What is the best thing you can do with your time when you’re stuck in an aircraft hangar being baked by the blazing sun in remote North Queensland?
Record a video slidecast on the ‘retrieval of the disturbed patient’ for LITFL of course!
This slidecast discusses the issues involved in the aeromedical retrieval of agitated, psychotic or violent patients in remote Australia, as well as strategies (such as sedation with ketamine) to help keep everyone safe.
Any credit for awesomeness goes to Minh…
Any blame for dodgy audio and slide transitions, etc, can be directed at me…
Additional references and links
- Bowie D, Rattray D. Transferring the Extreme Psychiatric Patient. (pdf of slideshow)
- Burnett AM, Watters BJ, Barringer KW, Griffith KR, Frascone RJ. Laryngospasm and Hypoxia after Intramuscular Administration of Ketamine to a Patient in Excited Delirium. Prehosp Emerg Care. 2012 Jan 17. [Epub ahead of print] PMID: 22250698.
- Chalwin R. Propofol infusion for the retrieval of the acutely psychotic patient. Air Med J. 2012 Jan-Feb;31(1):33-5. PMID: 22225562.
- Isbister GK, Calver LA, Page CB, Stokes B, Bryant JL, Downes MA. Randomized controlled trial of intramuscular droperidol versus midazolam for violence and acute behavioral disturbance: the DORM study. Ann Emerg Med. 2010 Oct;56(4):392-401.e1. PMID: 20868907. [Featured in R&R in the FASTLANE 010]
- Le Cong M, Gynther B, Hunter E, Schuller P. Ketamine sedation for patients with acute agitation and psychiatric illness requiring aeromedical retrieval. Emerg Med J. 2011 May 12. [Epub ahead of print] PMID: 21565879.
- Weingart S. EMCrit Podcast 60 — On Human Bondage and the Art of Chemical Takedown.