Welcome back to The Sydney HEMS Debrief. After an extended New Year break, we return with episode 12.

We are joined this week by Sydney HEMS Staff Specialist Dr Ian Ferguson. Ian is the lead author on a recently published randomised control trial assessing the haemodynamic effects of adding fentanyl to an induction regime of ketamine and rocuronium for rapid sequence intubation in the emergency department. This multicenter study conducted in New South Wales, Australia, has yielding some thought-provoking results, and may change your in- or out-of-hospital anaesthesia practice in future.

Join us here in episode 12 to hear it live from chief investigator himself.

Below is a link to the full and free text:

Fentanyl versus placebo with ketamine and rocuronium for patients undergoing rapid sequence intubation in the emergency department: The FAKT study-A randomized clinical trial

Ferguson I, Buttfield A, Burns B, Reid C, Shepherd S, Milligan J, Harris IA, Aneman A; Australasian College for Emergency Medicine Clinical Trials Network. Fentanyl versus placebo with ketamine and rocuronium for patients undergoing rapid sequence intubation in the emergency department: The FAKT study-A randomized clinical trial. Acad Emerg Med. 2022 Jun;29(6):719-728. doi: 10.1111/acem.14446. Epub 2022 Mar 15. PMID: 35064992; PMCID: PMC9314707.

Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314707/