Knowledge Bomb

Knowledge Bomb! Is Diphenhydramine Necessary in Acute Migraine Cocktail?

Welcome Back for Round 6 of the Knowledge Bomb.  The purpose and motivation for this series is outlined in the first entry.  As a reminder, the blog entry is a summary of the conference presentation meant to serve as a reference for #FOAMED and allow for discussion. Thanks to Dr. Chris Tanner for his work producing the

Knowledge Bomb

Knowledge Bomb! Ketamine Versus Morphine For Analgesia

Background/Motivation A healthy 38yo male presents with anterior left shoulder dislocation. No known history of opioid use, pain scale 8/10 and he appeared uncomfortable. When discussing pain management, the Attending suggests we begin with morphine and use ketamine as an adjunct. I wondered why not just start with ketamine first as it has been known