Category Archives: Pharm

Case Discussion, CPGs, Pharm, Podcasts, Recommendations

Podcast Episode 33: TIVA: Another Look at Pre-Hospital Analgesia and Sedation

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Rick Hines has spent the last 20+ years in service to his country much of it deployed to combat zones and other unstable, austere environments and is dedicated to improving SOF Medicine.  He made it a point to spend a fair amount of time with surgical teams when possible and has gained quite a bit of real world knowledge that we hope to pass on to a wider audience here. Continue reading Podcast Episode 33: TIVA: Another Look at Pre-Hospital Analgesia and Sedation →

Pharm, Podcasts, Recommendations, Training

Podcast Episode 31: CBRN for Dummies By COL Missy Givens

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In this live recording, guest lecturer COL Missy Givens shares the CBRNe knowledge she has learned while working as a clinical toxicologist, among many other positions, around the world including as the SOCAFRICA Command Surgeon where she personally helped prepare members of 10th SFG(A) to deal with some of the most venomous snakes in the world. Continue reading Podcast Episode 31: CBRN for Dummies By COL Missy Givens →

Announcements, CPGs, Pharm, Recommendations

Analgesia and Sedation JTS/PFC Clinical Practice Guideline

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TheJoint Trauma System joined up with us and several of our working group members to bring you this, our third CPG, for PFC.As with every PFC CPG, this is the time that goes beyond TCCC. With this specific CPG you are expected to provide appropriate analgesia and/or sedation

Continue reading Analgesia and Sedation JTS/PFC Clinical Practice Guideline →

Pharm, Recommendations

How to make labels to practice Medication administration:

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Tactical Trauma Casualty Care(TCCC) and Prolonged Field Care can be heavy on the medication administration, but during training we can’t really give our real role player patients or even our mannequins a bunch of narcotics and other controlled substances, so it’s often verbalized in training. Not training on the medication they carry downrange, far from providers, can lead to improper Continue reading How to make labels to practice Medication administration: →

Pharm, Podcasts, Recommendations

Podcast Episodes 9 &10: Scott Weingart SOMSA Podcasts on Ketamine for PFC

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Scott Weingart, of EMCrit fame, was gracious enough to do a two-part, flipped classroom presentation on the use of ketamine since he pushes the drug on a daily basis for a wide variety of applications. Continue reading Podcast Episodes 9 &10: Scott Weingart SOMSA Podcasts on Ketamine for PFC →

Pharm, Podcasts, Recommendations

Podcast Episode 7: Part 3 of the Pharm Series… Ketamine and PFC

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This podcast is a direct result from questions, comments and emails we have received along the way.  It helps to clear up some confusion and explain some of the recommendations the working group first made in February of 2014.  Justin begins the episode by talking about 3 different uses of Ketamine in a prehospital or field setting;  The first as an adjunct to opiate analgesia.  The second in procedural sedation for shorter yet painful procedures.  The third for long term sedation in a Prolonged Field Care situation.  He then introduces LTC(Ret.) Jim Reed CRNA who explains field Ketamine use in each of these scenarios.

Throughout the episode several articles and the Working Group’s recommendations on Analgesia and Sedation are discussed or referenced and are included in the show notes below.

Ketamine in Prehospital Care – highlights

Ketamine_for_procedural_sedation_and_analgesia_by_nonanesthesiologists_in_the_field

Svenson Ketamine For Prehospital Use AmJEmergMed 2007

Ketamine Clinical Guideline Annals of EM May, 2011

PFC WG analgesia and sedation comments (Feb, 14)

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