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Trauma sedation
From WikEM
Trauma
- 5mg Haloperidol + Diphenhydramine 50mg IV/IM
- 5mg Haloperidol
- 5mg Haloperidol
- then Lorazepam
OR
- Ketamine 1mg/kg IV or 5 mg/kg IM
Psych
- 2mg Benztropine
- 50mg Diphenhydramine
- 2mg Lorazepam
Pediatric Chemical Sedation
- Anti-histamine (first line):
- Diphenhydramine at 1mg/kg/dose IM (max 50mg)
- Typical antipsychotics (second line):
- Haloperidol at 0.025-0.075mg/kg/dose IM (max 2.5 if < 12 years; 2-5mg if > 12 years)
- Atypical antipsychotics (third line):
- Risperidone at 0.01mg/kg/dose IM (typically 0.25-4mg/dose)
- Benzodiazepines reserved for children that do not respond to above agents
