I was surprised to hear Dr Mallon describe a slow onset of intramuscular ketamine, of 10-15. Other references cite a much faster onset. In particular, the ACEP White Paper Report on Excited Delirium Syndrome lists 3-5 minutes, much faster than other IM alternatives. My last patient to get 5 mg/kg IM went down in about 1 minute (YMMV) - I wonder why Dr Mallon has had such a different experience.
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Brooks W. - April 22, 2017 2:59 AM
I was surprised to hear Dr Mallon describe a slow onset of intramuscular ketamine, of 10-15.
Other references cite a much faster onset.
In particular, the ACEP White Paper Report on Excited Delirium Syndrome lists 3-5 minutes, much faster than other IM alternatives.
My last patient to get 5 mg/kg IM went down in about 1 minute (YMMV) - I wonder why Dr Mallon has had such a different experience.