Chapter 31 - Pain Management in the Field, IRL (Patreon)

Tactical Field Care Pain Management

During the tactical field care phase of TCCC, pain should be addressed after active combat has ceased and other life-saving priorities of care have been addressed. This video focuses on the management of battlefield pain using available analgesic medications. This video will provide knowledge on: -Simplified triple-option approach to battlefield analgesia and its primary goals -Analgesic medication selection, dosing, and contraindications based on the casualty’s level of pain (mild, moderate or severe), type of injuries present, and the presence of shock or respiratory depression -Appropriate methods of administration and evaluation of side effects for TCCC approved analgesic medications including Tylenol, meloxicam, fentanyl, morphine and ketamine -Evaluation of mental status using the AVPU method -Monitoring of casualties receiving opioids and/or ketamine -Reversal of opioid medications with Naloxone in the event of respiratory depression -Use of analgesia in severe TBI (Traumatic Brain Injury) -Treatment of nausea and vomiting secondary to the use of analgesic medications -Restrictions on the use of NSAIDs (non-steroidal anti-inflammatory drugs) on the battlefield -Use of benzodiazepines/opioid combinations and relevant contraindications -Effective pain control without causing harm Always find the latest TCCC at www.deployedmedicine.com or download the "Deployed Medicine" app on your smart phone or tablet. Joint Trauma System (JTS) / Committee on Tactical Combat Casualty Care(CoTCCC). The CoTCCC is the branch of the JTS focused on the standard of care for prehospital battlefield medicine. The JTS is the Department of Defense Center of Excellence for Trauma providing clinical practice guidelines and performance improvement for all levels of military trauma care. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. For more information, please visit https://creativecommons.org/.