StarMedic552
Greenlighter
- Joined
- Aug 30, 2017
- Messages
- 25
So I work on an ambulance. We carry ketamine and frankly our medical director (a D.O.) loves it. All the other medics hate it though, so I've never seen it used. I know the dosing profiles we use (25mg for pain control, 0.5-1mg for conscious "sedation," like if we have to extricate you from a car and every bone in your body is broken, and the entire vial for intubating someone). I also know this medicine has an emergence phenomenon, but nobody I've ever talked to has experienced it. Can anyone who's used it tell me what the patient is going through while they're in the conscious sedation/totally zonked state, and what happens in the emergence reaction? Also, if my patient comes out of their partial/total dissociation, and has one of these reactions, what should I, as the healthcare provider, do to help? I'd ask the guys I work with but, again, they don't know shit bc this is a recent change and they'd rather give fentanyl (pain) or midazolam (sedation). Thanks in advance.