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Whoo-hoo! I missed this one! Who suggested you needed an opiate with ketamine, a dissociative anaesthetic that has intense analgesic properties?!! With respect, I suggest that this protocol needs to be pulled and rewritten. Best wishes Rowley. -----Original Message----- From: Accident and Emergency Academic List [mailto:[log in to unmask]] On Behalf Of Ray Sent: 22 February 2005 20:20 To: [log in to unmask] Subject: Re: Paramedics and allergy Andy, I've been told that Ketamine has not been agreed for use by Scottish Paramedics. Is this a local agreement? Ray McGlone ----- Original Message ----- From: "Andrew Webster" <[log in to unmask]> To: <[log in to unmask]> Sent: Sunday, February 13, 2005 5:13 PM Subject: Re: Paramedics and allergy > On a similar thread, the paramedics here have been given ketamine to > use, with fentanyl as their IV analgesic. Patient with a nasty > fracture given fentanyl and ketamine to help extract > him.....respiratory arrest. Needless to say they are not keen to give > it again. > > A brown pants episode > > Andy Webster > Registrar in Emergency Medicine > Sir Charles Gairdner Hospital > Perth >