Dennis welcomes his friend Pac to discuss S-Ketamine. Pac, an anesthetist with extensive experience, shares insights on using S-Ketamine in various medical settings. He highlights its potential advantages, such as improved analgesia and reduced hallucinogenic effects in mid-doses. They discuss its use in austere environments, especially during military operations, and Pac emphasizes the importance of adapting dosages based on transportation methods and patient conditions. They touch on the role of ketamine in managing seizures, refractory seizures, and its potential benefits for asthmatic patients. The podcast provides valuable insights into ketamine's applications in medical care.

Today, we've got Brett, a paramedic legend from El Paso County Search and Rescue. The mountains? Tricky business. One moment it's beach weather, the next it's a frigid winter wonderland – and that’s in the summer! Know what you're packing; it's not a weekend getaway! And those space blankets? Not the lifesavers you might think. Weight's your enemy up there, but be smart. And remember, it's not just about the med kit; weather's unpredictable, avalanches are sneaky, and a good medic knows that it’s not always about the medicine.

Today's podcast is part one of a 2.5 hr chat with Aebhric OKelly the founder and Dean Emeritus of the College of Remote and Offshore Medicine (COROM) about Improvised medicine. I will be the first to say, as cool as it is to learn Improvised techniques, this is an emergency plan, not a way to lighten your ruck. We run through items for MARCH and principles to apply to this problem. This is only part one, so plenty more in the next episode, when we go through PFC and improvised gear.