Would it be appropriate to contact a BHP requesting titrated sedation for a compliant and non-combative patient experiencing agitation with inability to remain still preventing proper assessment due to stimulant use? I find these patients are occasionally even difficult to transport due to writhing on the stretcher let alone perform an appropriate assessment.

Sedation in the setting of agitation should only be used if needed for patient safety.

There is risk with administering pharmacologic sedation.  The benefit of its use must be weighed carefully. If a patient is compliant and able to be transported safely, we would recommend not calling for titrated sedation.  As always, should an extenuating circumstance arise wherein the safety of the patient or paramedic is in jeopardy, a BHP patch is appropriate for consideration of pharmacologic sedation when vital signs or glucose cannot be obtained.

Combative Patient,Pain/Sedation/Nausea

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