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, Dennis interviews Jennifer Gurney, an Army general surgeon specializing in trauma and burn care. They discuss the evolution of burn resuscitation practices, particularly the historical use of plasma and its potential benefits over crystalloid solutions. Gurney emphasizes the importance of plasma in treating burn shock, the timing and dosage of plasma administration, and the challenges faced in burn resuscitation. The conversation highlights the need for a shift back to plasma therapy to improve patient outcomes in burn care.TakeawaysBurn resuscitation has evolved significantly over the years.Historical use of plasma in burn care was effective but fell out of favor due to safety concerns.Current practices often rely too heavily on crystalloid solutions, which can lead to complications.Plasma therapy can address the plasma deficit seen in burn shock.The anti-inflammatory properties of plasma can aid in recovery.Timing of plasma administration is crucial for effective resuscitation.Monitoring clinical parameters is essential for determining fluid needs.Dried plasma could revolutionize burn resuscitation in the field.Over-resuscitation with crystalloid can lead to long-term complications.A return to plasma therapy may improve outcomes for burn patients.Chapters00:00 Introduction to Burn Resuscitation00:59 Historical Context of Plasma Use05:11 The Case for Plasma in Burn Resuscitation11:08 Understanding Resuscitation Endpoints14:44 Timing and Dosage of Plasma Administration19:54 Practical Considerations in Burn CareFor 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, Colonel Stacey Shackelford discusses the critical aspects of managing abdominal trauma, particularly in battlefield settings. The conversation covers the statistics of battlefield casualties, current practices in trauma management, innovations in hemorrhage control, surgical techniques, and the challenges faced in trauma care. The discussion also emphasizes the importance of post-operative care and the need for future research in trauma medicine.Takeaways90% of casualties died before reaching a surgical hospital.Two thirds of pre-hospital deaths were from torso hemorrhage.Advanced pre-hospital care options are limited.RoboA and other techniques are being explored for hemorrhage control.Retropartennial packing is primarily for pelvic fractures.Basic skills in trauma care are essential for success.Chest tubes may play a larger role in reducing hemorrhage.Ongoing resuscitation and electrolyte management are critical post-surgery.Team dynamics are crucial in trauma surgery.More clinical exposure for medics is necessary for better outcomes.Chapters00:00 Introduction to Abdominal Trauma02:38 Understanding Battlefield Casualties05:21 Current Practices in Trauma Management08:42 Innovations in Hemorrhage Control11:21 Surgical Techniques and Decision Making14:30 Challenges in Trauma Care17:14 Post-Operative Care and Complications20:10 Future Directions in Trauma ResearchFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
This podcast episode features Mike Hetzler discussing NATO's training programs focused on medical support in irregular warfare. He outlines two primary courses: the Advanced Surgical Training Course and the Advanced Medical Concepts Course, emphasizing the need for tailored training to meet the diverse requirements of European nations. The discussion highlights the importance of tactical decision-making, understanding local medical traditions, and preparing for guerrilla warfare scenarios.TakeawaysNATO training programs are tailored to specific national needs.The Advanced Surgical Training Course focuses on tactical decision-making.Understanding local medical traditions is crucial for effective training.The Advanced Medical Concepts Course emphasizes concept understanding over skills training.Rehabilitation is a key focus in medical training for guerrilla warfare.Ultrasound is identified as a critical piece of equipment for medics.Training includes live tissue and cadaver lab work for practical experience.Students are encouraged to adapt training to their nation's specific requirements.The importance of minimizing kit for operational effectiveness is emphasized.Instructors are selected for both expertise and personality to enhance learning. Chapters00:00 Introduction to NATO Training Programs03:02 Advanced Surgical Training Course Overview05:53 Advanced Medical Concepts Course08:42 Guerrilla Warfare Medical Support TrainingFor CME credit for this presentation, go to: https://specialoperationsmedicine.org/For 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 Noel discuss the complexities of maritime irregular warfare, drawing on historical insights and personal experiences. They explore the challenges faced in maritime operations, the importance of experience, and the role of innovation and technology in modern warfare. The conversation emphasizes the need for effective communication within command structures and the necessity of preparing the next generation for the unique challenges of maritime IW.TakeawaysThe podcast serves as a platform for storytelling and knowledge sharing.Historical insights can provide valuable lessons for current operational challenges.Maritime operations face unique unpredictability due to environmental factors.Experience is crucial in adapting to the complexities of maritime warfare.Effective turnover processes are essential for operational continuity.Innovation should be preemptive rather than reactive during conflicts.Morale significantly impacts operational effectiveness in combat situations.Training and iteration are key to identifying gaps in capabilities.Good decision-making requires a combination of intelligence, knowledge, and context.Honesty in reporting and communication is vital for future improvements.Chapters00:00 Introduction to Maritime Irregular Warfare00:56 Historical Insights and Lessons Learned03:51 Challenges of Maritime Operations09:15 The Role of Experience in Maritime Warfare11:58 Innovation and Technology in Warfare17:43 Communication and Command Structure26:41 Preparing the Next Generation for Maritime IWFor 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, Mikola, a self-medic from a special forces unit, shares his experiences and challenges faced in the medical field during the ongoing conflict in Ukraine. He discusses the complexities of medical evacuation processes, the importance of stabilization points, and the evolving threats posed by enemy tactics, particularly the use of drones. The conversation highlights the need for adaptability, thorough planning, and continuous training to ensure effective medical care in combat situations.TakeawaysThe frontline in Ukraine is over 3,600 kilometers long.Medical evacuation processes are complex and vary by region.Stabilization points are crucial but often under-resourced and dangerous.Drones have changed the dynamics of medical care on the battlefield.Planning for medical missions must include contingencies for facility destruction.Training and supply challenges are ongoing issues for medics.The use of armored transport is essential for casualty evacuation.Communication and teamwork are vital in high-stress environments.Casualty numbers can fluctuate dramatically based on enemy activity.Anticipating enemy tactics is crucial for medics' safety. Chapters00:00 Introduction to the PFC Podcast00:55 Challenges Faced by Medics in Ukraine06:43 Medical Evacuation Processes Explained12:01 The Role of Stabilization Points17:59 Adapting to Evolving Threats22:50 Training and Supply Challenges28:55 Conclusion and Reflections on Combat MedicineFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
This presentation discusses the significance of electromagnetic warfare in modern military operations, particularly in the context of the ongoing war in Ukraine. It highlights the importance of understanding the electromagnetic spectrum and its implications for medical devices used in combat. A pilot study measuring the electromagnetic signatures of handheld ultrasound systems is presented, revealing that these devices have negligible signatures, which could be crucial for their deployment in forward medical care. The episode concludes with recommendations for best practices in using these medical devices in combat situations.TakeawaysThe electromagnetic spectrum is crucial in modern warfare.Electromagnetic warfare can control or attack the enemy's spectrum.Ukraine's war shows a significant uptick in electromagnetic spectrum use.Portable handheld ultrasounds are essential for advanced critical care.The electromagnetic signature of handheld ultrasounds is negligible.Best practices include minimizing the time devices are on.Electromagnetic signature measurement is vital for medical equipment procurement.No medical unit should deploy without knowing device signatures.The study found no significant difference in signatures when devices are used.Future testing is necessary to ensure safety and effectiveness.Chapters00:00 Introduction to Electromagnetic Warfare02:38 The Role of Electromagnetic Spectrum in Modern Warfare05:22 Measuring Electromagnetic Signatures of Medical Devices08:21 Pilot Study on Handheld Ultrasound Systems11:08 Results and Implications of the Study13:38 Best Practices and Future RecommendationsFor CME credit for this presentation, go to: https://specialoperationsmedicine.org/For 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 interviews Jessica, known as the Combat Midwife, who shares her extensive experience in both paramedicine and midwifery. The conversation delves into the critical issues surrounding postpartum hemorrhage, the mismanagement of obstetrics, and the importance of proper labor management. Jessica emphasizes the need for understanding the physiological process of birth and the risks associated with unnecessary interventions. She also discusses the significance of positioning during labor, the delivery of the placenta, and the risks of infection postpartum. Additionally, Jessica introduces the resources available for further education in maternal care.TakeawaysJessica is both a paramedic and a midwife.Postpartum hemorrhage is a leading cause of maternal death.Mismanagement in obstetrics often leads to complications.Birth is a natural physiological process that should not be micromanaged.Less than 10% of births require medical intervention.Proper positioning during labor is crucial for a successful delivery.The delivery of the placenta should be handled with care to avoid complications.Postpartum care is essential to prevent infections and other issues.The Combat Midwives Emergency OB Kit is designed for use in austere environments.Education and resources are available for those interested in maternal care.Chapters00:00 Introduction to the Combat Midwife01:28 Understanding Postpartum Hemorrhage04:37 The Mismanagement of Obstetrics06:14 Categories of Postpartum Hemorrhage15:13 Advice for Managing Labor19:11 The Importance of Positioning During Labor21:03 Delivery of the Placenta27:34 Postpartum Care and Infection Risks36:06 Addressing Postpartum Hemorrhage and Infection45:42 The Combat Midwife's Emergency OB Kit48:41 Resources and Courses for Further LearningFor more information Connect with The Combat Midwife™:Email: ask@combatmidwife.comWebsite: https://combatmidwife.comClasses & Kits: Workshops & KitsInstagram: @CombatMidwifeYouTube: Combat Midwife on YouTubeFacebook: Combat Midwife on FacebookX: @CombatMidwifeDiscount Code for your followers: PFCFor 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 dive deep into the complexities of ketamine, exploring its pharmacodynamics, pharmacokinetics, and practical applications in emergency medicine. They discuss the drug's disassociative properties, its analgesic effects, and the importance of individualized dosing based on patient physiology. The conversation also touches on the risks of catecholamine depletion and the management of side effects, particularly in trauma patients. Throughout the discussion, Kevin shares valuable insights and practical advice for medics and healthcare professionals using ketamine in real-life scenarios.TakeawaysKetamine is an NMDA receptor antagonist with various effects on the body.It can cause profound analgesia and disassociation at different doses.S-ketamine is preferred for its more intense analgesic effects and quicker recovery.Dosing should be individualized based on patient condition and physiology.Ketamine can lead to catecholamine depletion, especially in trauma patients.Smaller doses are safer for patients with compromised vital signs.Analgesic effects can be achieved without full disassociation at lower doses.Managing side effects is crucial, especially in the 'party zone' of ketamine use.Always have a plan for potential complications when using ketamine.Refer to clinical practice guidelines (CPGs) for best practices.Chapters00:00 Understanding Ketamine: Basics and Mechanisms09:17 Pharmacokinetics of Ketamine: How It Works15:58 Dosing Ketamine: Individualized Approaches25:23 Analgesic Properties of Ketamine: Beyond Disassociation31:39 Managing Side Effects: The Party Zone and Hallucinations39:19 Catecholamine Depletion: Risks and Considerations43:05 Practical Advice for Medics: Using Ketamine SafelyFor 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, Noel discusses the complexities and challenges of maritime medicine, emphasizing the importance of training, knowledge, and operational flexibility. He shares insights from his extensive experience, highlighting the unpredictable nature of the ocean and the necessity of effective communication and integration with host nation partners. Noel advocates for a focus on practical training and the need for a forward-thinking approach to tackle operational challenges in a collaborative manner.TakeawaysCourage in the absence of fear is stupidity.Training should focus on knowledge, not just equipment.The ocean's unpredictability complicates operations.Effective communication is crucial in maritime environments.Over-planning can lead to operational failures.Training is essential for operational success.Integrating with host nation partners enhances effectiveness.Technology should be a last resort solution.Operational flexibility is key in dynamic environments.A joint effort is necessary for tackling complex challenges.Chapters00:00 Introduction and Context of the Mission02:53 Challenges in Maritime Operations05:38 Operational Planning and Flexibility08:30 Communication Strategies in Maritime Environments11:15 Training and Integration with Host Nation Partners14:12 Operational Autonomy and Cross-Training16:50 Emphasizing Training Over Technology19:25 Conclusion and Call to ActionFor 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 Max discuss the evolving landscape of modern combat injuries, focusing on neck and upper chest injuries. They delve into the anatomy of the neck, the importance of understanding different zones for surgical intervention, and effective hemorrhage control techniques. The conversation emphasizes the critical role of teamwork in trauma care and the necessity of airway management in emergency situations. A case study of a traumatic incident illustrates the practical application of these concepts in real-world scenarios.Link to Video Kentucky Ballistics: https://www.youtube.com/watch?v=1449kJKxlMQ&t=983sTakeawaysModern combat injuries have evolved, necessitating updated medical responses.Neck and upper chest injuries present unique challenges in trauma care.Understanding the anatomy of the neck is crucial for effective treatment.Zone classification helps determine surgical approaches to neck injuries.Upper extremity junctional injuries are particularly difficult to manage.Effective hemorrhage control requires teamwork and quick decision-making.Airway management is critical in trauma situations, especially with neck injuries.Hands-on techniques, such as packing and suturing, are essential skills for medics.Training and preparation are key to successful trauma interventions.Real-world case studies highlight the importance of timely medical responses.Chapters00:00 Introduction to Modern Combat Injuries02:43 Understanding Neck and Upper Chest Injuries05:38 Anatomy of the Neck: Zones and Surgical Considerations09:50 Upper Extremity Junctional Injuries15:36 Management of Hemorrhage in Neck Injuries21:37 Airway Management in Trauma26:24 Effective Hemorrhage Control Techniques30:35 The Importance of Teamwork in Trauma Care36:22 Surgical Interventions and Techniques42:25 Case Study: Kentucky Ballistics Incident48:27 Conclusion and Key TakeawaysFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
This podcast episode explores the innovative use of maggot therapy in wound care, discussing its historical context, benefits, and applications in various medical settings, particularly in austere environments. The conversation highlights the importance of maggot therapy as a cost-effective and efficient treatment option, especially in the face of rising antimicrobial resistance. The speakers emphasize the need for proper sourcing, preparation, and application techniques for maggot therapy, as well as the potential for integrating this method into modern medical practices.TakeawaysMaggot therapy has historical roots dating back thousands of years.Maggots effectively debride wounds and promote healing.Maggot therapy is cost-effective, especially in low-resource settings.Chronic wounds often develop biofilms that resist antibiotics; maggots can help.Maggots can be used in both chronic and acute wounds, including burns.Maggot therapy can be implemented in austere environments with proper training.Specific fly species are required for effective maggot therapy.Maggots can be sourced locally in various environments.Maggot therapy can be a sustainable alternative to antibiotics in combat situations.Documentation and sharing of experiences are crucial for advancing maggot therapy.Chapters00:00 Introduction to Maggot Therapy01:16 Historical Context of Maggot Therapy04:41 Benefits of Maggot Therapy08:39 Application in Various Wound Types11:14 Maggot Therapy in Austere Environments15:32 Sourcing and Preparing Maggots23:33 Application Techniques for Maggot Therapy29:32 Patient Management and Treatment Regimens35:06 Future of Maggot Therapy in Medicine43:51 Conclusion and Call to ActionFor 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 speaker discusses the Ridge Healer exercise, a tactical training program designed for small surgical and resuscitation teams operating in unconventional warfare environments. The conversation covers various aspects of the exercise, including operational challenges, team dynamics, communication strategies, patient care during transport, and the importance of adapting to non-battle injuries. The speaker emphasizes the need for effective decision-making, cross-training, and cultural awareness in high-stress medical situations.TakeawaysRidge Healer is a tactical training program for small teams.Decision-making is crucial in the IW environment.Surgeons should not be team leaders during operations.Communication should be clear and concise to reduce cognitive load.Medivac should focus on improving patient condition, not just transport.Hypothermia management is critical in cold environments.Non-battle injuries are common and require attention.Post-operative care is essential for patient recovery.Cultural awareness is important in military operations.Rehearsing procedures is vital for effective execution.Chapters00:00 Introduction to Ridge Healer Exercise00:52 Understanding the Ridge Healer Program02:16 Operational Challenges in IW Environment04:08 Team Dynamics and Roles06:29 Communication and Decision-Making10:17 Patient Care During Transport12:48 Managing Hypothermia and Patient Comfort15:26 Adapting to Non-Battle Injuries16:52 Post-Operative Care and Monitoring19:12 Basic Soldiering Skills and Cultural AwarenessFor 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 topic of forced vital capacity in the context of chest trauma. They discuss a research paper that explores the assessment of forced vital capacity for risk stratification of blunt chest trauma patients in emergency settings. The conversation covers the importance of understanding chest wall injuries, clinical guidelines for treatment, challenges in diagnosing rib fractures, and the implications of the study's findings on patient outcomes and resource allocation in military medicine.TakeawaysForced vital capacity is crucial for assessing chest trauma.Chest wall injuries can significantly impact patient outcomes.Pain management is a key component of treatment strategies.Clinical guidelines help in managing chest injuries effectively.Risk stratification is essential for resource allocation in trauma care.The study highlights the importance of forced vital capacity measurements.Understanding patient dispositions is vital in emergency settings.Challenges exist in diagnosing rib fractures in the field.The study's methodology raises questions about its applicability.Future research is needed to refine treatment approaches for chest trauma.Chapters00:00 Introduction to the Podcast00:30 Exploring Forced Vital Capacity02:02 Understanding Chest Trauma04:56 The Importance of Chest Wall Injuries08:37 Clinical Guidelines and Treatment Algorithms10:21 Challenges in Diagnosing Rib Fractures12:33 Pain Management and Treatment Strategies16:25 Dispositions and Resource Allocation19:02 Risk Stratification in Chest Injuries22:39 Forced Vital Capacity and Its Relevance27:16 Study Overview and Methodology32:29 Outcomes and Implications of the Study36:41 Critical Analysis of the Research46:38 Reflections on the Study's Impact52:12 Conclusion and Future DirectionsFor 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 discuss the critical aspects of analgesia and sedation in emergency and critical care settings. They emphasize the importance of patient safety, comfort, and effective communication among medical teams. The conversation covers decision-making processes for sedation, the types of medications used, and the significance of sedation wake-up trials to assess patient status. The hosts also address the management of over-sedation and the need for clear communication in patient assessments.TakeawaysKeep the patient alive as the top priority.Sedation may be necessary for patient safety.Decision-making for sedation involves assessing comfort and safety.Different medications serve specific purposes in sedation and analgesia.Light to moderate sedation can help minimize PTSD risks.Daily sedation wake-up trials are essential in critical care.Communication using standardized scales aids in patient assessment.Over-sedation management requires a systematic approach.Medazolam and Propofol are preferred sedatives in critical care.Start sedation at lower doses and adjust based on patient response.Chapters00:00 Priorities in Analgesia and Sedation04:16 Decision-Making for Sedation Needs07:47 Understanding Sedative Medications14:32 Guiding Sedation Management in Critical Care20:49 Sedation Wake-Up Trials26:46 Communication and Neuro Exam in Sedation31:25 Managing Over-Sedation and EmergenciesFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
This podcast episode discusses the challenges and strategies for sustaining distributed medics in denied environments, focusing on unconventional warfare and the importance of medical support as a force multiplier. It explores historical lessons from World War II, modern resupply techniques, and innovative delivery systems for medical supplies, emphasizing the need for sustainability and recycling in medical logistics.TakeawaysMedical is not the mission; it supports the mission.Medical support is crucial for building resistance forces.Unconventional warfare requires strong medical logistics training.Historical lessons from World War II can inform modern strategies.Innovative delivery systems are essential for medical supplies.Sustainability in medical logistics is critical for long-term operations.Combat feeding is important for maintaining troop health.Recycling medical supplies can extend operational capabilities.Advanced manufacturing could revolutionize medical supply chains.Understanding the environment is key to effective resupply.Chapters00:00 Introduction to Distributed Medics in Denied Environments02:52 Understanding Unconventional Warfare and Medical Support05:44 Planning Considerations for Unconventional Warfare Resupply08:29 Historical Context: Lessons from World War II11:49 Modern Techniques and Technologies for Resupply14:36 Innovative Delivery Systems for Medical Supplies17:33 Future of Medical Logistics in Combat20:32 Sustainability and Resource Management in WarfareFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this podcast episode, Dr. John Holcomb discusses the management of traumatic brain injury (TBI) and the innovative use of plasma as a treatment option. He emphasizes the importance of understanding the glycocalyx and its role in preventing edema and managing intracranial pressure (ICP). The conversation also highlights the limitations of current guidelines in TBI treatment and the need for practical considerations in administering plasma. Dr. Holcomb advocates for a shift in practice towards using plasma early in the treatment process to improve patient outcomes.TakeawaysPlasma is used as a drug to prevent edema in TBI patients.The glycocalyx plays a crucial role in brain injury management.Preventing increased ICP is more effective than treating it.Current guidelines often lag behind clinical practice.Understanding the physiology behind treatments is essential for medics.Monitoring blood pressure is critical in TBI management.Plasma can repair the blood-brain barrier and reduce edema.Practical considerations are necessary for administering plasma in the field.The outcomes of TBI treatment should focus on functional recovery.Future directions in TBI management include more research on plasma use.Chapters00:00 Introduction to TBI Management and Plasma Use03:04 Understanding Plasma as a Drug for TBI05:39 The Role of Glycocalyx in Brain Injury08:47 Preventing Edema and Managing ICP11:31 Guidelines and Their Limitations in TBI Treatment14:33 Practical Considerations for Administering Plasma17:29 The Importance of Patient Monitoring and Judgment20:44 Outcomes and Future Directions in TBI ManagementFor 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 Jeff delve into the complexities of anoxic brain injury, discussing its causes, recovery processes, and prevention strategies in tactical environments. They emphasize the importance of maintaining oxygen levels, effective airway management, and addressing hypotension and hypoxia. The conversation highlights the critical role of preventing secondary brain injuries and the significance of basic medical interventions in saving lives.TakeawaysAnoxic brain injury is caused by a lack of oxygen to the brain.The brain requires oxygen to function, and deprivation leads to cell death.Recovery from brain injuries can take time and various therapies.Prevention strategies in tactical environments are crucial to avoid anoxic brain injury.Monitoring oxygen levels is vital in emergency situations.Airway management decisions should be based on the patient's condition and available skills.Hypotension and hypoxia must be addressed promptly to prevent further injury.Secondary brain injuries can be prevented with proper care and monitoring.Treating pain and agitation is important to reduce intracranial pressure.Basic medical interventions can save lives in critical situations.Chapters00:00 Understanding Anoxic Brain Injury02:56 Recovery and Rehabilitation Process05:27 Prevention Strategies in Tactical Environments10:09 Monitoring and Maintaining Oxygen Levels16:48 Airway Management Decisions20:01 Addressing Hypotension and Hypoxia26:56 Preventing Secondary Brain InjuriesThank 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 speakers discuss their experiences during a mission in Syria, focusing on the challenges and lessons learned from managing mass casualty operations. They emphasize the importance of planning, teamwork, and effective communication in high-stress environments, particularly in the context of medical support for both U.S. and host nation forces. The conversation highlights the critical role of walking blood banks, logistical challenges, and the necessity of building relationships with local partners to enhance operational effectiveness.TakeawaysThe views and opinions expressed are personal and not official.Empowering individuals at all levels is crucial for success.Planning and rehearsals are essential for effective mass casualty response.Walking Blood Banks are vital in resource-limited environments.Understanding blood accountability is critical for patient care.The best-laid plans may not hold under stress; flexibility is key.Building relationships with local forces enhances operational success.Incorporating linguists into operations is essential for communication.Logistical planning is as important as medical planning.Success in operations often comes from teamwork and collaboration.Chapters00:00 Introduction to the Podcast and Speakers00:54 Overview of the Mission in Syria04:57 Planning and Execution of Mass Casualty Operations11:10 Importance of Walking Blood Bank Operations11:40 Challenges and Logistics in Medical Operations24:39 Lessons Learned from the Deployment33:18 Conclusion and AcknowledgmentsThank 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 interviews Dr. John Aho, a general surgeon and emergency medicine expert, discussing the critical topic of needle decompression and the confirmation of placement in cases of tension pneumothorax. Dr. Aho shares his insights on assessing the need for decompression, the techniques and sites for needle placement, and the challenges faced in pre-hospital settings. He introduces the CapNoSpot device, which aids in confirming the correct placement of the needle, and emphasizes the importance of training and understanding vital signs in emergency situations. The conversation highlights the complexities of treating tension pneumothorax and the need for effective tools and protocols in emergency medicine.TakeawaysNeedle decompression is a critical procedure in emergency medicine.Assessing the mechanism of injury is key to determining the need for decompression.Tracheal deviation is a late sign of tension pneumothorax.Subcutaneous emphysema can indicate significant trachea or bronchial trauma.Placement location and depth are crucial for successful needle decompression.The CapNoSpot device can help confirm correct needle placement.Vital signs can change after decompression, but monitoring is essential.Ultrasound technology could enhance pre-hospital care if properly trained.Training and experience are vital for effective use of emergency procedures.Pre-hospital decompression can save lives, but under-treatment is common. Chapters00:00 Introduction to Needle Decompression and Confirmation of Placement01:39 Assessing the Need for Decompression09:47 Techniques and Sites for Needle Decompression14:56 Confirming Placement of Needle Decompression18:49 Monitoring Vital Signs Post-Decompression24:46 The Role of Ultrasound in Decompression29:31 CapNoSpot: A New Tool for Confirmation34:33 Challenges in Pre-Hospital Settings39:31 Final Thoughts on Needle DecompressionThank 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 John discuss the complexities of chest trauma management, focusing on the use of chest seals, the importance of patient assessment, and the evolving guidelines in tactical medicine. They explore the debate surrounding the March algorithm, the role of blood transfusions, and the techniques for needle decompression and finger thoracotomy. The conversation emphasizes the need for a systematic approach to trauma care and the importance of adapting medical practices based on real-world experiences and outcomes.TakeawaysChest seals can be overused and may cause harm.Patient assessment is crucial before applying interventions.The March algorithm may need reevaluation based on new data.Blood transfusion should be prioritized in trauma care.Needle decompression and finger thoracotomy have distinct roles.Effective thoracotomy techniques can improve patient outcomes.Managing hemothorax and pneumothorax requires careful consideration.Guidelines for chest trauma are evolving based on practical experiences.Training should reflect realistic scenarios in trauma care.Continuous assessment is key in trauma management.Chapters00:00 Introduction to Chest Trauma Management02:56 Understanding Chest Seals and Their Use05:53 The Debate on Chest Seal Application08:31 The Importance of Patient Assessment11:37 Revisiting the March Algorithm14:33 The Role of Blood Transfusion in Trauma17:15 Needle Decompression vs. Finger Thoracotomy20:09 Techniques for Effective Thoracotomy23:16 Managing Hemothorax and Pneumothorax26:01 The Future of Chest Trauma GuidelinesThank 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 highlights a harrowing experience of combat medics during a mission, detailing the challenges faced during a life-threatening incident. The speakers share their personal accounts of injury, rescue, and the critical medical response that followed. They emphasize the importance of teamwork, humor, and training in high-stress situations, as well as the emotional and physical toll of such experiences. The discussion also touches on lessons learned for future operations and the significance of mental health in recovery.TakeawaysThe importance of highlighting the care delivered by medics in combat.Humor can be a vital tool in high-stress medical situations.Immediate response and teamwork are crucial in life-threatening scenarios.Training and preparedness can significantly impact outcomes in emergencies.The emotional toll of trauma affects both patients and medics.Effective communication is essential during medical emergencies.Cross-training among team members enhances operational effectiveness.Understanding the patient's perspective can improve care.The role of advocacy and support in recovery is critical.Future training should focus on pain management and patient comfort.Chapters00:00 Introduction to Heroism in Combat Medicine02:46 The Incident: A Life-Altering Explosion05:00 Immediate Response: Rescue and Treatment08:06 The Journey to Safety: Evacuation Challenges10:52 Reflections on Pain and Recovery13:50 Lessons Learned: Training and Preparedness16:39 The Role of Humor in High-Stress Situations19:39 Final Thoughts and Future ImprovementsThank 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, host Dennis interviews Jeff Ory, a recent medical graduate and former infantryman, discussing the critical topic of tension pneumothorax and the techniques for needle decompression. They explore the historical data on tension pneumothorax mortality, the effectiveness of different decompression sites, and the risks associated with the procedure. The conversation also delves into the importance of ongoing training for medics, the debate over who should be trained in needle decompression, and the best practices for chest tube placement. The episode concludes with thoughts on the future of trauma care and the need for continuous improvement in medical training.TakeawaysTension pneumothorax is primarily a blood flow issue, not a respiratory one.The fifth intercostal space is often preferred for needle decompression due to safety and accuracy.Hubbing a needle during decompression poses significant risks.Many patients do not show objective improvement after needle decompression.Training in emergency procedures must be continuous to maintain skills.The placement of chest tubes is debated, with various opinions on the best approach.Most patients with pneumothorax also have other injuries that complicate treatment.Emergency procedures should be simplified for better retention and execution.The risk of injury from needle decompression is a significant concern.Emergent decompression is crucial for patient survival in trauma situations.Chapters00:00 Introduction to the Podcast and Guest01:08 Understanding Tension Pneumothorax07:04 Needle Decompression Techniques and Efficacy12:20 Risks and Complications of Needle Decompression20:03 Training and Skill Retention in Emergency Medicine30:44 Debate on Needle Decompression in Military Training39:04 Chest Tube Placement and Techniques49:22 Conclusion and Future Directions in Trauma 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
In this episode of the PFC Podcast, Dennis and Alex Drum discuss the Massimo EMMA device, focusing on its functions, calibration, and clinical applications. They explore the importance of understanding waveforms, interpreting end-tidal CO2 values, and the significance of training and familiarity with medical equipment. The conversation emphasizes the need for proper monitoring techniques and troubleshooting common issues, ultimately highlighting the value of the EMMA device in emergency medicine.TakeawaysThe EMMA device is essential for monitoring end-tidal CO2 in patients.Calibration is crucial for accurate readings and should be done before use.Understanding waveforms can provide valuable insights into patient status.End-tidal CO2 values can indicate patient responsiveness and fluid status.The EMMA device can be used for airway confirmation and monitoring during transport.Training on the device is important for effective use in critical situations.Common issues include leaks in the circuit that can affect readings.Setting alarm variables can help manage patient care more effectively.Familiarity with normal values is key to recognizing abnormalities.The EMMA device is a valuable tool in both civilian and military medical settings.Chapters00:00 Introduction to Massimo and the EMMA Device02:51 Basic Functions and Calibration of the EMMA05:37 Understanding Waveforms and Monitoring08:21 Clinical Applications of Capnography11:39 Interpreting End-Tidal CO2 Values14:35 Advanced Monitoring Techniques and Patient Assessment17:20 Common Issues and Troubleshooting20:08 The Importance of Training and Familiarity23:02 Conclusion and ResourcesThank 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, Paul discusses the evolving landscape of medical support in irregular warfare, emphasizing the importance of training non-medics and leveraging technology like AI to enhance medical training and support. He shares insights from his extensive experience in military medicine and highlights the need for comprehensive education and collaboration among medical professionals in the field.TakeawaysThe conversation emphasizes the importance of medical support in irregular warfare.Paul shares his personal experiences and insights from over 20 years in military service.There is a significant need for a medical annex to the resistance operating concept.Collaboration among subject matter experts is crucial for developing effective medical training resources.Non-medics play a vital role in supporting medics during operations.Training programs for Special Forces are evolving to meet the demands of modern warfare.The integration of AI in medical training can enhance learning and support.Sustainability of medical training programs is a challenge that needs addressing.The importance of preparing for unknown and uncertain environments in military operations.Paul encourages open access to medical resources and knowledge sharing. Chapters00:00 Introduction and Context03:52 Medical Support in Irregular Warfare09:45 Training and Capability Gaps19:38 Innovations in Medical Training and AIThank 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 conversation delves into the complexities of end of life care in combat settings, emphasizing the need for palliative care discussions among military medical personnel. It highlights the challenges faced in recognizing non-survivable injuries, the decision-making process in resuscitation efforts, and the importance of compassionate care for both patients and their loved ones. The discussion also touches on the role of opioids in managing pain and anxiety during end of life care, advocating for a shift in focus from aggressive treatment to comfort and dignity for the patient.TakeawaysEnd of life care is a critical conversation in military medicine.Palliative care is often overlooked in combat settings.Recognizing non-survivable injuries is essential for effective care.Decision-making in resuscitation requires courage and leadership.Compassionate care benefits both the patient and their loved ones.Opioids play a significant role in managing pain in palliative care.Transitioning to palliative care is a necessary step in certain cases.Medical providers must educate themselves on end of life care.Patient autonomy should be respected in decision-making.Compassionate care can alleviate the emotional burden on medical providers.Chapters00:00 Introduction to End of Life Care in Combat02:34 The Challenges of Palliative Care in Military Settings09:57 Recognizing Non-Survivable Injuries19:08 Decision-Making in Resuscitation Efforts35:49 Transitioning to Palliative Care43:03 The Role of Opioids in Palliative Care53:18 Compassionate Care and Patient AutonomyThank 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 discusses the evolution and current state of battlefield medicine, focusing on the Tactical Combat Casualty Care (TCCC) guidelines, training tiers, and the importance of evidence-based practices. The conversation highlights the challenges faced in implementing these guidelines and the ongoing efforts to improve trauma care in combat situations. Key updates to the TCCC curriculum and the logistics of providing medical care in the field are also addressed, emphasizing the need for continuous improvement and adaptation in military medicine.Listen ad-free with a premium membership on Spotify, Apple Podcast, or Patreon.TakeawaysThe majority of casualties occur in the pre-MTF environment due to hemorrhage.Improvements in battlefield trauma care have led to increased survival rates.Evidence-based medicine is crucial for developing TCCC guidelines.The TCCC curriculum consists of four training tiers for different levels of medical personnel.Recent updates to TCCC guidelines focus on airway management and TBI care.Logistics remain a significant challenge in providing timely medical care in combat.The committee emphasizes the importance of adapting guidelines based on new evidence.Training for combat medics must prioritize effective interventions for hemorrhagic shock.There is a need for consensus on triage methods in mass casualty situations.Continuous updates and training resources are essential for maintaining high standards in military medicine.Chapters00:00 Introduction to Battlefield Medicine02:40 Guidelines and Evidence-Based Practices04:55 TCCC Curriculum and Training Tiers07:47 Updates and Changes in TCCC Guidelines10:21 Current Challenges and Future Directions13:05 TCCC and Evidence Grading15:42 Logistics and Implementation Challenges17:58 Conclusion and ResourcesThank 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, Dr. Givens discusses the importance of civilian involvement in medical emergencies, particularly in conflict and disaster situations. He shares the origin of a new medical initiative aimed at training laypeople to respond effectively to trauma care. The conversation highlights the need for accessible medical resources and the development of a user-friendly guide designed for non-medical individuals. Dr. Givens emphasizes the significance of empowering communities to take action in medical emergencies and the collaborative efforts behind creating this resource.TakeawaysThe initiative was inspired by a trip to Lithuania.Civilians play a crucial role in medical emergencies.Training laypeople can significantly improve trauma outcomes.Current medical infrastructure is vulnerable in crises.Historical examples show the need for civilian preparedness.Bystander training is feasible and impactful.The new book is designed for a civilian audience.The guide is written in simple language for easy understanding.Open access publication aims to reach those in need.Community involvement is essential for effective emergency response.Chapters00:00 Introduction to the Podcast and Its Purpose00:54 The Origin of the Medical Initiative03:23 The Role of Civilians in Medical Emergencies05:43 Training Laypeople for Medical Response08:33 Developing Accessible Medical Resources10:57 Conclusion and Call to ActionThank 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 Kateryna discuss the complexities of trauma care in Ukraine, focusing on a specific case study involving a soldier injured by a drone explosion. They explore the challenges faced in medical response, including the importance of training, communication, and the need for standardized procedures. The conversation highlights the lessons learned from past mistakes and emphasizes the necessity for ongoing education and adaptation in combat medicine.TakeawaysThe importance of learning from mistakes in medical response.Training should be proactive, not reactive to emergencies.Communication is critical in medical evacuations.Standard Operating Procedures (SOPs) are essential for effective care.Medical competence varies widely among personnel in conflict zones.Telemedicine can enhance communication and decision-making in emergencies.Equipment must be accessible and understood by all medical personnel.The need for continuous education and training in trauma care.Understanding the difference between civilian and combat medical practices is crucial.Lessons learned from current conflicts should inform future medical training. Chapters00:00 Introduction and Overview of the Workshop02:53 Case Study: Injury Patterns and Medical Response06:00 Challenges in Medical Competence and Training09:06 Communication and Coordination in Medical Evacuations11:53 The Importance of Standard Operating Procedures15:02 Lessons Learned and Future Improvements17:58 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
In this podcast episode, Dr. Givens discusses the complexities of dealing with CBRNE patients in the field, emphasizing the need for a methodical approach to treatment. He introduces the March concept, which integrates CBRNE protocols into tactical care, and outlines the importance of agent identification and treatment protocols. The conversation covers the management of CBRNE patients across different zones, the specific challenges posed by nerve agents and cyanide, and the necessity of supportive care for chemical exposures. Dr. Givens concludes with key takeaways for medical professionals working in high-stress environments.TakeawaysCBRNE is a significant concern in military medicine.A methodical approach is essential for managing CBRNE patients.The March concept can be adapted for CBRNE scenarios.Agent identification is crucial for effective treatment.Understanding the hot, warm, and cold zones is key to patient management.Nerve agents and cyanide require specific treatment protocols.Supportive care is vital for patients exposed to chemicals.Training and practice are necessary for effective response.Communication and teamwork are critical in high-stress situations.Basic skills in chemical exposure management are essential for all medical personnel.Chapters00:00 Introduction to CBRNE and Its Challenges02:53 Understanding CBRNE: A Methodical Approach05:38 The March Concept: Integrating CBRNE into Tactical Care08:47 Agent Identification and Treatment Protocols11:35 Managing CBRNEPatients: Hot, Warm, and Cold Zones14:48 Specific Agents: Nerve Agents and Cyanide17:30 Supportive Care for Chemical Exposures20:28 Key Takeaways 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
In this episode of the PFC Podcast, Brock shares his journey into critical care medicine, emphasizing the importance of mentorship, essential knowledge for paramedics, and the challenges faced in the field. He discusses the rigorous training and experiences required to excel in flight medicine, the significance of the FPC certification, and the learning curve associated with transitioning from military to civilian roles. Brock also highlights the value of community involvement and the lessons learned throughout his career, providing insights for aspiring medics.TakeawaysThis presentation is for guys on active duty.I want to impart on y'all, this is giving me a very good opportunity to be a mentor.The FPC is a foundation for your practice.You have to have three years experience as a paramedic.The big thing in critical care medicine, they're very heavy on airway management.Every interview I have done, they've all been different.There is no shortcuts to the three-year requirement or patient contacts.I wanted a very diverse resume.We are side of these patients that are extremely sick with sepsis.I would absolutely go to a college and take the class.Chapters00:00 Introduction to Critical Care Medicine02:31 Pathway to Becoming a Critical Care Medic05:09 Essential Knowledge for Critical Care07:48 Flight Interview Process and Expectations10:50 Post-Hire Experiences and Learning Curve13:27 Challenges in Critical Care and Patient Management15:51 Mentorship and Community Involvement18:32 Lessons Learned 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 Ethan discuss the complexities of managing chest trauma in pre-hospital settings, focusing on the controversial topic of finger thoracostomy versus needle decompression. They explore the challenges of existing protocols, the importance of training and diagnostics, and the need for better data collection to improve outcomes in trauma care. The conversation emphasizes the significance of context in decision-making and the balance between equipment and training in emergency medical situations.Listen to this podcast AD-Free with premium membership on Spotify or Apple Podcast.TakeawaysThe conversation around chest trauma protocols is ongoing and complex.Finger thoracostomy is not universally applicable; context matters.Training and assessment are crucial in pre-hospital care.Infection risks must be considered with invasive procedures.Data collection in trauma care is often inadequate.Diagnostic techniques like ultrasound can improve decision-making.The effectiveness of procedures can vary based on patient condition.Equipment should complement, not replace, proper training.Understanding the nuances of trauma can lead to better outcomes.Protocols should be adaptable to different scenarios and providers.Chapters00:00 Introduction and Controversial Post02:04 Understanding Chest Trauma Protocols04:59 Exploring the IDF Trauma Registry Study09:54 Infection Risks and Protocol Considerations12:34 Training and Assessment in Pre-Hospital Care15:06 Diagnostic Techniques and Their Importance19:36 Evaluating the Effectiveness of Procedures23:29 The Role of Equipment vs. Training29:22 Data Collection for Better Outcomes35:29 Conclusion and Future ConsiderationsThank 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 discusses the evolution and importance of telemedicine in operational environments, particularly in military settings. It highlights case studies that demonstrate the need for telemedical support during prolonged field care, the challenges faced by medical teams, and the current solutions available. The conversation emphasizes the significance of training, effective communication, and the integration of technology to enhance patient care in remote and challenging environments.Listen to this podcast AD FREE with premium Membership on Spotify, Apple Podcast, and PatreonTakeawaysTelemedicine is rapidly evolving to support operational environments.Case studies illustrate the critical need for telemedical support.Challenges exist in current medical support systems, particularly in remote areas.Prolonged field care requires innovative solutions like telemedicine.Telemedicine is defined as remote evaluation and consultation using technology.Current telemedical solutions have limitations that need addressing.Future innovations in telemedicine may include AI and robotics.Training is essential for effective telemedical consultations.Asking for help through telemedicine is a sign of strength, not weakness.Technology must be reliable, convenient, and adaptable to various situations.Chapters00:00 Introduction to Telemedicine in Operational Environments02:43 Case Studies Highlighting Telemedical Support05:56 Challenges in Current Medical Support Systems08:35 The Need for Telemedicine in Prolonged Field Care11:53 Defining Telemedicine and Its Importance14:45 Current Telemedical Solutions and Their Limitations17:44 Future Directions and Innovations in Telemedicine20:35 Operational Telemedicine: Best Practices and Recommendations23:24 Q&A Session: Addressing Concerns and Future Growth26:35 Conclusion and Final Thoughts on TelemedicineThank 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, Ramey Wilson discusses the evolving landscape of Global Health Engagement (GHE) and its critical role in military medicine. He emphasizes the importance of interoperability in crisis standards of care, sharing real-world examples of medical collaboration in operational settings. The conversation highlights the need for a framework that addresses crisis capability gaps and the psychological protection of medical personnel in challenging situations. Ramey also explores future directions for medical engagement and the importance of preparing for various operational contexts.TakeawaysGlobal Health Engagement is evolving and critical for military operations.Interoperability is essential for effective crisis response.Crisis standards of care must be established for operational readiness.Understanding partner capabilities is vital for effective medical support.Real-world examples illustrate the importance of collaboration in medical care.Psychological protection for medical personnel is crucial in crisis situations.Future medical engagement should focus on sustainable practices.Risk assessment is a key component of medical decision-making.Training must align with the operational context and partner capabilities.Crisis standards of care can enhance the effectiveness of medical operations.Chapters00:00 Introduction to Global Health Engagement02:38 Interoperability in Crisis Standards of Care05:42 The Role of Global Health Engagement09:02 Crisis Capability Gap and Medical Support11:51 Real-World Examples of Medical Collaboration14:41 Crisis Standards of Care and Ethical Considerations17:57 Framework for Crisis Standards of Care20:46 Future Directions in Global Health EngagementThank 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 podcast episode, Dennis and Michael discuss the critical role of hemostatic agents in hemorrhage control. Michael, a clinical education manager at Celox Medical, shares his extensive experience as a Navy corpsman and firefighter, emphasizing the importance of understanding the mechanisms of hemostatic agents, the necessity of pressure in controlling bleeding, and the impact of coagulopathy on treatment effectiveness. They also explore practical tips for effective wound packing, the significance of anatomy knowledge, and advancements in hemostatic technology. The conversation highlights the need for continuous training and understanding of medical products to ensure effective trauma care.Listen to this podcast AD-FREE with membership.TakeawaysHemostatic agents provide advantages in controlling bleeding.Pressure is essential for effective hemorrhage control.Understanding anatomy is crucial for effective wound packing.Coagulopathy can significantly affect the effectiveness of hemostatic agents.Different hemostatic agents have varying activation times.Experience and practice are vital for effective hemorrhage management.Advancements in hemostatic technology improve treatment outcomes.Knowledge of product deployment is critical in emergency situations.Training should focus on practical skills and unconscious competence.Continuous education is necessary for all medical professionals. Chapters00:00 Introduction to Hemostatic Agents03:08 Understanding the Need for Hemostatic Agents06:03 Mechanisms of Action in Hemostatic Agents09:05 The Importance of Pressure in Hemorrhage Control11:56 Activation Times and Their Significance14:56 Impact of Coagulopathy on Hemostatic Agents18:01 Practical Tips for Effective Wound Packing21:06 Understanding Anatomy for Effective Hemorrhage Control23:52 The Role of Experience in Hemorrhage Management27:05 Advancements in Hemostatic Technology30:11 Conclusion and Final Thoughts on Hemostatic AgentsThank 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 podcast episode, the hosts discuss the critical importance of team dynamics in emergency medical situations, particularly when dealing with critically injured patients. They explore the challenges teams face when individuals work in isolation rather than collaboratively, emphasizing the need for effective communication and organization. The conversation highlights the role of a team leader in overseeing the resuscitation process, the necessity of training as a cohesive unit, and strategies for adapting these concepts in solo medic scenarios. The episode concludes with insights on training for mass casualty situations and empowering team members to take initiative during emergencies.Listen to this podcast AD-Free with membership.TakeawaysTeam dynamics are crucial in critical care situations.Effective communication can prevent missed injuries during resuscitation.A well-organized team can significantly improve patient outcomes.The team leader's role is to maintain oversight and ensure all tasks are completed.Training as a cohesive unit is essential for effective emergency response.Solo medics should utilize checklists to ensure comprehensive care.Mass casualty training should include triage and stabilization protocols.Empowering all team members enhances situational awareness and response.Repetitive training improves team performance in real-life scenarios.Mentored training fosters confidence and cohesiveness within the team.Chapters00:00 Understanding Team Dynamics in Critical Care04:52 Effective Team Organization in Trauma Situations11:14 The Role of the Team Leader in Resuscitation13:38 Adapting Team Concepts for Solo Medics17:00 Training for Mass Casualty Scenarios20:35 Empowering the Team for Better OutcomesThank 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 conversation revolves around a complex trauma case involving a 26-year-old male who suffered severe injuries from a live round during a training exercise. The discussion covers the patient's initial assessment, the challenges faced during his treatment, the surgical interventions performed, and the lessons learned from the case. The speakers emphasize the importance of timely interventions, effective communication, and the need for continuous improvement in emergency medical practices.TakeawaysThe patient was a 26-year-old male with severe injuries.Initial assessment showed signs of shock despite normal blood pressure.CT scans revealed significant internal bleeding.Surgical interventions were complicated by the patient's deteriorating condition.Massive transfusion protocol was activated due to significant blood loss.Lessons learned include the importance of timely blood product administration.Pre-hospital care plays a crucial role in patient outcomes.Effective communication among medical teams is essential.The case highlights the need for continuous training and preparedness.The patient ultimately required extensive rehabilitation after his injuries.Chapters00:00 Introduction to the Case02:52 Patient Arrival and Initial Assessment06:05 CT Scan and Deterioration08:50 Surgical Interventions and Challenges11:58 Massive Transfusion Protocol and Outcomes14:58 Lessons Learned from the Case18:00 Discussion on Pre-Hospital and In-Hospital Care20:48 Final Thoughts and ReflectionsThank 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 interviews Jason, a seasoned surgeon with extensive military experience. They discuss the challenges and adaptations required for surgical practices in austere environments, the importance of mindset in trauma care, and the need for effective training in both military and civilian contexts. Jason shares insights from his combat deployments and humanitarian work, emphasizing the necessity of flexibility and resourcefulness in providing care under challenging conditions. The conversation also touches on the differences between definitive care and damage control surgery, and offers advice for new providers looking to work in austere settings.TakeawaysJason has extensive experience in military and humanitarian surgical care.Adapting to limited resources is crucial in austere environments.Training in military settings provides invaluable experience for trauma care.Definitive care may be necessary when follow-up is uncertain.Surgical practices must be flexible to accommodate different environments.Understanding the context of care is essential for effective treatment.Courage and basic principles are key for new providers in austere medicine.Experience helps in determining what surgical tools are truly necessary.The global surgical capacity is insufficient for the growing population.Effective communication with local partners is vital for successful operations.Chapters00:00 Introduction to the Podcast and Guest01:14 Military Experience and Surgical Training05:27 Adapting Surgical Practices in Austere Environments13:27 Challenges in Military and Civilian Surgical Training22:13 Definitive Care vs. Damage Control Surgery37:24 Advice for New Providers in Austere MedicineThank 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, host Dennis interviews Nate, a Special Forces Detachment Commander, who shares his unique perspective on the integration of medical training within military operations. Nate discusses his journey into the medical side of Special Forces, the challenges of establishing effective Standard Operating Procedures (SOPs), and the importance of realistic training and communication of medical capabilities to commanders. The conversation emphasizes the need for curiosity and problem-solving in medical training, as well as the value of community feedback in improving medical practices in austere environments.Listen ad-free with membershipTakeawaysNate's background is not in medicine, but he has a strong interest in improving medical capabilities.The importance of hands-on experience in medical training for Special Forces.Creating effective SOPs is crucial for operational success in medical scenarios.Testing and validating medical plans is essential to ensure effectiveness.Training standards in medicine should be as rigorous as in other military skills.Communication of medical capabilities to commanders is vital for mission success.Curiosity about medicine can enhance team dynamics and operational effectiveness.Problem-solving is a key aspect of medical training and should be embraced.Feedback from the community can help improve medical practices in the field.Establishing a culture of honesty about medical capabilities is necessary for effective planning.Chapters00:00 Introduction to the Podcast and Guest01:02 Nate's Journey into Medical Training03:38 Establishing Standard Operating Procedures (SOPs)06:12 Testing and Validating Medical Plans09:33 The Importance of Training Standards in Medicine12:44 Planning and Realistic Medical Training16:51 Communicating Medical Capabilities to Commanders20:07 The Role of Curiosity in Medical Training23:18 Seeking Community Feedback on Clinic SetupThank 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-
This conversation focuses on the implementation of a cold blood protocol for military training, emphasizing the importance of whole blood transfusions in preventing deaths from hemorrhagic shock. The discussion covers the logistics of blood availability, the challenges of storage and transportation, and the establishment of a pilot program for blood donation. The speakers highlight the collaboration with blood banks and the regulatory hurdles faced, while also outlining future directions for expanding the program to enhance medical support during training events.TakeawaysHemorrhage is the leading cause of preventable death on the battlefield.Whole blood is recognized as the superior resuscitation fluid.Logistics and availability of blood during training are critical issues.Cold blood storage can be effectively implemented in training environments.A pilot program for blood donation has been established to support training needs.Collaboration with blood banks is essential for successful blood storage and use.Regulatory challenges complicate blood storage and transportation.Training medics to use cold stored blood is a priority.Future expansion of the program is necessary to meet training demands.Increased knowledge of blood protocols enhances medic preparedness.Chapters00:00 Introduction to Cold Blood Protocol03:02 Understanding Hemorrhagic Shock and Blood Transfusion06:07 Logistics of Blood Availability in Training08:55 Implementing Cold Blood Storage in Training Environments12:11 Pilot Program for Blood Donation and Storage14:50 Collaboration with Blood Banks and Regulatory Challenges18:14 Future Directions and Program Expansion20:58 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
In this episode of the PFC Podcast, Dennis interviews John Dominguez, a veteran with extensive experience in the Special Operations Medical Association (SOMA). They discuss the origins of SOMA, its evolution into a global organization, and its impact on interoperability among special operations forces. John emphasizes the importance of networking, professional development, and learning from failures in medical training for medics. The conversation highlights how SOMA serves as a platform for sharing experiences and knowledge among medical professionals in the military and beyond. The conversation delves into the importance of experiential learning in medical training, particularly through SOMA's various labs and courses. It highlights the challenges faced in organizing medical conferences, the professional development opportunities available through SOMA, and the significance of leveraging technology for enhanced learning. The discussion also emphasizes the importance of early engagement and membership in SOMA for career advancement and knowledge sharing.Listen to this episode ad-free with our membership.TakeawaysSOMA was established to improve interoperability among special operations medics.The organization has grown to include international representation from over 30 countries.Networking at SOMA events fosters relationships and collaboration among medics.SOMA provides a platform for professional development and training for medics.Learning from failures is crucial in medical practice, especially in high-stakes environments. Experiential learning enhances the connection between theory and practice.SOMA offers various labs that provide hands-on experience in medical training.Attendees can gain different perspectives through international training opportunities.The organization of medical conferences faces unique challenges, especially in funding and logistics.SOMA's growth in attendance reflects its importance in the medical community.Vendors play a crucial role in funding and supporting SOMA events.Professional development opportunities are available for those interested in advancing their careers.Mentorship is a key component of SOMA, aiding in career guidance and development.Technology is increasingly important in medical education and training.Engagement in SOMA can lead to leadership opportunities and influence in the field.Chapters00:00 Introduction to SOMA and Its Origins07:49 The Evolution of SOMA and Its Global Impact14:53 Networking and Interoperability in Special Operations21:59 Training and Professional Development for Medics26:59 Learning from Failures and Sharing Experiences33:54 Experiential Learning in Medical Training41:06 Challenges in Organizing Medical Conferences47:40 SOMA's Professional Development Opportunities55:30 Leveraging Technology for Enhanced Learning01:01:28 Engagement and Membership in SOMAThank 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 complexities of unconventional warfare (UW) and the evolution of medical support within Special Forces. Rocky Farr discusses historical examples of guerrilla warfare, the critical role of medics, and the challenges faced in providing timely medical care during combat operations. He emphasizes the importance of adapting medical practices to the realities of modern warfare and the need for ongoing training and support for Special Forces medics. The conversation culminates in reflections on the future of combat medicine and the necessity of questioning established norms.TakeawaysThe Army has historically struggled with the concept of unconventional warfare (UW).Medical support is a crucial component of Special Forces operations, comprising 20% of their structure.Historical examples of guerrilla warfare highlight the importance of medical care in sustaining operations.The evolution of medics in Special Forces reflects changing military needs and strategies.The golden hour is a critical factor in trauma care, but its application can vary in different combat scenarios.Future conflicts may see a return to smaller, more agile Special Forces teams with limited medical support.There is a need to question traditional medical practices and adapt to the realities of combat medicine.Training in unconventional warfare must be reinvigorated within Special Operations Forces (SOF).The 1961 edition of FM 31-21 is a valuable resource for understanding guerrilla warfare tactics.The podcast emphasizes the importance of integrating medical capabilities into military operations effectively.Chapters00:00 Introduction to the Podcast and Overview of Topics01:18 Understanding Unconventional Warfare (UW) and Its Historical Context03:44 Guerrilla Warfare: Historical Examples and Medical Support07:32 The Evolution of Medical Support in Special Forces12:02 The Role of Medics in Special Forces Operations16:26 The Golden Hour: Challenges and Realities in Combat Medicine20:51 Future of Medical Support in Unconventional Warfare25:09 Conclusion and Reflections on Combat MedicineThank 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, Victor, a former Ranger medic, shares his experiences and lessons learned from a mass casualty event during a humanitarian mission in Burma. He discusses the historical context of the conflict, the challenges faced in providing medical support, and the innovative solutions developed in a denied environment. The conversation emphasizes the importance of training, adaptability, and building sustainable medical practices to empower local medics in future conflicts.Listen to this episode ad free with membership.TakeawaysVictor shares his experiences as a former Ranger medic.The humanitarian mission in Burma faced severe challenges.The conflict in Burma has historical roots dating back to World War II.Training focused on hemorrhage control and casualty extraction techniques.Two casualty collection points were established during the operation.The team had to adapt to carrying casualties over long distances.Blood transfusions were successfully conducted in the field for the first time.Building sustainable medical practices is crucial for future operations.Empowering local medics is essential for effective care.The mission was guided by a sense of love and purpose.Chapter00:00 Introduction to the Humanitarian Mission02:54 The Conflict in Burma: Historical Context05:52 Training the Rangers: Preparing for Combat08:55 The Medical Support Operation: Initial Challenges11:49 Casualty Management: Triage and Evacuation14:55 Adapting to the Battlefield: Lessons Learned17:54 Blood Transfusions in the Field: A New Capability20:45 Building Sustainable Medical Practices23:48 Empowering Local Medics: The Future of Care26:58 Conclusion: A Call to ActionThank 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 Master Sergeant Dan McGarra discuss the evolving role of females in combat and the challenges faced in medical treatment for female casualties. They explore discrepancies in medical protocols, cultural implications, and the need for gender-neutral approaches in military medicine. The conversation highlights the importance of understanding physiological differences and social dynamics that affect treatment outcomes, as well as the necessity for training that prepares medics for real-world scenarios involving female patients. Dan proposes solutions to improve medical protocols and training to ensure that all soldiers receive appropriate care, regardless of gender.TakeawaysThe percentage of females in the military is increasing, necessitating discussions on their treatment in combat.Studies show discrepancies in trauma treatment between genders, affecting outcomes for female casualties.Cultural and social factors influence how medics respond to female patients in emergencies.Training scenarios often fail to prepare medics for the realities of treating female casualties.Gender biases can lead to inappropriate prioritization in triage situations.Medical protocols need to be updated to reflect the physiological differences between genders.There is a need for gender-neutral training in military medical education.International military practices can provide insights into better treatment for female soldiers.The Sharp training program must include medical emergency protocols to protect both patients and medics.Open discussions about gender and medical treatment are essential for improving care in the military.Chapters00:00 Introduction to Female Participation in Combat02:48 Challenges in Medical Treatment for Female Casualties06:06 Discrepancies in Medical Protocols and Gender Bias09:56 Cultural and Social Implications in Medical Emergencies17:01 Learning from Global Military Practices21:12 Addressing the Sharp Training and Medical Protocols28:46 Proposed Solutions for Gender Neutral Medical TreatmentThank 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, host Dennis engages with Andy Fisher to discuss the controversial topic of needle decompression in Individual First Aid Kits (IFACs). They explore the historical context of IFAC contents, the effectiveness of needle decompression, and the challenges in identifying tension pneumothorax in the pre-hospital setting. The conversation also delves into the training and decision-making processes in combat medicine, assessment techniques for pneumothorax, and potential alternatives to needle decompression. In this conversation, the speakers delve into the evolving perspectives on thoracostomy and its application in pre-hospital settings, particularly in combat medicine. They discuss the implications of tension physiology in hemothorax and the prevalence of massive hemothorax in recent years. The conversation also revisits treatment protocols for chest injuries, emphasizing the need for a shift towards simple thoracostomy over needle decompression. Finally, they evaluate the use of pigtail catheters versus traditional chest tubes, weighing the pros and cons of each in emergency situations.TakeawaysNeedle decompression is debated in the context of IFACs.Historical context shows that needle decompression was not originally included in official DOD lists.Hemorrhage is the leading cause of mortality in trauma cases.Tension pneumothorax is rare, occurring in only 1.1% of cases.Identifying tension pneumothorax in pre-hospital settings is challenging.Medics should rely on objective data for decision-making.Training often prioritizes speed over thorough assessment.Prophylactic interventions for tension pneumothorax may not be effective.Chest tubes are not always life-saving interventions.Exploring alternatives like finger thoracostomy may be beneficial. Evolving views on thoracostomy emphasize its selective use.Needle decompression may be overused in practice.Tension physiology can occur with blood accumulation in the chest.Massive hemothorax is increasingly recognized in trauma cases.Up to 49% of combat casualties require chest tubes.Simple thoracostomy should be prioritized over needle decompression.Patient monitoring is crucial in pre-hospital settings.Pigtail catheters may not be suitable for pre-hospital use.Chest tubes are preferred for their reliability in emergencies.Comfort for the patient is important but should not compromise urgent care.Chapters00:00 Introduction to the Podcast and Guest01:01 Debate on Needle Decompression in IFACs03:20 Historical Context of IFAC Contents06:40 Effectiveness of Needle Decompression09:09 Challenges in Identifying Tension Pneumothorax12:00 Training and Decision-Making in Combat Medicine16:21 Assessment Techniques for Pneumothorax21:29 Interventions for Tension Pneumothorax25:19 Exploring Alternatives to Needle Decompression25:50 Evolving Perspectives on Thoracostomy31:38 Understanding Tension Physiology in Hemothorax36:41 Revisiting Treatment Protocols for Chest Injuries43:12 Evaluating Pigtail Catheters vs. Chest TubesThank 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, Dan McGraw discusses the critical need for gender-specific medical training in military settings, drawing from personal experiences and extensive research. He highlights the disparities in treatment outcomes between male and female patients, the physiological differences that affect trauma care, and the cultural challenges faced by medical personnel when treating patients of the opposite sex. Through case studies and real-life scenarios, Dan emphasizes the importance of understanding these differences to improve survival rates and ensure equitable treatment for all service members.TakeawaysDan shares a personal story about losing a friend due to medical negligence.The importance of gender-specific medical training is emphasized.Research shows that female casualties have different treatment needs.Physiological differences between genders affect trauma care.Cultural challenges hinder effective medical response to female patients.Case studies reveal biases in treatment during emergencies.Medical errors often occur due to gender biases in treatment protocols.Training must address the discomfort of treating opposite genders.The military must adapt to increasing numbers of female service members.Future training programs need to incorporate gender-specific considerations.Chapters00:00 Introduction and Personal Story02:57 The Importance of Gender-Specific Medical Training06:11 Research Findings on Female Casualties08:54 Physiological Differences in Trauma Treatment12:06 Cultural and Training Challenges in Medical Response15:08 Case Studies and Real-Life Scenarios18:07 Addressing Medical Errors and Gender Bias21:03 The Future of Gender-Inclusive Medical TrainingThank 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 Ryan Maves delve into the complex world of hemorrhagic fevers, discussing various viral infections such as Ebola, Lassa fever, and dengue. They explore the symptoms, diagnosis, and treatment options available for these dangerous pathogens, emphasizing the importance of supportive care and proper waste management. The discussion also highlights the challenges faced in resource-limited settings and the need for medical intelligence and preparedness when dealing with potential outbreaks.TakeawaysViral hemorrhagic fevers are highly dangerous pathogens.Ebola is a prototype for understanding these diseases.Symptoms often start as nonspecific febrile illnesses.Diagnosis can be challenging due to overlapping symptoms.Supportive care is crucial for patient survival.Fluid management is a key aspect of treatment.Preventative measures are essential in endemic areas.Waste management is critical in handling infected materials.Medical intelligence plays a vital role in outbreak preparedness.Expertise and resources are available for managing these diseases.Chapters00:00 Introduction to Hemorrhagic Fevers03:07 Understanding Viral Hemorrhagic Fevers05:48 Symptoms and Diagnosis of Hemorrhagic Fevers14:46 Treatment and Supportive Care24:01 Preventative Measures and Waste Management32:00 Expertise and Resources for 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
In this episode of the PFC Podcast, hosts Dennis, John, and Paul delve into the development and application of the Abdominal Aortic Junctional Tourniquet (AAJT). John shares his background as an ER doctor and military medic, explaining the need for a device to control pelvic hemorrhage in trauma cases. Paul discusses the first applications of the AAJT in combat situations, highlighting successful case studies. The conversation also covers research findings on the device's efficacy, application techniques, and user experiences, emphasizing its importance in modern trauma care. This conversation delves into the application and implications of medical devices in emergency situations, particularly focusing on ventilation, prolonged application challenges, reperfusion injury, and the comparative effectiveness of RABOA and AJT. The discussion highlights the importance of rapid intervention in traumatic cardiac arrest and the need for ongoing research to improve outcomes in combat and emergency medicine.TakeawaysThe AAJT was developed to address junctional hemorrhage in trauma cases.John's experience in military medicine influenced the design of the AAJT.The device aims to control blood flow to the pelvis effectively.Initial applications of the AAJT have shown promising results in saving lives.Research indicates that the AAJT can be safely applied for up to two hours.Studies have shown that the AAJT is effective in controlling hemorrhage in combat situations.User experience suggests that the AAJT is less painful than traditional tourniquets.The device's design allows for easy application without extensive medical training.Ongoing research is exploring the potential for extended application times.The AAJT has been adopted by multiple military units and allied nations. Ventilation can be maintained even with device application.Prolonged application of medical devices can be challenging.Preparedness is crucial in emergency situations.Every minute of delay in hemorrhage control increases mortality.RABOA has shown to cause harm in some studies.The AJT device offers a promising alternative for hemorrhage control.Research is ongoing to validate the effectiveness of AJT.Traumatic cardiac arrest requires immediate and effective intervention.The future of emergency medicine must adapt to new challenges.Understanding the risks and benefits of interventions is essential.Chapters00:00 Introduction to the AAJT and Its Creators05:09 The Development and Purpose of the AAJT09:59 First Applications and Case Studies14:47 Research and Study Data on the AAJT20:03 Application Techniques and Pressure Management25:09 Practical Demonstration and User Experience26:35 Ventilation and Device Application29:15 Challenges of Prolonged Application32:13 Reperfusion Injury and Monitoring36:59 Risk-Benefit Analysis in Emergency Interventions39:41 RABOA vs. AJT: A Comparative Discussion42:09 Research Insights on AJT Effectiveness45:53 Future of Non-Compressible Torso Hemorrhage Treatment50:03 Traumatic Cardiac Arrest and New ApproachesThank 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, 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
© 2020-2025 Ivy Podcast Discovery LLC
