Pain management is an important part of the prehospital activities. When required is usually administered on completion of the primary survey. In case of major trauma or multiple trauma, ketamine is a safe and effective option, for example in patient with multiple injouries and ofr those who require manipulation and spintage of fractures. Ketamie is safe and effective and avoids the potential decrease in blood pressure and respiratory depression that is usually associated with opioids like morphine. This video from JAX EMS by dr. Andrew Schmidt, explain how you could use Ketamine in your pre-hospital setting. Thanks to MEDest118 and PHARM