2016 Trumbull Protocol Book
Midazolam (Versed) Midazolam (Versed ® )
Action
Onset
Sedative, Amnesic Short acting benzodiazepine
2-5 minutes
Indications Seizure Agitation / Combativeness
Adult Dose Seizure: 10 mg IM only, consider 5 mg if frail elderly or chronic illness Agitation / Combativeness: 4 mg IM only
Pediatric Dose 5 mg IM if > 40 kg (88 lbs) 2.5 mg IM if 13-40 kg (28.6-88 lbs) 0.1 mg/kg IM if < 13kg (28.6 lbs), Maximum 2.5 mg
Contraindications Hypersensitivity, glaucoma, acute alcoholic intoxication with depressed vital signs
Adverse Reactions Fluctuations in vital signs were most frequently seen. Decreased tidal volume and/or respiratory rate, apnea, variations in blood pressure
Precautions Doses should be decreased in frail elderly and debilitated patients.
Considerations Consider reducing the dose on frail elderly and debilitated patients. These patients may take longer to recover from the drug. Always have airway equipment available when using.
211
EMR
EMT
AEMT
Paramedic
Extended
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