Archive

Medical Category: 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

Comparison of IM Midazolam, Olanzapine, Ziprasidone and Haloperidol for Behavioral Control

Background: Emergency providers frequently care for agitated patients ranging from restlessness to verbally and physically aggressive. Agitation is a symptom, not a diagnosis and these patients require careful evaluation to rule in or out serious medical conditions. Unfortunately, the agitation itself ...

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Psychiatry/Behavioral Health

Is Ketamine Contraindicated in Patients with Psychiatric Disorders?

Background: In recent years, ketamine use has dramatically increased in the Emergency Department (ED). There are four major indications for the use of ketamine in the ED: analgesia with low dose ketamine (LDK), induction for rapid sequence intubation, procedural sedation ...

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Psychiatry/Behavioral Health

Chemical Sedation of the Agitated Patient

Background: Acutely agitated and aggressive patients have become an unfortunate commonality in emergency departments throughout the world.  They are often the most difficult patient encounters during a shift. Initially, when these patients’ present, medical providers are trying to figure out the ...

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Psychiatry/Behavioral Health
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