My current service is very utilitarian but we do have Ketamine for profound agitation and next month, we are going to start using it as a pain adjunct. It is an amazing medication for mental health crisis patients.
I'm curious if this is common use in EMS. Knowing the emergence delirium associated with it's use and the fact that it's a phencyclidine derivative (think PCP) it doesn't seem like a great drug for this indication.