Ketamine To The Rescue…Or Not

Ketamine model (WikiMedia)

One of my favorite conference speakers has always been Dr. Al Sacchetti from Camden, NJ, USA. He is passionate about Emergency Medicine and understands his patients. So when Dr. Sacchetti goes on a rant…I sit up and listen.

Who doesn’t love ketamine? It’s cheap and available worldwide. Use it for pediatric sedation, status epilepticus, and anesthesia. It can be administered intranasally, intramuscularly and intravenously.

But can it safely be used for agitated delirium? Listen to the October 2019 podcast or read the PDF: Rants from the Community: Ketamine by Al Sacchetti MD. It’s sure to calm your agitation when faced with a delirious patient.

 

 

Who Knew? Ketamine is a drug of abuse. When the drug is diverted for recreational use, the original pharmaceutical form is often abandoned. The most popular method is snorting ketamine powder. The powder is prepared by evaporation of the original solution or ketamine solution may be transferred to a vaporizer to be administered intranasally. As with all illegally sold drugs the concentration and presence of adulterants are mostly unknown and therefore represents a public health risk.

Hemophilia: Stemming the Crimson Tide

Wikipedia

Blood: the red liquid that circulates in the arteries and veins of humans carrying oxygen to and carbon dioxide from the tissues of the body.

Hemophilia: the ability of the blood to clot is severely reduced, causing severe bleeding from even a slight injury.

The prevalence of Hemophilia A varies by country, with a range of 5.4-14.5 cases per 100,000 males. (Medscape)

Do you know the three major forms of Hemophilia or the most common emergency department presentations? Take a listen or read EM:RAP’s October 2019 podcast: Hemophilia by Anand Swaminathan MD and Nilesh Patel MD to refresh your knowledge.

Who Knew? The first medical professional to describe the disease was Abulcasis. In the tenth century he described families whose males died of bleeding after only minor traumas.(Wikipedia)