An emergency room physician designed a research study on ketamine while in the back of an ambulance
Gary Andolfatto spent four hours hobbling nine kilometres on one leg over snowy forest trails, using his bike as a crutch, after breaking his leg four years ago in a cycling mishap.
“He told me how frustrating it was that it is all primary care paramedics are permitted to give since they aren’t trained or permitted to inject drugs or give opioids,” said Andolfatto. Now primary and advanced care paramedics with B.C. Emergency Health Services are enthusiastically starting to deliver intranasal ketamine. Critical care paramedics with advanced training have been using intravenous ketamine on patients since 2008 but 70 per cent of the more than 4,000 paramedics in B.C. are at the primary care level and not permitted to do so.
BCEHS also has some challenging logistical issues to work on to prevent theft of ketamine by patients, paramedics or others. Biometric safes for storage and audits — similar to what hospitals have done to prevent drug diversion — are two of the strategies being implemented.
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