Phil Gonzalez, a combat medic, shares his experiences in Vietnam and his journey to becoming a medic. He discusses the intense situations he faced in Vietnam, including being in dangerous situations and witnessing the horrors of war. He also talks about the importance of medics in Special Forces and the impact they have on the people they treat. After Vietnam, Phil pursued a career in medicine and worked in various locations, including Panama and Salvador, providing medical care to those in need. Dennis shares his experiences working as a medic in remote areas, including his time in Panama and Colombia. He recounts the challenges he faced and the impact he made on the communities he served. Dennis emphasizes the importance of empathy, communication, and adaptability in providing effective medical care. He also highlights the power of mentorship and the need to pass on knowledge and skills to future generations. Dennis concludes by encouraging aspiring medics to never stop learning and to always seek out those in need. Takeaways The role of medics in Special Forces is crucial, as they provide medical care to those in need in intense and dangerous situations. Phil Gonzalez's experiences in Vietnam shaped his desire to become a medic and make a difference in people's lives. Phil's journey took him to various locations, including Panama and Salvador, where he provided medical care to those in need. The importance of compassion and bedside manner in being a medic and building trust with patients. Empathy and caring for fellow human beings are essential qualities for a medic working in remote areas. Effective communication and adaptability are crucial in providing medical care in challenging environments. Mentorship and passing on knowledge and skills are important for the future of healthcare in underserved communities. Continuous learning and seeking out those in need are key to making a lasting impact as a medic. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

The conversation discusses patient positioning during procedural sedation and the use of Versed (Midazolam) as a sedative. The speakers explore the importance of patient positioning and the need to have a plan for airway management in different positions. They also provide insights into the mechanism of action and dosing of Versed, highlighting the importance of individual patient factors and context in determining the appropriate dose. The conversation emphasizes the need for a staged approach when using sedatives and the importance of communication with the patient to assess their response. In this conversation, Dennis discusses the use of different medications for sedation and anesthesia, focusing on the challenges and considerations involved. He explains that there is no specific dose for achieving amnesia with medications like Midazolam, Propofol, and Ketamine. The dose depends on various factors, including the patient's physiological state and the presence of alcohol in their system. Dennis emphasizes the importance of closely monitoring vital signs and respiratory rate during sedation to ensure the patient remains comfortable and ventilating properly. He also discusses the use of analgesics and local anesthesia to manage pain during procedures. The conversation concludes with a discussion on the reversal agent for sedatives and the importance of considering the set and setting when administering medications like Ketamine. Takeaways Consider patient positioning during procedural sedation and have a plan for airway management in different positions. Understand the mechanism of action and dosing of Versed (Midazolam) as a sedative. Take into account individual patient factors and context when determining the appropriate dose of Versed. Use a staged approach when administering sedatives and communicate with the patient to assess their response. There is no specific dose for achieving amnesia with sedative medications like Midazolam, Propofol, and Ketamine. The dose of sedative medications depends on various factors, including the patient's physiological state and the presence of alcohol in their system. Monitoring vital signs and respiratory rate is crucial during sedation to ensure the patient remains comfortable and ventilating properly. Analgesics and local anesthesia can be used to manage pain during procedures. The reversal agent for sedatives, such as Versed, is Ramazicon, but it should be used cautiously and only after ruling out other causes for the patient not waking up. Consider the set and setting when administering sedative medications, especially in high-stress environments like combat situations. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠