Podcast 550: Good ol' Versed

Podcast 550: Good ol' Versed

Contributor: Sam Killian, MD

Educational Pearls:

  • Agitation can be due to a number of causes, but regardless of the cause, sedation often plays a key role in patient and provider safety. But what is the best sedative agent?
  • A study looked at control of agitation with intramuscular medication. Specifically, 5 different IM sedative agents were compared to see which one best provides "adequate" sedation in 15 minutes or less.
  • Haldol 5mg, Haldol 10mg, Versed 5mg, Zyprexa 10mg, and Geodon 20mg were all compared, and by far Versed provided the best sedative results. All medications had approximately the same amount of adverse effects.
  • There are so many sedative options, but time and time again large dose benzodiazepines have demonstrated great effectiveness in treating acute agitation

References

1) Klein, Lauren R. et al. Intramuscular Midazolam, Olanzapine, Ziprasidone, or Haloperidol for Treating Acute Agitation in the Emergency Department. Annals of Emergency Medicine. 2018. 72(4), 374 - 385

Summarized by Jackson Roos, MS3 | Edited by Erik Verzemnieks, MD

Jaksot(1146)

Podcast #236: Peripheral IJ Access

Podcast #236: Peripheral IJ Access

Author: Nick Hatch, M.D. Educational Pearls When peripheral or central IV access is difficult, sometimes providers will try to use a peripheral IV setup at an IJ site using US guidance. Case studies ...

7 Elo 20174min

Podcast #235: ER Discharge and Mortality

Podcast #235: ER Discharge and Mortality

Author: Pete Bakes, M.D. Educational Pearls One of the roles of the ER provider is to discharge patients only after life-threatening conditions have been ruled out. However, some patients that are di...

5 Elo 20176min

Podcast #234: CIN AEM Study

Podcast #234: CIN AEM Study

Author: Dylan Luyten, M.D. Educational Pearls Around 30% of patients in the ER receive CT imaging, and the sensitivity of CT imaging may be improved with IV contrast. However, contrast is often withh...

3 Elo 20173min

Podcast #233: Carfentanil

Podcast #233: Carfentanil

Author: Don Stader, M.D. and Rachael Duncan, PharmD BCPS BCCCP Educational Pearls Carfentanil is an opioid elephant tranquilizer that can be used recreationally. It is 1000 times stronger than fenta...

1 Elo 20174min

Podcast #232: HAPE

Podcast #232: HAPE

Author: Gretchen Hinson, M.D. Educational Pearls High-Altitude Pulmonary Edema (HAPE) is caused when hypoxemia due to low ambient pO2 leads to breakdown and constriction of the pulmonary vasculature ...

30 Heinä 20176min

Podcast #231: Esophageal Tearing

Podcast #231: Esophageal Tearing

Author: Jared Scott, M.D. Educational Pearls Boerhaave syndrome (aka effort rupture of the esophagus) accounts for 10% of esophageal ruptures and is usually caused by strain during vomiting episodes....

28 Heinä 20174min

Podcast #230: Concussive Treatment

Podcast #230: Concussive Treatment

Author: Aaron Lessen, M.D. Educational Pearls 2 studies this past year looked at pediatric and adolescent patients following a concussion. They found people who returned to activity sooner did better...

26 Heinä 20172min

Podcast #229: Andrew Jackson

Podcast #229: Andrew Jackson

Author: Sam Killian, M.D. Educational Pearls Andrew Jackson was the 7th president of the USA. He served 2 terms from 1829-1837. He had had many medical issues during his presidency. He was said to be...

24 Heinä 20175min

Suosittua kategoriassa Tiede

rss-poliisin-mieli
rss-mita-tulisi-tietaa
tiedekulma-podcast
docemilia
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita
rss-duodecim-lehti
radio-antro
utelias-mieli
filocast-filosofian-perusteet
rss-lapsuuden-rakentajat-podcast
rss-lihavuudesta-podcast
rss-sosiopodi