The Ambulance Victoria (AV) Clinical Practice Guidelines (CPGs) support paramedics to deliver quality evidence based care to the state of. It was developed by the Ambulance Victoria (AV) CPG Working Group with specialist advice from the AV Corporate Communications Department, and provided. Book Title: Ambulance Victoria Clinical Practice Guidelines for Ambulance and MICA Paramedics ; Author: Ambulance Victoria; Item Number.
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Disclaimer added to splash screen. In my next post I will continue the discussion with some of the practicalities of managing the patient with extreme agitation: Home About Contact me Welcome. You are commenting using your Twitter account. These are not irritable people who punched a wall, mouthed off at the cops, or were otherwise angry, uncooperative, or generally have shit on the liver.
The CPG we have has a graduated approach to the patient with agitation, similar to the approach outlined here:.
Ambulance Victoria Clinical Practice Guidelines Edition (CPGS) | | The Co-op
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Clinical Practice Guidelines
Ok, so this is not entirely about ketamine, but ketamine does come into it. The patients who need rapid takedown and control with ketamine — the highly agitated, violent, dangerous, excited delirium patient — are people who are at risk of rapid deterioration and death. You are commenting using your WordPress. If you rely on the information in these CPGs you are responsible for ensuring by independent verification its accuracy, currency or completeness.
Which brings us to the next point of confusion: Unfortunately we all quite naturally focus on the behaviours the patient displays, often to their detriment.
Clinical Practice Guidelines for Ambulance & MICA Paramedics | Ambulance Victoria | The Co-op
This is not the case. National Informatics Centre Bhopal.
AV does not guarantee the accuracy or currency in the information provided in the CPG. Obviously the pharmacology we have is different: To find out more, including how to control cookies, see here: But the truly ketamine deficient patient is relatively rare, and jabbing everyone with ketamine will do nobody any favours.
We sometimes can have an unfortunate tendency to think of these patients as bad, not sick. The Toxicology of Bath Salts: It is entirely possible that these patients may have an organic disorder, either exacerbated by stimulants, or in isolation without drug use. They are typically hypermetabolic, hyperthermic, and acidotic as a result of the drugs which affect dopamine and serotonin transportand physical activity.
Access personal Victotia information on the go! Pharmatherapie beim aggressiven Patienten — News Papers Pingback: Journal of Medical Toxicology8 133— Email required Address never made public. You are commenting using your Facebook account. This is compounded by the threat they may pose to our safety, which we cannot help but take a little personally! They are sick patients with severely deranged physiology, and they need managed aggressively and appropriately.
Western Journal of Emergency Medicine12 1. However we need to remember that there are many things that cause agitation, and we should never jump to the conclusion that stimulant use is all that is happening when we come across the extremely agitated patient. The CPG we have has a graduated approach to the patient with agitation, similar victoia the approach outlined here: AV does not accept any responsibility for loss or damage caused by the use of the information contained in the CPG.
More information about the guidelines and a copy of the complete guideline can be viewed from the Ambulance Victoria website: So they are definitely patients you want MICA backup for. Fill in your details below or click an icon to log in: These behaviours are a symptom, not the disease.