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In the Emergency Department, some patients present very acutely and aggressively agitated. This is usually the result of illicit drug use or a schizophrenic who hasn't been taking medications (or both!). Fortunately, we have an arsenal of medications to help sedate the patient, as reviewed in a previous Tricks of the Trade post . One study looked to answer the question of what single IM sedation agent is most effective, as measured by the shortest time to sedation and time to arousal. [ MS Word ] [ PDF ] Reference Nobay F, Simon B, Levitt M, Dresden G. A Prospective, Double-blind, Randomized Trial of Midazolam versus Haloperidol versus Lorazepam in the Chemical Restraint of Violent and Severely Agitated Patients Academic Emergency Medicine. 2004, 11(7): 744-9. DOI: 10.1197/j.aem.2003.06.015 |
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Haldol, Ativan, and Versed... oh my.