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this post was submitted on 26 Apr 2024
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There's a good reason anesthesiologists get paid as much as they do. There is no way paramedics get enough training to be granted the ability to use sedation like this. And any tool given to police becomes a weapon. This whole policy is a recipe for disaster.
I've been a paramedic for fourteen years. I've used chemical sedation before, but I can count on one hand the number of times I've used it, and it was always for people that posed an imminent danger to both us and themselves and couldn't be successfully controlled otherwise. What's more is that medical control was always (rightly) super spooked about it and would order shit like 4mg of versed for a 300 lb dude who is still managing to move with three grown ass firemen holding him down (for those not in the know, I might as well have blown a raspberry in the guy's ear for all the good that did). BUT they were right to be scared, because airway management is a high-stakes thing under the best conditions, but then you add trying to do it in the back of a moving van with limited space and no means of pharmaceutically reversing the benzo? Yeah, that's a bad day.
Never once did we sedate someone 'for' the cops, though; it was only ever that the police needed us to once-over them before they go off to jail or the ER, or they were 100% a medical patient and the cops were helping us to keep from getting our asses beat by someone not in their right mind until we could get them under control. It seems like this pattern of sedating people for the cops really only took off in the last four or five years, and sort of seems to coincide with the proliferation of Ketamine as a more common ALS ambulance medication, IMO.
Even ketamine as I understand it, requires monitoring of blood pressure. I have a friend with a heart condition and he was unable to undergo ketamine therapy. Ketamine is sadly becoming just a very profitable wellness drug business.