Pages Navigation Menu

Meet 'em, greet 'em, treat 'em and street 'em

SGEM#45: Vitamin H (Haloperidol for Psychosis)

Posted by on Sep 22, 2013 in Featured, Podcasts, Psychiatric | 3 comments

Podcast Link:SGEM45 Date:  September 20, 2013 Title: Vitamin H – Haloperidol Guest Skeptic: Dr. Anthony (Tony) Seupaul, Chair of EM, University of Arkansas Case Scenario: 23 yr man with schizophrenia presents with police after being picked up for violent outburst at a coffee shop. He is clearly agitated and you need to chemically restrain him. Question:  Is haloeridol the safest and most effective method of tranquilization for patients with psychosis induced aggression or agitation? Serious Reactions (from Epocrates) and delivered by Dr. Michael del Castillo-Hegyi (Chief Resident AUMS): Neurologic (extrapyramidal, tardive dyskinesia, akithisia, dystonia and seizure) Hyperpyrexia or heat stroke Neuroleptic Malignant Syndrome Pneumonia Hypotension or hypertension Cardiac (see Keener Kontest) Sudden Death Hyponatremia Hepatic impairment Hematologic (leukopenia, neutropenia and agranulocytosis) Ocular (cataracts and retinopathy) Reference: Powney MJ et al. Haloperidol for psychosis-induced aggression or agitation (rapid tranquillisation). Cochrane Database of Systematic Reviews  2012,...

Read More