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Report by Simon Carley, Consultant in Emergency Medicine
Search checked by Richard Body, Specialist Registrar in Emergency Medicine
Institution: Manchester Royal Infirmary, Manchester, UK
[In children requiring procedural sedation with ketamine] does [the co-administration of atropine] alter [salivation, safety, vomiting, recovery time and/or effectiveness].
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 …