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Prehospital use of ketamine for analgesia and procedural sedation by critical care paramedics in the UK: a note of caution?
  1. Carl McQueen1,
  2. Nicholas Crombie2,
  3. Stef Cormack3,
  4. Steve Wheaton4
  1. 1Warwick Medical School—Clinical Trials Unit, University of Warwick Coventry, Coventry, UK
  2. 2Training Programme Director PHEM—West Midlands Deanery, Birmingham, UK
  3. 3Midlands Air Ambulance—HEMS paramedic, Birmingham, West Midlands, UK
  4. 4West Midlands Ambulance Service NHS Foundation Trust, Birmingham, West Midlands, UK
  1. Correspondence to Dr Carl McQueen, Warwick Medical School—Clinical Trials Unit, University of Warwick Coventry, Coventry CV4 7AL, UK; c.mcqueen{at}warwick.ac.uk

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Extended skills for critical care paramedics (CCPs) in UK based systems have been extensively evaluated in recent times.1 ,2 Autonomous administration of ketamine for analgesia and conscious sedation has been identified as a core skill for CCPs but concerns have been raised about the level of exposure required to maintain competence.3 To date there have been no reports in the literature detailing the experience of ketamine administration by CCPs in the UK.

Midlands Air Ambulance operates a fleet of three helicopters within …

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