Algorithm for Acute ED Management of Excited Delirium Pearls for Appropriate Restraint: - 1 person for each limb - 1 person to lead the restraint and manage airway - Restraints should be secure enough to restrain the patient, but easily removable if the patient begins to vomit, seize, or develop airway compromise - Use a non-rebreather with oxygen as a spit mask to ensure 100% oxygen - Apply restraints in the level restrictive manner and for the shortest period of time - Apply padding between patient and restraints to prevent neuromuscular injury - Avoid pressure on face, neck, or chest. #Excited #Delirium #Algorithm #Management #Emergency #Protocol
