Q: Midazolam or Ketamine

You have a 7 year old in the ED that needs sutures to a wound inflected when he and his twin were playing Pirates of the Caribbean with kitchen knives … he’s not the sort of chap that will lie still while you stitch him up … so what would you use to keep him down? General anaethesthesia? Midazolam? Ketamine?

A senior ST in paediatrics (with previous experience in anaesthetics) is asking this question – but what do you think?

Acknowledgement: Image from lo.re.n.zo @ flickr

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  • Len Brake

    Ketamine

  • Bob Phillips

    Len – Any particular reason why? The sound of it, the smell, the colour of the vial? Or ’cause it works better??