Archive

Medical Category: Psychiatry/Behavioral Health

Rapid Agitation Control With Ketamine in the Emergency Department

Background/Introduction: Emergency department management of severe psychomotor agitation presents a unique challenge due to the undifferentiated nature of patient presentations, need for situational awareness, necessity for rapid sedation, all while ensuring safety and efficacy. Commonly used agents include a combination of ...

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Psychiatry/Behavioral Health

Droperidol Reigns Supreme

Background: Emergency Medicine clinicians must be adept in the management of the agitated patient. While verbal de-escalation techniques should be attempted, they are often inadequate. The next option after attempts at verbal de-escalation is chemical restraint with medications to help ...

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Psychiatry/Behavioral Health

New Opioid Use After Invasive Mechanical Ventilation and Hospital Discharge

Background Information: Physicians have and continue to heavily contribute to the current opioid epidemic in the United States and Canada.1 Although much of the focus has been opioid prescriptions given to patients in the emergency department,2,3 not much attention has ...

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Psychiatry/Behavioral HealthToxicology

The Evolution of Ketamine for Severe Agitation

EMS rolls in with a 28 year-old male brought in for severe agitation after being found smashing glass bottles in the street. As police approached him, he cut himself with the broken glass and was bleeding significantly, though they could ...

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Psychiatry/Behavioral Health

Delirium in Critical Illness: Haloperidol vs Ziprasidone?

Background Information: Delirium is defined as an acute disorder of consciousness which can occur in up to 80% of mechanically ventilated ICU patients.1-5 This acute cognitive dysfunction is associated with prolonged hospital stay, increased mortality, longer periods of mechanical ventilation and long-term ...

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Psychiatry/Behavioral Health

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