Excited Delirium or Drug Induced Agitation - Revision history

Treloars at 14:37, 24 April 2020

2020-04-24T14:37:15Z

← Older revision		Revision as of 14:37, 24 April 2020
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	** Blood glucose level – correct as per Hypoglycemia parameter (5.10)		** Blood glucose level – correct as per Hypoglycemia parameter (5.10)
	* Provide high flow oxygen		* Provide high flow oxygen
	** All suspected excited delirium syndrome (EDS) patients '''MUST BE given high flow [[~~Medical Gases~~\|~~oxygen~~]] via NRBM at 10-15 lpm'''		** All suspected excited delirium syndrome (EDS) patients '''MUST BE given high flow [[Oxygen\|OXYGEN]] via NRBM at 10-15 lpm'''
	* Cardiac monitoring		* Cardiac monitoring
	** 3-Lead and 12-Lead ECG – monitor for dysrhythmias		** 3-Lead and 12-Lead ECG – monitor for dysrhythmias

Treloars at 13:49, 24 April 2020

2020-04-24T13:49:28Z

← Older revision		Revision as of 13:49, 24 April 2020
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	** May apply ice packs to groin, axillae and neck.		** May apply ice packs to groin, axillae and neck.
	** Move patient to the back of the rescue – turn patient area AC to cool.		** Move patient to the back of the rescue – turn patient area AC to cool.
	** Mix one [[~~Electrolytes~~\|Sodium Bicarbonate]] syringe (50 mEq) in one liter of COOLED NORMAL SALINE and infuse at a “wide open” rate. Reassess for hyperthermia and continue COOLED NORMAL SALINE as needed.		** Mix one [[Sodium Bicarbonate\|Sodium Bicarbonate]] syringe (50 mEq) in one liter of COOLED NORMAL SALINE and infuse at a “wide open” rate. Reassess for hyperthermia and continue COOLED NORMAL SALINE as needed.

	====REASSESSMENT:====		====REASSESSMENT:====

Treloars at 20:30, 22 April 2020

2020-04-22T20:30:31Z

← Older revision		Revision as of 20:30, 22 April 2020
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	====AGITATION:====		====AGITATION:====
	If patient remains severely agitated, to the point of interfering with patient care and / or becomes a physical danger to the crew’s well being, administer:		If patient remains severely agitated, to the point of interfering with patient care and / or becomes a physical danger to the crew’s well being, administer:
	* [[~~Anesthetics~~\|KETAMINE (KETALAR)]] 2 mg/kg IVP or IN OR 4 mg/kg IM x 1 dose		* [[Ketamine\|KETAMINE (KETALAR)]] 2 mg/kg IVP or IN OR 4 mg/kg IM x 1 dose
	**''If IV is already in place, may give 2mg/kg IV push x 1 dose in lieu of 4mg/kg IM dose, however ''''do not place an IV for the purpose of administering ketamine.'''' Ideal IM administration location is midline lateral thigh, however, deltoid or gluteal administration is permissible if that is the most safely accessed site.''		**''If IV is already in place, may give 2mg/kg IV push x 1 dose in lieu of 4mg/kg IM dose, however ''''do not place an IV for the purpose of administering ketamine.'''' Ideal IM administration location is midline lateral thigh, however, deltoid or gluteal administration is permissible if that is the most safely accessed site.''

Treloars at 02:19, 31 January 2018

2018-01-31T02:19:37Z

← Older revision		Revision as of 02:19, 31 January 2018
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	* '''ALL SUSPECTED EXCITED DELIRIUM patients MUST BE TRANSPORTED TO AN INITIAL RECEIVING FACILITY for further evaluation'''		* '''ALL SUSPECTED EXCITED DELIRIUM patients MUST BE TRANSPORTED TO AN INITIAL RECEIVING FACILITY for further evaluation'''

	[[Category:Medical]]		[[Category:Medical\|0520]]

Treloars: /* AGITATION: */

2017-11-20T17:35:27Z

AGITATION:

← Older revision		Revision as of 17:35, 20 November 2017
Line 60:		Line 60:
	====AGITATION:====		====AGITATION:====
	If patient remains severely agitated, to the point of interfering with patient care and / or becomes a physical danger to the crew’s well being, administer:		If patient remains severely agitated, to the point of interfering with patient care and / or becomes a physical danger to the crew’s well being, administer:
	* [[Anesthetics\|KETAMINE (KETALAR)]] 2 mg/kg IVP OR 4 mg/kg IM x 1 dose		* [[Anesthetics\|KETAMINE (KETALAR)]] 2 mg/kg IVP or IN OR 4 mg/kg IM x 1 dose
	**''If IV is already in place, may give 2mg/kg IV push x 1 dose in lieu of 4mg/kg IM dose, however ''''do not place an IV for the purpose of administering ketamine.'''' Ideal IM administration location is midline lateral thigh, however, deltoid or gluteal administration is permissible if that is the most safely accessed site.''		**''If IV is already in place, may give 2mg/kg IV push x 1 dose in lieu of 4mg/kg IM dose, however ''''do not place an IV for the purpose of administering ketamine.'''' Ideal IM administration location is midline lateral thigh, however, deltoid or gluteal administration is permissible if that is the most safely accessed site.''

Treloars: /* AGITATION: */

2017-11-20T16:56:46Z

AGITATION:

← Older revision		Revision as of 16:56, 20 November 2017
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	====AGITATION:====		====AGITATION:====
	If patient remains severely agitated, to the point of interfering with patient care and / or becomes a physical danger to the crew’s well being, administer:		If patient remains severely agitated, to the point of interfering with patient care and / or becomes a physical danger to the crew’s well being, administer:
	* [[Anesthetics\|KETAMINE (KETALAR)]] 4 mg/kg IM x 1 dose ~~(2 mg/kg IVP)~~		* [[Anesthetics\|KETAMINE (KETALAR)]] 2 mg/kg IVP OR 4 mg/kg IM x 1 dose
	**''If IV is already in place, may give 2mg/kg IV push x 1 dose in lieu of 4mg/kg IM dose, however ''''do not place an IV for the purpose of administering ketamine.'''' Ideal IM administration location is midline lateral thigh, however, deltoid or gluteal administration is permissible if that is the most safely accessed site.''		**''If IV is already in place, may give 2mg/kg IV push x 1 dose in lieu of 4mg/kg IM dose, however ''''do not place an IV for the purpose of administering ketamine.'''' Ideal IM administration location is midline lateral thigh, however, deltoid or gluteal administration is permissible if that is the most safely accessed site.''


	====SUSPECTED HYPERTHERMIA:====		====SUSPECTED HYPERTHERMIA:====

Treloars at 01:06, 1 November 2016

2016-11-01T01:06:30Z

← Older revision		Revision as of 01:06, 1 November 2016
Line 60:		Line 60:
	====AGITATION:====		====AGITATION:====
	If patient remains severely agitated, to the point of interfering with patient care and / or becomes a physical danger to the crew’s well being, administer:		If patient remains severely agitated, to the point of interfering with patient care and / or becomes a physical danger to the crew’s well being, administer:
	* [[~~Anesthetic Draft~~\|KETAMINE (KETALAR)]] 4 mg/kg IM x 1 dose (2 mg/kg IVP)		* [[Anesthetics\|KETAMINE (KETALAR)]] 4 mg/kg IM x 1 dose (2 mg/kg IVP)
	**''If IV is already in place, may give 2mg/kg IV push x 1 dose in lieu of 4mg/kg IM dose, however ''''do not place an IV for the purpose of administering ketamine.'''' Ideal IM administration location is midline lateral thigh, however, deltoid or gluteal administration is permissible if that is the most safely accessed site.''		**''If IV is already in place, may give 2mg/kg IV push x 1 dose in lieu of 4mg/kg IM dose, however ''''do not place an IV for the purpose of administering ketamine.'''' Ideal IM administration location is midline lateral thigh, however, deltoid or gluteal administration is permissible if that is the most safely accessed site.''

Treloars at 00:55, 1 November 2016

2016-11-01T00:55:05Z

@@ Line 59: / Line 59: @@
 ====AGITATION:====
-If patient remains severely agitated, to the point of interfering with patient care and / or becomes a physical danger to the crew’s well being, administer
+If patient remains severely agitated, to the point of interfering with patient care and / or becomes a physical danger to the crew’s well being, administer:
-* [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 2 – 5 mg IVP or IO or .07-.08 mg/kg IM or 5 mg IN, or [[Sedative Hypnotics|DIAZEPAM (VALIUM)]] 5-10 mg IV or IM.
+* [[Anesthetic Draft|KETAMINE (KETALAR)]] 4 mg/kg IM x 1 dose  (2 mg/kg IVP)
-* [[Sedative Hypnotics|ZIPRASIDONE (GEODON)]] based on the Behavioral Activity Rating Scale (BARS)
+**''If IV is already in place, may give 2mg/kg IV push x 1 dose in lieu of 4mg/kg IM dose, however ''''do not place an IV for the purpose of administering ketamine.'''' Ideal IM administration location is midline lateral thigh, however, deltoid or gluteal administration is permissible if that is the most safely accessed site.''

Treloars: /* SUSPECTED HYPERTHERMIA: */

2015-08-26T13:27:27Z

SUSPECTED HYPERTHERMIA:

← Older revision		Revision as of 13:27, 26 August 2015
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	** May apply ice packs to groin, axillae and neck.		** May apply ice packs to groin, axillae and neck.
	** Move patient to the back of the rescue – turn patient area AC to cool.		** Move patient to the back of the rescue – turn patient area AC to cool.
	** Mix one [[Electrolytes\|Sodium Bicarbonate]] syringe (50 mEq) in one liter of COOLED NORMAL SALINE and infuse at a “wide open” rate.		** Mix one [[Electrolytes\|Sodium Bicarbonate]] syringe (50 mEq) in one liter of COOLED NORMAL SALINE and infuse at a “wide open” rate. Reassess for hyperthermia and continue COOLED NORMAL SALINE as needed.


	====REASSESSMENT:====		====REASSESSMENT:====

Treloars: /* Section 5 -MEDICAL */

2012-04-02T01:45:23Z

Section 5 -MEDICAL

← Older revision		Revision as of 01:45, 2 April 2012
Line 120:		Line 120:
	* If applicable, consult law enforcement for assistance with transport of the unwilling / combative patient to the hospital		* If applicable, consult law enforcement for assistance with transport of the unwilling / combative patient to the hospital
	* '''ALL SUSPECTED EXCITED DELIRIUM patients MUST BE TRANSPORTED TO AN INITIAL RECEIVING FACILITY for further evaluation'''		* '''ALL SUSPECTED EXCITED DELIRIUM patients MUST BE TRANSPORTED TO AN INITIAL RECEIVING FACILITY for further evaluation'''

			[[Category:Medical]]