Acute behavioural disturbance
RCEM suggests... Where parenteral agents required, ketamine or droperidol is preferred
- Ketamine - CVS stability + dissociative effects helpful (suggested 4mg/kg IM!!!!!)
- Benzodiazepines → higher rate of resp adverse events
- Midaz 5-10mg IM; Loraz 4mg IM
- Haloperidol and loraz seems to work better together than alone
RSI: cardiostable induction, avoid sux; serotonergic effect of fentanyl
medicolegal
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