List Archives

Thu Aug 14 01:10:57 BST 2008

something we have tried based upon the recommendations of our Pharm D is either Xyprexa or geodan.

calms folks down but does not snow so much that you have to intubate. works well on extremely violent pts. xyprexa is either po or iv and has a form that dissolves in mouth.  geodan can be given IM. both can have cardiac side effects but have never seen any.  we use frequently

RW

-----Original Message-----
From: gamal ejaimi <gamalejaimi at hotmail.com>
To: Trauma &amp; Critical Care mailing list <trauma-list at trauma.org>
Sent: Wed, 13 Aug 2008 7:21 pm
Subject: RE: Sedation for combative patients

hanks but combination of ketamine and propofol which known as Ketofol used in a 
ery small doses for each and counteract each other so pt will be 
aemodynamiclly stable and ketofol prepared as amxure in one syrnge. But I will 
onsider your point. Me I used this combination to obtain a deep 
edation/analgesia with a very excellent out come for a minor 
perations-elective and emergency.> From: trauma at emergencyunit.com> To: 
rauma-list at trauma.org> Subject: RE: Sedation for combative patients> Date: Wed, 
3 Aug 2008 21:59:29 +0100> > There is no indication for administering ketamine 
nd propofol together.> Ever. The treatment for inadequate ketamine dosage is 
ore ketamine.> > There is a considerable case for anaesthetising and intubating 
 patient who> is violent. If secondary to head injury you are preventing a 
otentially> catastrophic rise in intracranial pressure, and in the case of 
rug> 
intoxication you are protecting the airway. Sedation should only be> 
onsidered in the case of metabolic (such as thyroid storm) or untainted> 
sychosis. In the old days we gave chlorpromazine iv, now frowned on, and> 
orazepam 4mg iv repeated to effect is preferred. If you can only get im in,> 
emember that midazolam is water soluble and thus can be given im, but be> 
repared to wait a while.> > Best Wishes,> > BFM. > > -----Original 
essage-----> From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]> 
n Behalf Of gamal ejaimi> Sent: 08 August 2008 09:45> To: Trauma & Critical 
are mailing list> Subject: RE: Sedation for combative patients> > > > It is 
nteresting and some time mandatory for such patients. small doses of> combined 
etamine and propofol may be beneficial> > ----------------------------------------> 
 Date: Thu, 7 Aug 2008 14:39:35 -0700> > From: sarah_callier at yahoo.com> > 
ubject: Sedation for combative patients> > To: trauma-list at trauma.org> > > > 
hat is your openion on the sedation of combative patients? I am > > involved in 
 protocal commitie for EMS, We are looking at > > establishing protocals to 
llow the sedation of combative patients. > > Pt's that would fit into the 
atagory for this treatment would be > > Psychiatric patientswho are violent and 
ose a threat to themselves to > > the Police and to EMS providers. We will have 
trict guidelines for > > the administration of the medications. We are looking 
t using Versed > > Ativan and possibly
 the use of Droperidol. We are also 
ooking at the > > possibility of sedation for RSI and for combative trauma 
atients. Any > > openions on what is better?> > > > > > > > --> > trauma-list : 
RAUMA.ORG> > To change your settings or unsubscribe visit: > > 
http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2008-August/ttp://www.trauma.org/index.php?/community/> > _________________________________________________________________> 
ÊÕä ÈÇäÃÕÏâÇÁ ÈÇÓÊÎÏÇå ÇÊÕÇä ãåÈêèÊÑ Åäé ãåÈêèÊÑ -- åÌÇæëÇ> 
http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2008-August/ttp://get.live.com/messenger/overview> --> trauma-list : TRAUMA.ORG> To change 
our settings or unsubscribe visit:> hhttp://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2008-August/ttp://www.trauma.org/index.php?/community/> 
 --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> 
http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2008-August/ttp://www.trauma.org/index.php?/community/
________________________________________________________________
indows Live Spaces – your life, your Space. Click here to find out more.
http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2008-August/ttp://get.live.com/spaces/overview
-
rauma-list : TRAUMA.ORG
o change your settings or unsubscribe visit:
http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2008-August/ttp://www.trauma.org/index.php?/community/

List Archives

For your convenience, find the Trauma List Archive Below

Sedation for combative patients