Element Rescue: Simply Disruptive

ER Innovation Series: PodCast I: AAJT-S (Abdominal Aortic & Junctional Tourniquet - Stabilized) We dive into the creation and evolution of the AAJT-S from its original design as the AAT through its current design & capabilities.  This is a jammed packed and heated discussion with Sean, JJ, and the co-inventor of the AAJT-S, Dr. John Croushorn.  Discussion points include;  Why the AAJT-S excels in rescue situations, How it compares to Zone 3 REBOA, How certain studies either input fraudulent bias or negligently ignore data, The extraordinarily low pain tolerances some physicians involved in a preferential research study apparently have to misinform readers, How JJ signed a contract written on a napkin, selling his soul at an Ozzy / Korn Concert many years ago, Why committees need to re-evaluate their position on medical items that exist in rescue contracts…and actually consider the context / environment in which these medical items will be utilized…or IEBM (Improved Environmental Based Medicine), and a bunch more…

We jump into some West Coast RTF topics with FF/Medic/Tactical Medic Bryan Howell - discussing the complexity of this response asset and dive into TTP / SOP development, training, and some the ridiculousness that surrounds this topic nationwide…AND we also dig into the REMS (Rapid Extraction Module Support) programs out on the West Coast (RIP Notorious B.I.G.).  REMS is basically a bad-ass, complex, and evolving program in which 4-man teams become a QRF for injured line wildland firefighters.  The team is required to make access through austere vertical terrain, assess & stabilize the casualty, package and extract, and finally evacuate or handoff for transport to a MTF… anyway,, we discuss the good, the bad, and the ugly.

The Element Rescue Crew (Ryan, JJ, and Sean) with special guest Dennis Jarema, US Army Special Forces 18-D, Schoolhouse Instructor, and PFC Podcast Supreme Ruler… In this episode the guys breakdown PFC principles, discuss the framework, permeate these into civilian application - (disaster response, Mountain/Canyon Rescue, & REMS)- including abasic overview of what the future holds for civilian application…wait for it….IC / AEC -International Committee for Austere Emergency Care - A few of the OG PFC guys put together a PFC-centric pipe-hitting committee - linked with C-TECC and are rolling out civilian guidelines of awesomeness…this will need to be a separate podcast…

Okay...finally -Here is Part 2 of our conversation with Ricky and the Calcium crusade... We hit on more aspects concerning the Ground force - Aeromedical interaction, Evidence-Based Medicine (EBM) and Environmental -Based Medicine...and Experienced-Based Medicine

Hacking Science with Ricky Ditzel, Esq. III- Lead R&D guy with SOM-C, the editor for the Journal of High Threat and Austere Medicine, and, flight medic in the Army. In Part one of this two part discussion, Sean apologizes to Ricky and they discuss the first time they hugged at SOMSA. Ricky spits out disruptive smart guy stuff like a lyrical genius…things like; calcium chloride, calcium gluconate, calcium neutral safe places, and something called DIC…which turned out to be totally different than what Ryan and Sean were thinking. Clotting cascade physiology, fibrinogen and fibrin, and, some info about his working group- which has smart guys with very odd initials and credentials after their names…Also...some protocol creations, a few specific dumb ass comments that others have made in opposition to Ricky's calcium crusade, a little flight medic insight with triage and hand-offs, but, most importantly…we discuss 3 other things, that when combined, will make you appear 33% better looking to 42% of the members of the opposite sex…FACT(ish).

"Tracking Heffalumps and Woozles" A continuation of the training talk with Sean, Ryan, JJ, and David.....they discuss the skills you need to pay the bills (aka mastering the basics), Slim Shady as he relates to the Commando Medic, The importance of training like a Tigger, not like an Eeyore....getting lost in Sean's luscious beard and much, much, more. Valiant effort made to stay on topic gentleman, keep up the good work.

"Don't Shock Me Bro" We continue our “operational hacking” series here as we talk shop again with JJ. This time, Sean, Ryan, JJ, and David sit down and mostly discuss training. Yes, they also manage to talk about; donut shops, Compton hats and losing Sean, dog legs, a GPS named Judy, pink bunny and ocelot suits, Pollo Loco, Galileo, the Coriolis effect, Han Solo, training fairies, who may be buried under the Palo Alto Mac store....and oddly enough, staying on task. You'll definitely laugh, you may cry, you'll probably learn a few things, and you could want to shower? Then sit back and relax, part II is on the way.

Task Force- Land Pirate Code. Continuing with the “operational hacking” series...we brought in one of our resident pipe hitters for the CCP podcast. Sean and Ryan speak with Jon Johnson (JJ) about CCP’s. JJ IS AN 18D now teaching at the school house at Ft. Bragg and just joined forces with the SOM-C posse. They discuss the principles to help you figure out the practices that fit your response capability and organic assets. Also, there is a pdf presentation attached to the podcast page on element rescue for her fidelity and your enjoyment.

Task Force Nutcracker... This is the first installment of a multi-part PodCast Series on Operational Hacking.  Not so much Computer hacking like Legion, but using the hacking mindset to hack your TTP’s, design planning, protocols, ...and really everything you do...

Sean and Brent hang out discussing mountain rescue, decreasing time to patient times, meat anchors, thoughts on ways to decrease your evacuation times...DJ AM, anchor evaluation, and other topics you can't live without knowing...

Part 2 - Ryan & Sean talk about how to integrate med and rescue training into your teams everyday training, decreasing complexity, building your speed up for rescue and bail-outs, the negative side of stimulus-response training, gaining SA for self and buddy rescues, redefining what rescue is- for your context, Ocelots (Leopardus pardalis): what they are, why you need one, and how to use them to fight terrorism, Micromastery, Micro assault rescue kits, NWA and Easy-E...

Sean and Ryan start a multi part series on all things...casualty management, caffeine, California Pollo Loco, Bail-outs, Cuban Coffee, Gangster Rap, and...whatnot...

Here is the post SOMA / C-TECC Meeting podcast. Sean and Brendan review some of the presentations, discussions, and future endeavors.  The guys also discuss some RTF concepts, the CFED conference, Sean has an apology, and they discuss who can drop more “F” bombs - Dr. Smith or Scott Kimball...fun for all.

CTECC Pre-conference Podcast 2018 with Sean McKay and Brendan Hartford....(unedited for your entertainment)

We discuss what's behind Modern Icons rise to bad-assness, background, innovative designs, and why everyone is trying copy their gear...

Part Two of our discussion with Andy Schrader of Recon Response

Structural Collapse with Andy Schrader of Recon Response- Part I by Element Rescue

More pre-conference CTECC talk with Sean McKay, Brendan Hartford, and Mark Anderson....

Talking shop before the Committee meeting tomorrow.....

Last episode in our three part series with Dominick Briganti

This podcast is the second in a three part series with Dominick Briganti.

This episode is the first in a three part series of our conversation with Dominick Briganti.

This podcast is the second part of our conversation with Tom Evans.

Part I of our conversation with Tom Evans.

This podcast gives an introduction to Disruptive Rescue and the topics to be covered in the podcasts that will follow in our Disruptive Rescue Series.

Discussion: KPP's of operational climbing/access compared to fundamental recreational climbing techniques and disciplines.

This is the final episode on HRO’s with Dr. van Stralen. Probably a good time to throw out a big “Thanks” to Daved van Stralen for his time, while he was on vacation in France to talk with us. We are fortunate to be able to work with him quite a bit, and will definitely be doing some more podcasts with him in the future. Besides HRO, he is a Yoda when it comes to airway management...

This is the second episode of the three part series on HRO’s with Dr. Daved van Stralen. Quite a few topics are covered in this edition including; how HRO’s value experience within all levels of the organization, templating success by instituting reliability & resilience prior to the crisis, an overview of the five principles of HRO’s, and ways of shifting the culture of your organization. Below we posted a few pdf’s that give various examples and perspectives of HRO’s. The first pdf “Managing the Unexpected”, is by Weick and Sutcliffe (mentioned in episode one), which goes into some great AAR’s of a few past events, illustrating a how HRO’s view near misses and high impact events

HRO methodology has been permeating into a broad spectrum of high risk / high threat organizations over the past decade. From nuclear power-plants, intensive care units, wild land firefighting and most recently DoD health care systems. There is plenty of information out on the web pertaining to HRO’s, but is it valid or just another company claiming to be “experts”? We will speak with one of the originators and internationally respected practitioners of HRO, Dr. Daved van Stralen.

This is a two part podcast with Dr. Daved VanStralen discussing the topic of evidence based medicine and TCCC. We have taught and "preached" TCCC for over a decade, while defending the guidelines, equipment, and recommendations with the "mantra" evidence-based medicine. After years of unexplained failures and issues, we take a look at what "EBM" actually is, and whether its performance parameters are relevant to your operational parameters.

A discussion on... - The advantages of NFPA 1006 - What NFPA 1983 is and isn't - How the TCCC SOF CASEVAC program screwed up - NFPA 1006 JPR's and RTF - How Missy Elliot influenced operational rescue - And more...

Had a chance to talk with Dominick Briganti, a good friend and great technical rescuer. Dom has been in the fire service for 25 years and has been involved in technical rescue for many of those. Currently he is working with a fire department in Southwest Florida, and is the training coordinator for his county’s tech rescue team. We have been fortunate to know Dom for awhile and try to link up and instruct with him every chance we get. We discuss some evolutionary aspects concerning fire service rescue, 9/11, developing rescue skill sets into a true tradecraft.

This is part II of a two part podcast with Dr. Daved VanStralen discussing the topic of evidence based medicine and TCCC. We have taught and "preached" TCCC for over a decade, while defending the guidelines, equipment, and recommendations with the "mantra" evidence-based medicine. After years of unexplained failures and issues, we take a look at what "EBM" actually is, and whether its performance parameters are relevant to your operational parameters.

This was recorded June 18, 2015 after a TECC meeting in Chicago. We talked with David Callaway, Brendan Hartford, and Chris Cook about the evolution and need for TECC, how and why TECC (civilian) differs from TCCC (military), who endorses and uses TECC how RTF's are integrated into dynamic responses, what TECC has in their guidelines that other groups miss, and a bunch more.