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

EMDocs

Protocols Every EMS agency should have protocols for dealing with agitated or violent patients. We’re defining “protocol” here as a written document that provides oversight from the medical director about how to assess and treat patients. Sometimes these can also be referred to as guidelines, standing orders, policies, or procedures.

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

EMDocs

I liken an anxiolytic or agitation med to taking medicine for pain – “we are not drugging you” we want to help you feel better. Holding down and giving a “shot” is traumatic. Many drugs have oral forms – some rapid dissolving (olanzapine) that can be quite effective. mg/kg/dose (PO/IM/IV) Midazolam – 0.25-0.5 mg/kg/dose PO; 0.2-0.3

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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? Do we Redirect? Patient that are agitated should always be treated with dignity and respect. This entails utilizing the least invasive non-pharmacologic means of assisting them, before moving to physical or chemical restraints.

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Infection and DKA, then sudden dyspnea while in the ED

Dr. Smith's ECG Blog

Patient stated that he has had glucose over 400 even though he has not missed any doses of insulin. Aslanger's is a combination of inferior OMI with widespread ST depression and is due to BOTH occlusion of one artery (usually the circumflex, but sometimes the RCA) AND simultantous 3 vessel disease.

ED 111
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2024 ACEP Elections Preview: Meet the Board of Directors Candidates

ACEP Now

While some issues are handled locally, many issues cannot be solved in our emergency department or hospital. As a community “pit doctor,” I believe I have a good understanding of the needs of emergency physicians. Interactive webinars, advocacy campaigns, and innovative recognition programs further promote well-being.

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

EMDocs

And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department. These populations may need to be prioritized in our efforts to address this problem.

ED 52
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A Tough ECG, But Learn From It!

Dr. Smith's ECG Blog

Usefulness of automated serial 12-lead ECG monitoring during the initial emergency department evaluation of patients with chest pain. Ann Emerg Med 1998;31(1):3-11. This is but one of many examples presented in the Webinar by Drs. Smith and Meyers in the December 5, 2023 Webinar post).

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