Exploring the effective use of intramuscular ketamine for combat pain management, highlighting proper dosing and cautioning against quick medication transitions. Discussion on ketamine as a vital pain management solution in combat, emphasizing its immediate relief for severe pain. Insights on combat analgesia and medication management guidelines, focusing on safety and incremental dosing. Strategies for combat care include not immediate use of chest seals, prioritizing tasks, and efficient access to fentanyl lozenges during emergencies.