Ketamine Use Part 2

Fundamentals of Ketamine Discussed:

  • Pharmacokinetics
  • Dosing in the hospital setting
  • Preferences for Ketamine use
  • Emergence reaction
  • Patients you've seen who've used Ketamine recreationally
  • Dispelling the myth about ketamine and TBI
  • Ketamine use in sepsis, or any scenario where endogenous catecholamines have been used up
  • Unopposed alpha effects and decreasing the dosage
  • What does an adverse effect look like and what to do

Case Reviews and Themes:

  • Push dose Epi on hand as needed
  • BP neutral medication (for the most part)
  • Profound hypotension – seen in sicker patients with co-morbidities
  • Larson’s maneuver – can help break laryngospasm, give PPV to break the laryngospasm, tends to be a short-lived side effect
  • Ketamine does not cause increased ICP
  • Nystagmus is the most common and most reliable onset with kids


Content Creator: Steve Williams
CAPCE Course Number: 21-EMTP-F3-1209
Total CE Hours: 1
Level: Advanced
EMT-CE uses the NEMSES guidelines as the foundation for every course outline.