(Verse 1) Lights cut the dark, boots hit the floor Dispatch said “violent,” we’ve heard it before Sweat on his brow, eyes wild and wide Hyperactive delirium, nowhere to hide Swingin’ at shadows, fists in the air Crew’s on edge but we step with care One voice talking, keep it controlled But he’s escalating, breaking the hold (Pre-Chorus) BARS score six, he’s out of control We’re balancing safety with saving a soul (Chorus) Midazolam, draw it up quick 2.5 IV, or IO, or IN if it sticks 5 IM if we can’t get a line Repeat every 2–3, watch the timeline Cardiac monitor, keep eyes on the screen EtCO₂ tracing tells us what it means Check that sugar, don’t miss the clue In the chaos, we do what we do (Verse 2) He’s thrashing hard, takes two to hold Physical restraints, but careful and controlled IV or IO, we try for access Every move measured, nothing reckless Age sixty-five? We cut that dose 1.25 IV if that’s the route we chose 2.5 IM when veins won’t play We titrate slow, keep harm away (Pre-Chorus) Adrenaline’s high, but we stay precise Every decision could cost a life (Chorus) Midazolam, steady the storm 5 IM to bring him to form Repeat every 2–3, don’t delay Watch respirations all the way Cardiac monitor, rhythm in sight EtCO₂ waveform through the fight Blood glucose check, rule it out fast Find the cause beneath the blast (Bridge) If twelve or older, another route we know Haloperidol, 5 IM slow Age sixty-five, we cut it in two 2.5 IM is what we’ll do Repeat every five, but don’t exceed Ten milligrams total is all we need Pediatric case? Weight-based plan 0.2 per kilo, as best we can IV, IO, IM, IN Max 2.5, then reassess again (Breakdown) Universal protocol in the back of our minds Scene safety first in these volatile times He’s fighting hard, but we see the fear Delirium’s loud, but we still hear (Verse 3) Watch for reactions, don’t get blindsided Dystonic signs can’t be ignored or divided Dopamine, acetylcholine out of sync Muscles lock up quicker than you think Few hours in—or maybe days We stay alert in all the ways If it hits, we know the drill Benadryl to counteract the spill (Pre-Chorus) 50 mg if adult’s the case 1 per kilo for a pediatric pace (Final Chorus) Midazolam, bring it down slow Through the chaos, we stay in the flow Monitor, glucose, EtCO₂ line Every breath and beat in time From violence to calm, we guide the night Holding the line between wrong and right (Outro) Sirens fade as the storm lets go Another life pulled back from the undertow Not just a call, not just a fight— It’s saving a soul in the dead of night.
