Ujuzi Practical Pearl/Perle Pratique

Ujuzi means skills in Swahili and is intended to be a regular feature for colleagues to share practical interventions, innovations and novelties that have proved useful in the management of patients in the prehospital environment or Emergency Centre.You can let Ujuzi know about your practical ideas by emailing practicalpearl@afjem.com. Ketamine procedural sedation in low resource settingsProcedural sedation and analgesia (PSA) is a core competency in emergency medicine (EM).As EM develops in low resource settings, it is incumbent upon the emergency medicine community to ensure that evidence based trainings are developed to enable providers in these setting to safely provide PSA.This will avert unnecessary delays and patient suffering from inadequate pain management and sedation during painful procedures.In addition to lack of providers trained in PSA, the other usual limiting factors in low resource settings are lack of proper monitoring equipment and supplemental oxygen. 1 This makes ketamine the ideal choice for PSA in these settings.Ketamine is a dissociative anesthetic that has both amnestic and analgesic properties.Its effects do not fit into the typical

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