Trauma sedation: Difference between revisions
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==Trauma== | ==Trauma== | ||
*5mg [[Haloperidol]] + [[Diphenhydramine]] 50mg IV/IM | |||
*5mg [[Haloperidol]] | |||
*5mg [[Haloperidol]] | |||
*then [[Lorazepam]] | |||
'''OR''' | |||
*[[Ketamine]] 1mg/kg IV or 5 mg/kg IM | |||
==Psych== | ==Psych== | ||
*2mg [[Benztropine]] | |||
*50mg [[Diphenhydramine]] | |||
*2mg [[Lorazepam]] | |||
==Pediatric Chemical Sedation== | |||
*[[Anti-histamine]] (first line): | |||
**[[Diphenhydramine]] at 1mg/kg/dose IM (max 50mg) | |||
*Typical [[antipsychotics]] (second line): | |||
**[[Haloperidol]] at 0.025-0.075mg/kg/dose IM (max 2.5 if < 12 years; 2-5mg if > 12 years) | |||
*Atypical [[antipsychotics]] (third line): | |||
**[[Risperidone]] at 0.01mg/kg/dose IM (typically 0.25-4mg/dose) | |||
*[[Benzodiazepines]] reserved for children that do not respond to above agents | |||
==See Also== | ==See Also== | ||
*[[Sedation ( | *[[Sedation (main)]] | ||
*[[Intranasal | *[[Intranasal sedation]] | ||
*[[Combative patient]] | |||
[[Category: | ==References== | ||
[[Category: | <references/> | ||
[[Category:Critical Care]] | |||
[[Category:Psychiatry]] | |||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Latest revision as of 20:22, 29 March 2022
Trauma
- 5mg Haloperidol + Diphenhydramine 50mg IV/IM
- 5mg Haloperidol
- 5mg Haloperidol
- then Lorazepam
OR
- Ketamine 1mg/kg IV or 5 mg/kg IM
Psych
- 2mg Benztropine
- 50mg Diphenhydramine
- 2mg Lorazepam
Pediatric Chemical Sedation
- Anti-histamine (first line):
- Diphenhydramine at 1mg/kg/dose IM (max 50mg)
- Typical antipsychotics (second line):
- Haloperidol at 0.025-0.075mg/kg/dose IM (max 2.5 if < 12 years; 2-5mg if > 12 years)
- Atypical antipsychotics (third line):
- Risperidone at 0.01mg/kg/dose IM (typically 0.25-4mg/dose)
- Benzodiazepines reserved for children that do not respond to above agents