255: Combat Anesthesia in PFC with Kevin
In this episode of the PFC Podcast, Dennis and Kevin discuss the complexities of using narcotics in long-term care, particularly in a military or austere environment. They delve into the importance of understanding drug metabolites, context-sensitive half-times, and …
231: Emergence Reactions with Kevin
In this episode of the PFC Podcast, Dennis and Kevin discuss the intricacies of waking patients after sedation, focusing on procedural sedation techniques, managing emergence delirium, and the challenges of airway management. They share insights from real-world experiences, …
220: Long Acting Opioids with Brad
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 …
205: No More Fentanyl Lollipops?! The Shift to Sufentanil (Dsuvia)
In this episode of the PFC Podcast, Dennis and Brad discuss the transition from fentanyl lollipops to Sufentanil in military medicine. They explore the characteristics of Sufentanil, its advantages and disadvantages compared to traditional fentanyl, and the practical …
191: Ether with Mike and Brad
Mike and Brad discuss the benefits and drawbacks of using ether as an anesthetic. They highlight its historical significance, safety profile, availability in developing countries, and field expediency. They also mention the flammability and pungent smell of ether, as well as its slower uptake and potential for post-op nausea and vomiting. The conversation emphasizes the importance of understanding ether anesthesia and maintaining high clinical standards in austere settings. In this conversation, Brad, Mike, and Dennis discuss the use of ether as an anesthetic in prolonged field care scenarios. They emphasize the importance of understanding the different stages of anesthesia and how ether can be used for conscious sedation. They also highlight the significance of logistics and problem-solving in austere environments, where medical supplies may be limited. The conversation encourages listeners to do their own research and learn from historical medicine.
185: Airway Decisions with Jim DuCanto
In this podcast episode, Dennis interviews Dr. Jim DuCanto, an anesthesiologist with a special interest in airway management. They discuss the decision-making process in emergency airway management, particularly in challenging situations such as facial trauma. Dr. DuCanto emphasizes the importance of assessing the patient’s neurologic status and respiratory efforts, as well as considering the safety of the scene. He also highlights the need for clear communication with the patient and the use of appropriate techniques and tools for airway management.