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Monday, June 21, 2021

Excited Delirium

emDocs - June 21, 2021 - By Gabrielle Bunney and Dana Loke 
Reviewed by: Cynthia Santos; Tim Montrief; Alex Koyfman; Brit Long
„Take-home points
  • Safety of patients and staff takes precedent in the setting of excited delirium and may warrant the use of restraints and chemical sedation.
  • Supportive care is paramount, as these patients can be incredibly sick. Assess for electrolyte abnormalities, rhabdomyolysis, and hyperthermia, and treat accordingly.
  • First line agents are benzodiazepines.
  • Ketamine is an appropriate second line medication in the ED, although its use in the prehospital setting is still controversial“