Colorado Springs

Another ketamine case: man sedated after refusing to give driver’s license – Colorado Springs, Colorado

Colorado Springs, Colorado 2021-06-11 09:53:48 –

Manitou Springs, Colorado (KDVR) – In a video of a transportation stop in Manitou Springs in 2019, he refused to hand over his driver’s license, was detained, and was eventually sedated with ketamine, complaining to authorities and continuing to yell. I will.

“Looking back, I think it’s ridiculous. It should never happen. It didn’t have to happen,” said 60-year-old Stephen Rea Craft.

Raycraft recently testified inside Hearing of the House Judiciary Committee He opposed the use of ketamine to calm upset people, saying he believed he had been sedated by doctors after the fight with the police because he had questioned his authority.

“They didn’t like the fact that I was challenging their professionalism, and I was,” Raycraft said.

Encounter with the police

According to the American Civil Liberties Union in Colorado Training guide to know your rightsIf you are driving and are pulled due to a traffic violation, police officers can ask you to show your license, vehicle registration, and insurance proof.

Body camera footage shows Raycraft refusing to hand over a driver’s license during a minor traffic outage. After discussing the issue for more than seven minutes, police took Raycraft to the ground, handcuffed him, and detained him.

During the takedown, Raycraft suffered an abrasion on his forehead, causing bleeding.

“Every time they hurt my arm, it hurt badly, but I was more furious at what I was witnessing,” Raycraft said of his encounter with the police.

Manitou Springs Police Station Problem solver However, it issued a statement.

“For the safety of our community, public security officials, and all involved, it is standard police to use reasonable force within the limits of the law if someone resists detention. It is a practice of.

Manitou spokesman Alex Trefrey said: Springs.

Sedation

Medical personnel arrived at the scene and administered two sedatives, including ketamine. A controversial choice in Colorado after a handful of attention-grabbing incidents The drug was used to calm someone.

Currently, the state health department is personally considering the drug and how it is regulated in the state.

Although many medical professionals say the drug is a safe medical tool When monitored and used properly In the pre-hospital setting, some cases where the drug was administered are harmful or Fatal result..

The Colorado State Capitol recently passed a bill It will tighten regulations on when and how to use ketamine for those involved in police quarrels and limit the impact of law enforcement officers on medics.

Reycraft had no physical side effects, but he said: Problem solver He did not believe that there was a medical reason for sedation.

“I’m sad because it happens to others,” Raycraft said.

video

Body camera video obtained by Problem solver Shows paramedics responding to the scene, appreciating Raycraft sitting on the ground with a cuff and yelling at law enforcement officers who detained him.

The medical staff eventually approached the police officer and asked if Raycraft was behaving erratically before the medical staff arrived at the scene.

“No, he’s one of those people who don’t want to name him, and (he says) he has the right not to, and everything else,” the officer replied.

Paramedics responded by explaining her medical plan to police officers.

“I’m going to calm him down, because you don’t like having to hold him down,” she said. “But I’m going to give him Versed. I’m not going to give him ketamine because he’s not’excitatory delirium’,” she said, allowing the doctor to administer the drug. Mentioned a very excited state of being.

However, after two doses of Versed, the Medic injected ketamine into Raycraft’s buttocks, cuffed it, and secured it to a stretcher.

“The fact that police can affect health care providers and forget their vows to help people is ridiculous,” Raycraft said.

“I think his case is a very good example of ketamine misuse, specifically because he said he wasn’t going to give ketamine when he walked, not excitatory delirium.” .. Anita Springsteen, A lawyer representing Reycraft.

Springsteen protests the use of ketamine in Colorado after her boyfriend Jeremiah Axel receives it Dose from West Metro Fire Rescue Medic in 2020..

State Ketamine Guidance

The Colorado Department of Public Health and Environment is an exemption agency for medical directors, allowing them and their medical care workers to administer ketamine to patients who are agitated in the pre-hospital environment.

by State guidance, “The goal of excitement management is to provide maximum safety to patients and healthcare providers while using the most humane and respectful treatments. The underlying medical or psychological goal. Stirring that is not believed to be etiological should be controlled by police or other public security agencies. EMS providers should not engage in detaining people for legal enforcement purposes. “

Perspective of emergency medical services

The Manitou Springs Fire Department did not participate in a camera interview about the incident, Problem solver They destroyed the 2019 Ketamine Protocol and cannot be reviewed.

“The Manitou Springs Fire Department and all paramedics receive extensive training in drug administration and patient care in a manner approved by doctors and experts in the field,” said Trefrey. “Inquiries about the general public and comments about the care they receive are outside the scope of our Code of Ethics.”

In Colorado, paramedics do not administer ketamine unless they are also paramedics.

President, Scott Shoals Colorado Emergency Medical Services AssociationAfter reviewing Reycraft’s medical records (with Reycraft’s permission), incident-related documents, and body camera videos, he said that ketamine administration in the Reycraft case was appropriate.

“We see paramedics doing their best to evaluate this patient. She first decided not to give ketamine,” Shoals said.

“She was thinking loudly,” said Shoals, who had more than 40 years of emergency experience, and explained that she believed that doctors had approached police officers to verbally express her medical plan. “In such a situation, I think law enforcement is considered part of that team.”

Shoals said she had properly observed the drug following the progression of the steps before administering a more aggressive sedative.

“The advance is to first use a milder sedative that was Versed at a fairly low dose due to his size and weight. She waits 5 minutes. Really no change. She does it. I’ll try again. It’s within their protocol, and at some point when they move to a stretcher (Reycraft), he’s still nervous about sedation, “Shors said.

He said he believed that the doctor decided to give ketamine to Raycraft so that he would be better prepared for transportation to the hospital.

“One of our big concerns is to prevent the spread of their upset. I think that’s why. They realize that milder sedatives are ineffective (to Reycraft). He continues to escalate his excitement, “Shors said.

He said it was more difficult to manage “true combative” patients within the ambulance.

“When these patients are under our control, that is, when they are taking care of us, we are responsible for keeping them from injuring themselves, so he is against handcuffs. When we are struggling so and can hurt someone or ourselves, the concern about putting him behind an ambulance and driving him off the road is simply, It was partially controlled. That’s why I think it was a good decision to move to ketamine as a more powerful sedative. As we saw, he was calm and safely transported. ” Shoals said.

State Guidance and Protocols

Shoals described Raycraft’s level of excitement as “moderate to severe” when the patient was given ketamine.

However, the latest state guidance on ketamine, released in 2019, advises healthcare professionals that “moderate to severe agitation should be managed with traditional sedatives such as benzodiazepines and antipsychotics.” doing. Rare extreme or severe agitation should be considered a behavioral emergency that requires prompt and active sedation to ensure the safety of patients and care providers. “

“First of all, I think there’s some confusion about state guidelines and where they fall into the exemption process,” Shoals said.

“Manitou Fire, like all of us who have a ketamine exemption due to extreme agitation, created the current protocol to maintain that exemption, then trained documents, quality assurance records, etc. The process for getting the first exemption is even bigger, “Sholes said. “Since their protocol has been reviewed and approved, healthcare professionals working under that protocol will correctly assess that it is progressing as the patient’s excitement worsens, and that patient will himself or others in transit. We want to prevent harm to people. “

Shoals said part of the challenge was “how to define it”, explaining the conflict between state guidance and individual institutional protocols.

Health Department

The health sector continues to refuse interviews while personally reviewing its own ketamine regulations and policies.

“All information needs to be shared. It needs to be shared accurately and needs to be scrutinized. CDPHE has this panel to review the use of ketamine in Colorado, and first. There was a long delay when we started it, and now we have some results from it, “Shors said. “Now is the time. It’s a bit of a pain because it takes time,” he said, explaining that he hasn’t fully examined the state-wide use of ketamine and drug-related tragedy.

Another ketamine case: man sedated after refusing to give driver’s license Source link Another ketamine case: man sedated after refusing to give driver’s license

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