What EMS service or state do you work in? This is amazing information!! Just starting out as a medic in Arizona and the rural part no less so this is so much easier not to mention faster way of getting information.
when I looked it up on wikipedia, it states it is unavailable for sale in the united states and canada. When I worked in a hospital as a nurse, I mainly gave lorazepam as midazolam was only available in the emergency room, operating rooms, heart cath lab, endoscopy operating rooms, interventional radiology, and critical care unit. However, midazolam is the only benzo that our emergency medical services region uses in virginia. it may also be due to liquid lorazepam requiring refrigeration as it is a thick, oil-based solution.
Lorazepam is an acceptable first line drug, just know that the onset of action is longer than that of Midazolam. So for the pre-hospital environment having a drug that is fast acting and which doesn't last too long is ideal. Midazolam fits those criteria. A recent paper with evidence based guidelines was published on this. Send us your email and we can send you the paper. Thank you for your comment.
thank you.
What EMS service or state do you work in? This is amazing information!! Just starting out as a medic in Arizona and the rural part no less so this is so much easier not to mention faster way of getting information.
He works in south florida.
Common sense 1.0 as usual. Thanks Dr Handtevy!
What about Lormetazepam?
when I looked it up on wikipedia, it states it is unavailable for sale in the united states and canada. When I worked in a hospital as a nurse, I mainly gave lorazepam as midazolam was only available in the emergency room, operating rooms, heart cath lab, endoscopy operating rooms, interventional radiology, and critical care unit. However, midazolam is the only benzo that our emergency medical services region uses in virginia. it may also be due to liquid lorazepam requiring refrigeration as it is a thick, oil-based solution.
I have a problem with this, because here in SA we are told that Lorazepam is the first line drug of choice, followed by Diazepam and lastly Midazolam
Lorazepam is an acceptable first line drug, just know that the onset of action is longer than that of Midazolam. So for the pre-hospital environment having a drug that is fast acting and which doesn't last too long is ideal. Midazolam fits those criteria. A recent paper with evidence based guidelines was published on this. Send us your email and we can send you the paper. Thank you for your comment.
Diasdat is what I have if I have a seizure