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Emergency Medicine Journal 2008;25:366-367; doi:10.1136/emj.2008.061317
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

BEST EVIDENCE TOPIC REPORTS

BET 2: IS ATROPINE NEEDED AS AN ADJUNCT IN PAEDIATRIC KETAMINE ADMINISTRATION?

Simon Carley, Consultant in Emergency Medicine, Richard Body, Specialist Registrar in Emergency Medicine

Manchester Royal Infirmary, Manchester, UK

The first 150 words of the full text of this article appear below.

Report by Simon Carley, Consultant in Emergency Medicine

Search checked by Richard Body, Specialist Registrar in Emergency Medicine

Institution: Manchester Royal Infirmary, Manchester, UK

THREE-PART QUESTION [In children requiring procedural sedation with ketamine] does [the co-administration of atropine] alter [salivation, safety, vomiting, recovery time and/or effectiveness].

CLINICAL SCENARIO A 4-year-old patient presents to the emergency department with a lip laceration, you decide to repair it under ketamine sedation and prepare an appropriate dose of ketamine and atropine. Before administration, however, your colleague (who has recently returned from Australia) tells you that it is a waste of time and that the Antipodeans never use it. You wonder if this is true.

SEARCH STRATEGY MEDLINE(R) In-Process & Other Non-Indexed Citations and MEDLINE(R) 1950 to 2008 February Week 3. EMBASE 1980–2007 Week 8. CINAHL 1982–2007 February Week 3. Cochrane Database of Systematic Reviews (CDSR) <1st Quarter 2008>. ACP Journal Club <1991 to January/February 2008>. Database of Abstract . . . [Full text of this article]


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  • (2009). Adjunctive atropine is unneccessary during ketamine sedation in children. Emerg. Med. J. 26: 230-230 [Full Text]  

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Adjunctive Atropine Is Unneccessary during Ketamine Sedation in Children
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