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.