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Wilderness Medicine Podcast
#27: Fentanyl, Sharks, and Ultradoc Russ Reinbolt
Sep 9, 2022
Dr. Russ Reinbolt, an ultramarathon runner and ER doctor, shares insights on wilderness medicine and endurance challenges. He discusses the innovative use of intranasal fentanyl for pain management in ski patrol rescues. The conversation then dives into his experiences with shark encounters, highlighting the importance of emergency preparedness for divers. Reinbolt also opens up about training in extreme heat and strategies for balancing hydration and electrolytes during intense races, making for a thrilling blend of medical expertise and adventurous tales.
01:14:39
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Quick takeaways
- Intranasal fentanyl has proven to be a safer and more effective pain management option for EMTs on ski hills, minimizing risks associated with traditional methods.
- The tiger shark attack case study illustrated the unpredictability of shark behavior and emphasized the need for effective emergency response strategies for divers.
Deep dives
Intranasal Fentanyl for Pain Management
Intranasal fentanyl has emerged as a viable option for managing pain on ski hills, particularly for EMT basics who previously had limited pain control capabilities. The study conducted at Taos Ski Valley enabled EMTs to administer intranasal fentanyl after receiving special skills training from the New Mexico EMS Bureau. This method is non-invasive and reduces risks associated with needle stick injuries, making it suitable for high-stress environments like ski patrol. The study documented significant decreases in pain scores for patients, demonstrating both the effectiveness and safety of this approach.
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