Josh Ng-Kamstra
@joshmd.bsky.social
Trauma surgeon & public health nerd
Agree high quality data is difficult to find, but this is probably the best available.
Fits with the notion that patients who are "fine" at baseline likely do well w/ketamine, but you just have to be a bit cautious with those who start off hemodynamically unwell.
pubmed.ncbi.nlm.nih.gov/27130803/
Fits with the notion that patients who are "fine" at baseline likely do well w/ketamine, but you just have to be a bit cautious with those who start off hemodynamically unwell.
pubmed.ncbi.nlm.nih.gov/27130803/
Hemodynamic Response After Rapid Sequence Induction With Ketamine in Out-of-Hospital Patients at Risk of Shock as Defined by the Shock Index - PubMed
After ketamine induction, high shock index patients exhibited blunted hypertensive responses and more frequent hypotension, whereas low shock index patients had sustained increases in pulse rate and S...
pubmed.ncbi.nlm.nih.gov
April 21, 2025 at 4:50 PM
Agree high quality data is difficult to find, but this is probably the best available.
Fits with the notion that patients who are "fine" at baseline likely do well w/ketamine, but you just have to be a bit cautious with those who start off hemodynamically unwell.
pubmed.ncbi.nlm.nih.gov/27130803/
Fits with the notion that patients who are "fine" at baseline likely do well w/ketamine, but you just have to be a bit cautious with those who start off hemodynamically unwell.
pubmed.ncbi.nlm.nih.gov/27130803/
I don't know that I would call it *irrelevant*. As you say, the hemodynamic effects can be mitigated with exogenous catecholamines but that doesn't mean they don't happen. Most common place I see this phenomenon is in intubating septic folks. Pre-resuscitation isn't always enough.
April 21, 2025 at 3:59 PM
I don't know that I would call it *irrelevant*. As you say, the hemodynamic effects can be mitigated with exogenous catecholamines but that doesn't mean they don't happen. Most common place I see this phenomenon is in intubating septic folks. Pre-resuscitation isn't always enough.
Can you write about some nice things?
Just to test a hypothesis.
Just to test a hypothesis.
April 10, 2025 at 5:19 PM
Can you write about some nice things?
Just to test a hypothesis.
Just to test a hypothesis.
BTW I bought "Our Missing Hearts" (because I saw it was your book) knowing literally nothing about it & without reading the back cover. As a half Asian dude who is an asst prof at *that school* living in Cambridge it was *too real* but also exactly what my soul needed. So: Thank you. I felt seen.
March 30, 2025 at 6:24 PM
BTW I bought "Our Missing Hearts" (because I saw it was your book) knowing literally nothing about it & without reading the back cover. As a half Asian dude who is an asst prof at *that school* living in Cambridge it was *too real* but also exactly what my soul needed. So: Thank you. I felt seen.
Shucks, I was hoping you'd say somewhere in Cambridge
March 30, 2025 at 3:17 AM
Shucks, I was hoping you'd say somewhere in Cambridge
this is such a callout
March 29, 2025 at 3:28 PM
this is such a callout
Part of a series I'm going to call #DecarbonizetheOR. Shout out to my colleagues at the Program in Global Surgery and Social Change for making these infographics!
July 12, 2024 at 11:23 PM
Part of a series I'm going to call #DecarbonizetheOR. Shout out to my colleagues at the Program in Global Surgery and Social Change for making these infographics!