Current Concepts in Ketamine Therapy in the Emergency Department (Pharmacology CME and Pain Management CME)

CME Information

Date of Original Release: May 1, 2024. Date of most recent review: April 10, 2024. Termination date: May 1, 2027.

Accreditation: EB Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation: EB Medicine designates this enduring material for a maximum of 4 AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Specialty CME: Included as part of the 4 credits, this CME activity is eligible for 4 Pharmacology CME credits and 1 Pain Management CME credit, subject to your state and institutional requirements. For more information, call Customer Service at 678-366-7933.

ACEP Accreditation: Emergency Medicine Practice is approved by the American College of Emergency Physicians for 48 hours of ACEP Category I credit per annual subscription.

AAFP Accreditation: The AAFP has reviewed Emergency Medicine Practice, and deemed it acceptable for AAFP credit. Term of approval is from 07/01/2023 to 06/30/2024. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This session, Current Concepts in Ketamine Therapy in the Emergency Department, is approved for 4.0 enduring material AAFP Prescribed credits.

AOA Accreditation: Emergency Medicine Practice is eligible for 4 Category 2-B credit hours per issue by the American Osteopathic Association.

Needs Assessment: The need for this educational activity was determined by a practice gap analysis; a survey of medical staff, including the editorial board of this publication; review of morbidity and mortality data from the CDC, AHA, NCHS, and ACEP; and evaluation responses from prior educational activities for emergency physicians.

Target Audience: This enduring material is designed for emergency medicine physicians, physician assistants, nurse practitioners, and residents.

Goals: Upon completion of this activity, you should be able to: (1) identify areas in practice that require modification to be consistent with current evidence in order to improve competence and performance; (2) develop strategies to accurately diagnose and treat both common and critical ED presentations; and (3) demonstrate informed medical decision-making based on the strongest clinical evidence.

CME Objectives: Upon completion of this activity, you should be able to: (1) apply the action of ketamine at its 4 dose phases (analgesic, rec-reational, partially dissociated, and fully dissociated) to its accepted uses in emergency care (analgesia, procedural sedation, and induction for rapid sequence intubation); (2) list common myths pertaining to the use of ketamine for traumatically injured patients; (3) describe strategies to minimize the likelihood of psychoperceptual effects when using ketamine for analgesia; and (4) explain how severe agitation can be safely managed using dissociative-dose ketamine.

Discussion of Investigational Information: As part of the activity, faculty may be presenting investigational information about pharmaceutical products that is outside Food and Drug Administration approved labeling. Information presented as part of this activity is intended solely as continuing medical education and is not intended to promote off-label use of any pharmaceutical product.

Disclosure: It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME activities. All individuals in a position to control content have disclosed all financial relationships with ACCME-defined ineligible companies. EB Medicine has assessed all relationships with ineligible companies disclosed, identified those financial relationships deemed relevant, and appropriately mitigated all relevant financial relationships based on each individual’s role(s). Please find disclosure information for this activity below:

Planners

• Daniel J. Egan, MD (Course Director): Nothing to Disclose
• Andy Jagoda, MD (Editor-in-Chief):
  • Pfizer (Consultant/Advisor)
  • Janssen (Consultant/Advisor)
  • Abbott Laboratories (Consultant/Advisor)
• Kaushal Shah, MD (Associate Editor-in-Chief): Nothing to Disclose

Faculty

• Reuben J. Strayer, MD (Author): Nothing to Disclose
• Natalie Kreitzer, MD, MS (Peer Reviewer): Nothing to Disclose
• Andrew Schmidt, DO, MPH (Peer Reviewer): Nothing to Disclose
• Aimee Mishler, PharmD (Pharmacology Editor): Nothing to Disclose
• Joseph D. Toscano, MD (Research Editor): Nothing to Disclose
• Dorothy Whisenhunt, MS (Content Editor): Nothing to Disclose
• Cheryl Belton, PhD (Content Editor): Nothing to Disclose

Commercial Support: This issue of Emergency Medicine Practice did not receive any commercial support.

Earning Credit: (1) Go online to www.ebmedicine.net/CME and click on the title of the test you wish to take. When completed, a CME certificate will be emailed to you.

Additional Policies: For additional policies, including our statement of conflict of interest, source of funding, statement of informed consent, and statement of human and animal rights, visit https://www.ebmedicine.net/policies.