Procedural Sedation Errors

Error #1: Delaying deep sedation until fasting times are met Error #2: Believing PSA carries less risk than endotracheal intubation Error #3: Minimizing risk of airway and breathing complications while using ketamine Error #4: Not having full intubation setup nearby Error #5: Responding to hypoventilation or apnea with early and/or aggressive use of the bag-valve […]

10 Ways to Safely Push Ketamine in the ED

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

Being Human…

Procedures done in the Emergency Department are really painful. Research done in Kenya (READ MORE) showed that we’re doing loads of these but anecdotally the patients received minimal analgesia. Stop the SCREAMING…learn Procedural Sedation and Analgesia…it’s easy and more humane

When you have to put the child to sleep for a painful procedure

When dosing oral midazolam for anxiolysis – like when you’re doing a procedure – you can dose above the listed limit of 0.5 mg/kg. In fact, you can dose up to 1 mg/kg! For the child who is preschool and under I will typically give the following dose: 0.7 to 0.8 mg/kg DO NOT FORGET […]

Emergency Medicine Kenya Foundation