Patient with delirium and agitated behavior

Drs. Antevy, Piehl, Spiro, Scheppke, Bernstein and Kupas discuss ketamine and other sedatives, and how to minimize risk when administering

Listen as EMS and law enforcement take care of a man who was found in public jumping on top of cars and exhibiting aggressive and paranoid behavior. He says he has used methamphetamines, and he is profoundly diaphoretic and hyperthermic when EMS encounters him.

Managing these patients is difficult and complicated, and ketamine and other sedatives should be considered carefully. 

Drs. Peter Antevy, Mark Piehl and David Spiro, and special guests Drs. Ken Scheppke, Jeffrey Bernstein and Doug Kupas join to evaluate provider-captured EMS video of this case.

Reel Emergency covers the latest evidence with real cases in emergency and critical care medicine. Produced in partnership with ReelDx, Handtevy and 410 Medical. CE available from Prodigy EMS.

Next for the playlist

Next for the playlist

The future of ketamine in EMS and how it could change

In this episode, our co-hosts discuss the use of ketamine in EMS and new legislation that may restrict its use, as well as the broader implications of legislators weighing in on EMS practices


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