I agree completely.
Rob Dawes
----- Original Message -----
From: "Rowley Cottingham" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, April 30, 2003 5:02 PM
Subject: Re: Ideas please....
> DO NOT GIVE A BENZODIAZEPINE WHILE THE PATIENT IS STILL TRAPPED. You run
> a severe risk of respiratory depression and obstruction while will give
> you a shed load of trouble. If the patient is behaving oddly, give more
> ketamine. If you are seriously bothered about emergence phenomena give a
> bit of midazolam when in hospital as the ketamine is wearing off. I have
> only seen it once in an adult, and that wasn't very impressive - no
> worse than the effect of brief hypoxia.
>
> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of
> [log in to unmask]
> Sent: 30 April 2003 14:45
> To: [log in to unmask]
> Subject: Re: Ideas please....
>
>
> In message <[log in to unmask]> Tom Hughes
> <[log in to unmask]> writes:
> > On my [limited] prehospital experience with trauma and ketamine, it
> > seems to be useful to cover short [painful] procedures, but I found it
>
> > difficult to titrate in the back of an ambulance, added to the
> > interesting neuropsychological effects.
> >
>
> <SNIP>
>
> We routinely add benzodiaz to ketamine in Staffs to address the latter
> point.
>
> Need to top up usually every 15 minutes if maintaining anaesthesia with
> ETT in situ.
>
> Can run into probs with increased resps if borderline pneumo.
>
> Anton
>
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