Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Acad Emerg Med
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We wanted to estimate the frequency and describe the nature of emergency department (ED) procedural sedation restrictions in the State of California. ⋯ In this statewide survey we found a substantial prevalence of practice limitations-mostly created by local anesthesia directors-that restrict the ability of emergency physicians to provide procedural sedation for their patients in accordance with ACEP guidelines. Deep sedation was prohibited in 18% of responding EDs. Our respondents describe adverse consequences to patient care.