We are a level 1 trauma center (we see about 75K-80K per year).
We recently updated (about a year ago) our RSI guidelines and with anesthesia input have ketamine as an option for induction.
From: Pediatric Emergency Medicine Discussion List [mailto:[log in to unmask]] On Behalf Of Michael Falk
Sent: Wednesday, February 18, 2015 7:11 AM
To: [log in to unmask]
Subject: Re: ketamine
I am running my EM residents through some Pediatric Trauma cases and an interesting question came up that I said I would bring to the listserv...is anyone using Ketamine routinely for RSI/pain control in Pediatric trauma?
I know from colleagues who have served in Iraq and Afghanistan that it is the standard drug for the military because of it's hemodynamic stability and the fact that there is no evidence that it has any impact on ICP....but was curious to see if any of the big Children's Hospitals and trauma centers have started to use it?
Mike Falk, MD, FAAP, FRCP(C)
Director ED Simulation Fellowship
Director of ED Simulation,
Department of Emergency Medicine
Mount Sinai St. Luke's/
Mount Sinai Roosevelt Hospital
New York, NY
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