Episode 004 - Pre-Hospital Pain Management with Dr. Parkolap
08/14/19 • 23 min
Being able to provide pain management to your patients, is an essential part of pre-hospital medicine. Although, there is a balance to maintain between reducing a patient's pain level and reducing the patient's mentation, making continued care in the ED difficult. On this Episode, I talk to Dr. Parkolap, ER Medical Director at Westside Regional Hospital and Medical Director for Plantation Fire Department about the important considerations involved in pre-hospital pain management, the outcome goals, and the agents he recommends and why. Hope you enjoy our discussion.
Being able to provide pain management to your patients, is an essential part of pre-hospital medicine. Although, there is a balance to maintain between reducing a patient's pain level and reducing the patient's mentation, making continued care in the ED difficult. On this Episode, I talk to Dr. Parkolap, ER Medical Director at Westside Regional Hospital and Medical Director for Plantation Fire Department about the important considerations involved in pre-hospital pain management, the outcome goals, and the agents he recommends and why. Hope you enjoy our discussion.
Previous Episode
Episode 003 - Dr. Roach - Emerging Interventions
In this discussion with the Chief Medical Officer for Broward County Sheriff's Office Fire Rescue, Dr. Roach, we explore the use of Whole Blood, pre-hospital, for the Hemorrhagic Shock patient. This intervention is currently being used on the Sheriff's Office Air Rescue Unit. There are discussions taking place to expand the program in the future to ground units. Dr. Roach also briefly discusses the use of TXA for the Traumatic Brain Injury patient.
We also briefly discuss Heads-Up CPR and some emerging techniques.
PDF Presentation of Pre Hospital Whole Blood; https://www.dropbox.com/s/d6c6z1nymh03oc3/BSO-WB%20Resuscitiation.%202019.1.pdf?dl=0
Glycocalyx Breakdown in Shock patients: https://ccforum.biomedcentral.com/track/pdf/10.1186/s13054-019-2534-2
Next Episode
Episode 005 - Spontaneous Responders or Bystanders
In this episode, we discuss the dynamic of identifying the difference between Spontaneous Responders and Bystanders. Is there a difference? I believe that there is. As first responders how can we identify the difference? How can we more effectively utilize Spontaneous Responders on large scale incidents and what are some considerations we have a moral obligation to consider? We'll explore this topic in more detail, as well as review some programs in place that are driving the discussion, on filling the gap between the actual incident occurrence and the arrival of Initial Professional Responders.
The Impromptu Immediate Responder - Christina Hernon
Corporation for National and Community Service: Link
Leveraging Volunteers during Emergent Events - Link
Be the Help - Link
Until Help Arrives - Link
Stop the Bleed - Link
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