In the last hospital I worked in , in Australia, first line drug for
fitters was midazolam. It seemed the ideal drug, very fast working, so you
can titrate it to effect with less timelag /overkill. Another advantage
is that it wears off more quickly so that a patient can be assessed alert
with less of that diazemuls/lorazepam twilight zone, where you are
wondering whether this is post-ictal, effect, benzos or head injury.
I have not found overdosage and consequent respiratory problems to be an
issue.
Paul Ransom
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