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Phone: (843) 766-6635
Main Library
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Folly Beach Library
Closed for renovations
Phone: (843) 588-2001
John L. Dart Library
9 a.m. - 6 p.m.
Phone: (843) 722-7550
St. Paul's/Hollywood Library
9 a.m. - 5 p.m.
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Mt. Pleasant Library
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Edgar Allan Poe/Sullivan's Island Library
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Wando Mount Pleasant Library
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Prehospital Use of Ketamine: Effectiveness in Critically Ill and Injured Patients.
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- Author(s): Zietlow, John (AUTHOR); Berns, Kathy (AUTHOR); Jenkins, Donald (AUTHOR); Zietlow, Scott (AUTHOR)
- Source:
Military Medicine. 2019 Supplement, Vol. 184, p542-544. 3p. - Source:
- Additional Information
- Subject Terms:
- Abstract:
Background: The military use of ketamine is well established. The benefits of prehospital civilian use have not been extensively reported.Methods: A retrospective review was performed of patients with prehospital ketamine use in Mayo One's air and critical care ground transport.Results: The medical records were reviewed from 2014 to 2016 to assess the efficacy of Ketamine. During this time frame, 158 (167 instances) patients were treated with ketamine for analgesia (38%), sedation (44%), or procedural (18%) use. The patient population had a mean age of 49 (range: 1-100), with 105 (67%) male patients. Indications included trauma (69%), which was further broken down into blunt (57%), penetrating (4%), and miscellaneous (8%), and medical illness (31%). The mean ketamine dose was 52.6 mg (range: 5-200 mg) via intravenous route. Ketamine was utilized in 61% of patients after other medications were ineffective. Overall success rate was 98%. Mean pain scale before and after ketamine use was 9/10 and 3/10, respectively. Ketamine use increased yearly from 21 (13%) in 2014, 56 (36%) in 2015, and 81 (51%) in 2016.Conclusion: Prehospital ketamine use is effective alone or in conjunction with other medications for analgesia, sedation, and procedural use in trauma and critically ill patients with minimal hemodynamic and respiratory consequences. [ABSTRACT FROM AUTHOR]
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