Prolonged Field Care Podcast19 Heinä 2024

Can Fentanyl be used safely in the field?

In this podcast episode, Dennis and Brad discuss the use of fentanyl as an opioid analgesic. They explore the history and development of fentanyl, its pharmacological properties, and its advantages over other opioids. They also discuss the administration of fentanyl, including IV and lollipop forms, and the importance of titrating the dose to the patient's respiratory rate. The potential side effects and contraindications of fentanyl are also addressed. Takeaways Fentanyl is a synthetic opioid that was developed in the 1950s as a reliable and titratable pain medication. It has a rapid onset and peak effect, making it useful for pain control in trauma and sedation during procedures. Fentanyl is 100 times more potent than morphine and is typically administered in microgram doses. Respiratory depression is a potential side effect of fentanyl, but it can be managed by monitoring the patient's respiratory rate. Fentanyl lollipops are an alternative route of administration, but they require proper technique and can cause nausea and vomiting. Fentanyl patches are not recommended for prehospital use due to their slow onset and potential for unpredictable drug release. Proper education and understanding of fentanyl's pharmacology and administration are essential for safe and effective use. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

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Pack to the Vessel: Hemorrhage Control Is Not a Mind-less Skill

Mike Weisman — 25 years as a Navy Corpsman and SARC, 27 years on a busy Vegas fire department, now clinical education at Celox — does not sell magic dust. He sells a hydraulic problem.A femoral-rate b...

17 Syys 38min

296 - Mission Capable Pain Control: The TCCC Analgesia Update Explained

OTFC is gone. That was not a small supply hiccup. It punched a hole in the old TCCC pain plan.George Barbee, a PA and co-author of TCCC Guideline Change 25-03, walks Dennis through why the committee r...

14 Syys 39min

SOMA 26' - Ultrasound-Augmented Triage A Proposal To Refine Field Decision Making In Tactical Combat Casualty Care

Recorded live at SOMA 26In a near-peer MASCAL, one medic and one junior medic may face twenty penetrating torso casualties, one unit of blood, and no time to empirically needle or finger-decompress ev...

10 Syys 26min

295- Logistics For LSCO: Why SOF Med Supplies Fail When The War Changes

Medical logistics was an afterthought for a lot of us in GWOT. You submitted a request, something showed up, and everyone joked that the warehouse never read the order. That model does not survive lar...

7 Syys 35min

SOMA 26' - Role 1.5: Fighting Tourniquet Syndrome at the Forefront

Ukrainian orthopedic and reconstructive surgeon describes what prolonged field care actually looks like when evacuation from the front line to Role 2 takes three to four days, and sometimes longer. Af...

3 Syys 21min

294 - Do Antibiotics Really Reduce Mortality in Trauma? Wound Care First in Prolonged Field Care

Antibiotics are not magic. In this episode of the PFC Podcast, Dennis sits down with Ryan to cut through the common myth that “I’ve given antibiotics, so the wound is protected.” They unpack why vigor...

31 Elo 36min

SOMA 26' - Fresh Whole Blood is Not The Answer: It's Still a Question

Whole Blood Is Not a Solution (Until Conventional Forces Can Deliver It)Recorded live at SOMA 26Dr. Vanessa Hanick (emergency physician, former active-duty Army, now National Guard) and 1SG Cy Clayton...

27 Elo 28min

293 - Dead Tissue Kills in Prolonged Field Care: 4 C’s, Early Debridement & Delayed Primary Closure Lessons from the Field

In this episode of the PFC Podcast, Dennis sits down with missionary surgeon Jason to cut through the noise on real-world wound care in austere and unconventional warfare environments. From the bridge...

24 Elo 49min