This podcast and website is dedicated to the healthcare professional who needs to provide high quality care in a very austere location.
In this episode of the PFC Podcast, Rick Caldwell, a seasoned sof medic, discusses the critical foundations of medical education and training for combat medics. He emphasizes the importance of quality over quantity in medic training, the need for a solid understanding of both combat and humanitarian support, and the challenges faced in modern combat medicine, particularly in prolonged field care scenarios. Caldwell advocates for a shift from mere training to comprehensive teaching that fosters critical thinking and adaptability among medics. He concludes with a call to action for improving medical education to better prepare medics for the realities of combat situations.TakeawaysHumans are more important than hardware.Quality is better than quantity in medic training.Medics cannot be mass produced; quality is essential.Combat medics must provide both combat and humanitarian support.Good medicine is the foundation of T-Tricy.Training should focus on teaching critical thinking skills.Most patients evacuated are DNBI, not just trauma cases.Current training methods may set medics up to fail.Medicine is fundamentally a logistics function.Medical education must evolve to meet modern combat challenges.Chapters00:00 Introduction to Combat Medicine03:06 The Role of Combat Medics05:55 Training vs. Teaching in Medical Education08:47 Challenges in Modern Combat Medicine11:56 The Importance of Critical Thinking15:13 Principles Over Procedures in Medical Training17:56 Conclusions and Future DirectionsThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Kevin discuss the intricacies of waking patients after sedation, focusing on procedural sedation techniques, managing emergence delirium, and the challenges of airway management. They share insights from real-world experiences, particularly in combat and austere environments, emphasizing the importance of monitoring and patient safety during the awakening process. The conversation also covers extubation strategies, the differences between Cric and ET tube management, and the significance of having a well-thought-out emergence plan from the start of anesthesia.TakeawaysWaking a patient requires careful monitoring and reorientation.Emergence delirium can occur with ketamine; vigilance is key.Communication with the patient is crucial during awakening.Airway management is critical, especially in trauma cases.TIVA can complicate the emergence process; planning is essential.Extubation should be based on patient readiness and safety.Cric tubes may be better tolerated than ET tubes.Ventilation support may be necessary during the emergence phase.Understanding the patient's history aids in sedation decisions.Always be prepared for unexpected airway challenges.Chapters00:00 Introduction to Patient Awakening01:16 Procedural Sedation Techniques06:24 Managing Emergence Delirium10:40 Airway Management in Sedation15:27 Waking Up After Long Procedures24:23 Extubation Strategies and Considerations30:29 Cric vs. ET Tube Management39:06 Ventilation and Monitoring During EmergenceThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Ethan discuss the critical role of patient positioning in emergency and prolonged field care. They explore various aspects of patient positioning, including its importance for TBI management, ventilation, and airway management. The conversation also addresses the risks associated with changing patient positions, the need for a safety net in patient care, and the operational considerations for medics in the field. They emphasize the significance of training and cultural factors in reducing preventable deaths in combat situations, concluding with a call to focus on the basics of patient care.TakeawaysPatient positioning is often overlooked but crucial in care.Elevating the head of the bed can help with TBI.Ventilation improves with proper patient positioning.Patients can manage their airways better when allowed to position themselves.Reassess interventions after changing patient positions.Improvisation is key in resource-limited environments.Equipment design can enhance patient care in the field.Cultural factors in military medicine impact patient outcomes.Training in patient positioning is essential for medics.Mastering the basics can significantly reduce preventable deaths.Chapters00:00 Introduction to Patient Positioning02:21 The Importance of Patient Positioning06:01 Patient Positioning for TBI and Ventilation09:20 Airway Management and Patient Positioning14:25 Risks and Downsides of Changing Patient Position19:18 Building a Safety Net in Patient Care20:22 Operational Considerations for Patient Positioning24:29 Improvisation and Equipment in Patient Care27:46 Positioning in Prolonged Field Care30:03 Cultural Factors in Reducing Preventable Deaths36:40 Conclusion and Key TakeawaysThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
This presentation explores the challenges and needs of military operations in the Arctic, particularly focusing on cold-weather medicine and the stability of medications in extreme conditions. Emily emphasizes the urgency of improving medic training and resources, the lack of solid data on medication efficacy in cold environments, and the need for innovative solutions to ensure medics can operate effectively. She calls for collaboration and data sharing among partner nations to enhance medical care in extreme cold environments.Sorry, if you would like to see the slides, you'll have to become a paid member. TakeawaysWe don't have a whole lot of military presence above the Arctic Circle.Cold is the enemy; we need to get used to it.The greatest need is initial care at the point of injury.We need to improve the ability of our medics to operate efficiently in cold environments.Most medication stability data is from controlled environments, not extreme conditions.We need to test medications in field environments to understand their stability.Base layer transport is a promising method for carrying medications in cold weather.We need actual inventions that work for medics in the field.Siloing up information is not the answer; we need collaboration.Identifying high-priority medications is crucial for effective cold-weather operations.Chapters00:00 The Arctic Military Landscape02:47 Challenges of Cold Weather Medicine05:59 Medication Stability in Extreme Conditions08:54 Innovative Solutions for Cold Weather Operations11:52 Data Collection and Research Needs15:04 Practical Tips for Medics in Cold Environments18:02 Future Directions in Cold Weather Medical CareThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Since the vast majority of you guys couldn't go to SOMSA '25, I'm bringing SOMSA '25 to you. Paul and I got our steps in this year and recorded a ton of presentations. These presentations with slides will only be available for subscription members...EnjoyIn this episode of the PFC Podcast, Dr. Jason Hiles discusses the challenges and strategies of providing medical care in unconventional warfare environments. He shares insights from his experiences in Southeast Asia, focusing on the importance of adaptability, community engagement, and training local medics to ensure sustainable healthcare practices in resource-limited settings. The conversation covers various surgical techniques, trauma management, and the significance of building trust within the communities served.TakeawaysThe need for trained personnel in war zones is critical.Adaptability in surgical techniques is essential in resource-limited environments.Community engagement fosters trust and improves healthcare access.Surgical care must be tailored to the specific needs of the environment.Triage and evacuation strategies are vital in managing war wounds.Training local medics ensures continuity of care after foreign personnel leave.Simplicity in medical kits can enhance operational efficiency.Understanding local customs and languages improves patient care.The impact of war on civilian health requires innovative solutions.Building relationships with local communities can lead to better health outcomes.Chapters00:00 Introduction to Unconventional Warfare Medicine03:12 Operational Challenges in Resource-Limited Environments06:07 Surgical Techniques and Patient Care in Conflict Zones09:00 Managing War Wounds and Trauma11:55 Triage and Evacuation Strategies15:10 Community Engagement and Building Trust18:14 Training Local Medics and Sustainable PracticesThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast from last year, Dennis interviews Victor, a former Ranger and current tactical medicine program manager, who shares his experiences in Burma with the Free Burma Rangers. Victor discusses the evolving situation on the ground, his transition from military to humanitarian work, and the challenges of training indigenous forces in combat medicine. He emphasizes the importance of basic medical techniques, the complexities of blood collection and transfusion, and the management of mass casualties in a combat environment. Throughout the conversation, Victor reflects on the lessons learned from his experiences and the realities of operating in a conflict zone. In this conversation, the speaker shares their experiences and insights from operations in Burma, focusing on air operations, reconnaissance techniques, and the challenges of medical planning in hostile environments. They discuss the importance of movement discipline, ground reconnaissance, and resource management in ensuring the safety and effectiveness of their operations. The conversation highlights the complexities of providing medical care in combat situations and the need for adaptability and strategic planning.TakeawaysVictor transitioned from military service to humanitarian work.The situation in Burma is rapidly changing with ethnic forces gaining ground.Training indigenous forces requires cultural understanding and respect.Basic medical techniques are crucial in combat medicine training.Blood collection and transfusion present significant challenges in the field.Managing mass casualties requires effective triage and resource allocation.Training local medics can lead to successful outcomes in emergencies.Logistics and communication are vital in combat scenarios.The experience highlighted the importance of adaptability in medical training.Victor learned to appreciate the resources available in military medicine. The Burma army utilizes advanced air operations for reconnaissance and strikes.Movement and noise discipline are critical in combat situations.Ground reconnaissance is essential for safe movement and operational success.Medical planning must account for the capabilities of local hospitals.Prolonged field care requires careful consideration of resources and logistics.Effective communication and teamwork are vital during operations.Understanding enemy tactics can enhance operational planning.Pre-packing medical supplies can save time during emergencies.Adaptability is key in unpredictable combat environments.Continuous learning and preparation are necessary for effective field care.Chapters00:00 Introduction to Victor's Journey01:57 The Situation in Burma04:08 Transitioning from Military to Humanitarian Work05:50 Training Indigenous Forces in Combat Medicine12:07 Implementing Medical Techniques in the Field19:47 Challenges of Blood Collection and Transfusion28:03 Managing Mass Casualties in Combat39:48 Lessons Learned from the Experience41:58 Air Operations and Reconnaissance Techniques47:12 Engaging with the Enemy: Capturing Prisoners50:16 Ground Reconnaissance and Movement Discipline55:29 Medical Planning in Hostile Environments01:01:40 Challenges of Prolonged Field Care01:07:13 Logistical Considerations and Resource ManagementThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Doug delve into the complexities of bradyarrhythmias, discussing their recognition, causes, and treatment options. They explore the importance of vital signs, differential diagnosis, and the various pharmacological and electrical interventions available for managing bradycardia. The conversation also touches on the implications of overdoses and the long-term management of patients with bradyarrhythmias, emphasizing the need for a comprehensive approach in emergency medicine.TakeawaysRecognizing bradycardia involves checking vital signs and symptoms.Not all bradycardias are the same; context matters.Altered mental status can indicate shock in bradycardia cases.Lyme disease is a significant cause of bradycardia in younger populations.Narcotic overdose can lead to bradycardia and requires immediate attention.Atropine is a quick and handy treatment for bradycardia.Transcutaneous pacing is a common emergency intervention.Dopamine is preferred for its targeting of heart rate in bradycardia.Glucagon is an expensive but necessary treatment for beta-blocker overdose.Treating hypoxia is crucial before addressing bradycardia.Chapters00:00 Introduction to Bradyarrhythmias03:01 Recognizing Bradycardia and Its Symptoms06:14 Causes of Bradycardia09:02 Differential Diagnosis in Bradycardia11:57 Stabilization and Treatment Approaches14:46 Pharmacological Interventions for Bradycardia17:59 Electrical Interventions: Pacing Techniques20:55 Managing Overdoses and Bradycardia23:48 Long-term Management and Follow-up26:54 Conclusion and Key TakeawaysLink to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-228-DImE-e32aek2Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Posting tomorrow..Not all cardiac issues have to do with the heart.
In this episode of the PFC Podcast, Ian Wedmore, an expert in high altitude medicine, discusses the newly released Clinical Practice Guidelines (CPG) for altitude-related illnesses. The conversation covers the pathophysiology of acute mountain sickness, high altitude pulmonary edema, and high altitude cerebral edema, as well as their diagnosis and treatment protocols. Ian emphasizes the importance of understanding the symptoms, utilizing technology, and implementing prevention strategies to effectively manage altitude illnesses in military and wilderness settings.TakeawaysThe new CPG for altitude medicine is a significant advancement.Acute mountain sickness occurs when the body ascends too quickly without acclimatization.Diagnosis of altitude sickness relies heavily on symptom scoring systems.Vital signs are crucial for diagnosing high altitude pulmonary edema.Dexamethasone is essential for treating high altitude cerebral edema.Pre-exposure prophylaxis can reduce the risk of altitude sickness.Acetazolamide is the primary medication for preventing acute mountain sickness.Understanding the pathophysiology of altitude illnesses is key for treatment.Good hydration and nutrition are critical for acclimatization.Data collection through medic encounter forms will improve altitude care.Chapters00:00 Introduction to High Altitude Medicine02:51 Understanding Acute Mountain Sickness06:13 Diagnosing and Differentiating Altitude Illnesses08:56 Pathophysiology of High Altitude Pulmonary and Cerebral Edema12:04 Treatment Protocols for Altitude Illnesses15:08 Utilizing Technology in Altitude Medicine18:00 Prevention and Prophylaxis Strategies20:45 The Role of Medications in Altitude Care24:13 Future Directions in Altitude Medicine27:01 Conclusion and Key TakeawaysLink to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-228-DImE-e32aek2Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Help with what they actually need. Having a long-term view will bring lasting success.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-228-DImE-e32aek2Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis speaks with Dr. Jim Czarnik, a retired Army officer with extensive experience in military medicine and operations. They discuss the complexities of military medicine, the importance of communication between medical and operational personnel, and the challenges of adapting to future conflicts, particularly in the context of large-scale combat operations (LISCO). Jim emphasizes the need for honest discussions about the role of medicine in the military and the moral dilemmas faced in battlefield situations. The conversation also touches on the integration of technology in tactical medicine and the necessity of training for real-world scenarios. In this conversation, the speakers delve into the complexities of military operations, focusing on the moral dilemmas faced by medics, the importance of understanding diplomatic language, and the necessity of being well-informed about national interests when engaging in foreign nations. They emphasize the need for courageous vulnerability in communication and the importance of preparation and information gathering to ensure successful missions. This conversation delves into the complexities of military operations, particularly focusing on the importance of resource management, the necessity of basic medical skills in prolonged field care, and the critical role of clinical judgment in medical training. The speakers emphasize the need for cultural sensitivity and effective patient interaction in combat situations, as well as the importance of strategic engagement and long-term planning in military medicine. They discuss the challenges faced by medics in adapting to different environments and the need for a collaborative approach to healthcare in military operations.TakeawaysMedicine exists to serve the line, highlighting its role in military operations.There is often a lack of understanding between medical and operational personnel.Training for LISCO requires adapting to the environment, not just changing it.Time is a critical factor in military operations and training.Moral dilemmas in battlefield medicine need to be addressed beforehand.Technology can enhance tactical medicine, but must be integrated thoughtfully.Honest discussions about roles and expectations are crucial in military settings.The complexity of military medicine requires a balance between operational needs and medical capabilities.Future conflicts will demand innovative approaches to medical care on the battlefield. It's not just about the mission; it's about the relationships.Engagement with foreign nations requires understanding their systems.Courageous vulnerability is essential in military interactions.Clinical judgment is often lacking in medical training.The command element must prioritize medical training.Long-term planning is necessary for successful military engagement.Chapters02:51 Winning in a Complex World: Insights from Jim19:32 The Role of Technology in Tactical Medicine27:15 Adapting to Future Conflicts: LISCO and Beyond42:51 Warrior's Will and Moral Dilemmas45:07 Understanding the Medic's Role in Military Operations47:20 Navigating Diplomatic and Military Language52:00 Engagement Strategies in Foreign Nations01:01:11 Understanding National Interests and Engagement Plans01:07:57 Information Gathering and Preparation01:12:43 Courageous Vulnerability in Military Engagements01:20:26 The Future of Military Operations and Resource ManagementThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Medicine is no different. You either adapt to the environment or you will fail.Posting tomorrow..Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
This conversation delves into the critical aspects of tourniquet management in trauma care, focusing on the distinction between tourniquet conversion and replacement, the importance of resuscitation, and the physiological implications of prolonged tourniquet use. The speakers discuss techniques for safe conversion, the challenges faced in the field, and the assessment of limb salvageability, emphasizing the need for preparedness and patient assessment in high-stress environments. This conversation delves into the complexities of patient care in trauma situations, focusing on the challenges faced by medics in making critical decisions about limb salvage, managing acidosis, and understanding reperfusion injury. The speakers emphasize the importance of resuscitation, the need for adequate resources, and the moral dilemmas that arise in emergency medical situations. They provide practical advice for medics on how to navigate these challenges effectively while ensuring patient safety and care quality.TakeawaysTourniquet conversion is essential in trauma care.Understanding the difference between conversion and replacement is crucial.Resuscitation is a key factor before converting a tourniquet.The two-hour mark for tourniquet use is based on physiological considerations.Prolonged tourniquet time can lead to significant metabolic issues.Be prepared for reperfusion injury when converting a tourniquet.Confidence in tourniquet conversion skills is often lacking among providers.Patient assessment is critical before converting a tourniquet.Limb salvageability can vary and should be assessed carefully.The decision to convert a tourniquet should prioritize patient stability. Imperfect situations require difficult decisions in patient care.Triage decisions are crucial when resources are limited.Resuscitation is the primary goal in trauma care.Understanding reperfusion injury is essential for medics.Managing acidosis can significantly impact patient outcomes.Blood transfusions are critical in trauma situations.Medics must be prepared for potential complications.Always monitor and assess the patient's condition continuously.Reading medication labels is vital for safe practice.Confidence in converting tourniquets is essential for medics.Chapters00:00 Introduction to Tourniquet Management02:56 Understanding Tourniquet Conversion vs. Replacement06:10 Resuscitation Goals and Tourniquet Timing08:58 Physiological Implications of Prolonged Tourniquet Use11:47 Techniques for Safe Tourniquet Conversion15:09 Challenges in Tourniquet Management17:53 Assessing Limb Salvageability and Patient Stability25:44 Navigating Imperfect Situations in Patient Care30:32 Triage Decisions: When to Save a Limb31:03 Understanding Reperfusion Injury and Its Challenges35:43 Managing Acidosis in Trauma Patients46:34 Advice for Medics: The Importance of ConversionThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
The hardest thing in medicine is to dial back a treatment.Link to full podcast:https://spotifycreators-web.app.link/e/06Azb81cTSbThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
We know the right answer, but we still don't follow it!Link to full podcast:https://spotifycreators-web.app.link/e/06Azb81cTSbThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Alex delve into the complexities of burn resuscitation, discussing recent advancements in fluid management and the importance of urine output monitoring. They explore the historical context of burn care, the role of glycocalyx in fluid dynamics, and evaluate various resuscitation protocols. The conversation emphasizes the need for careful fluid management to avoid complications and improve patient outcomes, particularly in emergency and military settings.TakeawaysBurn injuries require specialized and intensive care.Fluid management is critical in burn resuscitation.The glycocalyx plays a significant role in fluid dynamics.Urine output is a key indicator of patient status.Over-resuscitation can lead to severe complications.Plasma therapy shows promise in improving outcomes.Historical protocols may need reevaluation based on new evidence.Monitoring urine output is essential for adjusting fluid therapy.Collaboration with burn centers is crucial in managing severe cases.Understanding the physiological changes in burn patients is vital.Chapters00:00 Introduction to Burn Resuscitation03:09 Understanding Burn Injuries and Their Management06:00 Fluid Management in Burn Patients09:05 The Role of Glycocalyx in Fluid Dynamics12:04 Evaluating Burn Resuscitation Protocols15:08 Comparing Fluid Resuscitation Strategies17:51 The Importance of Urine Output Monitoring20:47 Outcomes of Different Resuscitation Approaches24:01 Recommendations for Burn Care in the Field26:59 Final Thoughts on Burn ResuscitationThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Hint...It has nothing to do with the formula. Posting tomorrow.Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, trauma surgeon Dr. Mark Shapiro discusses advanced trauma care techniques, including Roboa, hemorrhage control methods, and the importance of decision-making in high-stakes environments. He emphasizes the need for ongoing training and collaboration between civilian and military medical professionals to improve patient outcomes in trauma situations. The conversation also touches on the role of telemedicine in providing guidance for advanced procedures in austere settings.TakeawaysRoboa is a controversial procedure with mixed reviews.Decision-making in trauma surgery is critical and complex.Training and practice are essential for proficiency in advanced procedures.Telemedicine can enhance trauma care by providing expert guidance.Collaboration between civilian and military trauma care is vital.Alternative hemorrhage control techniques are limited but evolving.The consequences of surgical decisions can be life or death.Regular training refreshers are necessary for trauma medics.Understanding the environment is crucial for effective trauma care.Patient outcomes can improve with better training and experience.Chapters00:00 Introduction to Advanced Trauma Care02:51 Understanding Roboa and Its Implications06:11 Decision-Making in Trauma Surgery09:03 Exploring Alternative Hemorrhage Control Techniques12:03 The Role of Training and Practice in Trauma Procedures15:04 Shunts and Limb Reperfusion in Trauma18:04 Thrombectomy and Its Challenges21:03 Telemedicine in Trauma Care24:11 Collaboration Between Civilian and Military Trauma Care27:13 Recruiting and Training for Advanced Trauma ProceduresThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
The same standard doesn't equal the same approach.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-226-Training-Feedback-e31lvbnThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Real feedback can't be cookie-cutter.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-226-Training-Feedback-e31lvbnThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this conversation, Dennis and Justin explore the nuances of providing feedback in educational settings, particularly in medical training. They discuss the importance of tailoring feedback to different learner levels, the concept of training to failure, and the significance of creating a safe environment for feedback. The conversation also delves into assessing learner needs, setting expectations, and the balance between giving constructive criticism and managing personal egos. Overall, the discussion emphasizes the art of effective teaching and the complexities involved in delivering feedback that fosters growth and learning. In this conversation, Justin Doroshenko and Dennis discuss the intricacies of medical education, focusing on the importance of addressing learner anxiety, facilitating self-discovery, and the significance of process-oriented learning. They explore the concept of training to failure, the design of effective training scenarios, and the necessity of establishing clear learning outcomes. Additionally, they emphasize the recognition and addressing of training scars that can hinder a learner's development.takeawaysTailoring feedback is essential for different learner levels.Training to failure can enhance learning experiences.Feedback should be task-oriented for beginners.Creating a safe environment for feedback is crucial.Setting clear expectations helps learners prepare for feedback.Experienced providers may not always be effective teachers.Feedback can resonate differently with each individual.Understanding the learning spectrum aids in providing effective feedback.Balancing feedback with personal ego is important for educators.Feedback is a gift that can lead to growth or resistance. New learners often panic when faced with criticism.Understanding the thought process behind decisions is crucial.Facilitating self-discovery enhances learning outcomes.Training to failure can be a valuable educational tool.Creating realistic training scenarios is essential.Establishing clear learning outcomes guides the educational process.Feedback should focus on the thought process, not just outcomes.Recognizing training scars can improve teaching effectiveness.Peer feedback can be less intimidating for learners.Teaching judgment is more complex than teaching facts.Chapters00:00 Tailoring Feedback for Different Learners02:57 Training to Failure in Education05:57 Understanding the Learning Spectrum08:55 Assessing Learner Needs11:59 Creating a Safe Feedback Environment14:59 The Importance of Setting Expectations17:46 Navigating the Feedback Process20:47 The Gift of Feedback24:00 The Role of Experience in Teaching27:05 Balancing Feedback and Ego35:00 Navigating Learner Anxiety in Medical Education37:50 Facilitating Self-Discovery in Learning40:55 The Importance of Process Over Outcome43:55 Pushing Boundaries: Training to Failure48:48 Designing Effective Training Scenarios54:10 Establishing Clear Learning Outcomes57:55 Recognizing and Addressing Training ScarsThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Training guys to the edge of their capabilities.Posting tomorrow...Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Experience is only gained by experience. Find a way to actually use (legally) the narcotics you're issued.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-S-Ketamine-e31etbbThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Not every drug works well with trauma patients.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-S-Ketamine-e31etbbThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Pac delve into the intricacies of ketamine and esketamine, exploring their applications in military medicine, particularly in battlefield scenarios. Pac shares his extensive experience as an anesthetist and military medical officer, discussing the evolution of ketamine, its effectiveness in pain management, and the cultural differences in pain perception. The conversation emphasizes the importance of proper training and planning in administering these drugs, as well as the role of regional anesthesia in enhancing patient care. This conversation delves into the various aspects of ketamine administration, including routes, dosages, and the importance of experience in emergency medicine. The speakers discuss the nuances of managing pain, the significance of understanding pharmacology, and the practicalities of using ketamine in hemodynamically unstable patients. They also touch on the importance of teaching and preparing for emergencies, as well as the value of gaining hands-on experience in different environments.takeawaysEsketamine is often viewed as a superior alternative to traditional ketamine.Cultural perceptions of pain can significantly influence patient responses to anesthesia.Proper training in drug administration is essential for medical personnel.Ketamine has a high tolerance for side effects, making it safer in emergency situations.Regional anesthesia can complement ketamine use for better pain management.The effectiveness of ketamine in battlefield scenarios is well-documented.Dosage and administration techniques are crucial for achieving desired effects with ketamine.Understanding patient responses is key to effective pain management.The evolution of ketamine reflects ongoing advancements in medical practices.A comprehensive plan is necessary when using ketamine for sedation or analgesia. Different routes of administration for ketamine have varying bioavailabilities.Dosage adjustments are crucial when switching between IV and IM routes.Experience in drug administration can significantly impact patient outcomes.Managing adverse effects requires patience and a clear plan.Planning for patient transport is essential in emergency situations.Teaching pharmacology should focus on techniques applicable to all narcotics.Ketamine is effective for hemodynamically unstable patients.Ketamine can be used in managing refractory seizures.Hands-on experience is invaluable for medical professionals.Utilizing local knowledge can enhance treatment effectiveness.Chapters00:00 Introduction to the Podcast and Guests01:10 Exploring Esketamine: A Medical Perspective03:51 The Evolution of Ketamine in Medicine07:14 Practical Applications of Ketamine in Military Medicine11:06 Cultural Differences in Pain Perception13:19 Dosage and Administration of Esketamine16:12 Comparing Ketamine and Morphine in Battlefield Analgesia18:59 The Role of Regional Anesthesia in Pain Management22:16 Training Challenges in Medical Personnel25:14 Assessing Pain Management Effectiveness27:59 Exploring Routes of Administration for Ketamine30:57 Understanding Dosage and Onset Times32:20 The Importance of Experience in Drug Administration34:27 Managing Adverse Effects and Overdoses36:14 Planning for Patient Transport and Sedation39:10 Teaching Pharmacology and Emergency Preparedness41:03 Ketamine in Hemodynamically Unstable Patients45:11 Ketamine's Role in Seizure Management48:22 Gaining Practical Experience with KetamineThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Posting tomorrow...Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Nobody can run this alone; Unit buy-in is essential.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-225-Mastering-Triage-e31er64Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
MASCALs are not solely a medical problem.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-225-Mastering-Triage-e31er64Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Start with the basics...Like REAL basic.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-225-Mastering-Triage-e31er64Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC podcast, Dennis, Andrew, and Rick delve into the critical topic of triage in emergency medicine. They explore the complexities of triage during mass casualty situations, emphasizing the importance of quick decision-making and prioritization of patient care. Andrew shares his experiences as an emergency medicine physician, highlighting the chaotic nature of triage and the necessity of using intuitive methods to assess patients effectively. The conversation covers various triage categories, techniques, and the significance of clinical judgment in determining patient needs during emergencies. This conversation delves into the complexities of triage in emergency medical situations, emphasizing the importance of decision-making under pressure, the role of medical leadership, and the integration of security measures. The speakers discuss the dynamic nature of triage, the ethical dilemmas faced in resource allocation, and the necessity of effective communication and collaboration among medical teams and command structures during mass casualty events. This conversation delves into the complexities of triage in high-pressure medical situations, particularly in military contexts. The speakers discuss the importance of effective training, the management of mass casualty scenarios, and the need for a comprehensive approach that includes both medical and non-medical personnel. They emphasize the necessity of adapting training to reflect real-world challenges and the importance of leadership in ensuring successful outcomes during emergencies.TakeawaysTriage is never perfect; it's chaotic and unpredictable.Use the simplest methods for triage in emergencies.Identify who is dying now versus who is stable.Focus on life-saving interventions first.Triage is a continuous process, not a one-time event.Utilize all available resources during a mass casualty.Clinical judgment is crucial in triage decisions.Trust your instincts when assessing patient urgency.Most patients in mass casualty scenarios are routine or priority.Effective communication and organization are key in triage situations. Triage decisions must be made quickly and efficiently under pressure.Assessing patient stability is crucial for effective resource allocation.Medical leaders must maintain situational awareness during triage.Communication between medical and non-medical leaders is essential.Security measures must be integrated into medical response plans.Triage is a dynamic process that requires constant reassessment.Ethical dilemmas arise when deciding how to allocate limited resources.Collaboration with surgical teams is vital for patient outcomes.Training should address both medical and security aspects of triage.Effective management of patient flow can improve overall care during crises. Triage in high-volume situations requires strategic patient distribution.Chapters00:00 Introduction to Triage and Its Importance03:05 Understanding Triage Categories09:01 Triage Techniques and Strategies11:59 Evacuation Categories and Decision Making14:59 Clinical Judgment in Triage21:20 Assessing Patient Stability and Resource Allocation25:19 Security Considerations in Mass Casualty Events29:27 Integrating Security and Medical Response38:50 Triage in High-Volume Situations41:53 Managing Mass Casualty Scenarios44:48 Command and Control in Triage45:57 Defining Success in Mass Casualty Training51:05 Improving Triage Processes57:59 Final Thoughts on Triage and Training Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Posting tomorrow...If everything is going well...it's probably not a MASCAL.Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
What your units expect from you.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-What-is-a-SOF-Medic-e317vq9Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
It's not just your boss you have to work with.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-What-is-a-SOF-Medic-e317vq9Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
This podcast episode delves into the roles and responsibilities of various special operations medics, including Ranger medics, SOIDCs, and SEAL medics. The discussion highlights the unique training, skills, and challenges these medics face in the field, emphasizing the importance of trust, communication, and continuous learning in military healthcare. The speakers share their experiences and insights on the evolution of medic training and the critical nature of their roles in combat situations. This conversation delves into the intricate dynamics between medics and PAs within military teams, highlighting the importance of intimate relationships, expectations from new medical personnel, and the necessity of building trust and rapport. The discussion emphasizes the value of field experience for medical providers and the critical role of advocacy and support for medics to enhance their effectiveness in the field. The speakers share insights on how to foster better communication and collaboration within medical teams to ultimately improve patient care and outcomes.TakeawaysRanger medics focus on TCCC and basic skills.SOIDCs have unique provider roles within the Navy.SEAL medics are expanding their capabilities in various environments.Trust and communication are vital for effective medical care.New providers must understand the diverse experiences of medics.Medic training is evolving to include prolonged field care.Relationships between medics and providers shape career paths.Continuous learning is essential for maintaining clinical skills.The operational environment influences medic training and practice.Team dynamics play a crucial role in medical effectiveness. The relationship between medics and IDCs is crucial for effective teamwork.PAs play a significant role in supporting medics during operations.Building rapport is essential for successful medical practice in military settings.Field experience is vital for medical providers to understand operational challenges.Trust between medics and doctors enhances patient care and team effectiveness.Advocacy for medics' needs is necessary for optimal performance.Medical personnel should be proactive in seeking knowledge and training.Understanding the unique challenges faced by medics is key for providers.Effective communication can bridge gaps between different roles in medical teams.Support from leadership can significantly impact the morale and performance of medics.Chapters00:00 Introduction to Special Operations Medics02:59 Roles and Responsibilities of Ranger Medics05:47 Understanding the SOIDC and Navy Medics08:56 The Role of SEAL Medics11:48 Comparative Analysis of SOF Medics15:01 The Importance of Trust and Communication18:04 Challenges Faced by New Providers20:57 The Evolution of Medic Training24:14 Conclusion and Final Thoughts39:33 The Role of Medics and PAs in Team Dynamics42:24 Expectations from New Medical Personnel49:17 Building Rapport and Trust in Medical Teams51:55 The Importance of Field Experience for Providers52:28 Advocacy and Support for Medics01:01:19 Final Thoughts on Enhancing Medical SupportThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
AI is helpful for relevant suggestions, but you're the provider.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-224-AI-in-Austere-Medicine-e3152ukThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
AI is not the crutch you're looking for.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-224-AI-in-Austere-Medicine-e3152ukThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Can we put that much faith in the information given, to make a medical decision based on AI?Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-224-AI-in-Austere-Medicine-e3152ukThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this conversation, Dennis and Steven Blocker discuss the integration of AI in healthcare, particularly in emergency medicine. They explore the capabilities and limitations of various AI models, including large language models and natural language processing, and their applications in diagnostics, patient care, and education. The conversation also touches on the ethical considerations and accountability surrounding AI usage in medical settings, emphasizing the importance of understanding the technology's boundaries and ensuring patient safety. In this conversation, Steven Blocker and Dennis discuss the evolving role of AI in healthcare, emphasizing the importance of medical protocols, the responsibilities of healthcare providers, and the limitations of AI in clinical decision-making. They explore the potential for AI to assist in surgical procedures, the future of AI in medicine, and the need for AI to adapt to changing medical practices. The discussion highlights the necessity of human oversight in medical decisions and the importance of using AI as a tool to enhance, rather than replace, the clinician's expertise.TakeawaysAI has been around for a long time, but its recent popularity is notable.Understanding the bounds of AI is crucial for effective use.AI cannot be used offline, especially on mobile devices.Large language models provide answers with confidence but lack true understanding.Always fact-check AI outputs, as they may contain inaccuracies.AI can assist in triage processes but requires tailored software.Ethical considerations in AI usage are paramount in healthcare.AI can enhance education and training for medical professionals.The quality of AI-generated information must be critically evaluated.Accountability in AI usage is essential to prevent liability issues. It's crucial to adhere to medical protocols to avoid blame.Healthcare providers are ultimately responsible for patient decisions.AI should augment medical decision-making, not replace it.The effectiveness of AI in surgery depends on the data it is trained on.AI can assist medics but cannot replace their experience.AI needs sufficient data to make informed decisions.The future of AI in healthcare is promising but uncertain.AI must adapt to evolving medical practices and protocols.Using AI effectively requires understanding its limitations.AI can help summarize and analyze patient data efficiently.Chapters00:00 Introduction to AI in Medicine02:54 Understanding AI Models and Their Applications05:46 The Role of AI in Patient Care09:08 AI in Diagnostics and Decision Support12:05 AI in Education and Training15:08 Challenges and Limitations of AI in Medicine18:10 Ethics and Accountability in AI Usage20:50 Future of AI in Healthcare27:00 Navigating Medical Protocols and Responsibilities30:02 The Role of AI in Medical Decision-Making33:13 AI in Surgical Procedures: Potential and Limitations38:57 The Future of AI in Healthcare43:05 Adapting AI to Evolving Medical Practices48:08 Maximizing AI's Utility in Clinical SettingsThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Posting tomorrow..Finally....something to do my thinking for me? Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Benzo reversal has it's own consequences.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Versed-and-Sedation-Mastery-e30s38gThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
It is harder to get right than analgesia and the consequences are just as bad.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Versed-and-Sedation-Mastery-e30s38gThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, the discussion revolves around patient positioning during procedural sedation, the pharmacology and application of Versed (Midazolam), and the nuances of dosing in various clinical scenarios. The speakers emphasize the importance of having a plan for airway management, the physiological implications of patient positioning, and the amnestic effects of Versed in trauma and surgical settings. They share insights from their experiences in austere environments, highlighting the need for adaptability and careful consideration of patient responses to sedation. In this conversation, the speakers delve into the complexities of IV amnestics, particularly focusing on Propofol and Midazolam, and the challenges faced during sedation in anesthesia. They discuss the importance of monitoring patient comfort, the nuances of sedation versus analgesia, and the implications of using drugs like Ketamine and Versed. The conversation highlights the critical nature of assessing patient responses and the difficulties in managing sedation effectively, emphasizing that sedation is often more challenging than general anesthesia.TakeawaysPatient positioning is crucial during procedural sedation.Recovery position may enhance airway protection during sedation.Always have a plan for airway management in different positions.Versed is a GABA agonist that promotes sedation and amnesia.Dosing of Versed varies significantly based on patient condition.In trauma cases, lower doses of sedatives may be necessary.Communication with the patient is key when administering sedatives.Understanding the pharmacodynamics of Versed aids in effective use.Amnestic effects of Versed can be dose-dependent.Clinical experience plays a significant role in medication administration. IV amnestics like Propofol and Midazolam do not have a guaranteed amnestic dose.Sedation is one of the most challenging aspects of anesthesia.Monitoring vital signs is crucial during sedation to assess patient comfort.The physiological state of the patient significantly affects drug dosing.Ketamine is not considered an amnestic drug by some providers.Patient comfort is paramount, and sedation must be carefully managed.The use of narcotics can help manage discomfort during sedation.Understanding the patient's history, such as alcohol use, is important for dosing.Sedation requires constant assessment and adjustment of medications.The complexities of sedation often make it more difficult than general anesthesia.Chapters00:00 Introduction to Patient Positioning in Procedural Sedation09:57 Understanding Versed: Mechanism and Usage19:54 Dosing Strategies for Versed in Different Patient Scenarios29:54 Amnestic Effects and Clinical Considerations of Versed35:05 Understanding IV Amnestics: Propofol and Midazolam39:01 The Challenges of Sedation in Anesthesia45:26 Monitoring and Assessing Patient Comfort During Sedation51:27 Navigating the Complexities of Sedation and Analgesia57:55 The Role of Versed and Ketamine in Anesthesia01:01:39 Final Thoughts on Sedation Practices and Patient SafetyThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
We all say it "I'll consider my H's and T's". How do you actually consider, assess, and DO SOMETHING ABOUT IT.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-223-Cardiac-Arrest-e30k73lThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
We'll keep going till our arms fall off, but when DO YOU STOP CPR?Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-223-Cardiac-Arrest-e30k73lThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
You haven't won yet. You still have to respond to ROSC.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-223-Cardiac-Arrest-e30k73lThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Doug dive deep into Advanced Cardiac Life Support (ACLS) focusing on Pulseless Ventricular Tachycardia (VTAC) and Ventricular Fibrillation (V-Fib). They discuss the challenges of performing CPR in military settings, the roles and responsibilities during resuscitation, and the importance of understanding H's and T's in improving patient outcomes. The conversation also covers post-resuscitation care, the difficult decision of when to call it, and the role of telemedicine in ACLS. The episode emphasizes the need for teamwork, effective communication, and the importance of being prepared for unexpected situations in emergency care.TakeawaysContinuous high-quality CPR is crucial for survivability.In military settings, situational awareness is key for effective CPR.One knowledgeable person can lead a resuscitation effort.BLS is the foundation for any good ACLS.Timekeeping during CPR is essential for effective management.H's and T's are critical in identifying reversible causes during resuscitation.Post-resuscitation care is vital to prevent relapse.Telemedicine can provide valuable support during ACLS.Witnessed cardiac arrests have better outcomes than unwitnessed ones.Effective communication with the team is essential during resuscitation efforts.Chapters00:00 Introduction to ACLS and VTAC02:58 Challenges of CPR in Military Settings06:02 Roles and Responsibilities in ACLS09:01 Understanding H's and T's in Resuscitation12:08 Post-Resuscitation Care and Considerations17:54 Deciding When to Call It24:11 The Role of Telemedicine in ACLS30:00 Conclusion and Final ThoughtsThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Posting tommorowWhen was the last time you ran through a cardiac arrest scenario? Not common for us, but it does happen.Thank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
You need to have survival skills to work in the austere environment.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Ground-Truth-in-Ukraine-e30hg2hThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
While documentation is difficult on/near the X, it is so vitally important.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Ground-Truth-in-Ukraine-e30hg2hThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
The podcast was recorded in the days following the invasion of Ukraine. Hopefully, this war will end soon, but it's always smart to remember how it started.In this episode of the PFC Podcast, Dr. John Quinn provides an in-depth update on the medical response to the ongoing conflict in Ukraine. He discusses the evolution of medical training, the challenges faced in providing care, and the surprising developments in clinical practices amidst the war. The conversation highlights the logistical difficulties, the nature of injuries sustained, and the principles of casualty care that have emerged from the experience of prolonged field care in a conflict zone. In this conversation, the speakers discuss critical aspects of managing catastrophic bleeding, airway challenges, and the importance of preparation for transport in medical emergencies. They emphasize the risks associated with humanitarian work in Ukraine, the need for NGOs to engage with local needs, and advancements in blood management practices. The discussion also highlights the significance of sharing lessons learned from the ongoing conflict and the essential training topics for medical practitioners working in such environments.TakeawaysThe conflict has led to significant changes in medical training and practices.There has been a focus on prolonged field care due to extended evacuation times.Logistical challenges are a major issue in providing medical care.The quality of clinical care in Ukraine is impressive despite resource limitations.Injuries from modern warfare present unique challenges for medical responders.Scene safety is a critical principle in casualty care.Documentation of care is essential but challenging in conflict zones.Training and adherence to clinical guidelines have improved outcomes.Prolonged field care requires careful preparation and assessment before transport. Put a tourniquet on a patient with controlled hemorrhage.Prepare for transport by creating a problem list.Understand the severe risks of humanitarian work in Ukraine.Engage with local authorities to understand healthcare needs.Advocate for best practices in blood management and resuscitation.Share lessons learned from the conflict to improve future care.Anticipate challenges during transport to enhance patient outcomes.Traumatic brain injury is a growing concern in conflict zones.Utilize telemedicine for better communication and resource allocation.Focus on training for non-specialist surgeons in trauma care.Chapters00:00 Introduction to the Conflict and Medical Response02:07 Evolution of Medical Training in Ukraine05:14 Challenges and Improvements in Medical Care10:41 Surprising Developments in Clinical Care15:28 Logistical Challenges and Wound Patterns20:20 Prolonged Field Care and Evacuation Times25:29 Core Principles of Casualty Care34:04 Managing Catastrophic Bleeding and Airway Challenges39:51 Preparing for Transport: Anticipating Challenges44:35 Understanding the Risks of Humanitarian Work in Ukraine49:31 Engaging with Local Needs: Best Practices for NGOs51:52 Advancements in Blood Management and Resuscitation54:06 Sharing Lessons Learned from the Conflict58:45 Essential Training Topics for Medical Practitioners01:05:11 Closing Thoughts and Future DirectionsThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Individuals have the responsibility to hone their craft and leaders have the responsibility to ensure they have the time and equipment to do that.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-222-Command-Perspective-e30gafsThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
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