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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

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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.


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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

Join Drs. Peter Antevy, Mark Piehl and David Spiro as they present Reel Emergency, an interactive vodcast discussing the latest data and best practices in emergency and critical care medicine. Cases are illustrated by actual patient video. These three leaders in the pediatric field will use their experience to cover the spectrum of care from out-of-hospital, to the ED to the ICU.

This podcast is produced in partnership with Handtevy, Reel Dx and 410 Medical, and is powered by Prodigy EMS. Earn CAPCE credit on Prodigy EMS at For information on partners, visit, and