chlorpromazine (Thorazine) – 0.55 mg/kg/dose (PO/IM) Droperidol – 0.03-0.07

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PEM Currents – Agitation in Children – Episode 2: Non-Pharmacologic Management

EMDocs

But what about the patient who is agitated, and is a potential danger to themselves or to the ED staff? This need for 1-on-1 observation is a major challenge for EDs and health care systems from a staffing standpoint. Do we Redirect? Patient that are agitated should always be treated with dignity and respect.