I agree with your thoughts on A/E staff and I think they indeed should have
the competence you suggest.
I also agree that Ketamine - an agent for which I have the greatest of
respect - is a very valuable drug when correctly used in A/E practice and I
think we must see ourselves as capable of using it safely. This means
knowledge and experience not just if its actions but the ability to deal with
the potential complications which in my experience are strongly dose related.
I am very interested in the use in the collapsed asthmatic patient - I know
of its actions in this respect but I doubt I would have thought of it in that
situation.
Charlie Fee,
Craigavon
N.Ireland
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