In this episode of the PFC Podcast, Dennis and Brad discuss the transition from fentanyl lollipops to SuFentanyl in military medicine. They explore the characteristics of SuFentanyl, its advantages and disadvantages compared to traditional fentanyl, and the practical implications of administering these drugs in the field. The conversation highlights the importance of understanding dosage, effectiveness, and the challenges faced by medical personnel in high-stress environments. In this conversation, Dennis discusses the critical aspects of medical training, particularly in the context of administering narcotics and managing pain in field care. He emphasizes the importance of After Action Reviews (AARs) for collecting data and improving practices, the need for hands-on experience with narcotics, and the risks associated with long-term use. The discussion also covers the transition between different narcotics and the importance of titrating to effect based on patient response, particularly respiratory rate. Dennis advocates for thorough training and preparation to ensure medics can make informed decisions in high-pressure situations. Takeaways Fentanyl lollipops are being replaced by SuFentanyl tablets. SuFentanyl is significantly stronger than fentanyl. The characteristics of SuFentanyl make it effective for pain management. Lollipops were easier to administer in field settings. Sublingual tablets have absorption challenges compared to lollipops. Swallowing the tablet reduces its effectiveness drastically. Field conditions can affect drug absorption and efficacy. Medical personnel need to adapt to new drug administration methods. Dosage adjustments may be necessary for effective pain relief. Feedback from field use is crucial for optimizing drug protocols. AARs are crucial for improving medical practices. Hands-on experience with narcotics is essential for comfort. Understanding the risks of addiction is vital in narcotic use. Transitioning between narcotics requires careful consideration. Titrating to effect is key in pain management. Respiratory rate is a critical indicator in narcotic administration. Training should focus on real-world scenarios and decision-making. Medicine requires flexibility beyond strict algorithms. Discussing potential injury patterns can improve team response. Preparation and training can prevent mistakes in the field. 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