Dr. Drew Pinsky, board certified internist and addiction medicine specialist, takes listener calls and talks to experts on a variety of topics relating to health, relationships, sex and drug addiction.
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Special Operations Medical Association
Sometimes it's good to go over the basics again. Doug gives us the run down on who needs vent management and how to get started.
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Everyone knows how hard it is to do good ventilation management using our gear. If the patient is spontaneously breathing in any way it can be next to impossible. Are paralytics the answer? Dennis speaks Evan (ER Doc) and Josh (ICU Doc) about the use of paralytics in vent management.
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1 90: Abdominal Trauma with Stacy Shackelford 38:53
38:53 Play Later Play Later Lists Like Liked38:53
Play Later Play Later Lists Like LikedWith bleeding from the "Box" causing such a large portion of the potentially survivable deaths, can we go in there? A better question probably "should we?". Stacy goes over how large the actual problem is and better yet, "What can be done", and "what does it take to do it?"
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We're beyond explaining that blood is better than water, when it comes to resus and trauma. Now let's start talking about HOW to do it better. How to collect it faster and give it faster in the austere environment. How can we use the gear we have and optimize this life saving process.
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Usually, we are sending our patients to a higher level of care. What do you do with the patients you can't? Dennis and Ian go over a timely topic.
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Jon does this for a living. Dennis discusses some more practical aspects of analgesia and sedation, such as how to assess for pain when your patient is unconscious. Jon also discusses the practicality using IV lidocaine in an austere environment. This is another podcast from the study discussed on IV lidocaine. http://www.oxfordjournals.org/podcasts/bjaed_intravenous_lidocaine_vol_16_issue_9.mp3…
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Sometimes our patients are too sick to recieve the care they need. Dennis and Mark discuss the decision points of who goes to surgery and when.
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Dennis and the guys from the "Dustoff Medic podcast", discuss optimizing your patient for evacuation. We go over the common mistakes and some of the decision making processes of Load and go or Stay and Play whan it comes to the more invasive procedures.
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34:51 Play Later Play Later Lists Like Liked34:51
Play Later Play Later Lists Like LikedSometimes it's not an easy decision to turn around and go home. I talk with Dr. Moon, about taking care of a patient with AMS, HAPE, and or HACE in a PFC environment and when is it worth the consequences to evac the patient.
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I discuss overventilation with Jeff. Should we be using a pediatric bvm?
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Dennis and Doug break down the pretty complex issue of dealing with an AKI in the austere environment.
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Dennis along with Doug and Justin discuss the latest PFC CPG on Sepsis Management in the austere environment.
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Dennis discusses the acute abdomen with Ian and Tim, but ER docs working in some very remote locations.
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Dennis discusses a recent trip to Antarctica with Ian and Tim.
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Dennis and Scott discuss what to do after the life threats have been addressed and the healing begins.
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Similar to Special Operations Medical Association
Dr. Drew Pinsky, board certified internist and addiction medicine specialist, takes listener calls and talks to experts on a variety of topics relating to health, relationships, sex and drug addiction.
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