Janoshik says the sample believed to be 5-Amino-1MQ was tested using two different fentanyl immunoassays, with each test run twice. Even after dilution, all four tests reportedly came back positive.
Does this increase your confidence in the findings, or do you think confirmatory testing (such as LC-MS/MS) is still necessary before drawing conclusions?
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.
Honestly, ketamine was a game changer for our service. Less worry about respiratory depression compared to opioids.
For me, fentanyl still has a place. Not every trauma patient needs to be dissociated into another dimension.
YMMV, but ketamine has worked way better for severe trauma cases where the patient is agitated and in a ton of pain.
Not gonna lie, I prefer fentanyl for isolated fractures. Smooth pain control without some of the weird reactions I’ve seen with ketamine.
I’ve seen ketamine save a lot of headaches during extrications. Patients stay calmer and procedures get easier.
Mileage may vary, but fentanyl is more predictable for me. Ketamine can be awesome or kinda messy depending on the patient.
Experienced medic here. If they’re hypotensive, ketamine usually gets my vote.
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.
Wouldn’t say one is always better. Different tools for different jobs.
I’ve run it before on multiple trauma calls. Results were solid and airway issues were less of a concern.
Honestly, ketamine all day for major trauma. The safety profile in those situations is hard to ignore.
Didn’t do much for me as far as preference goes. Both drugs work when used appropriately.
