Intravenous Haloperidol

This is a good controversial review in favor or against Intravenous haloperidol. It is important to know that IV haloperidol is not FDA approved. QT Prolongation, Torsades de pointes, and alternative agents for sedation always should be considered. Intravenous Haloperidol Has a Limited Role in the Modern Emergency Department Haloperidol May Be Safely Administered Intravenously […]

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Dealing with agitated patient in ED

ACEP Now published a 5-Step Approach to the Agitated Patient in Nov. 2018, I believe this is a very good resource for our resideints. The 5 steps are categorizing agitation as mild, moderate, or severe, nonpharmacologic de-escalation for mildly or moderately agitated patients, “code white” for moderately and severely agitated patients, safe and effective physical […]

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Medication for Acute Agitation

What is your choice of IM medication for a patient who is very difficult to verbally be redirected, and being agitated, combative, and required to be sedated? Happy to see the old practice is still effective: Intramuscular Midazolam, Olanzapine, Ziprasidone, or Haloperidol for Treating Acute Agitation in the Emergency Department Ann Emerg Med. 2018 Jun […]

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