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Continuing Education

  • High and Sick: Altitude Illness

    Note: types and dosages of medication used to treat altitude illness will be determined by your organization’s protocols as authorized by your physician oversight. This article does not list any medication doses. You and your team are conducting patrol operations on Mount Rainier (14,411 ft summit), a familiar route for your…

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  • Chemical Agent Casualty Recognition Simplified

    Glassman, et. Al Introduction Casualties exposed to CBRN agents present numerous challenges to medics, even in the most resource-rich environments. Outside of the potential for simultaneous trauma, medics must also recognize the exposure, protect themselves and others from contamination spread, provide appropriate antidotal therapy and needed supportive care. Although low…

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  • Train With Your Food: The Chicken Thigh Abscess I&D Trainer

    As we’ve previously described, medical simulation equipment, while having a place in training, can be expensive and therefore unobtainable for units with a tight budget.  Not wanting to deprive medics of good training ideas simply because of money jockeys and fiscal restraints, we here at NGCM continue to scour the…

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  • Expired Meds: CAN You Use Them?

    Scenario: You’re out in the field when an NCO approaches you about spraining his ankle during one of the last movements through some rough terrain.  “It’s not that bad,” he tells you, “I just want some ibuprofen for the pain.  Can you help me out?”  You reach into your bag…

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  • Sepsis in Austere Environments

    There is a 30-50% possibility that severe infection will develop into sepsis. For the Deployed Med, c this means that a minor laceration can turn into a severe infection and eventually sepsis. According to the National Centre for Health Statistics, the annual incidence of sepsis in the USA rose by 7–8% per year…

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  • The Pain Pack is as good as morphine

    The Pain Pack Multiple studies have shown that using 1g of Paracetamol with 400mg of Ibuprofen provides mild and moderate pain relief. The most recent addition to this long line of evidence came out last month in the Journal of American Medical Association. They showed that the Pain Pack is just…

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  • Tuning fork ultrasound

    How it works. Use a 128hz tuning fork and your stethoscope. Hold your stethoscope on one end of the bone and then hit the fork on the meaty part of your leg to get it vibrating. Starting at the other end of the bone and slowly walk your tuning fork towards…

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  • Vent Practicalities

    This is Part 5 of a 5 part series on fundamental concepts in ventilator management. See Part 1 here. Everything up to this point has been to provide a foundation to understanding ventilator management.  This section will demonstrate how theory is translated into practice.  This section is also structured to be…

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