CTAS 1: A 25-year-old is brought by police after methamphetamine use. Vitals are T 40.2°C, HR 158, BP 182/96, RR 30. He is combative, diaphoretic and

Question

CTAS 1: A 25-year-old is brought by police after methamphetamine use. Vitals are T 40.2°C, HR 158, BP 182/96, RR 30. He is combative, diaphoretic and delirious. CK is pending; ECG shows sinus tachycardia. Staff cannot safely obtain IV access. What is the most appropriate initial management?

Accepted Answer

Rapid benzodiazepine sedation with active cooling and monitoring

Answer

Discharge to police custody after verbal de-escalation

Answer

Delay sedation until laboratory testing is complete

Answer

Haloperidol monotherapy and physical restraint for several hours

Answer

Beta-blocker loading as first-line temperature control

Severe agitation with hyperthermia after stimulant use — RCPSC EM MCQ

CTAS 1: A 25-year-old is brought by police after methamphetamine use. Vitals are T 40.2°C, HR 158, BP 182/96, RR 30. He is combative, diaphoretic and delirious. CK is pending; ECG shows sinus tachycardia. Staff cannot safely obtain IV access. What is the most appropriate initial management?