I have recently discovered the joy of having a decent sized container of mixed nuts with me in the ambulance. Great for on-the-go nibbles.
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What I was really going to talk about was more about patients behaving badly. I haven’t come across such a patient in a while now (can’t remember when I had to sedate someone last), but it does happen. And I’ve come across this topic on the web recently.
EMS Outside Agitator has a link to an interesting vid. Go have a look, possibly a chuckle, and then a thought or three how you would have handled the situation if you were first on scene. I know I would have called for police quicksmart, and strongly considered sedation. Not sure about the whole backboard though…your thoughts?
Rogue Medic wishes us a Happy Excited Delirium on his take on the above post. Interesting and edgy, as always.
And last but definitely not least, EMCrit talks about Human Bondage and the Art of Chemical Takedown. Brilliant podcast, listen to this episode – much of the stuff he talks about can be adapted to the world of out-of-hospital care too.
Note on the side: I hear and read that UK Paramedics can’t chemically restrain patients – there is no mention of it on the JRCALC website, couldn’t find anything under ‘Mental Disorders‘. Midazolam or Haloperidol/Droperidol is not part of their drug regime, and Diazepam is only indicated for seizure activity and symptomatic cocaine toxicity – no mention of sedation.
Any UK paramedics (that includes EMTS and everyone else) that would like to chime in?
May your shift be a good one…