The panel agreed that a safety check card should be attached to the outside of the ketamine pack/bag that lists all required steps and procedures the paramedic must follow before, during, and after the administration of ketamine. This card will emphasize the importance of the drug and aid the paramedic by documenting all procedures s/he must adhere to when administering the drug in the prehospital setting. (See Recommendations B.4 and C.4 ) The steps should be conducted sequentially, as provided for in the recommendations. The panel recommends that this checklist be incorporated in a protocol or guideline.