chemical restraints

[fyrmed]

I was wondering what are you all using for a chemical restraint. Inapsine is being used in some areas around the NW, but many MD's are very skittish when it comes to it's use because of the mis-applied "black-box" warning. I've used it many times and love it. My location only has Versed listed as a chemical restraint, and we've been running into some calls where this just don't cut it.
What are you using? doses? indications? etc...

[smurfe]

I always used Versed but it was easier getting teeth pulled than to get an order for it.:bang: Dose was like 0.02 mg/kg if I remember right. Seems though I normally just gave the entire 10 mg IM. This protocol wasn't etched in my brain as like I said, it was rarely used and I just said hell with asking for it.:mad: I normally just had a Cop use their Tazer and called it a day.:smiley_ab

Smurfe:beer:

[RyanEMVFD]

We use versed as part of the RSI procedure. We also carry valium. On a side note, haldol is the same thing as haloperidol.

[emmit233]

We do not have a protocol for this but as a rule if we call Med control they will give us orders for Valium. We only carry Valium, Morphine and Demerol. With our new medical director and training officer I forsee the demerol coming off the truck, RSI in our future and possibly ativan added to our arsenal. :smiley_ab

[CB-EMT]

If you ever have to give somebody Thorazine, pack a lunch- you'll be there for a while.

[emmit233]

Before I worked in EMS I was a mental health tech. Thorazine, Vitamin H (haldol) and Inderal were our friends. :smiley_ab Of course they were not given in an emergent dose but a daily maintenence dose. GAWD help you if your clients refused to take their meds over several days. :bang: All I learned was "duck" and hope that you didn't get beamed with some UFO. :D

[BFD Medic424]

Valium/Versed. Can use it when we feel it is appropriate, we don't need an order for it but a lot of the guys call in for it anyway just to cover their butts.

[locomedic21]

We can give valium but try not to because usually the people that need it are the junkies anyways dont want to benefit them rather just sandwich them with backboards.