"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…"
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Adam Bernarde
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Last On: 6:09AM, 20 Nov 12
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ketamine in the field
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Looking for help with ketamine in the field. My service is looking into the use of ketamine on the ambulance. Any help will be greatly appreciated.Continue
Started this discussion. Last reply by dr-exmedic Dec 8, 2012.
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Scott RB replied to Adam Bernarde's discussion ketamine in the field"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. …"
Scott Lancaster replied to Adam Bernarde's discussion ketamine in the field"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…"
Scott RB replied to Adam Bernarde's discussion ketamine in the field"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…"
Pete Oz ICP replied to Adam Bernarde's discussion ketamine in the field"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…"
Scott Lancaster replied to Adam Bernarde's discussion ketamine in the field"Scott: See my first posting, there are some studies there."
Scott RB replied to Adam Bernarde's discussion ketamine in the field"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…"
Scott Lancaster replied to Adam Bernarde's discussion ketamine in the field"We replaced our Etomidate with it about 3 months ago. And with a little benzo, (.5 ativan) I have been told the resurgence issues (when they are coming out of the Ketamine cloud) are mitigated."
Suzanne Martens replied to Adam Bernarde's discussion ketamine in the field"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…"
Scott Lancaster replied to Adam Bernarde's discussion ketamine in the field"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…"
Ben Duval replied to Adam Bernarde's discussion ketamine in the field"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."
Skip Kirkwood replied to Adam Bernarde's discussion ketamine in the field"Interested in the evidence of need??? Thanks."
ketamine in the field
Looking for help with ketamine in the field. My service is looking into the use of ketamine on the ambulance. Any help will be greatly appreciated.See More
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