Question and Answer Session

All Faculty

Case Presentation

All Faculty

Red Sox Fan Case Study

• 41 year old white male

• In ED, agitated and threatening

• Appears physically healthy

• Vital signs stable

• No other history available

1. Apply restraints

2. Give IM sedative

3. Offer PO sedative

4. Engage patient in non-threatening manner

5. Give IV sedative

6. Obtain toxicology screen and await results

7. Offer a choice of either oral or IM medication

What would you do first?

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1. Obtain toxicology screen, await results

2. Give IM sedative

3. Offer PO sedative

4. Engage patient in non-threatening manner

5. Give IV sedative

6. Offer a choice of either oral or IM medication

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Ultimately the patient is restrained, but remains agitated, now what?

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What is the most common parenteral sedative used in your practice setting?

1. Droperidol

2. Haloperidol

3. Haloperidol with lorazepam

4. Lorazepam

5. Ziprasidone

6. Other neuroleptics

7. Other agents