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Altered Mental Status (NYD)

Date Last Search Run: Jan 14, 2025
Table last updated: Dec 12, 2017

Recommendation RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION   SUPPORTIVE (Green) NEUTRAL (Yellow) AGAINST (Red) NOT YET GRADED (White)
1 (strong evidence exists)      
2 (fair evidence exists)      
3 (weak evidence exists)    


Interventions

D50W
Level Direction Primary Outcome Patient/Process Setting Reference

Ketamine
Level Direction Primary Outcome Patient/Process Setting Reference

Naloxone
Level Direction Primary Outcome Patient/Process Setting Reference
III Supportive (Green) Adverse events following naloxone Patient PH-Paramedic Yealy DM., Paris PM., Kaplan RM., et al. The safety of prehospital naloxone administration by paramedics. Ann Emerg Med 1990; 19(8):95-98. Medline
III Neutral (Yellow) Response to naloxone Process SIM Hoffman JR., Schriger DL., Votey DL., et al. The empiric use of hypertonic narcan in patients with altered mental status: A reappraisal. Ann Emerg Med 1992; 21(1):20-4. Medline


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