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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More information about the guidelines and a copy of the complete guideline can be viewed from the Ambulance Victoria website: Pharmatherapie vpg aggressiven Patienten — News Papers. The content in these CPGs is for information and educational purposes only and is not intended to serve as medical advice or treatment.

These behaviours are a symptom, not the disease. Pharmatherapie beim aggressiven Patienten — News Papers Pingback: A Review of Synthetic Cathinones.

Emergency Medicine

To find out more, including how to control cookies, see here: The Toxicology of Bath Salts: However, it seems that the message coming out of training is that any patient who needs managed, especially if they need mechanical restraint, needs ketamine. This entry was posted in Uncategorized. National Informatics Centre Bhopal. They are typically hypermetabolic, hyperthermic, and acidotic as a result of the drugs which affect dopamine and serotonin transportand physical activity.

Access personal CPF information on the go! You are commenting using your Twitter account. The CPG we have has a graduated approach to the patient with agitation, similar to the approach outlined here:. AV does not guarantee the accuracy or currency in the information provided in the CPG. Account Options Sign in. Then, when the ketamine is in, and the drama is over, we relax.


It is entirely possible that these patients may have an organic disorder, either exacerbated by stimulants, or in isolation without drug use. 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.

Attention all other users: You are commenting using your WordPress. Journal of Medical Toxicology8 133— Ambulahce continuing to use this website, you agree to their use.

Notify me of new comments via email. 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. AV does not accept any responsibility for loss or damage caused by the use of the information contained in the CPG. Western Journal of Emergency Medicine12 1. Fill in your details below or click an icon to log in: Home About Contact me Welcome. So, when do we give ketamine?

We sometimes can have an unfortunate tendency to think of these patients as bad, not sick.

Often but not always these will be patients who are affected by stimulants. Which brings us to the next point of confusion: If you rely on the information in these CPGs you are responsible for ensuring by independent verification its accuracy, currency or completeness. In my next post I will continue the discussion with some of the practicalities of managing the patient with extreme agitation: Unfortunately we all quite naturally focus on the behaviours the patient displays, often to their detriment.


A free, official app with your visa details that you can email to anyone. They are sick patients with severely deranged physiology, and they need managed aggressively and appropriately. You are commenting using your Facebook account. Seriously, just Kalm Down!

Clinical Practice Guidelines

This is not the case. This site uses cookies. But the truly ketamine deficient patient is relatively rare, and jabbing everyone with ketamine will do nobody any favours. Ok, so this is not entirely about ketamine, but ketamine does come into it.

The CPG we have has a graduated approach to the patient with agitation, similar voctoria the approach outlined c;g Ministry of Human Resources and Emiratisation. Email required Address never made public.

Department of Home Affairs. Obviously the pharmacology we have is different: Evidence based clinical resources for Major Trauma Management in Victoria.

This is compounded by the threat they may pose to our safety, which we cannot help but take a little personally! Disclaimer added to splash screen.