GCEMS Protocol:

 

• Multiple

 

Indications:

 

• Procedural
• Chemical restraint
• Pre-intubation induction agent
• Post intubation sedation

 

Contraindications:

 

• Age < 12
• SBP >210 or >110 Diastolic

 

Side Effects:

 

• tachycardia, increased BP, Hallucinations, delirium, involuntary quivering, nightmares.

 

Pharmacokinetics:

 

• onset: < 1 min IV, < 5 min (IM)
• Duration: 10-15 min (IV) 20-30 min (IM)

 

Adult

 

Procedural Sedation:

 

• 1 mg/kg IV Max dose 100 mg.

 

Rapid Sequence Induction / Sedation post

 

• 2 mg/kg IV; Max dose 200 mg. Sedation may be repeated in 15 minutes.

 

Chemical Restraint

 

• 4 mg/kg IM; max dose 400 mg.

 

Pain Management

 

• 0.3mg/kg IV/IO; 30mg max single dose; may repeat once after 15 minutes.

 

Pediatric:

 

• Not Approved