10 Ways to Safely Push Ketamine in the ED

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  1. Push Ketamine for Analgesia
  2. Consider Ketamine for Procedural Sedation
  3. Reach For Ketamine in Rapid Sequence Induction (RSI)
  4. Dilate in Asthma
  5. Sedate Post-Intubation
  6. Keep It Handy as a Tranquilizer
  7. Manage Ketamine’s Psychiatric Distress
  8. Remember the Cardiac Factor
  9. Lock it Down: Prevent Abuse
  10. Limit Risks of Laryngospasm, Hypertonicity, Hypersalivation

 

Ketamine and Rocuronium…for that critically ill intubation

Ultimately, the ketamine and rocuronium combination has equal efficacy and a superior safety profile in comparison to etomidate and succinylcholine. Ketamine and rocuronium should become the first-line choices for RSI in critically ill patients.

Trauma research 2014-2015

  1. The headline here is that those with an extradural and fixed dilated pupils have a >50% chance of a good neurological recovery. Please, please, please aggressively manage these patients and avoid any nihilism as a result of this pupilary sign.
  2. Give Tranexamic acid to all patients with massive bleeding within 3 hours of trauma
  3. Use Ketamine for all trauma intubation so