Emergency Forum| Volume 54, ISSUE 5, P697-700, May 2018

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Can We Finally Dispense With Ketamine's Many Myths?

  • Joshua Hurwitz
    Corresponding Address: Joshua Hurwitz, md, Emergency Medicine Associates, P.O. Box 1600, Vancouver, WA 98668
    Department of Emergency Medicine, PeaceHealth Southwest Medical Center, Vancouver, Washington
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      I had the opportunity to respond to questions submitted to me by my institution's peer review committee regarding my care of an agitated, violent patient who received ketamine to control violent behavior and permit evaluation. This was an interesting and complex case. The patient was taken to the emergency department (ED) by paramedics after he jumped from a bridge approximately 30 feet into a river. He presented with mild hypothermia and moderate hypertension and was initially cooperative with the evaluations, including radiological testing and blood draws. After returning from the radiology department (where computed tomography scans proved negative for serious injury), this large, muscular patient leaped from his bed, threatened violence to multiple staff members, exited his room suddenly to attack a staff member, and was tackled to the ground.
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