Sedation Warning Flashcards
Sedation Warnings
SPAREWRRAM
Sedation is HIGH RISK – must only be carried out after careful deliberation between officers and must not be based primarily at the request or influence of other agencies on scene (e.g. Police etc.)
Positive RASS score does not automatically infer a need to sedate
Age <16 years old – sedation should prompt a prior ASMA consult wherever practicable
ETOH / Intoxication – apply caution
Repeat & Maintenance doses – have a low threshold to consult with ASMA where repeat or maintenance doses are required
Monitoring – SpO2 and EtCO2 monitoring must be applied whenever level of consciousness drops (~RASS -2 or below)
Positioning – DO NOT transport in supine position (increases risk of laryngospasm from secretions) – transport in lateral position
Airway & Breathing – monitor airway and breathing effort, including chest movement closely for signs of impairment. Prepare to support if required
Restraint – Prone and/or handcuffed to rear carries excessive risk and MUST NOT occur. Physical restraint in any position that amplifies the risk of positional asphyxia, must be closely observed for signs of air hunger and hypoxia
RASS scores must be agreed and documented
Weight – Estimated weight must be agreed before administration of any weight based medicines.
