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during isoflurane/nitrous oxide anesthesia in patients un-  58.  Möllman M, Landwehr U. Treatment of pain in trauma
              dergoing craniotomy. Anesth Analg. 1995;81:84–89.  patients with injuries of the upper limb. Injury. 2000;31:
          41.  Bourgoin A, Albanese J, Leone M, et al. Effects of suf-  3–10.
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              infusion on the cerebral hemodynamics of severely brain-  department experience with prehospital ketamine: a case
              injured patients. Crit Care Med. 2005;33:1109–13.  series of 13 patients. Prehosp Emerg Care. 2012;16:553–
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              comparison with sufentanil.  Crit Care Med. 2003;31:   minstered ketamine sedation in an emergency department
              711–7.                                             in rural Uganda. Ann Emerg Med. 2012;59:268–275.
          43.  Halstead S, Deakyne S, Bajaj L, et al. The effect of ket-  61.  Thomas A, Wiget U, Rammlmair G. Treatment of pain
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              1150.                                              Recommendation REC M 0010 of the Commission for
          44.  Drayna P, Estrada C, Wang W, et al. Ketamine sedation   Mountain Emergency Medicine. 1999.
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          45.  Green S, Roback M, Krauss B, et al. Predictors of emesis
              and recovery agitation with emergency department ket-
              amine sedation: an individual-patient data meta-analysis   CAPT (Ret) Butler was a Navy SEAL platoon commander
              of 8,282 children.  Ann Emerg Med. 2009;54:171–180.  before becoming a physician. He is an ophthalmologist with
              e1–4.                                          over 20 years experience providing medical support to Special
          46.  Black I, McManus J. Pain management in current combat   Operations forces. Dr. Butler has served as the command sur-
              operations. Prehosp Emerg Care. 2009;13:223–227.  geon for the U.S. Special Operations Command and currently
          47.  Jennings P, Cameron P, Bernard S, et al. Morphine and   chairs the Department of Defense’s Committee on TCCC.
              ketamine is superior to morphine alone for out-of-hospital
              analgesia: a randomized controlled trial. Ann Emerg Med.   COL Kotwal  is a family medicine and aerospace medicine
              2012;59:498–503.                               physician. He is a former command surgeon for the 75th
          48.  Carr D,  Goudas L, Denman  W, et  al. Safety and  effi-  Ranger Regiment and deputy command surgeon for the U.S.
              cacy of intranasal ketamine for the treatment of break-  Army Special Operations Command. He is currently the direc-
              through pain in patients with chronic pain: a randomized,   tor of Trauma Care Delivery at the Joint Trauma System.
              double-blind, placebo-controlled, crossover study.  Pain.
              2004;108:17–27.                                COL Buckenmaier is an anesthesiologist and the program
          49.  Guldner G, Petinaux B, Clemens P, et al. Ketamine for pro-  director of the Defense and Veterans Center for Integrative
              cedural sedation and analgesia by non-anesthesiologists in   Pain Management. He is also the chief of the Army Regional
              the field: a review for military health care providers. Mil   Anesthesia and Pain Management Initiative (ARAPMI).
              Med. 2006;171:484–490.
          50.  Galinski M, Dolveck F, Combes X, et al. Management of se-  COL Edgar is a family medicine physician. He is the com-
              vere acute pain in emergency settings: ketamine reduces mor-  mander of the U.S. Army Medical Research Institute for Infec-
              phine consumption. Am J Emerg Med. 2007;25:385–390.  tious Disease and was previously the command surgeon for
          51.  Jennings P, Cameron P, Bernard S. Ketamine as an anal-  the U.S. Central Command.
              gesic in the pre-hospital setting: a systematic review. Acta
              Anaesth Scand. 2011;55:638–643.                COL O’Connor is a family medicine physician who is pres-
          52.  Beecher H. Pain in men wounded in battle.  Ann Surg.   ently the physician to the Vice President. He has previously
              1946;123:96–105.                               served as the command surgeon for the Army Special Missions
          53.  Ellerton J, Greene M, Paal P. The use of analgesia in   Unit.
              mountain rescue casualties with moderate or severe pain.
              Emerg Med J. 2013;30:501–505.                  MSG Montgomery is a Ranger Medic. He is presently the
          54.  Weiss E. Medical considerations for wilderness and adven-  senior enlisted medical advisor for the U.S. Special Operations
              ture travelers. Med Clin North Am. 1999;83:885–902.  Command. His previous assignment was serving as the senior
          55.  Malchow R, Black I. The evolution of pain management   medic for the 75th Ranger Regiment.
              in the critically ill trauma patient: emerging concepts from
              the global war on terrorism.  Crit Care Med. 2008;36:   COL Shackelford is an attending trauma surgeon at the
              s346–s357.                                     Air Force Center for Sustainment of Trauma and Readiness
          56.  Dickey N. Management of Traumatic Brain Injury in   Skills at the R. Adams Cowley Shock Trauma Center in Balti-
              Tactical Combat Casualty Care. Defense Health Board   more. She is a previous deployed director of the Joint Theater
              Memorandum. 26 July 2012.                      Trauma System.
          57.  Soriya G, McVaney K, Liao M, et al. Safety of prehospital
              intravenous fentanyl for adult trauma patients. J Trauma.   Lt Col (Ret) Gandy is a retired Air Force emergency medi-
              2012;72:755–759.                               cine physician with extensive experience serving with the Air



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