Out‐of‐hospital ketamine: review of a growing trend in patient care

Abstract Ketamine is a unique medication with a long history of use in the emergency department. Out‐of‐hospital indications for ketamine have been explored and are currently expanding in some systems. This article provides background on ketamine history and pharmacology, its use in the hospital env...

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Main Author: Bryan B. Kitch
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:Journal of the American College of Emergency Physicians Open
Subjects:
Online Access:https://doi.org/10.1002/emp2.12023
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author Bryan B. Kitch
author_facet Bryan B. Kitch
author_sort Bryan B. Kitch
collection DOAJ
description Abstract Ketamine is a unique medication with a long history of use in the emergency department. Out‐of‐hospital indications for ketamine have been explored and are currently expanding in some systems. This article provides background on ketamine history and pharmacology, its use in the hospital environment and possible applications for emergency medical services usage of this medication. Contraindications and adverse reactions are discussed to provide education on the nuances of ketamine administration and mitigation strategies. Out‐of‐hospital indications for ketamine are discussed including airway management, rapid sequence induction, analgesia, sedation, and treatment of excited delirium.
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spelling doaj-art-78d9a8d7ada9429cb7aef2a3ca8cd5022025-08-20T02:07:30ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522020-06-011318318910.1002/emp2.12023Out‐of‐hospital ketamine: review of a growing trend in patient careBryan B. Kitch0Department of Emergency Medicine East Carolina University Greenville North CarolinaAbstract Ketamine is a unique medication with a long history of use in the emergency department. Out‐of‐hospital indications for ketamine have been explored and are currently expanding in some systems. This article provides background on ketamine history and pharmacology, its use in the hospital environment and possible applications for emergency medical services usage of this medication. Contraindications and adverse reactions are discussed to provide education on the nuances of ketamine administration and mitigation strategies. Out‐of‐hospital indications for ketamine are discussed including airway management, rapid sequence induction, analgesia, sedation, and treatment of excited delirium.https://doi.org/10.1002/emp2.12023EMSmedicationspharamacologyketamine
spellingShingle Bryan B. Kitch
Out‐of‐hospital ketamine: review of a growing trend in patient care
Journal of the American College of Emergency Physicians Open
EMS
medications
pharamacology
ketamine
title Out‐of‐hospital ketamine: review of a growing trend in patient care
title_full Out‐of‐hospital ketamine: review of a growing trend in patient care
title_fullStr Out‐of‐hospital ketamine: review of a growing trend in patient care
title_full_unstemmed Out‐of‐hospital ketamine: review of a growing trend in patient care
title_short Out‐of‐hospital ketamine: review of a growing trend in patient care
title_sort out of hospital ketamine review of a growing trend in patient care
topic EMS
medications
pharamacology
ketamine
url https://doi.org/10.1002/emp2.12023
work_keys_str_mv AT bryanbkitch outofhospitalketaminereviewofagrowingtrendinpatientcare