Trauma sedation

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

See Also

• Sedation (main)
• Intranasal sedation
• Combative patient