I think the foot tickling was sheer brilliance. Yes, she could have aspirated-but she had the buckle in her mouth and could have done that even without the tickling. As I assume that she was Borderline, she may have chosen to do many more interesting things with the buckle anyway. Have your doctors ever added Benadryl IM to the Haldol/Ativan combination? I have seen it work wonderfully with both children and adults. An added bonus with this combination is decreased potential for EPS-especially with kids. Torticollis is an ugly side effect of psych meds with kids, and comes on very quickly with the little ones.