Quote:
Originally Posted by swatsurgeon
Remember, analgesics have sedating properties, sedatives have no analgesic properties...All of the cric's I have performed were with either no medications or just an opioid. In a perfect world and what I carry now, is ketamine. It serves all purposes for an emergency airway.
The last one a friend of mine did on a cop, no meds were used and a successful cric was performed in the field.
Crip, are you issued ketamine or just fentanyl or morphine with your versed?
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Not only is there no analgesic effect from Benzos, given in the face of inadequately controlled pain, the brakes just come off and you will have a combative patient. Don't try to chase pain with anything but analgesics, tranqulizers will help, and
may reduce the total amount of narcotics in some cases.
Ketamine in small doses has analgesic ability. In large doses, Ketamine can function as an induction agent IM/IV for general anesthesia. Ketamine has the advantage of sympathomimetics and supports blood pressure where other agents depress BP and such. I expect Ketamine in higher concentrations ie 100mg/ml would be of value in the field.
Have no experience trying to "reverse" Ketamine with anything but tincture of time. If Ketamine is used in conjunction with opioids, Naloxone may well show clinical effects of "reversal".
RF 1