Round 10 (MW) Agitation

You are working at Clerkship General when you hear an EMS call on the radio…



“CLERKSHIP GENERAL – We are bringing you an agitated and combative 30 year old male, we’ll see you in 5 minutes.”



Initial Vitals:




BP: 192/105



HR: 134



RR: 22



O2: 99% (Room Air)



Temp: 98.8 F




Critical Actions:




* Administer Sedation for Patient/Staff Safety



* Intubate the Patient and Obtain Chest Xray



* Diagnose Intracranial Hemorrhage



* Treat Patients Hypertension



* Diagnose Rhabdomyolysis and Give Fluids




Dangerous Actions:




* Giving Succinylcholine



* Giving B-Blocker (Controversial)




Check Out:



Procrastinators Guide to Emergency Medicine