1. Question and Answer Session All Faculty

2. Case Presentation All Faculty

3. Red Sox Fan Case Study 41 year old white male In ED, agitated and threatening Appears physically healthy Vital signs stable No other history available

4. 1.Apply restraints 2.Give IM sedative 3.Offer PO sedative 4.Engage patient in non-threatening manner 5.Give IV sedative 6.Obtain toxicology screen and await results 7.Offer a choice of either oral or IM medication What would you do first?

5. 1.Obtain toxicology screen, await results 2.Give IM sedative 3.Offer PO sedative 4.Engage patient in non-threatening manner 5.Give IV sedative 6.Offer a choice of either oral or IM medication Ultimately the patient is restrained, but remains agitated, now what?

6. What is the most common parenteral sedative used in your practice setting? 1.Droperidol 2.Haloperidol 3.Haloperidol with lorazepam 4.Lorazepam 5.Ziprasidone 6.Other neuroleptics 7.Other agents