According to Ketamine protocol, which statement is true?

• A. Ketamine Assisted Ventilation should be used in all patients with airway compromise.
• B. Ketamine Assisted Ventilation should be used in only the most critical cases with documentation of the reason for using Ketamine, and if the transport time to an ED is less than 15 minutes, transport to the closest ED; these patients are Status 1 according to CORE.
• C. Ketamine should never be used in standing orders.
• D. Ketamine can be used only if patient refuses other sedation.

Answer: (B)

The key idea is that Ketamine is reserved for the most critical airway or ventilation situations, and its use must be justified and documented. The protocol requires clearly recording why Ketamine is chosen, and when transport time to any ED is less than 15 minutes, the patient should be moved to the nearest ED to avoid delaying care. These patients are designated as Status 1 in CORE, signaling the highest priority for rapid intervention and transport. This design keeps Ketamine use tightly controlled to those situations where benefits clearly outweigh risks, while ensuring prompt access to definitive care. The other statements are not aligned with this approach: Ketamine is not intended for broad use in all airway compromises, it isn’t restricted to never being in standing orders in all circumstances, and it isn’t limited only to cases where the patient refuses other sedation.