This is a collection of the most common medications encountered in emergency treatment (in my own experience).
Updated:
I would add that drugs used for intubation, including RSI, as well as drugs/drips used for maintenance should be included in drugs that you know like the back of your hand. Until you've done a bunch of them, they can be stressful situations. It helps so much to understand what the goal of each drug is, when it will take effect (and how to tell that it has), and how long it will last. Also, it is very important to know what the plan is for maintenance sedation (and paralysis if needed) ahead of time if possible- too many times the MD doesn't know his plan, so asking helps them remember to address that, preferably before hand so drips are mixed and ready to go.
Otherwise, I'd say knowing everything listed pretty well is a good start.
Could you please list the specific medications used for: 1)Intubation
2) RSI
3) Drugs/Drips used for maintenance
Also, could you give an example of a plan for maintenance sedation (and paralysis if needed)?
Any other specific common ED medications you recommend to know that may not be on this list?
Thank you!
It is by no means exhaustive. On the contrary, I have made effort to remove medications that although may be textbook standards of care, I have not encountered in practice, or medications that may be falling out of favor, but still part of some medical teams' treatment plans. For example, Lidocaine is not included, rather only Amiodarone.
Add to the list by commenting below!
Some medicines may be more common in EMS, Intensive Care, or post admission hospitalist care. But as more patients are boarded within the walls of the ED, understanding of these medications (primarily drips) is very necessary.
The medications are listed first by pharmacological category and subsequently by order of importance (I.e. which one should I learn first).
Airway Management
Antibiotics
Seizure / Neurological
Phenytoin
Psychiatric
Antiarrhythmics / Electric Manipulators
Myocardial Management
Blood Pressor Management / Fluid Management
Anticoagulants / Thrombolytics
Antiemetics / Antacids
Sedation / Induction / Paralysis
Dermatology
Silver Sulfadiazine
Inflammation
Pain
Glucose Management
Antidotes
Contrast Dyes
The following medications are generally not mainstays of classic emergency treatment. But do play a role in the right patient. In addition they are are commonly taken by our patients on a regular basis, or we will need to provide teaching for patients being prescribed these medications.
Outpatient / Inpatient Meds
The following medications will be contained in any crash cart. However these medications have many uses outside of the realm of rapid decompensation and cardiopulmonary events.
Crash Cart Medications
Dangerous Not To Know
These medicines are for high acuity patients. You may not need them often, but when you do, you may not have time to check your reference. A mistake could cause serious M&M, or might be result in a terrible experience for the patient.
Like The Back Of Your Hand
Meat And Potatoes, Learn Them Well
Pearls
Know which class of antibiotic a particular antibiotic falls into. When a patient tells you about a penicillin allergy, it's in everyone's best interest that you do not administer any beta-lactams.
**Please add to what I have forgotten! Or any pearls about these meds**
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