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Wilderness Medicine Updates
Ep. 18 - Ketamine for Wilderness Pain Management with Dr. Christopher Van Tilburg
Jan 12, 2025
Dr. Christopher Van Tilburg, an expert in emergency and wilderness medicine, discusses the innovative use of ketamine for pain management in challenging outdoor settings. He shares insights on administering ketamine during mountain rescues, comparing it to traditional medications like fentanyl. The conversation dives into dosing strategies, environmental considerations, and the importance of patient monitoring. Dr. Van Tilburg also teases his upcoming book, 'Crisis on Mount Hood,' celebrating a century of mountain rescue stories.
45:33
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Quick takeaways
- Ketamine is a preferred medication for pain management in wilderness scenarios, offering effective analgesia without the respiratory risks of opioids.
- The administration of ketamine in remote environments presents challenges such as dosage determination and the need for effective patient monitoring during transport.
Deep dives
Introduction to Wilderness Pain Control
Managing pain in wilderness settings presents unique challenges due to the limited resources available to medical providers in remote areas. The capacity to carry essential medical supplies is constrained, often forcing practitioners to make challenging decisions on which items to include. Additionally, the patient’s location can complicate the delivery of adequate pain management, as moving patients often exacerbates their pain. These limitations necessitate a thoughtful and adaptive approach to pain control, ensuring effectiveness while considering environmental factors.
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Discover
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