Military medicine
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Opioids carry high risk of dependence, and patients can rapidly build tolerance after repetitive dosing. Low-dose ketamine is an analgesic agent alternative that provides more hemodynamic stability. We sought to describe the effects of prolonged ketamine use in non-burn patients. ⋯ We demonstrate that continuous ketamine infusions provide a useful adjunct for analgesia and/or sedation. Further development of this adjunct modality may serve as an alternative agent to opioids.
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On the surface, the Commissioning Oath and modernized Hippocratic Oath can contradict one another. This piece aims to provide a foundation upon which trainees and providers can grapple with dueling obligations as they stand in the crosshairs of the intersection between medicine and the military.