抗生素(英文精品) Antibiotics and Pain Control幻灯片课件.pptVIP

Examplesof Operational Need Stimulating Scientific Innovation;WW II;Korea;Vietnam;General Preventive Measures;Adequate and Timely Resuscitation;Early Wound Care;Antibiotics;What Bugs?;Our Environment;Our Environment;Tactical Field Care“What We Want in an Antibiotic”;The EAST Practice Management Guidelines;The EAST Practice Management Guidelines (cont);The EAST Practice Management Guidelines (cont);What about US?Recommendations;BUT…;Why not orals?;Which Orals?;Which Orals? (cont.);Which Orals? (cont.);Recommendation for Oral Dosing;Final Recommendations in Tactical Arena (2002);Review of Oral Antibiotic Choices to Replace Gatifloxacin;Current Situation;SafetyOverview;2002 Recommendation;2002 Recommendation;2002 Recommendation;2002 Recommendation Recommendation for Oral Dosing;Re-look;SafetyTorsades de Pointes;SafetyDysglycemia – Outpatient study;SafetyDysglycemia – In-patient study;SafetyDysglycemia;EfficacyPseudomonas;EfficacyRespiratory and Abdominal Pathogens;EfficacyAgainst Gram-Positives;EfficacyRespiratory Pathogens / Gram-Positives;Comparison of Antibiotic SpectrumNotable differences (otherwise rated equally);Costs;Recommendation; Tactical Field Care - Antibiotics;;;Introduction;“Oligoanalgesia”;Pain As Interpreted by the Casualty;Fundamentals;Types of Medications;OpioidsGeneral;OpioidsGeneral;OpioidsGeneral;OpioidsFull Agonists;OpioidsFull Agonists – Long Acting;Patient Controlled Analgesia;Oral Pain Medications;Tactical Field Care - PAIN: Analgesia as Necessary;Combat Pill Pack;Tactical Field Care - Analgesia as Necessary;Oral Transmucosal Fentanyl Citrate;FENTANYL Synthesized in Belgium in the late 1950s Highly lipophilic synthetic phenylpiperidine derivative 80-100 times more potent than morphine Selectively binds to mu-1 and mu-2 receptors;DESIGN, SETTING, and PATIENTS;MAIN OUTCOME MEASURES; ;RESULTS