[Doczilla]

I've never used it nor seen it used in our ICUs or EDs here. Didn't see it used in the ICUs back in Tidewater either. I've never heard of it being used by an EMS agency in this or any other area. Doc T or Swatsurgeon can probably speak more authoritatively from the Trauma ICU standpoint and what they might be doing in other areas.

Sedation in our ICUs and ED is titrated based on a sedation scale (modified Ramsay score), which measures such things as arousability, spontaneous movement, communication, etc. It does not work/apply to patients on paralytic drugs because they cannot move or respond, and could in fact be wide awake and terrified under the neuromuscular blockade.

'zilla