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TRT during cut enough or do you need more?
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I’ve run both in the field. Fentanyl is great for pain, but ketamine gives you more flexibility when the patient is really banged up.
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Honestly, ketamine was a game changer for our service. Less worry about respiratory depression compared to opioids.
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For me, fentanyl still has a place. Not every trauma patient needs to be dissociated into another dimension.
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YMMV, but ketamine has worked way better for severe trauma cases where the patient is agitated and in a ton of pain.
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Not gonna lie, I prefer fentanyl for isolated fractures. Smooth pain control without some of the weird reactions I’ve seen with ketamine.
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I’ve seen ketamine save a lot of headaches during extrications. Patients stay calmer and procedures get easier.
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Mileage may vary, but fentanyl is more predictable for me. Ketamine can be awesome or kinda messy depending on the patient.
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Experienced medic here. If they’re hypotensive, ketamine usually gets my vote.
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As a newer EMT, ketamine seemed intimidating at first, but after seeing it used a few times I’m a lot more comfortable with it.
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Wouldn’t say one is always better. Different tools for different jobs.
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I’ve run it before on multiple trauma calls. Results were solid and airway issues were less of a concern.
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Honestly, ketamine all day for major trauma. The safety profile in those situations is hard to ignore.
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Didn’t do much for me as far as preference goes. Both drugs work when used appropriately.

