Originally Posted by Lawsonc
All of the services I've seen that carry only one, carry versed. It has a short duration, has amnesic properties, and is useless for seizures. On the flip side, if you only had valium, you'd better have a hypnotic agent for intubation (such as etomidate) and figure out how your going to "comfortably" cardiovert someone. I can think of so many different indications for a benzo, but not one benzo that could cover them all.
-I would not say at all that versed is "useless" for seizures. There is some very good evidence suggesting its efficacy and I have used versed via nasal atomizer in patients without IV access with success in the past for status. It also has very minimal vascular effects compared to other agents making it a decent choice. For more info check out this study:
Intravenous midazolam for the treatment of refractory status epilepticus.
Kumar A, Bleck TP
Crit Care Med. 1992;20(4):483.