Annals of Emergency Medicine

Is Low-Dose Ketamine an Effective Alternative to Opioids for Acute Pain?

Jonathan M. Kirschner, MD (EBEM Commentator), Benton R. Hunter, MD (EBEM Commentator)

Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN

In adult emergency department (ED) patients with acute pain, low-dose intravenous ketamine (0.3 to 0.5 mg/kg) may provide pain relief within 10 minutes that is similar to that of single-dose intravenous morphine (0.1 mg/kg).

 

Ultrasonography for the confirmation of Endotracheal Tube Intubation : A systematic Review and Meta-Analysis.

Michael Gottlieb, et al. Chicago.

Systematic review and meta-analysis of 17 studies involving 1595 patients found that ultrasonography was 98.7% sensitive and 97.1% specific for confirmation of tube placement. So, ultrasonography is accurate for confirmation of tube placement.

 

Emergency Department Intubation Success With Succinylcholine Versus Rocuronium.

Michael April, et al. Boston.

In this analysis of 4 275 intubations from the National Emergency Registry, succinylcholine and rocuronium exhibited no differences in first-pass success (87.0% versus 87.5%) or adverse events (14.7% versus 14.8%).

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