Sedation for combative patients

• Previous message: Sedation for combative patients
• Next message: excited delirium
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

may if possible to give us more information about the dose and onset or optimum time for intubation. Just to catagorize the type of sedation-dgree



Dr. Gamal Ejaimi.Anaesthesiologist and Intensivist.             Gadarif University            Faculty of Medicine00249912323439gamalejaimi at hotmail.com

----------------------------------------
> To: trauma-list at trauma.org
> Subject: Re: Sedation for combative patients
> Date: Fri, 8 Aug 2008 14:09:23 -0400
> From: msmaltini345 at aol.com
> 
> we have found Versed to work well for preintubation sedation and post 
> intubation compliance.
> 
> 
> -----Original Message-----
> From: Sarah CAllier <sarah_callier at yahoo.com>
> To: Trauma & Critical Care mailing list <trauma-list at trauma.org>
> Sent: Fri, 8 Aug 2008 10:34 am
> Subject: Re: Sedation for combative patients
> 
> 
> 
> Versed is the main medication that i am trying to get to carry in our 
> service.
> We have to present several medications to the Medical director. I think 
> through
> my research that this would be a good medication but the administrators 
> think
> ativan is better. The problem with ativan is that it needs to be 
> refrigerated
> and we do not at this time have our trucks equipped for this.
> 
> --- On Fri, 8/8/08, Jules <jkaymdc at aim.com> wrote:
> 
> From: Jules <jkaymdc at aim.com>
> Subject: Re: Sedation for combative patients
> To: "Trauma &, Critical Care mailing list" <trauma-list at trauma.org>
> Date: Friday, August 8, 2008, 7:54 AM
> 
> Unfortunately, no, although it is one I'm pushing for. However,
> administration and onset of action would still be difficult and fairly 
> long
> in this setting. Excited delirium is becoming (or maybe always has 
> been) one
> of the biggest scene safety issues for medics, IMO...with the things 
> people
> are lacing their recreational drugs with...IS there a chemical restraint
> that will be immediately effective? How can it be administered 
> safely...both
> for the patient and the medic?
> 
> Jules
> 
> On Fri, Aug 8, 2008 at 7:32 AM, <msmaltini345 at aol.com> wrote:
> 
> > do you carry versed?
> >
> >
> > -----Original Message-----
> > From: Jules <jkaymdc at aim.com>
> > To: Trauma &amp, Critical Care mailing list
> <trauma-list at trauma.org>
> > Sent: Thu, 7 Aug 2008 6:24 pm
> > Subject: Re: Sedation for combative patients
> >
> >
> >
> > i would also be interested in this information. A week ago I was 
> involved
> > in
> > a call for a "trauma" although the individual had driven the
> pick-up into
> > the ditch at a slow speed..no damage to the vehicle. However, the 
> person
> > was
> > showing signs of "meth" use (possible OD), had experienced a
> seizure and
> > was
> > at this time extremely violent, swinging at me and LE each time we
> > attempted
> > to calm him.
> >
> > The only medication I had available was Valium...IM of course, which 
> was
> > like spitting in the wind.
> >
> > In the end he was tased 5 times, had received a total of 5 valium IM, 
> 5
> > Valium IV, 4 Ativan IV, and 5 Haldol IM (between pre hospital and
> hospital)
> > before he was controlled.
> >
> > Suggestions?
> >
> > Jules
> >
> > On Thu, Aug 7, 2008 at 4:39 PM, Sarah CAllier <sarah_callier at yahoo.com
> > >wrote:
> >
> >  What is your openion on the sedation of combative patients? I am
> >>
> > involved
> >
> >> in a protocal commitie for EMS, We are looking at establishing
> >>
> > protocals to
> >
> >> allow the sedation of combative patients. Pt's that would fit into
> the
> >> catagory for this treatment would be Psychiatric patientswho are
> >>
> > violent and
> >
> >> pose a threat to themselves to the Police and to EMS providers. We
> >>
> > will have
> >
> >> strict guidelines for the administration of the medications. We are
> >>
> > looking
> >
> >> at using Versed Ativan and possibly the use of Droperidol. We are 
> also
> >> looking at the possibility of sedation for RSI and for combative
> >>
> > trauma
> >
> >> patients. Any openions on what is better?
> >>
> >>
> >>
> >> --
> >> trauma-list : TRAUMA.ORG
> >> To change your settings or unsubscribe visit:
> >> http://www.trauma.org/index.php?/community/
> >>
> >>  --
> > trauma-list : TRAUMA.ORG
> > To change your settings or unsubscribe visit:
> > http://www.trauma.org/index.php?/community/
> >
> > --
> > trauma-list : TRAUMA.ORG
> > To change your settings or unsubscribe visit:
> > http://www.trauma.org/index.php?/community/
> >
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
> 
> 
> 
> 
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
> 
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/

_________________________________________________________________
اتصل بالأصدقاء باستخدام اتصال كمبيوتر إلى كمبيوتر -- مجانًا
http://get.live.com/messenger/overview

• Previous message: Sedation for combative patients
• Next message: excited delirium
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]