"Scott RB said:
It's just like any other medicine: it has its up and down sides, and times you use it, and times you don't. I like it, it's one of my favorite drugs, and sometimes I use it on patients as well. ;)
"I don't doubt that it can do what it says it does, but is it better and/or safer than what is already used? And one does not necessarily need to perform an RCT (though ideal) to get an idea of safety and efficacy. …"
"Perhaps. It has also been used in military field medicine with great results. I do not think that having a MD or a MICA medic make the effectiveness of the drug, but the training and experience. Yes, it does have some downsides, like all…"
"I did. Most of the prehospital ketamine studies were not done in the US or were in non-ground settings or included physicians as part of the prehospital team. Don't get me wrong, ketamine sounds like a great drug. And I…"
"Hi Guys. I have been using Ketamine for over 9 years myself and have observed it being used by pre-hospital Doctors in the UK, previous to that. It is a safe drug to use, but when introduced does create some trepidation amongst pre-hospital…"
"Considering the number of services that seem to be adding ketamine, I hope to see some prospective studies (but I'm not confident that the average medical director is that proactive). It would also be nice to see some data for head…"
"I just instituted Ketamine and it has been met with great interest, after the initial hurdle of learning a new and unique medication. We have protocols for full dose with major trauma, RSI induction, and excited delirium. Low-moderate…"
"The service I work for uses it as an alternative pain management drug, or as a sedative. For pain management it is preferred over the standard meds (dilaudid, morphine, etc) but only in patients where hypotension is present or is likely to…"
"There is good evidence that small ketamine doses cut opiod use while helping to maintain the patient's airway. It doesn't cause hypotension and the patient continue to breath.
Here are a few a college gave me:
1. Dickey N, Jenkins…"
"Just curious what is our service looking at using ketamine for. I have only ever observed it being used for conscious sedation in fracture reduction. Does ketamine have any notable benefits over other medication."