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CK2

Published on Sep 10, 2019

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MORE DECKS TO EXPLORE

PRESENTATION OUTLINE

1.

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

Photo by robnguyen01
2.

Untitled Slide

  • Associate Professor of Emergency Medicine, UBC
  • Staff Physician, Royal Inland Hospital, Kamloops
  • Cannabis Clinician & Researcher
3.

Disclosures

Board of Directors, KataCanada.org
Photo by Kristina Flour
4.

OUTLINE

  • Nuts & Bolts & Travel
  • Ketamine and opiate hyperalgesia
  • Ketamine accessibility and the College
Photo by akk_rus
5.

Hamilton

No ketamine for emergency physicians
Photo by Srini Sundarrajan
6.

Vancouver

Ketamine for abscess drainage in IDU
Photo by Aditya Chinchure
7.

St. Paul's

KETAMINE FOR TRAUMA & INTUBATION
Photo by Can Pac Swire
8.

ABU DHABI

PEDIATRIC KETAMINE
9.

Abu Dhabi

Ketamine for pediatric laceration repair
10.

Ketamine for Kids

  • 4 mg/kg intramuscular
  • 1 mg/kg intravenous
  • 1-10 mg/kg intranasal
11.

Set and Setting

Photo by gl/gc?int=25
12.

Kamloops

KETAMINE FOR DEPRESSION
13.

MAPS - OAKLAND

14.

Untitled Slide

15.

Acute Suicide Treatment

Antidepressant dosage: 0.5-1 mg/kg iv
synapse growth
16.

BURNING MAN

17.

Burning Man

Ketamine Dart - 5 mg/kg im for agitation
Photo by Trey Ratcliff
18.

EXTREME KETAMINE

  • Asthma
  • Status epilepticus
  • Sub dissociative dosing for pain
  • Delayed sequence intubation
  • Cannabis hyperemesis syndrome
19.

Pain-K Trial

Prehospital ketamine
9 km 4 hours
broken femur
20.

KAT

Unexpected Meeting at Burning Man
21.

Psychedelic Networking

22.

Contraindications

WHAT REALLY MATTERS?
Photo by C Drying
23.

Increased IOP

MYTH!
Photo by Ben Mortimer Photography
24.

Increased ICP

MYTH!
Photo by iem-student.org
25.

Psychosis

Photo by Christiaan Tonnis
26.

BLOOD PRESSURE

Photo by jasleen_kaur
27.

Complications

Vomiting
Photo by Steve E.
28.

Laryngospasm

  • children
  • break with 2 person BVM
  • Larsen maneuver
Laryngospasm in 0.3% of pediatric
Photo by iDanSimpson
29.

KETAMINE CYSTITIS

Photo by Lucas Davies
30.

What is the Maximum Dose?

J Emerg Med Sept 24, 2019
Photo by Jordane Mathieu
31.

End of Part 1

Questions?
32.

PART 2

OPIATE HYPERALGESIA & DEPENDENCE
33.

Opiate Induced Hyperalgesia

NMDA mediated
34.

IBOGAINE

Photo by The Drug Users Bible
35.

DEXTROMETHORPHAN

Photo by Luke Hollins
36.

Methadone

Photo by DFAT photo library
37.

Untitled Slide

38.

Speculation

Can manipulation of NMDA receptors be part of opiate dependency treatment?

Photo by Oberazzi
39.

PART 3

KETAMINE AND THE COLLEGES
Photo by Tobias Markmeyer
40.

Untitled Slide

41.

CPSBC & LSD

SOME HISTORY
Photo by ManelTor
42.

HOLLYWOOD HOSPITAL

43.

TYHURST

44.

TYHURST & CPSBC

Photo by Bill Oxford
45.

CPSBC & Ketamine

  • ?Any non hospital ketamine
  • Spravato & the corporate agenda
  • Parenteral vs other forms
  • Very limited access
  • Similar issues in other provinces
Photo by Online Marketing
46.

Untitled Slide

47.

Education Needed

  • Increase awareness of set and setting.
  • Standardize dosing and treatment
  • Help Colleges with safety data
Photo by Alfons Morales
48.

My Questions

  • Separate pharmacology from psychotherapy
  • Do some benefits require psychedelic dosing?
  • The importance of hyperalgesia
Photo by Veronique Debord
49.

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


@travels2little

Photo by Jason Dent

Ian Mitchell