Amanda, Versed and Propofol are great and I am a big fan. All the algorithms I've seen start with the more readily available drugs first. Valium has the added benefit of being available rectally for those who don't have an IV. I don't give Valium IM, erratic absorption. Propofol is a medicine we are still trying to get better use of in our hospital. Versed is shorter acting do its good as a titratable drip. Same as Propofol. Takes a while to set that up, though.
@oldblueday11 жыл бұрын
No, you're right. We don't use IM. I have no idea why I wrote that, but figuring out how to fix the error without having to re-record the whole thing.
@esterson11 жыл бұрын
You can probably add a text caption to the corresponding part of the video, correcting the error
@user-yh3fy8rs4r5 жыл бұрын
Ok i stumbled on this, i was in jaw drop ... I been epileptic all my life.. A while back i found out i have standing orders to go to er immediatly with 2+ seizures in a 24 hr period, been thru 11 meds, im on dilantin, topamax and phenobarb daily, found out i have simple, complex sec gen. violent grand mals absenses, status risk.. Intractable.. Not fun.. Bruises , broken bones etc said meds only slow seizures, not work right, and a risk of a vns implant
@caseyparker227911 жыл бұрын
Valium - not really a recommendation for IMI med. is this common practice in the US?
@amandawood859810 жыл бұрын
couple things work in an area in ems critical.care with many non compliant sz.patients. versed is our go to as opposed to valium or ativan. found have had more success. also in general vpa is out of the equation and propofol is drug of choice for sedation/intubation. we participated in the rampart trial and versed had better success.
@cherylholbrook37173 жыл бұрын
I've been released from er bc dr thought I was drugged up. I'd had 6 complexes and aura for hours. Do i have recourse legally after 8 years of failure to diagnose and treat?
@amandawood859810 жыл бұрын
what is your reasoning for putting it father down and not including it in the initial benzo choices? can you explain your rationale behind this. also we typically use versed for transport interfacility and propofol in facility. it seemed you werent a fan of it - why? appreciate the subclinical comments easily overlooked !