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The EMS Lighthouse Project


EMS Lighthouse Project Podcast - Episode 49

Episode 49
The RACKED Trial, with Dr. Barbic

Ketamine has been getting a lot of attention recently in the media. It's probably safe to say it’s had a bad year. We like ketamine. We felt bad it’s been having a rough year so we wanted to do something that would lift its spirits. Fortunately, Dr. David Barbic and his colleagues from Vancouver, BC published a wonderful, randomized trial comparing ketamine to a combination of haloperidol plus midazolam for undifferentiated agitation in the ED. This was the amazingly titled RACKED trial (Rapid Agitation Control with Ketamine in the ED). It has direct and important implications for EMS and is something all emergency providers should know about. Dr. Jarvis reviews the trial and then invites Dr. Barbic himself on the show to discuss this study.

If you like the show, please give us a like on YouTube and a 5-star rating wherever you get your podcasts.

Mike and Jeff get together to discuss some airway papers from the National Emergency Airway Registry (NEAR) and float an idea for some merch.

If you like the show, please give us a like on YouTube and a 5-star rating wherever you get your podcasts.

Drop us questions/comments/suggestion for future pods at:

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@DrJeffJarvis

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@MikeVerkest

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Show Notes

Citations

  • 1. Barbic D, Andolfatto G, Grunau B et al.Honer WG. Rapid Agitation Control With Ketamine in the Emergency Department: A Blinded, Randomized Controlled Trial. Annals of Emergency Medicine 2021.
    2. Isbister GK, Calver LA, Page CB, Stokes B, Bryant JL, Downes MA. Randomized controlled trial of intramuscular droperidol versus midazolam for violence and acute behavioral disturbance: the DORM study. Ann Emerg Med 2010; 56, 392-401 e1.
Figures and Tables:
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Episode 201: Luminary Series: Mobile ECMO w/ Kyle ...
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