1 of 38

Slide Notes

DownloadGo Live

CK1

Published on Sep 10, 2019

No Description

PRESENTATION OUTLINE

Caffeine for energy
For everything else...
there's Ketamine

Photo by robnguyen01

Untitled Slide

  • Associate Professor of Emergency Medicine, UBC
  • Staff Physician, Royal Inland Hospital, Kamloops
  • Cannabis Clinician & Researcher

Disclosures

Board of Directors, KataCanada.org

Hamilton

No ketamine for emergency physicians

Vancouver

Ketamine for abscess drainage in IDU

St. Paul's

KETAMINE FOR TRAUMA & INTUBATION
Photo by Can Pac Swire

ABU DHABI

PEDIATRIC KETAMINE

Abu Dhabi

Ketamine for pediatric laceration repair

Ketamine for Kids

  • 4 mg/kg intramuscular
  • 1 mg/kg intravenous
  • 1-10 mg/kg intranasal

Set and Setting

Photo by gl/gc?int=25

Kamloops

KETAMINE FOR DEPRESSION

MAPS - OAKLAND

Acute Suicide Treatment

Antidepressant dosage: 0.5-1 mg/kg iv
synapse growth

BURNING MAN

Burning Man

Ketamine Dart - 5 mg/kg im for agitation
Photo by Trey Ratcliff

EXTREME KETAMINE

  • Asthma
  • Status epilepticus
  • Sub dissociative dosing for pain
  • Delayed sequence intubation
  • Cannabis hyperemesis syndrome
Photo by Kelen Loewen

Pain-K Trial

Prehospital ketamine

Opiate Induced Hyperalgesia

NMDA mediated

Contraindications

WHAT REALLY MATTERS?
Photo by C Drying

Increased IOP

MYTH!

Increased ICP

MYTH!

Psychosis

BLOOD PRESSURE

Photo by jasleen_kaur

Complications

Vomiting
Photo by Steve E.

Laryngospasm

  • children
  • break with 2 person BVM
  • Larsen maneuver
Laryngospasm in 0.3% of pediatric
Photo by iDanSimpson

KETAMINE CYSTITIS

Photo by Lucas Davies

What is the Maximum Dose?

J Emerg Med Sept 24, 2019

KAT

Unexpected Meeting at Burning Man

Education Needed

  • increase awareness of set and setting.
  • Standardize dosing and treatment

My Questions

  • Separate pharmacology from psychotherapy
  • Do some benefits require psychedelic dosing?
  • Will coadministered drugs affect results?

Coffee to stay awake; for everything else there's KETAMINE


@travels2little

Photo by Jason Dent

Procedural Sedation

SAFE IN TRAUMA & INTUBATION

Untitled Slide

Photo by biketrouble

Untitled Slide

Part 1

Nuts & Bolts & Travel

Untitled Slide

Untitled Slide

Part 2

Ketamine, Hyperalgesia & Dependence