Prehospital use of ketamine for analgesia and procedural sedation by critical care paramedics in the UK: a note of caution?

Extended skills for critical care paramedics (CCPs) in UK based systems have been extensively evaluated in recent times.1 ,2 Autonomous administration of ketamine for analgesia and conscious sedation has been identified as a core skill for CCPs but concerns have been raised about the level of exposure required to maintain competence.3 To date there have been no reports in the literature detailing the experience of ketamine administration by CCPs in the UK. Midlands Air Ambulance operates a fleet of three helicopters within …