Trauma sedation

Trauma

• 5mg Haldol + Benadryl 50mg IV/IM
• 5mg Haldol
• 5mg Haldol
• then Ativan

Psych

• 2mg cogentin
• 50mg Diphenhydramine
• 2mg Lorazepam

Pediatric Chemical Sedation

• Anti-histamine (first line):
  • Diphenhydramine at 1 mg/kg/dose IM (max 50 mg)
• Typical antipsychotics (second line):
  • Haloperidol at 0.025-0.075 mg/kg/dose IM (max 2.5 if < 12 years; 2-5 mg if > 12 years)
• Atypical antipsychotics (third line):
  • Risperidone at 0.01 mg/kg/dose IM (typically 0.25-4 mg/dose)
• Benzodiazepines reserved for children that do not respond to above agents

See Also

• Sedation (Main)
• Intranasal Sedation

Source

• Dr. Tim Horeczko
• AAP