4.6 • 665 Ratings
🗓️ 23 November 2020
⏱️ 34 minutes
🧾️ Download transcript
Join ED clinical pharmacist Jimmy Pruitt and Dan McCollum as we discuss the reasons that the traditional "B52" cocktail of haloperidol, lorazepam, and diphenhydramine is badly in need of updating.
This podcast is being cross published with the "Pharm So Hard" podcast, an excellent podcast discussing many excellent clinical pharmacology topics.
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0:00.8 | Hello, this is Michael Stevens with the EM Basic podcast. |
0:04.0 | I wanted to introduce myself because later I'm going to interrupt this interview to provide a little more context to what's being discussed. |
0:09.5 | This episode of EM Basic was recorded and published in conjunction with Jim Pruitt, a licensed clinical pharmacist and the producer of the Farm So Hard podcast. |
0:16.7 | If you haven't checked out Jim's work, we highly recommend it. |
0:19.7 | Today, we're discussing the classic B-52 for the treatment of acutely agitated patients in the emergency department. |
0:25.3 | So we'll jump right into the conversation between Dan McCollum and Jim Pruitt now. |
0:31.0 | Jimmy, you wanted to talk to me today about the management of the agitated patient |
0:35.7 | and how we could do a lot better than just defaulting to |
0:38.1 | that old B-52 that we were taught back in the day. |
0:41.6 | Absolutely. |
0:42.1 | I think I'm going to piss a lot of people off when I say this, but the B-52 is trash. |
0:47.3 | Like, it should be retired in the way that it's used, and there are smarter ways when using medication, |
0:54.0 | even when you're not using medication |
0:55.3 | to get better management of patients that are acutely agitated. |
1:00.1 | So today we're going to talk about the pharmacologic management of the acutely agitated |
1:04.9 | patient. |
1:05.4 | And this is a great episode where we can combine your diagnostic component and understanding |
1:10.1 | of how to control a patient |
1:11.5 | and use some minority pharmacy tools to help better manage these patients, particularly in the |
1:17.4 | emergency department. |
1:19.2 | All right, Jimmy, so I'm a simple-minded clinician. |
1:21.6 | So let's talk about some case vignettes and discuss what pharmacologic tools we have to manage these different types of folks. |
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