Personnel

Personnel
There is a compelling rationale to support continuous
observation by a dedicated health care professional until
recovery is well established.2-4,68 Dissociated patients may
spontaneously move their heads, and their airways may require
repositioning for optimal patency. Suctioning of emesis or
hypersalivation may be required.2,3,19,71 Evidence supports the
safety of monitoring by an ED nurse while the emergency
physician performs an interruptible procedure.4,19,72
There is strongly supportive evidence that emergency
physicians can safely administer ketamine.2,3 It is reasonable to
assume that all such specialists who are knowledgeable about the
unique features of ketamine and whose residency or fellowship
training renders them skilled at procedural sedation and
analgesia, resuscitation, advanced airway management, and
vascular access can be considered qualified for dissociative
sedation without specific additional hospital credentialing.