Trauma sedation

Trauma

1. 5mg haldol + benadryl 50mg IV/IM
2. 5mg haldol
3. 5mg haldol
4. then ativan

Psych

1. 2mg cogentin
2. 50mg benadryl
3. 2mg ativan

Pediatric Chemical Sedation

1. Anti-histamine (first line):
   1. Diphenhydramine at 1 mg/kg/dose IM (max 50 mg)
2. Typical antipsychotics (second line):
   1. Haloperidol at 0.025-0.075 mg/kg/dose IM (max 2.5 if < 12 years; 2-5 mg if > 12 years)
3. Atypical antipsychotics (third line):
   1. Risperidone at 0.01 mg/kg/dose IM (typically 0.25-4 mg/dose)
4. Benzodiazepines reserved for children that do not respond to above agents

See Also

• Sedation (Main)
• Intranasal Sedation

Source

• Dr. Tim Horeczko
• AAP