Exploring Methoxyfluorane for Wilderness Pain Management with Dr. Ross Hofmeyr

In this episode of Wilderness Medicine Updates, host Dr. Patrick Fink discusses the use of methoxyfluorane, an anesthetic gas for pain management in wilderness settings. Joined by guest Dr. Ross Hofmeyr, an anesthesiologist and wilderness medicine expert from South Africa, the episode delves into the history, usage, benefits, and limitations of methoxyfluorane. Highlighting its efficacy, ease of use, and safety, especially for pre-hospital scenarios, Dr. Hofmeyr shares insights into its ideal applications, contraindications, and personal experiences. The episode underscores the significance of methoxyfluorane as a potent analgesic suitable for acute traumatic pain and procedural analgesia in austere environments.

Links

Wild Medix

Ross Hofmyer on Instagram

The Inhaler Device

Methoxyflurane at Altitude - Case Report

Methoxyflurane in the Outback - Survivor Clip

WMS Pain Management Guidelines

Chapters:
00:00 Welcome to Wilderness Medicine Updates
00:55 Meet Dr. Ross Hofmeyr
03:14 Dr. Hoffmeier's Background in Wilderness Medicine
04:45 Methoxyfluorine: An Overview
12:20 The Mechanics of Methoxyfluorine Inhaler
20:15 Practical Applications in Pre-Hospital Pain Control
20:53 Analgesic Intervention: Quick and Effective
21:09 Using Methoxyfluorane in Wilderness Settings
22:42 Training Non-Medical Personnel
23:49 Procedural Analgo-Sedation
24:30 Regulatory Considerations and Prescriptions
26:33 Combining Methoxyfluorane with Other Medications
28:10 Monitoring and Safety
29:09 Ambulating Patients with Methoxyfluorane
31:31 Environmental Considerations: Temperature and Altitude
40:10 Cost and Practical Downsides
41:45 Conclusion and Final Thoughts

As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM.

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