So this story starts when I was on shift in the ED recently and the call comes in on the standby phone that there is a trauma patient on the way in. They have been involved in a traffic collision and when the patient arrives it’s clear they are still in some discomfort despite the morphine that the paramedics have given her (and not baby doses). Whilst the primary survey is going on the consultant in charge gets some ketamine drawn up and after a few small doses our patient is notably more comfortable. An hour or so later when everything is nice and settled I step up and ask a bit about the role of ketamine in acute pain.
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