Not thought of ketamine but certainly done RSI in this group. One guy
had a thoracic dissection and refused any assessment big shock when bp
was low with a wide mediastinum!
Andy
Sent from my iPhone
On 4 Sep 2008, at 15:47, Steve Meek <[log in to unmask]> wrote:
> May I ask the list what their practice would be in this situation?
>
> A 6 ft 4 muscular male aged 30 weighing around 100kg is brought to
> the ED. He was found confused at home and appears flushed and
> sweaty. He is confused and refuses all monitoring, tests, IV access
> or even to stay in the ED. The paramedics have somehow persuaded him
> into the ED. His partner says he is not a drug user.
> I am not putting it forward as an interesting case, I merely what to
> know who would forcibly sedate (or even perform RSI), what you would
> use, and why/what the evidence base is.
> Personally I give such patients 3-4mg/kg of IM ketamine under
> restraint.
> Steve
> Frenchay, Bristol
>
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