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Emergency Department Agitated Patient Treatment Map
- reuben strayer
@emupdates

#Management #Agitated #Combative #Patient #Treatment #Map #Sedation #Dosing #Monitoring
Emergency Department Agitated ... #Management #Agitated
Emergency Management of the agitated patient
Infographic by Tommaso Scquizzato (@tscquizzato) based on a talk by Reuben
Management of the agitated
B-52 Chemical Sedation Cocktail in Severe Agitation
Ingredients:
 • Benadryl 50 mg (Diphenhydramine) +
 • 5 mg
are violently agitated
Richmond Agitation Sedation Scale
+4 - Combative, Violent, Immediate Danger to Staff
+3 - Very Agitated - Pulls
Staff +3 - Very Agitated ... Aggressive +2 - Agitated
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Mental Status (agitated
Confirmation that central line is placed on the venous side by visualizing echogenic air bubbles in
No need to agitate
Pericardiocentesis - Agitated saline injected to confirm needle location. Bubbles seen in pericardial space.

Dr. Robert Jones
Pericardiocentesis - Agitated
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
when bubbles from agitated
Hepatic Vein Reflux on POCUS
Systolic flow reversal in hepatic veins in severe tricuspid regurgitation (agitated saline
regurgitation (agitated
Central line confirmation using 3cc bolus of saline (not agitated). Note also small PCE and ascites

Dr.
of saline (not agitated