Wilderness Medicine Podcast #27: Fentanyl, Sharks, and Ultradoc Russ Reinbolt
9 snips
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.
AI Snips
Chapters
Transcript
Episode notes
IN Fentanyl Advantages
- Intramuscular morphine has drawbacks in wilderness rescue.
- It requires patient exposure, risking hypothermia, and needle sticks.
IN Fentanyl Protocol
- Ski patrollers select patients with severe pain (7/10 or higher) for IN fentanyl.
- They use a standardized dose, weight-based, and consult with base clinic.
Administering Fentanyl
- Administer fentanyl with the patient's head back, alternating nostrils.
- Use rapid, firm presses on the syringe for a fine mist, max 0.5cc per nostril.