Ketamine is a versatile medication commonly used by paramedics prehospital for a plethora of different medical emergencies. Several tragic deaths that have …
Outrage by the misinformed populace driven by the intentionally misleading media? That’s never happened before.😉 As a former Firefighter/EMT I love your channel.
As someone who just had this stuff put in them a couple days ago I would like to assure you I felt, I remember, I was there it dulled those concepts but did not remove anything. I couldn't move and was basically super confused about the whole experience but when I described it back to the staff they were pretty surprised that I knew exactly what was going on and could not only remember the experience but felt a ton of it. It was terrible.
Excited Delirium isn’t a “ true “ thing. It is not in the DSM-5 and can’t not be diagnosed as a mental disorder. EMS and police are using this as an excuse to unlawfully administer the drug. Which is also controversial. Police do yell at EMS to give more. They overdosed me. They gave me a huge amount of ketamine without any medical history. I have permanent damage as a result of their negligence. This also causes memory loss, making a victim of a brutal trauma seem crazy and not credible. Ketamine messes with all your recall of events and jumbles your thoughts and effects you’re ability to put cohesive sentences together. 300 mg of Ketamine overdosed me immediately. When the manufacturers dosing protocols state. K-hole or overdose amount is 125mg. I am currently suing for the misuse of this drug and for damage my body and for emotional distress.
So when people over dose and die it's basically from being super scared because they gave them too much and there flying around in another demension which is super scary especially if they have no idea what to aspect!
This is one of the most widely anesthetics, it deserves some respect. It's the best to handle depression and many more in no time. Quality also matters, get it https://taphpharma.com/shop/buy-ketamine-hcl-powder/
What about the population who use ketamine recreational and in mid – high doses, you need to give people awareness + i.e ketamine + cannabis low high. Thank you i ask as you obviously know what ketamine is and people should know how powerful this drug can be as people don't usually understand as its used by the government and not a high priority class drug. Thanks
Exited Delirium….He just unwittingly Solved the George Floyd case. Death from exited Delirium due to ingesting a copious amount of Fentanyl.. case closed
Thank you very much for your videos, I hope that these are canalise my way to graduate as a paramedic. Can you tell me some "must-have"-books that help according to you?
Ketamine is by far the most useful drug in my kit. I remember when Michael jackson did what he did regarding diprivan, and we couldn't get our hands on it for our vented patients (CVICU nurse), and switched to versed/ativan combos. Ugh, I was so spoiled. I hope, politically, this doesn't turn into anything similar.
My compliments! Patient restraint is a topic I have spent a great deal of time researching and teaching at state and national conferences, and your discussion on the myths and controversies surrounding ketamine was spot on. The adverse effect profile for Ketamine is relatively small, especially when compared against other chemical restraint agents, but it's still a drug. And like any drug, Ketamine demands our respect and requires that we use caution when administering it. As the number of applications and the overall prevalence of its use continues to grow in EMS as an industry, we will likely see an increase in the number of unwanted and unexpected outcomes. That's just the law of averages. With every roll of the dice, there's a chance of seeing snake eyes.
They also told us fentanyl would lock up the chest wall and make it impossible to ventilate the patient…. haven’t seen that yet. Although anybody else who is in EMS knows now that I’ve mentioned it will most likely happened tomorrow in shift
The problem is when the paramedic sedates people with it for the police, if its a psych patient that job should be up to a psychiatrist to do, ketamine overdoses made me wake up intubated and catheterized twice. The psychiatrist can use safer drugs for that purpose.
I am not well versed in the phenomenon of “Excited Delirium Syndrome” (ExDS). I’d really like to look further into ExDS and how we will be approaching this as EMS in the future, due to our limited ability to intervene aggressively without having appropriate lab studies at all this time in 2020. Perhaps administration of albuterol post sedation? RSI with ketamine and inline albuterol? High flow O2 with increased demand RR via BVM post intubation for decreased ETCO2? Large amounts of fluids? Calcium and bicarbonate administration? This is is all with the presumption that the end result is hyperkalemia with rhabdo and underlying metabolic acidosis. And I am just thinking out loud so don’t tear into me too hard in the comments. I’m not sure if you have done a video regarding ExDS, but that would be an excellent discussion. So many things to consider in such a short time (short time with patient in the pre-hospital setting), as to what role EMS can play. Aggressive prophylaxis vs reactionary TX: Thoughts anyone?
Hey, I like your videos and I like your information. But by repeatedly saying “I’m not being political” and repeatedly referring to situations that are incredibly topical in our national conscious, you’re being subversive. Elijah McClain. Say his name. He died this way and no one knows if it was right or not, or due to the meds or not, but it was still tragic. It’s not helping to pretend that we don’t know what you are talking about. Saying “I don’t want to be politcal” is just a way to explain away a pattern that no one wants to look at, but definitely exists. Say. Their. Names.
My mum was a nurse for 42 years. Mostly ER, and worked PACU (recovery room) in her last 15 years or so. She hated ketamine. She saw its benefits, but had to deal with re-emergence reactions a few too many times. In PACU, they'd turn the lights down, speak quietly and move carefully whenever they had a pt anaesthetised with it, as they'd had a number of incidents where pts had pretty major re-emergence reactions. The anesthesiologist using it was particularly sloppy. He'd oversedate pts on the regular or do things like have the pt extubate themselves .
I have watched this video several times and as a physician, I really wished that you had reviewed the cases that you think are falsely associated with Ketamine use instead of giving blanket statements. Ketamine is a relatively newly approved drug for prehospital use, but has come in and out of use in the hospital because of its side effects, including fatal ones listed by the FDA. For a time, Ketamine was mainly used by Veterinarians instead of Doctors. As a Pediatrician, that has also treated young adults up to 21 years old, dose by weight is still an important part of pharmacokenttics and side effects. Just because a fatal high dose side effect is rare, does not make it false or implausible.
Im hoping for some advice: Im a college student who is premed but I love the EMS field. I live in MA go to school in OH and have basic certs in both. School isn't allowing us to come back this fall so I was thinking of taking the semester off and enrolling in an Advanced EMT program. What are your thoughts on the cert and if it's worth the time?
In my area we are getting Ketamine added to our protocols next month but it is only approved for pain management. It will be our primary pain medication for trauma patients at risk of hypotension vs Fentanyl which we will still continue to carry.
Absolutely perfect advice and video, 10 out of 10. Can’t say much more. We tend to use Ketamine in subway incidents or collapse structures, very usefull IM.
Have u done epinephrine
One of the greatest things ever
Outrage by the misinformed populace driven by the intentionally misleading media? That’s never happened before.😉
As a former Firefighter/EMT I love your channel.
If you want, you can learn how to cure any sickness simply by consuming Weedborn CBD.
As someone who just had this stuff put in them a couple days ago I would like to assure you I felt, I remember, I was there it dulled those concepts but did not remove anything. I couldn't move and was basically super confused about the whole experience but when I described it back to the staff they were pretty surprised that I knew exactly what was going on and could not only remember the experience but felt a ton of it. It was terrible.
https://mybestmedicine.com/health-news/ama-excited-delirium-not-a-legitimate-medical-diagnosis/
Excited Delirium isn’t a “ true “ thing. It is not in the DSM-5 and can’t not be diagnosed as a mental disorder. EMS and police are using this as an excuse to unlawfully administer the drug. Which is also controversial. Police do yell at EMS to give more. They overdosed me. They gave me a huge amount of ketamine without any medical history. I have permanent damage as a result of their negligence. This also causes memory loss, making a victim of a brutal trauma seem crazy and not credible. Ketamine messes with all your recall of events and jumbles your thoughts and effects you’re ability to put cohesive sentences together. 300 mg of Ketamine overdosed me immediately. When the manufacturers dosing protocols state. K-hole or overdose amount is 125mg. I am currently suing for the misuse of this drug and for damage my body and for emotional distress.
https://mybestmedicine.com/health-news/ama-excited-delirium-not-a-legitimate-medical-diagnosis/
My problem with it is that I only get 28 ml 😜😜😜
So when people over dose and die it's basically from being super scared because they gave them too much and there flying around in another demension which is super scary especially if they have no idea what to aspect!
It’s a hallucinogenic and animal tranquilizer. Bad, bad stuff. It causes a break in reality. I though I was literally dying!
This is one of the most widely anesthetics, it deserves some respect. It's the best to handle depression and many more in no time. Quality also matters, get it https://taphpharma.com/shop/buy-ketamine-hcl-powder/
What about the population who use ketamine recreational and in mid – high doses, you need to give people awareness + i.e ketamine + cannabis low high.
Thank you i ask as you obviously know what ketamine is and people should know how powerful this drug can be as people don't usually understand as its used by the government and not a high priority class drug.
Thanks
We just deployed Ketamine in my county after conducting a pilot test program. Protocol allows indications of pain control and excited delirium.
Exited Delirium….He just unwittingly Solved the George Floyd case. Death from exited Delirium due to ingesting a copious amount of Fentanyl.. case closed
Thank you very much for your videos, I hope that these are canalise my way to graduate as a paramedic. Can you tell me some "must-have"-books that help according to you?
I take 450mg
I'm so happy I randomly found this channel, I've been looking for a good field medic / survival med channel to learn from. Fuck yeah instant sub 😎🚬
Ketamine is by far the most useful drug in my kit. I remember when Michael jackson did what he did regarding diprivan, and we couldn't get our hands on it for our vented patients (CVICU nurse), and switched to versed/ativan combos. Ugh, I was so spoiled. I hope, politically, this doesn't turn into anything similar.
and its pretty effettive to make people zombies at free parties…
thank you for an articulate presentation. The accompanying music contradicts the message.
My compliments! Patient restraint is a topic I have spent a great deal of time researching and teaching at state and national conferences, and your discussion on the myths and controversies surrounding ketamine was spot on. The adverse effect profile for Ketamine is relatively small, especially when compared against other chemical restraint agents, but it's still a drug. And like any drug, Ketamine demands our respect and requires that we use caution when administering it. As the number of applications and the overall prevalence of its use continues to grow in EMS as an industry, we will likely see an increase in the number of unwanted and unexpected outcomes. That's just the law of averages. With every roll of the dice, there's a chance of seeing snake eyes.
At the end of the day ketamine saves more lives than it does harm. Always.
YODA HAS ENTERED THE CHAT
They also told us fentanyl would lock up the chest wall and make it impossible to ventilate the patient…. haven’t seen that yet. Although anybody else who is in EMS knows now that I’ve mentioned it will most likely happened tomorrow in shift
The problem is when the paramedic sedates people with it for the police, if its a psych patient that job should be up to a psychiatrist to do, ketamine overdoses made me wake up intubated and catheterized twice. The psychiatrist can use safer drugs for that purpose.
Poor lighting In this vid
I am not well versed in the phenomenon of “Excited Delirium Syndrome” (ExDS). I’d really like to look further into ExDS and how we will be approaching this as EMS in the future, due to our limited ability to intervene aggressively without having appropriate lab studies at all this time in 2020. Perhaps administration of albuterol post sedation? RSI with ketamine and inline albuterol? High flow O2 with increased demand RR via BVM post intubation for decreased ETCO2? Large amounts of fluids? Calcium and bicarbonate administration? This is is all with the presumption that the end result is hyperkalemia with rhabdo and underlying metabolic acidosis. And I am just thinking out loud so don’t tear into me too hard in the comments. I’m not sure if you have done a video regarding ExDS, but that would be an excellent discussion. So many things to consider in such a short time (short time with patient in the pre-hospital setting), as to what role EMS can play. Aggressive prophylaxis vs reactionary TX: Thoughts anyone?
Mmmhmm need ketamine I do
what about long QT
It is also used in veternary medicine, has been widely used since the 1970s.
Very cool video all the way through – and well said while keeping things unpolitical! 💪🏼
What you also need to consider is – what is the alernative to „chemically restraining“ a patient in excited delirium with ketamine?
It‘s physically restraining them only – which leads to even more (potentially catastrophic) complications.
And thanks for putting the evidence under the video!
I guarantee this channel is going to get 1,000,000 subs within two years
I use ketamine when placing chest tubes, it’s a great drug. I usually pair it with versed, haven’t had anyone hallucinate/freak out on me.
Hey, I like your videos and I like your information. But by repeatedly saying “I’m not being political” and repeatedly referring to situations that are incredibly topical in our national conscious, you’re being subversive. Elijah McClain. Say his name. He died this way and no one knows if it was right or not, or due to the meds or not, but it was still tragic. It’s not helping to pretend that we don’t know what you are talking about. Saying “I don’t want to be politcal” is just a way to explain away a pattern that no one wants to look at, but definitely exists. Say. Their. Names.
Thank you Sam for giving us into about Ketamine, really appreciated.
Educational videos like this are why I started subscribing to your page. I love your review videos but I’d love to see more stuff like this again.
My mum was a nurse for 42 years. Mostly ER, and worked PACU (recovery room) in her last 15 years or so. She hated ketamine. She saw its benefits, but had to deal with re-emergence reactions a few too many times. In PACU, they'd turn the lights down, speak quietly and move carefully whenever they had a pt anaesthetised with it, as they'd had a number of incidents where pts had pretty major re-emergence reactions. The anesthesiologist using it was particularly sloppy. He'd oversedate pts on the regular or do things like have the pt extubate themselves .
The exited delirium is very relevant because of George Floyd
I have watched this video several times and as a physician, I really wished that you had reviewed the cases that you think are falsely associated with Ketamine use instead of giving blanket statements. Ketamine is a relatively newly approved drug for prehospital use, but has come in and out of use in the hospital because of its side effects, including fatal ones listed by the FDA. For a time, Ketamine was mainly used by Veterinarians instead of Doctors. As a Pediatrician, that has also treated young adults up to 21 years old, dose by weight is still an important part of pharmacokenttics and side effects. Just because a fatal high dose side effect is rare, does not make it false or implausible.
Im hoping for some advice: Im a college student who is premed but I love the EMS field. I live in MA go to school in OH and have basic certs in both. School isn't allowing us to come back this fall so I was thinking of taking the semester off and enrolling in an Advanced EMT program. What are your thoughts on the cert and if it's worth the time?
More or this type and less reviews please. Great video!
Great Video, much needed right now.
We are so conservative with ketamine here in Australia.. ambulance services just don’t trust us with it
In my area we are getting Ketamine added to our protocols next month but it is only approved for pain management. It will be our primary pain medication for trauma patients at risk of hypotension vs Fentanyl which we will still continue to carry.
Absolutely perfect advice and video, 10 out of 10. Can’t say much more.
We tend to use Ketamine in subway incidents or collapse structures, very usefull IM.
Great job.
Awesome info and great video.