Ketamine vs. Etomidate in head trauma with low BP

[Mathias Kalkum]

Ivan,

first to say, thank you for sharing all the information with us.

You should be aware that, as you have mentioned, the potential dangers
in the head injured are - among others - hypoxia and hypotension. Thus
ketamin was never ment to allow spontaneous breathing or to replace
appropriate airway management (read: to avoid intubation). It *may* be
used as a potential analgesic in certain situations where one has to
make a balanced decision (such as in entrapped patients) - that's all
about it.
> - snip - 
> If your mother suffers head trauma and her BP is low are you saying you'll intubate her with Ketamine instead of Etomidate followed by steroids ?? You are not going to tremble that she doesn't herniate on you ?? Really ?? -snip -
>   
You are not serious on that steroids stuff, aren't you?

Mathias