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Minneapolis Police: Uses dangerous drug to sedate criminals

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Minneapolis has some creative people. Too creative for their own good. Somebody probably saw that the guys who take down large animals with tranquilizer darts use darts filled with ketamine. “Hey, if it will take down those animals, why don’t we use it on the animals our police are fighting?” And an immensely stupid program began. It was also illegal, but if we’re controlling bad guys, who cares?

Time for disclosure. I am a doctor. I do not play one on TV. Not only that, I’m an anesthesiologist and used ketamine in my practice. For certain things, it has no equal. But its proper uses are quite limited.

Ketamine comes from a class of drugs called phencyclidines. The street version is known as Angel Dust, and abusers are Dusters. Because ketamine causes profound analgesia (pain relief), Dusters are known for feats of superhuman strength. Broken handcuffs are just one relatively well-known example. At the same time, Dusters may break their own bones. The analgesic effect of ketamine keeps them from realizing the damage they are doing to themselves.

By now, it should be pretty clear that ketamine is no panacea for the problem of sedating troublesome persons being arrested. At the wrong dose in the wrong person, police can put themselves in worse difficulties than when they started. How do you control someone who feels no pain and wants to cause you harm? Flashback to the villain Renard in The World is Not Enough. He is almost impossible to defeat in a fight because he feels no pain. But I guess the Minneapolis wise guys don’t watch James Bond films.

I have to wonder if the police bothered to look at any references. Even Wikipedia would have been helpful. If they had, they’d discover that there are a lot of other problems with ketamine. The first one should have given them a real headache. The primary reason we don’t use ketamine a lot in anesthesia is that it has a high incidence of emergence delirium. In language even an inattentive civil servant can understand, that means that if you give someone ketamine, they can hallucinate. This happens often enough that we try to avoid ketamine except in those odd cases where its other effects make it the best drug available. Just to make a bad problem worse, there are a lot of times when there isn’t anything you can do to stop the delirium. Welcome to hell.

We’ve only scratched the surface. Since Minneapolis police officers obviously consulted Dr. Conrad Murray, we should expect that they got the same level of advice Michael Jackson got. That means that they missed the fact that ketamine can lead to airway obstruction and death. It releases adrenaline, so it can cause hypertension and tachycardia leading to death. Did I mention that it can kill you? And, unlike opioids, you can give all the naloxone you want and it won’t do a bit of good.

But the Minneapolis police officers are really interested in saving lives, so we can let them use this drug they simply don’t understand on patients who aren’t consenting and may suffer badly from its administration. No problem.

The track record is as bad as I suggested up front. Ketamine administration has led to multiple episodes of cardiac and breathing problems, with many patients requiring emergency intubation. Now for a skilled health care provider, intubation is generally no big deal. But you never deliberately put yourself in a position where you create an uncontrolled need for intubation. The moment you do that, you’ll find yourself looking at the impossible situation. With somewhere around fifty thousand intubations under my belt, the next one can still be the one where I have to call a partner in to give it a try. My practice had over eighty anesthesiologists and two hundred nurse anesthetists, so there was usually another set of hands available. But who is the paramedic in the field going to call? Ghostbusters has an unlisted number.

Let’s get one thing clear. Minneapolis police officers did not have a hand on the syringe. They asked the Hennepin County paramedics to administer ketamine. And if a cop asks, how is a paramedic supposed to refuse? But the paramedics are supposed to operate according to a strict protocol, and only give ketamine when a patient is “profoundly agitated, unable to be restrained, or a danger to themselves or others.” It’s clear that this guideline was violated on multiple occasions.

And this brings us to the nub of the matter. Ketamine is properly used only in the sort of situation described in the protocol. In anesthesia, we will also use it in autistic or severely mentally retarded patients who cannot be managed by breathing them to sleep with gases. In short, we mostly use it in the controlled medical equivalent of the field situation.

It’s likely that Dr. Jeffrey Ho (the director of Hennepin County EMS who happened to graduate from the same medical school I did!) is actually well aware of the proper use of ketamine. He’s a recognized expert in pre-hospital emergency care. And if ketamine is used in the very restricted fashion the policy describes, it’s probably better than most alternatives. But when police decide that they want a set of chemical handcuffs rather than doing their job, we have a problem.

Police work can be difficult and dangerous. But police are not allowed to place people in danger just to make their own life easier. Doing so exceeds the bounds of our social contract with police, and also violates a host of laws. For a paramedic to go along with such an improper request places that paramedic in violation of state laws on the practice of medicine. Their drivers’ license isn’t enough. You follow the protocol or get permission from the supervising ER doc by calling it in.

Hennepin County and the city of Minneapolis have a problem on their hands. Their best bet will be to quietly approach persons who were harmed by this cavalier misuse of ketamine and buy out their legal liability. Then the EMS and police persons involved should be invited to leave. Promptly. Do not pass Go. Do not collect $200.

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Conservatism

Faux conservative media ignores GOP lies on abortion

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Faux conservative media ignores Trump and GOP lies on abortion

Even though Republicans have failed the pro-life litmus test ever since the Republican-nominated Supreme Court decided 46 years ago in Roe v. Wade that women have a Constitutional right to murder their unborn child, they are playing the pro-life card once again for political purposes in preparation for the 2020 election.

This was extremely obvious last month when Mitch McConnell held a show vote on the “Born-Alive Abortion Survivors Protection Act,” a bill introduced by Sen. Ben Sasse mandating medical care for babies that survive the abortion procedure attempted murder.

Like the GOP itself during the past two years of full control of Washington, the bill did nothing to bring an end to abortion. It did, however, give Mitch McConnell and the Republicans a nice political talking point to add to their 2020 election arsenal.

“This stunning, stunning extremism” will not “be the last word on the subject.”

By the way, Republicans played this same game in 2018 — an election year — with a House version of the BAASPA that died in the Senate.

I wrote last week about BlazeTV and how it had become a pro-Trump echo chamber and home of faux conservatives. In the piece, I mentioned an episode of Steve Deace’s show where he pointed out the Democrats’ “worship of abortion” and called on conservatives to “cheer” Donald Trump because he was using late-term abortion as a campaign issue.

In a rebuttal on his show the day after my article, Deace and his crew accused me of being in the “orange man bad” anti-Trump cult where criticism of Trump is only happens because we’re talking about Trump. Aside from the obvious attempt to dismiss my opinion without addressing it, my conclusions were based on Trump’s non-conservative policies, his track record of doublemindedness and broken promises regarding abortion, and BlazeTV’s decision to promote Trump as the savior of the Republic.

Yes, the Democrat party is the party of abortion and infanticide. Heck, the party’s 2016 platform championed Planned Parenthood and promised to protect government funding of their infanticide services. The platform also called for Democrats to overturn “all federal and state laws that impede a woman’s access to abortion, including repealing of the Hyde Amendment.”

The Democrat-controlled House has begun working on ways to repeal the Hyde Amendment. Claiming to possess a “pro-choice majority,” they are looking to find new ways for public funds to be used to murder the unborn, including coverage for abortions under Medicaid along with mandating abortion coverage under other government healthcare plans.

Here’s a fun fact: the much-ballyhooed Medicare for All single-payer healthcare plan being promoted by nearly every Democrat presidential candidate and some “conservative socialists” mandates coverage for abortion services. Once we have single-payer, every American will be funding the murder of unborn babies. Look for it to be included in the 2020 Democrat platform.

So, this means Deace was right about the Democrats, right? Yes, but he and others in the faux conservative media have turned this reality into a “squirrel moment” to distract voters away from the hypocrisy and lies we get from Trump — and by default, the GOP — on the abortion issue. Pointing to the obvious extremism of the Democrat Party while giving Trump a pass on abortion and “cheering” him for using it as a political weapon to get re-elected is nothing more than another edition of the #notDemocrat game we get from the GOP every election season.

Democrats haven’t had to worry about keeping their platform promise to protect Planned Parenthood because Trump and the GOP have been keeping that promise for them by not only continuing their funding, but increasing it. They have also increased funding for harvesting body parts from aborted babies for research purposes, included experiments using human fetal tissue on mice — tissue that comes from Planned Parenthood.

Democrats are pro-abortion to the extreme and Republicans are no different. But the GOP gets to hide behind the cover of a so-called conservative media that is all too willing to play the deceptive #notDemocrat game while “cheering” Trump and the GOP for tickling their ears.

Originally posted on StridentConservative.com.

 


David Leach is the owner of The Strident Conservative. His daily radio commentary is distributed by the Salem Radio Network and is heard on stations across America.

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Culture and Religion

Lila Rose reveals the heinous statistics about Down Syndrome abortions

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Lila Rose reveals the heinous statistics about Down Syndrome abortions

Yesterday was World Down Syndrome Day, and while many celebrated the wonderful successes and challenges overcome by those with Down Syndrome as well as their families, many in the pro-life movement highlighted a disturbing trend. With our ability to identify Down Syndrome from the womb, aborting babies with the condition has become so commonplace, the Down Syndrome population is non-existent in some countries.

Live Action founder Lila Rose took to Twitter to share some of these depressing statistics, including the horrible increased frequency in which it now happens in the United States. Anyone who knows someone with Down Syndrome must acknowledge their value and the fact that their lives should not be snuffed out because the scientific community says it’s a good thing.

Every life is a gift. Every single one of them. The “humane” murder of preborn babies because of their condition is one of the most mystifying stances of the “progressive” left.

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Healthcare

San Francisco demonstrates pure hypocrisy by wanting to boot Juul

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San Francisco demonstrates pure hypocrisy by wanting to boot Juul

Some believe vape products are a wonderful way to stop cigarette smoking, both for those who are currently smokers as well for future smokers. Others see it as a gateway through which kids can become addicted to nicotine and eventually start smoking real cigarettes. That’s a debate that should be happening through education and public awareness. Unfortunately, San Francisco doesn’t believe in people being able to think for themselves properly, so they’ve decided to consider another measure that will protect the people from their own stupidity.

At the center of this measure is Juul, the fast-growing vape company that happens to be based in San Francisco. Lawmakers have been out in force proclaiming the company is evil and how they don’t want them anywhere near San Francisco. They don’t want e-cigarettes sold in the city. They don’t want the people to be able to have them shipped to the city. They don’t want them used in the city.

Let’s keep in mind that this is a city with more drug addicts than public school students, a rampant homelessness problem, and so many regulations that people need a herd of lawyers just to navigate the process of trying to do business there. They’ve elevated the cost of living to be so prohibitive, only the truly wealthy can live there comfortably, yet it’s a city that proclaims to be caring of their fellow men. In reality, they’ve crafted an authoritarian society within the boundaries of the United States that has been empowered to subvert rights at a grand scale.

Here’s their grand plan:

One bill that Herrera and Walton introduced at Tuesday’s Board of Supervisors meeting would ban the sale and shipment of e-cigarettes to San Francisco stores and customer addresses until the U.S. Food and Drug Administration begins a vetting process known as a pre-market review, in which manufacturers must prove their products are appropriate for public health before selling them on the market.

The city already bans youth-friendly flavors like candy and fruit in tobacco products through Proposition E, which voters passed in 2018. Physical stores are barred from selling them. The bill would ban all e-cigarettes regardless of flavor so long as they contain nicotine, and it would also ban the shipment of such items to private residences in San Francisco.

The second bill would ban companies that sell, manufacture and distribute tobacco products, including e-cigarettes, from city property. San Francisco already prohibits tobacco companies from doing business on city property, and this measure would explicitly add e-cigarettes to the existing ban. The proposed bill would not be applied retroactively, so it would not kick Juul out of its current space at Pier 70, but it would prevent e-cigarette companies from leasing city property in the future.

Juul is not producing an illegal substance. It has not been accused of breaking other laws in the way it operates its business. Studies have been done with mixed results about whether or not Juul is a gateway for nicotine use by children, which is why the city voted to ban fruity and other kid-friendly flavors. But rather than address the actual problems within their dysfunctional city, they’d rather draw attention to the evils of vaping.

It’s a wonder how any Libertarians or liberty-loving conservatives can continue living there. It’s the nanny state of nanny states.

San Francisco has become a punchline of a city. They don’t believe in individual rights. They do believe that government can and should try to solve everything. If any American city needs an infusion of conservatism, it’s San Francisco.

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