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Intramuscular Midazolam for Seizures – Part I

– A study of IM (IntraMuscular) midazolam for EMS to treat seizures. The study looks at status epilepticus, but any seizure still present when EMS arrives should be treated. The terminology does not...

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Intramuscular Midazolam for Seizures – Part II

Also posted over at Paramedicine 101 (now at EMS Blogs) and at Research Blogging. Go check out the excellent material at these sites. – While there have been studies comparing IM (IntraMuscular)...

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Intramuscular Midazolam for Seizures – Part III

Also posted over at Paramedicine 101 (now at EMS Blogs) and at Research Blogging. Go check out the excellent material at these sites. – I have already pointed out my disappointment with the references...

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Intramuscular Midazolam for Seizures – Part IV

Also posted over at Paramedicine 101 (now at EMS Blogs) and at Research Blogging. Go check out the excellent material at these sites. – What does this study mean for the treatment of patients who are...

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Intramuscular Midazolam for Seizures – Part V

Also posted over at Paramedicine 101 (now at EMS Blogs) and at Research Blogging. Go check out the excellent material at these sites. – How should this large double-blind, randomized, noninferiority...

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Intramuscular Midazolam for Seizures – Part VI

Also posted over at Paramedicine 101 (now at EMS Blogs) and at Research Blogging. Go check out the excellent material at these sites. – How aggressive should we be in treating seizure patients based...

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Images from Gathering of Eagles Presentation on RAMPART

– Some images from the Gathering of Eagles presentation on RAMPART[1] can help to give an idea of what was done to blind EMS to the treatment being given, while minimizing any delay in care that might...

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Benzodiazepines are often misused – Part I

  The most commonly used benzodiazepines in EMS/EM (Emergency Medical Services/Emergency Medicine) are diazepam (Valium), lorazepam (Ativan), and midazolam (Versed). It should be relatively easy to...

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Up to a Maximum of X Times vs. Titration

Over at Ridin’ the Bus, Gertrude was writing Who’s teaching the teachers? Well, my answer is that the teaching jobs are often as political as the desirable EMS jobs. Squad Y is a bunch of people...

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If your Versed (midazolam) isn’t working, maybe it’s Zofran (ondansetron)

  If you were giving a lot more midazolam (Versed) by intramuscular injection to stop a seizure and the seizure just would not stop, or got worse, maybe you were giving ondansetron (Zofran). If you...

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Protecting Systemic Incompetence – Part I

  We demand the lowest standards, because we are willfully ignorant and we do not want to understand. The surprise is that so many of us survive our devotion to incompetence. The loudest voices tend...

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