Prolonged Field Care Podcast

Transitioning from ketamine to a long-acting opioid can be a great technique to spare your (very short-acting) ketamine.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-220-Long-Acting-Opioids-e2vojfbThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

When teaching a technique, it's super important to make sure the students understand the context.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-220-Long-Acting-Opioids-e2vojfbThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this conversation, Dennis and Brad discuss the evolving landscape of pain management, particularly focusing on the apprehension surrounding the use of opioids like morphine and hydromorphone. They explore the historical context of opioid use, the introduction of ketamine, and the importance of transitioning between different pain management techniques. The discussion emphasizes the need for a strategic approach to pain management, considering factors such as respiratory rate and the context of the patient's condition. In this conversation, Brad and Dennis discuss the complexities of pain management in medical settings, particularly during recovery and transport. They emphasize the importance of monitoring vital signs, effective communication with patients, and the careful selection of medications to manage pain while minimizing side effects. The discussion also highlights the need for thorough training and preparation to handle emergency situations effectively.TakeawaysMedics are increasingly fearful of using longer-acting opioids.Ketamine has become a preferred option over traditional opioids.Morphine and hydromorphone still have a place in pain management.Understanding the context of drug use is crucial for effective treatment.Transitioning from rapid-acting to long-acting agents requires careful monitoring.Respiratory rate is a key indicator of patient comfort and need for medication.Historical perspectives on drug use can influence current practices.Education and experience play significant roles in drug administration confidence.The evolution of pain management reflects changing medical practices and perceptions.Effective pain management requires a balance of various medications. Respiratory rate is a critical indicator for pain management.Patients often have cultural expectations about pain levels.Effective communication can significantly improve patient care.Medications should be administered based on patient stability.Ketamine can be a beneficial option for pain relief.Understanding individual responses to medications is essential.Training and practice are vital for emergency preparedness.Developing a strategy for pain management is crucial.Monitoring vital signs helps determine medication needs.Practicing scenarios can reduce mistakes in real situations.Chapters00:00 Understanding the Fear of Opioids08:18 The Evolution of Pain Management14:57 Transitioning Between Pain Management Techniques25:34 Practical Application of Opioid Dosing31:31 Understanding Pain Management in Recovery39:02 The Role of Communication in Patient Care47:09 Managing Side Effects of Pain Medications57:04 The Importance of Training and Preparation in Emergency CareThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

You've used your ketamine..how to transition safely to a long acting opioid? Posting tomorrow.Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this episode of the PFC Podcast, Dennis and Burjor delve into the intricacies of maxillofacial surgery, focusing on trauma management in austere environments. They discuss the importance of hemorrhage control, various techniques for managing facial injuries, and the critical aspects of airway management in trauma situations. The conversation emphasizes practical approaches and innovative techniques that can be employed in emergency scenarios, highlighting the need for preparedness and adaptability in medical practice. This conversation delves into the complexities of managing facial trauma, particularly focusing on airway management, mid-face fractures, and hemorrhage control techniques. The speakers discuss their differing comfort levels and approaches to treatment, emphasizing the importance of thorough evaluations and timely interventions. They also touch on the significance of recognizing signs of head injuries and the role of humanitarian efforts in providing medical care in remote areas.TakeawaysMaxillofacial surgery requires a deep understanding of hemorrhage control.Facial injuries can lead to significant blood loss, necessitating immediate action.Techniques for managing scalp lacerations include direct and indirect pressure.Ear and cheek injuries require specific dressing techniques to avoid obstruction.Neck injuries can be managed with packing and pressure techniques.Bone bleeds from jaw fractures can often be controlled by approximation.Airway management is crucial in trauma cases, especially with facial injuries.Definitive airway techniques may vary based on the operator's experience and available resources.Using basic materials creatively can effectively manage complex injuries.Preparation and adaptability are key in emergency medical situations. Airway management is prioritized over mid-face splinting in emergencies.Comfort levels in handling trauma vary among medical professionals.Facial injuries can distract from more critical injuries.Timely intervention is crucial in managing hemorrhage.Understanding the anatomy is key to treating facial fractures.Visual acuity tests are essential in assessing eye injuries.Bilateral bruising often indicates more severe facial fractures.Mid-face fractures require careful evaluation and management.Humanitarian medical efforts are vital in underserved areas.Training local populations enhances medical care in remote regions.Chapters00:00 Introduction to Maxillofacial Surgery03:03 Hemorrhage Control in Facial Injuries06:02 Techniques for Managing Scalp Lacerations09:09 Addressing Ear and Cheek Injuries12:04 Managing Neck Injuries14:50 Bone Bleeds and Jaw Fractures18:14 Airway Management in Trauma20:59 Definitive Airway Techniques28:34 Airway Management vs. Mid-Face Fractures33:11 Techniques for Hemorrhage Control38:02 Understanding Facial Fractures45:59 Signs of Head Injuries49:47 Addressing Mid-Face Fractures52:31 Team 5 Medical Foundation and Humanitarian EffortsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

This is not a death sentence, but it definitely can't be ignored.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-219-Tuberculosis-e2v7m50Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this conversation, Ryan Maves and Dennis discuss various aspects of tuberculosis, including recent outbreaks, public health implications, and treatment protocols. They delve into the complexities of managing tuberculosis in different contexts, particularly within military settings, and highlight the importance of public health initiatives like PEPFAR. The discussion also touches on the challenges posed by drug-resistant tuberculosis and the evolving landscape of health policy. In this conversation, Ryan Maves discusses the complexities of tuberculosis (TB), including its historical significance, transmission methods, diagnosis, treatment protocols, and the challenges posed by drug resistance. He emphasizes the importance of public health measures in managing TB outbreaks and reassures that most individuals with TB can recover with appropriate treatment. The discussion also highlights the role of good ventilation in reducing transmission risk and the need for awareness and screening in military and public health settings.TakeawaysTuberculosis outbreaks can be slow and complex, not immediate crises.Public health interventions are crucial for effective tuberculosis management.PEPFAR has saved millions of lives and is a significant achievement in global health.Drug-resistant tuberculosis presents unique challenges in treatment.Telemedicine can enhance the management of tuberculosis in remote settings.Understanding the transmission dynamics of tuberculosis is essential for prevention.Good ventilation and treatment protocols can mitigate tuberculosis risks.Public health policies can significantly impact disease control efforts.Collaboration and open dialogue are necessary for effective health policy.The importance of recognizing the long-term nature of tuberculosis management. Tuberculosis is a significant global health issue that has been impacted by the COVID-19 pandemic.HIV and tuberculosis have a close interaction, affecting incidence and outcomes.Active screening for tuberculosis is crucial, especially in military settings.Good ventilation and sunlight can significantly reduce the risk of TB transmission.Latent TB infection can progress to active disease if not treated promptly.The classic treatment regimen for active TB involves a combination of four drugs.Multi-drug resistant TB (MDR-TB) is a growing concern, particularly in certain regions.Rifampin is a key drug in TB treatment but has notable drug interactions.Most people with TB can recover with effective therapy, and treatment is often satisfying for healthcare providers.Public health measures are essential in managing TB outbreaks and ensuring community safety.Chapters00:00 Introduction and Personal Updates03:11 Understanding Tuberculosis Outbreaks06:00 Public Health and Policy Implications08:54 PEPFAR and Global Health Initiatives12:00 Tuberculosis in Military Contexts14:58 Diagnosis and Treatment of Tuberculosis18:01 Drug-Resistant Tuberculosis23:15 Understanding Tuberculosis: A Global Perspective27:43 Transmission and Infection: How TB Spreads33:31 Diagnosis and Screening: Identifying TB Cases41:41 Treatment Protocols: Managing Active and Latent TB51:29 Challenges of Drug Resistance in TB58:03 Public Health Response: Reporting and Managing OutbreaksThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Though not common in first world countries, TB can pop up anywhere.

Medicine in the military is a bit different than in the civilian world.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Military-Medic-Transition-to-Civilian-Workforce-e2v7ju5Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Nobody else will do it for you. Take charge of your own destiny.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Military-Medic-Transition-to-Civilian-Workforce-e2v7ju5Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care