Olanzapine vs Haloperidol for Management of Acute Agitation in Emergency Department: An Open Label Randomized Controlled Trial.

Background: Acute agitation is a common presentation in the emergency department (ED), often managed with haloperidol. This study aimed to compare the efficacy and safety of olanzapine versus haloperidol for the initial treatment of acute agitation in the ED.

Objectives: Primary outcome was adequate sedation at 15 minutes, defined as Altered Mental Status (AMS) score of zero or less.

Cease the storm - Successful stellate ganglion block in terminating refractory electrical storm.

An electrical storm also known as a ventricular tachycardia storm (VT storm) tends to recur and form a vicious cycle, eventually leading to a refractory electrical storm, refractory to electrical and pharmacological cardioversion. The treatment of refractory VT storm is challenging. Here we discuss the case of a middle-aged gentleman who presented to our emergency department 6 months apart with a refractory VT storm.