r/emergencymedicine Jun 20 '25

Advice Ketamine-- how to prepare patients?

Hi folks, ER nurse here. I'm curious how you talk to patients about ketamine admin for procedures or for intractable pain relief. I give it fairly often but I still haven't found the right way to prepare patients (or parents of littles) for the psychotropic effects. I've never used ketamine personally, but it seems to be a very intense experience that ought to be part of the informed consent conversation. What is our ethical obligation?

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u/banannabreadatworkhy ED Attending Jun 20 '25

I've started using music. If the patient is with it enough to pick their favorite song off of Spotify before the procedure I find it's been helpful in my N of several dozen

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u/Tiradia Paramedic Jun 20 '25

I responded to another doc up above! I’ll share em with you as well! If you want something that just soothes the soul and encapsulates peace and quiet. The oud is divine. followed by the duduk