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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Burn Resuscitation Revelation: Fluid Restriction + Early Plasma Beats Parkland in PFC

In this episode of the Prolonged Field Care Podcast, Dennis sits down with Alex to break down a hot-off-the-press retrospective study from the Journal of the American College of Surgeons titled “Chall...

16 Heinä 45min

287: Drone Evacs Are Coming… But Can They Handle Real Critical Care Patients

In this episode, Dennis sits down with Brock, a civilian critical care flight paramedic who flies Medevac in the States, to break down what it actually takes to move a sick patient from point A to poi...

13 Heinä 30min

War Wounds Unfiltered: Cleaning, Debridement & Why You Shouldn’t Close Early

In this high-yield episode, Dennis sits down with Dr. Jennifer Gurney, Army trauma/burn surgeon and Chief of the Joint Trauma System. They dive deep into the practical realities of wound management in...

9 Heinä 52min

286: Antibiotic Resistance - Smart Stewardship in Austere Care

In this episode of the Prolonged Field Care Podcast, Dennis talks with Dr. Ryan Maves (infectious disease physician and retired military ID doc) about one of the biggest silent threats in modern comba...

6 Heinä 38min

S Ketamine Mastery in Austere Care: S-Ketamine Dosing, Tricks, and TCCC Updates

S-Ketamine is now part of the TCCC pharmacopeia; you'd better understand how to use it. Dennis sits down with Pat — a veteran military anesthetist, former Danish Special Operations medical leader, and...

2 Heinä 51min

PFC Podcast 285: Adapt or Die - How Ukraine is Rewriting Combat Medicine

In this powerful episode of the Prolonged Field Care Podcast, Dennis sits down with Viktoriia, Chief Medical Officer, responsible for medical care across more than 150 kilometers of active front line....

29 Kesä 40min

PFC Podcast: Silent Brain Killer - SpO2 Goals, Airway Triggers & Saving Lives When Oxygen Is Scarce

In this episode of the Prolonged Field Care Podcast, Dennis sits down with Jeff to tackle one of the most time-sensitive and under-appreciated threats in tactical and austere medicine: anoxic brain in...

25 Kesä 31min

PFC Podcast 284: Pediatric Trauma in Denied Environments

In this episode of the Prolonged Field Care Podcast, Dennis sits down with Dr. Mike Falk — pediatric ICU physician with multiple deployments to Iraq, Gaza, and Ukraine — for a raw, practical, deep div...

22 Kesä 58min