Transcript Behavioral Emergencies - Pierce County, Washington

Behavioral Emergencies
2015 Changes
2015 changes
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For sedation, midazolam can now be given IN (double the IV dose)
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Locking devices:
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Old protocol said NOT to use them, but if you use them, LE must accompany.
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New changes now just says LE must accompany if locking devices used.
Excited Delirium Syndrome
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ExDS is a medical emergency that presents itself as a law enforcement
problem
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ExDS is a life threatening emergency
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ExDS victims exhibit superhuman strength and are impervious to pain
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ExDS is usually drug related but it can occur in non-drug users
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Neurochemical systems in the brain are abnormal in this disorder
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Failure to recognize the symptoms and to provide appropriate medical
treatment may lead to death
Excited Delirium Syndrome
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There is a separate ppt presentation available that was put together by the
PCSD and CPFR
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There is a video available of the CPFR Base Station meeting where SGT
Carpenter of the PCSD conducted the ppt presentation
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Both items are on the Bevavioral Emergencies Protocol Change 3-2015 cd
Ketamine
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Classification: Dissociative agent and sedative
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Indication: ExDS
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Onset: 30 seconds IV; 3 – 4 minutes IM
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Short duration: 5 – 10 min IV; 12 – 25 min IM
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Contraindications:
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Hypertension
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ALOC
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Liver or renal disease
Adverse Reactions include laryngospasms, resp depression, low BP, N&V,
hypersalivation