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.

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.

With 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?"

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.

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.

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

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.

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.