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Use of propofol for sedation in the emergency department
  1. Rupert Jackson,
  2. Simon Carley
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
  1. Correspondence to: Kevin Mackway-Jones, Consultant (kevin.mackway-jones{at}

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Report by Rupert Jackson; Specialist RegistrarChecked by Simon CarleySpecialist Registrar

Clinical scenario

A 35 year old man presents with a dislocated shoulder. You are about to undertake the reduction under sedation in the emergency department and wonder whether the use of a propofol infusion rather than boluses of midazolam would give effective sedation with shorter recovery time without compromising safety.

Three part question

In [patients requiring conscious sedation for short painful procedures] …

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