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A 5-Step Approach to the Agitated Patient

By Anton Helman, MD, CCFP(EM), FCFP | on November 16, 2018 | 1 Comment
EM Cases
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Explore This Issue
ACEP Now: Vol 37 – No 11 – November 2018

Pages: 1 2 3 4 | Single Page

Topics: Difficult-to-Sedate PatientsSedationViolent Patients

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About the Author

Anton Helman, MD, CCFP(EM), FCFP

Dr. Helman is an emergency physician at North York General Hospital in Toronto. He is an assistant professor at the University of Toronto, Division of Emergency Medicine, and the education innovation lead at the Schwartz/Reisman Emergency Medicine Institute. He is the founder and host of Emergency Medicine Cases podcast and website (www.emergencymedicinecases.com).

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One Response to “A 5-Step Approach to the Agitated Patient”

  1. November 25, 2018

    TIM Quigley D PETERSON Reply

    Thanks Anton.

    One comment on ketamine after thirty years experience with it. 5mg/kg is a huge dose. 2mg/kg or 3mg/kg almost always works with my EMS providers. The time frame for ED doc to reassess is also shortened. I suggest a dose range like 3-5mg/kg.
    It’s funny that the ED docs complain when EMS “oversedates,” but remain silent when THEY order the medication and the patient is drowsy longer.
    tqp

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