Podcasts about care podcast

When does doing nothing become negligence?In this gripping episode of The Standard of Care Podcast, hosts Samantha Johnson and Nick Adams explore two real-world legal cases in which EMS providers were sued—not for what they did but for what they didn't do. The central issue is the failure to forcibly enter a residence during a medical alert activation and its devastating consequences.This conversation explores pre-hospital providers' legal, ethical, and practical responsibilities when responding to calls that may require forced entry. From Life Alert activations to one-ring 911 calls and silent apartments with growing stacks of mail, this episode examines the critical decisions providers face when balancing patient care, property damage, and personal liability.You'll walk away with actionable insights, fundamental policy considerations, and a deeper understanding of your “duty to act” when the door stays closed.Key TakeawaysFor providers with advanced responsibilities: Legal precedent is shifting—standing outside the door and “erring on the side of caution” may no longer protect you in court. If your system doesn't give you the tools or authority to act decisively, it's time to start the policy conversation.For providers early in their practice: Knowing how and when to involve law enforcement or fire services during a potential forced entry call is critical. Policies are not just guidelines—they're your legal armor.For those just beginning in EMS: Just because the lights are off and no one answers the door doesn't mean no one is home—or in danger. Learning when to escalate, who to call, and how to document your decision could be the essential skill you acquire early in your career.Referenceshttps://f001.backblazeb2.com/file/Standard-Of-Care/Handout_ch37.pdfhttps://f001.backblazeb2.com/file/Standard-Of-Care/Handout_ch38.pdf https://www.firelawblog.com/2011/06/16/duty-to-act-right-to-enter-their-well-being-our-well-being/ https://www.nbcphiladelphia.com/news/local/lawsuit-philadelphia-geneva-mackrides-death-senior-living-facility/4127192/ https://www.nbcphiladelphia.com/news/local/family-lawsuit-claims-north-philly-man-died-emts-left/4138474/ https://6abc.com/post/another-lawsuit-filed-city-philadelphia-ems-response/16045833/ https://www.ems1.com/legal/philadelphia-family-files-lawsuit-over-ems-failing-to-aid-father-after-unanswered-knock  FAST25 | May 19-21, 2025 | Lexington, KY

In this episode of the PFC Podcast, Dennis and Pac delve into the intricacies of ketamine and esketamine, exploring their applications in military medicine, particularly in battlefield scenarios. Pac shares his extensive experience as an anesthetist and military medical officer, discussing the evolution of ketamine, its effectiveness in pain management, and the cultural differences in pain perception. The conversation emphasizes the importance of proper training and planning in administering these drugs, as well as the role of regional anesthesia in enhancing patient care. This conversation delves into the various aspects of ketamine administration, including routes, dosages, and the importance of experience in emergency medicine. The speakers discuss the nuances of managing pain, the significance of understanding pharmacology, and the practicalities of using ketamine in hemodynamically unstable patients. They also touch on the importance of teaching and preparing for emergencies, as well as the value of gaining hands-on experience in different environments.takeawaysEsketamine is often viewed as a superior alternative to traditional ketamine.Cultural perceptions of pain can significantly influence patient responses to anesthesia.Proper training in drug administration is essential for medical personnel.Ketamine has a high tolerance for side effects, making it safer in emergency situations.Regional anesthesia can complement ketamine use for better pain management.The effectiveness of ketamine in battlefield scenarios is well-documented.Dosage and administration techniques are crucial for achieving desired effects with ketamine.Understanding patient responses is key to effective pain management.The evolution of ketamine reflects ongoing advancements in medical practices.A comprehensive plan is necessary when using ketamine for sedation or analgesia. Different routes of administration for ketamine have varying bioavailabilities.Dosage adjustments are crucial when switching between IV and IM routes.Experience in drug administration can significantly impact patient outcomes.Managing adverse effects requires patience and a clear plan.Planning for patient transport is essential in emergency situations.Teaching pharmacology should focus on techniques applicable to all narcotics.Ketamine is effective for hemodynamically unstable patients.Ketamine can be used in managing refractory seizures.Hands-on experience is invaluable for medical professionals.Utilizing local knowledge can enhance treatment effectiveness.Chapters00:00 Introduction to the Podcast and Guests01:10 Exploring Esketamine: A Medical Perspective03:51 The Evolution of Ketamine in Medicine07:14 Practical Applications of Ketamine in Military Medicine11:06 Cultural Differences in Pain Perception13:19 Dosage and Administration of Esketamine16:12 Comparing Ketamine and Morphine in Battlefield Analgesia18:59 The Role of Regional Anesthesia in Pain Management22:16 Training Challenges in Medical Personnel25:14 Assessing Pain Management Effectiveness27:59 Exploring Routes of Administration for Ketamine30:57 Understanding Dosage and Onset Times32:20 The Importance of Experience in Drug Administration34:27 Managing Adverse Effects and Overdoses36:14 Planning for Patient Transport and Sedation39:10 Teaching Pharmacology and Emergency Preparedness41:03 Ketamine in Hemodynamically Unstable Patients45:11 Ketamine's Role in Seizure Management48:22 Gaining Practical Experience with KetamineThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this episode of the PFC podcast, Dennis, Andrew, and Rick delve into the critical topic of triage in emergency medicine. They explore the complexities of triage during mass casualty situations, emphasizing the importance of quick decision-making and prioritization of patient care. Andrew shares his experiences as an emergency medicine physician, highlighting the chaotic nature of triage and the necessity of using intuitive methods to assess patients effectively. The conversation covers various triage categories, techniques, and the significance of clinical judgment in determining patient needs during emergencies. This conversation delves into the complexities of triage in emergency medical situations, emphasizing the importance of decision-making under pressure, the role of medical leadership, and the integration of security measures. The speakers discuss the dynamic nature of triage, the ethical dilemmas faced in resource allocation, and the necessity of effective communication and collaboration among medical teams and command structures during mass casualty events. This conversation delves into the complexities of triage in high-pressure medical situations, particularly in military contexts. The speakers discuss the importance of effective training, the management of mass casualty scenarios, and the need for a comprehensive approach that includes both medical and non-medical personnel. They emphasize the necessity of adapting training to reflect real-world challenges and the importance of leadership in ensuring successful outcomes during emergencies.TakeawaysTriage is never perfect; it's chaotic and unpredictable.Use the simplest methods for triage in emergencies.Identify who is dying now versus who is stable.Focus on life-saving interventions first.Triage is a continuous process, not a one-time event.Utilize all available resources during a mass casualty.Clinical judgment is crucial in triage decisions.Trust your instincts when assessing patient urgency.Most patients in mass casualty scenarios are routine or priority.Effective communication and organization are key in triage situations. Triage decisions must be made quickly and efficiently under pressure.Assessing patient stability is crucial for effective resource allocation.Medical leaders must maintain situational awareness during triage.Communication between medical and non-medical leaders is essential.Security measures must be integrated into medical response plans.Triage is a dynamic process that requires constant reassessment.Ethical dilemmas arise when deciding how to allocate limited resources.Collaboration with surgical teams is vital for patient outcomes.Training should address both medical and security aspects of triage.Effective management of patient flow can improve overall care during crises. Triage in high-volume situations requires strategic patient distribution.Chapters00:00 Introduction to Triage and Its Importance03:05 Understanding Triage Categories09:01 Triage Techniques and Strategies11:59 Evacuation Categories and Decision Making14:59 Clinical Judgment in Triage21:20 Assessing Patient Stability and Resource Allocation25:19 Security Considerations in Mass Casualty Events29:27 Integrating Security and Medical Response38:50 Triage in High-Volume Situations41:53 Managing Mass Casualty Scenarios44:48 Command and Control in Triage45:57 Defining Success in Mass Casualty Training51:05 Improving Triage Processes57:59 Final Thoughts on Triage and Training Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

This podcast episode delves into the roles and responsibilities of various special operations medics, including Ranger medics, SOIDCs, and SEAL medics. The discussion highlights the unique training, skills, and challenges these medics face in the field, emphasizing the importance of trust, communication, and continuous learning in military healthcare. The speakers share their experiences and insights on the evolution of medic training and the critical nature of their roles in combat situations. This conversation delves into the intricate dynamics between medics and PAs within military teams, highlighting the importance of intimate relationships, expectations from new medical personnel, and the necessity of building trust and rapport. The discussion emphasizes the value of field experience for medical providers and the critical role of advocacy and support for medics to enhance their effectiveness in the field. The speakers share insights on how to foster better communication and collaboration within medical teams to ultimately improve patient care and outcomes.TakeawaysRanger medics focus on TCCC and basic skills.SOIDCs have unique provider roles within the Navy.SEAL medics are expanding their capabilities in various environments.Trust and communication are vital for effective medical care.New providers must understand the diverse experiences of medics.Medic training is evolving to include prolonged field care.Relationships between medics and providers shape career paths.Continuous learning is essential for maintaining clinical skills.The operational environment influences medic training and practice.Team dynamics play a crucial role in medical effectiveness. The relationship between medics and IDCs is crucial for effective teamwork.PAs play a significant role in supporting medics during operations.Building rapport is essential for successful medical practice in military settings.Field experience is vital for medical providers to understand operational challenges.Trust between medics and doctors enhances patient care and team effectiveness.Advocacy for medics' needs is necessary for optimal performance.Medical personnel should be proactive in seeking knowledge and training.Understanding the unique challenges faced by medics is key for providers.Effective communication can bridge gaps between different roles in medical teams.Support from leadership can significantly impact the morale and performance of medics.Chapters00:00 Introduction to Special Operations Medics02:59 Roles and Responsibilities of Ranger Medics05:47 Understanding the SOIDC and Navy Medics08:56 The Role of SEAL Medics11:48 Comparative Analysis of SOF Medics15:01 The Importance of Trust and Communication18:04 Challenges Faced by New Providers20:57 The Evolution of Medic Training24:14 Conclusion and Final Thoughts39:33 The Role of Medics and PAs in Team Dynamics42:24 Expectations from New Medical Personnel49:17 Building Rapport and Trust in Medical Teams51:55 The Importance of Field Experience for Providers52:28 Advocacy and Support for Medics01:01:19 Final Thoughts on Enhancing Medical SupportThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this conversation, Dennis and Steven Blocker discuss the integration of AI in healthcare, particularly in emergency medicine. They explore the capabilities and limitations of various AI models, including large language models and natural language processing, and their applications in diagnostics, patient care, and education. The conversation also touches on the ethical considerations and accountability surrounding AI usage in medical settings, emphasizing the importance of understanding the technology's boundaries and ensuring patient safety. In this conversation, Steven Blocker and Dennis discuss the evolving role of AI in healthcare, emphasizing the importance of medical protocols, the responsibilities of healthcare providers, and the limitations of AI in clinical decision-making. They explore the potential for AI to assist in surgical procedures, the future of AI in medicine, and the need for AI to adapt to changing medical practices. The discussion highlights the necessity of human oversight in medical decisions and the importance of using AI as a tool to enhance, rather than replace, the clinician's expertise.TakeawaysAI has been around for a long time, but its recent popularity is notable.Understanding the bounds of AI is crucial for effective use.AI cannot be used offline, especially on mobile devices.Large language models provide answers with confidence but lack true understanding.Always fact-check AI outputs, as they may contain inaccuracies.AI can assist in triage processes but requires tailored software.Ethical considerations in AI usage are paramount in healthcare.AI can enhance education and training for medical professionals.The quality of AI-generated information must be critically evaluated.Accountability in AI usage is essential to prevent liability issues. It's crucial to adhere to medical protocols to avoid blame.Healthcare providers are ultimately responsible for patient decisions.AI should augment medical decision-making, not replace it.The effectiveness of AI in surgery depends on the data it is trained on.AI can assist medics but cannot replace their experience.AI needs sufficient data to make informed decisions.The future of AI in healthcare is promising but uncertain.AI must adapt to evolving medical practices and protocols.Using AI effectively requires understanding its limitations.AI can help summarize and analyze patient data efficiently.Chapters00:00 Introduction to AI in Medicine02:54 Understanding AI Models and Their Applications05:46 The Role of AI in Patient Care09:08 AI in Diagnostics and Decision Support12:05 AI in Education and Training15:08 Challenges and Limitations of AI in Medicine18:10 Ethics and Accountability in AI Usage20:50 Future of AI in Healthcare27:00 Navigating Medical Protocols and Responsibilities30:02 The Role of AI in Medical Decision-Making33:13 AI in Surgical Procedures: Potential and Limitations38:57 The Future of AI in Healthcare43:05 Adapting AI to Evolving Medical Practices48:08 Maximizing AI's Utility in Clinical SettingsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this episode of the PFC Podcast, the discussion revolves around patient positioning during procedural sedation, the pharmacology and application of Versed (Midazolam), and the nuances of dosing in various clinical scenarios. The speakers emphasize the importance of having a plan for airway management, the physiological implications of patient positioning, and the amnestic effects of Versed in trauma and surgical settings. They share insights from their experiences in austere environments, highlighting the need for adaptability and careful consideration of patient responses to sedation. In this conversation, the speakers delve into the complexities of IV amnestics, particularly focusing on Propofol and Midazolam, and the challenges faced during sedation in anesthesia. They discuss the importance of monitoring patient comfort, the nuances of sedation versus analgesia, and the implications of using drugs like Ketamine and Versed. The conversation highlights the critical nature of assessing patient responses and the difficulties in managing sedation effectively, emphasizing that sedation is often more challenging than general anesthesia.TakeawaysPatient positioning is crucial during procedural sedation.Recovery position may enhance airway protection during sedation.Always have a plan for airway management in different positions.Versed is a GABA agonist that promotes sedation and amnesia.Dosing of Versed varies significantly based on patient condition.In trauma cases, lower doses of sedatives may be necessary.Communication with the patient is key when administering sedatives.Understanding the pharmacodynamics of Versed aids in effective use.Amnestic effects of Versed can be dose-dependent.Clinical experience plays a significant role in medication administration. IV amnestics like Propofol and Midazolam do not have a guaranteed amnestic dose.Sedation is one of the most challenging aspects of anesthesia.Monitoring vital signs is crucial during sedation to assess patient comfort.The physiological state of the patient significantly affects drug dosing.Ketamine is not considered an amnestic drug by some providers.Patient comfort is paramount, and sedation must be carefully managed.The use of narcotics can help manage discomfort during sedation.Understanding the patient's history, such as alcohol use, is important for dosing.Sedation requires constant assessment and adjustment of medications.The complexities of sedation often make it more difficult than general anesthesia.Chapters00:00 Introduction to Patient Positioning in Procedural Sedation09:57 Understanding Versed: Mechanism and Usage19:54 Dosing Strategies for Versed in Different Patient Scenarios29:54 Amnestic Effects and Clinical Considerations of Versed35:05 Understanding IV Amnestics: Propofol and Midazolam39:01 The Challenges of Sedation in Anesthesia45:26 Monitoring and Assessing Patient Comfort During Sedation51:27 Navigating the Complexities of Sedation and Analgesia57:55 The Role of Versed and Ketamine in Anesthesia01:01:39 Final Thoughts on Sedation Practices and Patient SafetyThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

God made us beautiful, so that we can shine, but we need to reflect His light to be able to shine brightly! Are we choosing to reflect God's light through our actions , attitudes, and perspective?   Visit rollinghills.org/worship to learn how you can interact with other listeners on our Soul Care Blog.

Iain and Eoin are joined by Georgie Gill to talk about handovers in pre-hospital care and some tips for working with older people in the pre-hospital space.www.thehearingaidpodcasts.org.ukhttps://www.medics.academy/courses/pre-hospital-care-s01https://podcasts.apple.com/gb/podcast/pre-hospital-care-podcast/id1441215901

In this episode of the PFC Podcast, Dennis and Doug dive deep into Advanced Cardiac Life Support (ACLS) focusing on Pulseless Ventricular Tachycardia (VTAC) and Ventricular Fibrillation (V-Fib). They discuss the challenges of performing CPR in military settings, the roles and responsibilities during resuscitation, and the importance of understanding H's and T's in improving patient outcomes. The conversation also covers post-resuscitation care, the difficult decision of when to call it, and the role of telemedicine in ACLS. The episode emphasizes the need for teamwork, effective communication, and the importance of being prepared for unexpected situations in emergency care.TakeawaysContinuous high-quality CPR is crucial for survivability.In military settings, situational awareness is key for effective CPR.One knowledgeable person can lead a resuscitation effort.BLS is the foundation for any good ACLS.Timekeeping during CPR is essential for effective management.H's and T's are critical in identifying reversible causes during resuscitation.Post-resuscitation care is vital to prevent relapse.Telemedicine can provide valuable support during ACLS.Witnessed cardiac arrests have better outcomes than unwitnessed ones.Effective communication with the team is essential during resuscitation efforts.Chapters00:00 Introduction to ACLS and VTAC02:58 Challenges of CPR in Military Settings06:02 Roles and Responsibilities in ACLS09:01 Understanding H's and T's in Resuscitation12:08 Post-Resuscitation Care and Considerations17:54 Deciding When to Call It24:11 The Role of Telemedicine in ACLS30:00 Conclusion and Final ThoughtsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

The podcast was recorded in the days following the invasion of Ukraine. Hopefully, this war will end soon, but it's always smart to remember how it started.In this episode of the PFC Podcast, Dr. John Quinn provides an in-depth update on the medical response to the ongoing conflict in Ukraine. He discusses the evolution of medical training, the challenges faced in providing care, and the surprising developments in clinical practices amidst the war. The conversation highlights the logistical difficulties, the nature of injuries sustained, and the principles of casualty care that have emerged from the experience of prolonged field care in a conflict zone. In this conversation, the speakers discuss critical aspects of managing catastrophic bleeding, airway challenges, and the importance of preparation for transport in medical emergencies. They emphasize the risks associated with humanitarian work in Ukraine, the need for NGOs to engage with local needs, and advancements in blood management practices. The discussion also highlights the significance of sharing lessons learned from the ongoing conflict and the essential training topics for medical practitioners working in such environments.TakeawaysThe conflict has led to significant changes in medical training and practices.There has been a focus on prolonged field care due to extended evacuation times.Logistical challenges are a major issue in providing medical care.The quality of clinical care in Ukraine is impressive despite resource limitations.Injuries from modern warfare present unique challenges for medical responders.Scene safety is a critical principle in casualty care.Documentation of care is essential but challenging in conflict zones.Training and adherence to clinical guidelines have improved outcomes.Prolonged field care requires careful preparation and assessment before transport. Put a tourniquet on a patient with controlled hemorrhage.Prepare for transport by creating a problem list.Understand the severe risks of humanitarian work in Ukraine.Engage with local authorities to understand healthcare needs.Advocate for best practices in blood management and resuscitation.Share lessons learned from the conflict to improve future care.Anticipate challenges during transport to enhance patient outcomes.Traumatic brain injury is a growing concern in conflict zones.Utilize telemedicine for better communication and resource allocation.Focus on training for non-specialist surgeons in trauma care.Chapters00:00 Introduction to the Conflict and Medical Response02:07 Evolution of Medical Training in Ukraine05:14 Challenges and Improvements in Medical Care10:41 Surprising Developments in Clinical Care15:28 Logistical Challenges and Wound Patterns20:20 Prolonged Field Care and Evacuation Times25:29 Core Principles of Casualty Care34:04 Managing Catastrophic Bleeding and Airway Challenges39:51 Preparing for Transport: Anticipating Challenges44:35 Understanding the Risks of Humanitarian Work in Ukraine49:31 Engaging with Local Needs: Best Practices for NGOs51:52 Advancements in Blood Management and Resuscitation54:06 Sharing Lessons Learned from the Conflict58:45 Essential Training Topics for Medical Practitioners01:05:11 Closing Thoughts and Future DirectionsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

What happens when a determination of death GOES WRONG?In this episode of the Standard of Care Podcast, hosts Samantha Johnson and Nick Adams break down a real and heartbreaking case where EMS medics declared a 14-year-old patient deceased—only for him to be resuscitated at the hospital nearly an hour later. The fallout? A legal battle that made its way to the Supreme Court, and a patient left with devastating consequences.With legal nuance and clinical insight, Samantha and Nick walk through the case from street to courtroom. They explore the intersection of qualified immunity, the complexities of assessing patients with conditions like cerebral palsy, and the chilling legal and ethical risks that come with the determination of death in the field. This episode will change the way you view determination of death—and might just save your career someday.Listen now on your favorite podcast platform or directly at https://flightbridgeed.com/standard-of-care/. While you're there, explore our award-winning and nationally recognized courses that are helping thousands of providers stay sharp, safe, and legally sound.Key TakeawaysDon't shortcut your assessment. "Cold to the touch" and single-lead asystole aren't enough—especially in patients with neurological conditions that can present atypically.Qualified immunity protects government providers—until it doesn't. It's not a license to cut corners.Thorough documentation and a second-by-second account of your decision-making process can be your legal lifeline.Cross-agency coordination and quality assurance are essential. What one crew misses, another might catch—but how that's handled matters.EMT and paramedic education rarely prepares you for the weight of calling a death. Clinical training must evolve to meet that responsibility.When in doubt, initiate resuscitation. Let the ER be the place of final determination—not the living room.ReferencesStacy Williams, on behalf of her minor grandson, J.J. v. Andrew Williams and Joe Spradlin, United States District Court, Southern District of Texas, Houston Division, Civil Action File No. 4:23-cv-289 (January 26, 2023), available at https://bencrump.com/wp-content/uploads/2023/02/Doc.-1.-Plaintiffs-Original-Complaint.pdfFOX 26 Digital. (2023, February 2). Lawsuit Filed Against Houston Paramedics Who Refused Emergency Care to Disabled Teen. FOX 26 Houston. https://www.fox26houston.com/news/lawsuit-filed-against-paramedics-who-refused-emergency-care-to-disabled-teen Wallace, R. (2025, January 10). US Supreme Court Declines Case of 2 Houston Paramedics Who Mistakenly Declared Teen Dead. FOX 26 Houston. https://www.fox26houston.com/news/us-supreme-court-declines-case-2-houston-paramedics-who-mistakenly-declared-teen-dead FAST25 | May 19-21, 2025 | Lexington, KY

Iain and James have more conversations with Eoin looking at common syndromes in geriatric medicine including a review of delirium and communication with older people.www.thehearingaidpodcasts.org.ukhttps://www.medics.academy/courses/pre-hospital-care-s01https://podcasts.apple.com/gb/podcast/pre-hospital-care-podcast/id1441215901

In this episode of the PFC Podcast, the discussion revolves around the critical role of medics in Special Operations Forces (SOF), their training, and the importance of effective communication between operational and medical teams. The speakers share personal experiences from combat, emphasizing the need for thorough mission planning that incorporates medical considerations. They also address the challenges faced in maintaining medical skills and the necessity of cross-training within teams to ensure readiness for various scenarios. The conversation highlights the evolution of medic training and the ongoing efforts to enhance operational effectiveness in the field. This conversation delves into the evolving role of medics in special operations, highlighting the balance between training and team responsibilities, the differences between Navy and Army medic models, and the importance of critical thinking and adaptability in combat medicine. Personal experiences shape perspectives on the value of medics, emphasizing the need for continuous training and collaboration between medics and doctors. The discussion also addresses the complexities of future battlefields and the necessity of preventive medicine.TakeawaysThe role of medics is crucial in SOF operations.Effective communication between medics and operational teams is essential.Mission planning must include medical considerations to ensure team safety.Training and preparedness are vital for medics and operational personnel.Real combat experiences shape the understanding of medical capabilities.Cross-training enhances team dynamics and operational readiness.Maintaining medical skills is a continuous challenge for medics.The basics of medical training should be practiced regularly.Institutional support is necessary for medic training and skill maintenance.Future training should focus on integrating clinical experience with operational needs. Each MPT rotation provided valuable learning experiences.Balancing medic training with team responsibilities is crucial.The Navy's model for medics may offer insights for the Army.Medics are expected to perform under increasingly complex conditions.Personal experiences can deepen respect for medics' roles.Leadership in medical training is essential for operational success.Collaboration between medics and doctors enhances care.Battalion docs play a vital role in supporting medics.Understanding the medic's scope of practice is key for providers.Preparing for future battlefield challenges requires adaptability.Chapters02:07 Understanding the Role of Medics in SOF06:05 Mission Planning and Medical Considerations10:04 The Importance of Training and Preparedness15:08 Experiences in Combat and Medical Response20:06 Challenges in Medic Training and Skill Maintenance25:12 Cross-Training and Team Dynamics30:06 Future of Medic Training and Operational Readiness34:47 Balancing Medic Training and Team Responsibilities37:04 Navy vs. Army Medic Models38:55 The Evolving Role of Medics in Combat40:21 Personal Experiences Shaping Medical Perspectives43:40 The Importance of Medical Training in Leadership46:06 Collaboration Between Medics and Doctors48:40 The Role of Battalion Docs in Special Forces51:14 Understanding the Medic's Scope of Practice54:30 Preparing for Future Battlefield Complexities57:44 The Importance of Basics in Medic Training01:01:40 Adapting to New Battlefield Realities01:05:33 The Role of Preventive Medicine01:09:12 Training for Unique Battlefield Challenges01:12:18 Encouraging Critical Thinking in 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

The 100th episode of the mucked up my self-care podcast certainly aligned with our vision and realities. From technical hiccups to sick children in the background, our 100th episode celebration embodied everything the Mucked Up My Self Care Podcast stands for – real, interrupted, and beautifully imperfect self-care. Join hosts Jill and Linda as they reflect on their two-year journey, sharing vulnerable moments and profound revelations that have shaped not just their podcast, but their approach to motherhood, entrepreneurship, and self-care.Key TakeawaysSelf-care doesn't require perfection. Through 100 episodes and nearly 40 hours of recorded conversations, Jill and Linda have discovered that self-care isn't about yoga retreats and spa days. It's about finding small moments throughout your day – even while picking up dog poop barefoot in the grass – and embracing the interruptions rather than fighting against them.We're all "born" alongside our children. As Jill beautifully reflected, "I was born at the same time that my son was born as a mom." Each new phase of motherhood requires a rebirth, learning to process emotions and prioritize ourselves in entirely new ways. This perspective gives us permission to be beginners again and again.Creating your village is essential work. The podcast itself has become a form of community care, bridging the gap for mothers seeking connection. As one listener noted, "It took a while to create a village because I couldn't find a village." This shared experience of searching for and building support systems validates the struggle many mothers face.Reliability comes in unexpected forms. Despite the chaos of life with children, recording 100 episodes across 677 days has become a source of reliability and self-care for both hosts. Their weekly conversations have fostered friendship, accountability, and a space to prioritize themselves amid the demands of motherhood and entrepreneurship.Our approach to self-care evolves. From basic needs like showering in the early postpartum days to embracing "rage vacuuming" as a legitimate form of emotional release, the hosts have expanded their definition of self-care. These evolving perspectives remind us that self-care looks different in different seasons.Keep Unstucking Your Muck!As we celebrate this milestone, we invite you to join our self-care village for the next 100 episodes. Whether you're a first-time listener or have been with us since episode one, there's a place for you in this conversation about messy, interrupted, imperfect self-care.Connect with us on social media to share your self-care wins and struggles. Remember, as we've learned over these 100 episodes, there are no rules – it's okay to muck it up rather than get it right.Email us muckedupmyselfcare@gmail.comConnect with Jill www.mamaoutspoken.comConnect with Linda www.conversationsforgrowth.comHeard in 30+ countries and counting – thank you for making our podcast part of your self-care journey!

In this episode of the PFC Podcast, Dennis and Jamie discuss the challenges faced by medics in adding new drugs to their formulary. They explore the roles of medics and doctors, the importance of training and experience, and how to effectively communicate the need for new medications. The conversation emphasizes the need for trust and collaboration between medics and doctors, as well as the importance of understanding local drug availability in future operational environments.TakeawaysThe requirement for new drugs must be justified by a clear capability gap.Medics should master the basics before seeking new medications.Safety and operational appropriateness of drugs are critical considerations.Experience with a drug is essential for medics to advocate for its use.Building trust with doctors is crucial for medics to gain support for new drugs.Training and experience are necessary to prove competency with new medications.Communication is key in discussing drug needs with providers.Medics should use stories and data to support their requests for more medication.Understanding local pharmacology is important for future missions.A full pace plan should include locally available agents. Chapters00:00 Introduction to the Podcast and Guest01:04 Understanding the Role of Medics and Doctors03:08 Evaluating New Drugs for Medic Use06:53 Bridging the Gap Between Medics and Doctors11:00 Training and Experience for Medics20:51 The Process of Adding New Drugs24:34 Proving the Need for More Medication28:10 Building Trust and Communication with Providers30:40 Future Considerations for Medic FormularyThank 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

There is only one person who can restore our soul - and he is offering an invitation to restore our soul everyday, but are you willingly accepting that invitation everyday?   Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog. 

In this episode Iain is joined by Dr James Adams as we talk together to Eoin Walker from the Pre-hospital Care Podcast about frailty in the pre-hospital space.www.thehearingaidpodcasts.org.ukhttps://www.medics.academy/courses/pre-hospital-care-s01https://podcasts.apple.com/gb/podcast/pre-hospital-care-podcast/id1441215901

In this episode of the PFC Podcast, Dennis and Max delve into the complexities of recovery and behavioral health following traumatic experiences in combat. Max shares his personal journey from the whirlwind of returning home after a helicopter crash to the challenges of processing trauma and the importance of support systems. The conversation highlights the need for better medical evacuation processes and the critical role of behavioral health in recovery, emphasizing the significance of brotherhood and professional support in navigating the aftermath of trauma. In this conversation, the speaker shares their profound journey through trauma, mental health challenges, and the importance of coping mechanisms and therapy. They discuss the experience of feeling detached from reality, the role of unpredictability in healing, and the significance of EMDR therapy in processing traumatic memories. The conversation also emphasizes the need for leaders to recognize mental health issues in their peers and the importance of supporting one another in the healing process. Ultimately, the speaker highlights personal growth through adversity and the ongoing commitment to mental health as a lifelong journey.TakeawaysThe rapid return home after combat can disrupt mental processing.Brotherhood among soldiers is crucial for emotional recovery.Experiences in medical facilities can vary greatly in quality.Decompression time is essential for transitioning from combat to home.Seeing traumatic events on video can trigger intense emotional responses.Psychotic breaks can occur when processing trauma is rushed.Support systems need to be more humanized and effective.Behavioral health can lead to stronger outcomes if managed well.Professional therapists play a vital role in recovery.Recovery is an ongoing process, similar to physical rehabilitation. The mind can create a simulation of reality, leading to feelings of detachment.Unpredictable experiences can help ground individuals in reality.Coping mechanisms, like doing unpredictable actions, can aid in mental health recovery.Therapy can lead to significant improvements in mental health over time.Trauma can manifest in various ways, including PTSD and depression.EMDR therapy can help individuals process traumatic memories effectively.Leaders have a responsibility to recognize and address mental health issues in their teams.Mental health should be treated with the same seriousness as physical health.Personal growth often comes from facing and overcoming adversity.Supporting one another is crucial in the journey of healing.Chapters00:00 Introduction to Recovery and Behavioral Health03:02 The Whirlwind of Returning Home05:56 The Importance of Brotherhood in Recovery08:59 Experiences in Germany: A Mixed Bag11:50 The Need for Decompression After Combat14:48 The Transition to Walter Reed18:07 The Emotional Rollercoaster of Homecoming20:50 The Struggles of Processing Trauma24:07 The Impact of Seeing the Crash Video26:58 The Psychotic Break: A New Reality29:48 The Need for Better Support Systems32:49 Revamping the Medical Evacuation Process36:13 The Role of Behavioral Health in Recovery39:09 The Importance of Professional Support41:52 Conclusion: Moving Forward with Hope48:46 Navigating the Simulation of Life51:23 Coping Mechanisms and Unpredictability54:12 The Journey to Normalcy56:04 Understanding Trauma and Its Effects01:02:29 EMDR and Healing from Trauma01:10:05 Leadership and Mental Health Awareness01:18:56 Growth Through Adversity01:29:42 Supporting Each Other in HealingThank 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 speaks with Eric Bauer from FlightBridge ED about the critical topic of anaphylaxis. They explore the importance of understanding anaphylaxis through real-life scenarios, the initial assessment and response required in emergency situations, and the underlying pathophysiology of allergic reactions. The conversation emphasizes the urgency of treatment protocols, particularly the use of epinephrine, and discusses advanced management strategies for patients experiencing anaphylaxis. This episode serves as an essential guide for emergency medical professionals and anyone interested in critical care. This conversation delves into advanced airway management, IV access, and medication protocols in the context of anaphylaxis treatment. The speakers discuss the importance of proactive decision-making, fluid resuscitation strategies, and the need for careful monitoring and adjustment of treatment. They also touch on Kuhn's syndrome, a condition that can complicate anaphylaxis cases, and emphasize the importance of seeking help when needed in critical care situations.TakeawaysAnaphylaxis is a lower frequency type of call in EMS.Initial assessment should focus on the patient's airway and breathing.Respiratory involvement indicates a more severe allergic reaction.Benadryl is not the first-line treatment for anaphylaxis.Epinephrine should be administered promptly in anaphylactic cases.Timing of treatment is crucial; reactions can escalate quickly.Advanced airway management may be necessary in severe cases.Patient positioning and PEEP can aid in respiratory distress.Understanding the pathophysiology of anaphylaxis is essential for effective treatment.Continuous reassessment is key in managing anaphylactic patients. Advanced airway management is crucial in critical situations.Proactive decision-making is essential in emergency care.Fluid resuscitation strategies must be tailored to the patient's condition.Medication protocols should include timely administration of epinephrine and steroids.Monitoring patient response is vital for adjusting treatment plans.Kuhn's syndrome can mimic myocardial infarction in young patients.It's important to be aware of the potential for rebound responses in anaphylaxis.Healthcare providers should be comfortable adjusting medications as needed.Telemedicine can provide valuable support in critical care situations.Continuous education and self-awareness are key in emergency medicine.Chapters00:00 Introduction to Anaphylaxis and Its Importance02:56 Understanding Anaphylaxis Through a Scenario05:50 Initial Assessment and Response to Anaphylaxis09:07 The Pathophysiology of Anaphylaxis11:51 Timing and Severity of Anaphylactic Reactions15:00 Treatment Protocols for Anaphylaxis18:11 Advanced Management Strategies in Anaphylaxis23:20 Advanced Airway Management in Critical Situations26:04 IV Access and Pressor Administration28:58 Fluid Resuscitation Strategies32:02 Medication Protocols in Anaphylaxis36:03 Monitoring and Adjusting Treatment41:27 Understanding Kuhn's Syndrome45:48 Final Thoughts on Anaphylaxis ManagementThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Diane Ducarme is the Founder & CEO of Migraine Heroes, is a leading figure in migraine investigation, blending the wisdom of Eastern Medicine with Western science and advanced technology to uncover the true roots of migraine disease. Diane's approach uniquely emphasizes adding functional foods instead of eliminating them, shifting away from restrictive practices to focus on nourishing the body. Diane's dedication continues to transform lives, offering a holistic path to relief, resilience, and wellness for those navigating migraine disease. Dr. Vinu and Diane discuss how 1 in 5 women have migraines and how migraines triple to quadruples for women once they reach puberty. Diane explains how the migraine attacks possibly are started in the digestive and hormonal systems. They also discuss how your gut has such a profound impact on the health of your brain. A healthy, balanced gut means no more error messages. No more error messages means no more migraines. Tune in as they discuss: How migraines are genetic The importance of a balanced gut for migraines Diet modifications for migraines Why the birth control pill is over prescribed for migraines How to get rid of a migraine naturally

In this conversation, Dennis and Brad discuss the evolving landscape of pain management, particularly focusing on the apprehension surrounding the use of opioids like morphine and hydromorphone. They explore the historical context of opioid use, the introduction of ketamine, and the importance of transitioning between different pain management techniques. The discussion emphasizes the need for a strategic approach to pain management, considering factors such as respiratory rate and the context of the patient's condition. In this conversation, Brad and Dennis discuss the complexities of pain management in medical settings, particularly during recovery and transport. They emphasize the importance of monitoring vital signs, effective communication with patients, and the careful selection of medications to manage pain while minimizing side effects. The discussion also highlights the need for thorough training and preparation to handle emergency situations effectively.TakeawaysMedics are increasingly fearful of using longer-acting opioids.Ketamine has become a preferred option over traditional opioids.Morphine and hydromorphone still have a place in pain management.Understanding the context of drug use is crucial for effective treatment.Transitioning from rapid-acting to long-acting agents requires careful monitoring.Respiratory rate is a key indicator of patient comfort and need for medication.Historical perspectives on drug use can influence current practices.Education and experience play significant roles in drug administration confidence.The evolution of pain management reflects changing medical practices and perceptions.Effective pain management requires a balance of various medications. Respiratory rate is a critical indicator for pain management.Patients often have cultural expectations about pain levels.Effective communication can significantly improve patient care.Medications should be administered based on patient stability.Ketamine can be a beneficial option for pain relief.Understanding individual responses to medications is essential.Training and practice are vital for emergency preparedness.Developing a strategy for pain management is crucial.Monitoring vital signs helps determine medication needs.Practicing scenarios can reduce mistakes in real situations.Chapters00:00 Understanding the Fear of Opioids08:18 The Evolution of Pain Management14:57 Transitioning Between Pain Management Techniques25:34 Practical Application of Opioid Dosing31:31 Understanding Pain Management in Recovery39:02 The Role of Communication in Patient Care47:09 Managing Side Effects of Pain Medications57:04 The Importance of Training and Preparation in Emergency 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 Burjor delve into the intricacies of maxillofacial surgery, focusing on trauma management in austere environments. They discuss the importance of hemorrhage control, various techniques for managing facial injuries, and the critical aspects of airway management in trauma situations. The conversation emphasizes practical approaches and innovative techniques that can be employed in emergency scenarios, highlighting the need for preparedness and adaptability in medical practice. This conversation delves into the complexities of managing facial trauma, particularly focusing on airway management, mid-face fractures, and hemorrhage control techniques. The speakers discuss their differing comfort levels and approaches to treatment, emphasizing the importance of thorough evaluations and timely interventions. They also touch on the significance of recognizing signs of head injuries and the role of humanitarian efforts in providing medical care in remote areas.TakeawaysMaxillofacial surgery requires a deep understanding of hemorrhage control.Facial injuries can lead to significant blood loss, necessitating immediate action.Techniques for managing scalp lacerations include direct and indirect pressure.Ear and cheek injuries require specific dressing techniques to avoid obstruction.Neck injuries can be managed with packing and pressure techniques.Bone bleeds from jaw fractures can often be controlled by approximation.Airway management is crucial in trauma cases, especially with facial injuries.Definitive airway techniques may vary based on the operator's experience and available resources.Using basic materials creatively can effectively manage complex injuries.Preparation and adaptability are key in emergency medical situations. Airway management is prioritized over mid-face splinting in emergencies.Comfort levels in handling trauma vary among medical professionals.Facial injuries can distract from more critical injuries.Timely intervention is crucial in managing hemorrhage.Understanding the anatomy is key to treating facial fractures.Visual acuity tests are essential in assessing eye injuries.Bilateral bruising often indicates more severe facial fractures.Mid-face fractures require careful evaluation and management.Humanitarian medical efforts are vital in underserved areas.Training local populations enhances medical care in remote regions.Chapters00:00 Introduction to Maxillofacial Surgery03:03 Hemorrhage Control in Facial Injuries06:02 Techniques for Managing Scalp Lacerations09:09 Addressing Ear and Cheek Injuries12:04 Managing Neck Injuries14:50 Bone Bleeds and Jaw Fractures18:14 Airway Management in Trauma20:59 Definitive Airway Techniques28:34 Airway Management vs. Mid-Face Fractures33:11 Techniques for Hemorrhage Control38:02 Understanding Facial Fractures45:59 Signs of Head Injuries49:47 Addressing Mid-Face Fractures52:31 Team 5 Medical Foundation and Humanitarian EffortsThank 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

Sometimes God asks us to do hard things without the “why?” Part of soul care is developing a trusting relationship with God that is unconditional. Visit rollinghills.org/worship to learn how you can interact with other listeners on our Soul Care Blog. 

In this conversation, Ryan Maves and Dennis discuss various aspects of tuberculosis, including recent outbreaks, public health implications, and treatment protocols. They delve into the complexities of managing tuberculosis in different contexts, particularly within military settings, and highlight the importance of public health initiatives like PEPFAR. The discussion also touches on the challenges posed by drug-resistant tuberculosis and the evolving landscape of health policy. In this conversation, Ryan Maves discusses the complexities of tuberculosis (TB), including its historical significance, transmission methods, diagnosis, treatment protocols, and the challenges posed by drug resistance. He emphasizes the importance of public health measures in managing TB outbreaks and reassures that most individuals with TB can recover with appropriate treatment. The discussion also highlights the role of good ventilation in reducing transmission risk and the need for awareness and screening in military and public health settings.TakeawaysTuberculosis outbreaks can be slow and complex, not immediate crises.Public health interventions are crucial for effective tuberculosis management.PEPFAR has saved millions of lives and is a significant achievement in global health.Drug-resistant tuberculosis presents unique challenges in treatment.Telemedicine can enhance the management of tuberculosis in remote settings.Understanding the transmission dynamics of tuberculosis is essential for prevention.Good ventilation and treatment protocols can mitigate tuberculosis risks.Public health policies can significantly impact disease control efforts.Collaboration and open dialogue are necessary for effective health policy.The importance of recognizing the long-term nature of tuberculosis management. Tuberculosis is a significant global health issue that has been impacted by the COVID-19 pandemic.HIV and tuberculosis have a close interaction, affecting incidence and outcomes.Active screening for tuberculosis is crucial, especially in military settings.Good ventilation and sunlight can significantly reduce the risk of TB transmission.Latent TB infection can progress to active disease if not treated promptly.The classic treatment regimen for active TB involves a combination of four drugs.Multi-drug resistant TB (MDR-TB) is a growing concern, particularly in certain regions.Rifampin is a key drug in TB treatment but has notable drug interactions.Most people with TB can recover with effective therapy, and treatment is often satisfying for healthcare providers.Public health measures are essential in managing TB outbreaks and ensuring community safety.Chapters00:00 Introduction and Personal Updates03:11 Understanding Tuberculosis Outbreaks06:00 Public Health and Policy Implications08:54 PEPFAR and Global Health Initiatives12:00 Tuberculosis in Military Contexts14:58 Diagnosis and Treatment of Tuberculosis18:01 Drug-Resistant Tuberculosis23:15 Understanding Tuberculosis: A Global Perspective27:43 Transmission and Infection: How TB Spreads33:31 Diagnosis and Screening: Identifying TB Cases41:41 Treatment Protocols: Managing Active and Latent TB51:29 Challenges of Drug Resistance in TB58:03 Public Health Response: Reporting and Managing OutbreaksThank 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 explores the transition of military medics into civilian healthcare roles, discussing the strengths and challenges they face. The speakers highlight the quality of training military medics receive, the differences in medical practice between military and civilian settings, and the importance of humility and confidence during the transition. They also address the need for bridge courses and continued education to ensure successful integration into civilian roles, while emphasizing the unique skills and insights that military medics bring to the healthcare field. This conversation delves into the transition of veterans, particularly special operations medics, into civilian roles. It discusses the value these veterans bring to various professions, the responsibility of the Department of Defense (DOD) in facilitating this transition, and the importance of utilizing available resources. The dialogue also emphasizes the need for certifications and ongoing medical training to ensure that veterans remain competent in their skills as they move into civilian healthcare roles. The discussion concludes with thoughts on enhancing medical proficiency training programs to better prepare veterans for their future careers.TakeawaysMilitary medics have excellent training but lack breadth in patient exposure.The transition from military to civilian medicine requires adaptation to different contexts.Humility and confidence are crucial for a successful transition.Military medics often excel in leadership roles in civilian healthcare.Bridge courses can help military medics adjust to civilian medical practices.Continued education is essential for maintaining skills in civilian roles.Military medics bring unique insights that can enhance team dynamics.The transition experience varies based on individual backgrounds and roles.Understanding the civilian healthcare environment is key for military medics.Data on the outcomes of military medics in civilian roles is needed. Veterans possess valuable skills that can benefit civilian roles.The DOD has a moral responsibility to assist veterans in transitioning.Many veterans are unaware of the resources available to them.Certifications can enhance the employability of military medics.There is a need for better education on career options for veterans.Utilizing DOD programs is crucial for a seamless transition.Veterans should be proactive in seeking out opportunities.Community hospitals can provide valuable training experiences for medics.The future of military medicine requires adaptation and collaboration with civilian institutions.Improving medical proficiency training can better prepare medics for civilian roles.Chapters00:00 Introduction to Military Medics' Transition02:51 Training and Experience of Military Medics05:45 Contextual Differences in Military and Civilian Medicine08:48 The Transition Experience of Military Medics12:03 The Role of Humility and Confidence in Transition14:47 Bridging the Gap: Military Medics in Civilian Roles18:06 Challenges in Transitioning to Civilian Medicine20:59 The Need for Bridge Courses and Continued Education23:51 Evaluating Outcomes of Military Medics in Civilian Roles26:47 Conclusion: The Value of Military Medics in Healthcare31:01 The Value of Veterans in Civilian Roles35:19 DOD's Responsibility in Transitioning Veterans39:01 Utilizing DOD Resources for Career Transition43:28 The Importance of Certifications for Medics46:57 Future of Military Medicine and Training51:29 Enhancing Medical Proficiency Training ProgramsThank 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. David Clarke discusses the complexities of chronic pain, emphasizing the mind-body connection and the role of stress and trauma in physical symptoms. He shares insights from his extensive experience treating patients with pain that lacks a clear physical cause, highlighting the importance of understanding psychological factors and the need for a comprehensive treatment approach. Dr. Clarke also addresses the long-term impacts of childhood trauma and offers practical steps for managing chronic pain, including self-care and recognition of one's own struggles. Takeaways Chronic pain can exist without a physical cause. The mind can generate real pain through stress and trauma. Patients often carry more stress than they realize. Understanding the source of stress is crucial for treatment. Psychological factors play a significant role in chronic pain. Self-recognition and self-care are essential for healing. Childhood trauma can have lasting effects on health. Writing about stressors can help in processing emotions. Treatment should address both physical and psychological aspects. Support resources are available for those suffering from chronic pain. Chapters 00:00 Introduction to Chronic Pain and Its Misunderstandings 03:07 The Mind-Body Connection in Chronic Pain 06:13 Understanding Stress and Trauma in Pain Syndromes 09:11 Patient Assessment and Identifying Stressors 12:02 The Role of Psychological Factors in Chronic Pain 14:57 Treatment Approaches for Chronic Pain 17:54 The Importance of Self-Recognition and Care 20:48 Long-Term Impacts of Childhood Trauma 24:13 Practical Steps for Managing Chronic Pain 27:13 Resources and Support for Patients 29:58 Final Thoughts and Conclusion Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this episode of the PFC Podcast, Dennis and Alex discuss the evolving framework of Prolonged Field Care (PFC) and the importance of structured phases of care. They introduce the PeaceKnot framework, which emphasizes preparation, stabilization, normalization, observation, and transportation. The conversation highlights the significance of training, humility, and collaboration in enhancing medical capabilities in operational settings. They also touch on the need for continuous learning and adapting to the complexities of modern conflicts, advocating for a proactive approach to medical training and community engagement. Takeaways The PeaceKnot framework provides a structured approach to PFC. Preparation and logistics are crucial for successful patient care. Observation periods can vary significantly in duration. Humility is essential for effective medical practice. Training opportunities are vital for operational medics. Collaboration enhances medical capabilities in the field. Understanding patient disposition is key in critical care. Experience is necessary to manage critically ill patients effectively. Engagement with community and partners fosters better outcomes. Continuous learning is essential in evolving medical practices. Chapters 00:00 Introduction to Prolonged Field Care 02:54 Defining Phases of Care in PFC 06:08 The PeaceKnot Framework 09:06 Observation and Patient Disposition 11:54 Training and Experience in Critical Care 14:56 The Importance of Humility in Medicine 18:03 Collaboration and Learning in Medical Practice 20:50 Field to Table: Bridging Gaps in Care 23:48 Conclusion and Call to Action Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

All faith begins small, like a mustard seed, but it shouldn't remain that small. It takes work to get it to grow. How are you growing your faith? Visit rollinghills.org/worship to learn how you can interact with other listeners on our Soul Care Blog.

In this episode of the PFC podcast, Dennis and Alex delve into the complexities of scientific article reviews, particularly focusing on a study related to hyperkalemia and its implications in CPR. They discuss the importance of critical thinking in medicine, the gray areas of clinical practice, and the physiological mechanisms behind calcium and sodium bicarbonate use during cardiac arrest. The conversation emphasizes the need for a thorough understanding of research outcomes, limitations, and the application of clinical guidelines in emergency medicine.TakeawaysThe knowledge translation window in medicine is about 17 years.Critical thinking is essential when evaluating medical literature.Medicine often presents gray areas rather than black and white answers.Understanding the physiological mechanisms of treatments is crucial.The outcome of studies should be relevant to clinical practice.Calcium and sodium bicarbonate have specific roles in managing hyperkalemia during CPR.Assessing patients requires more than just looking for classic signs.Confounders in studies can significantly impact outcomes.Clinical practice guidelines provide valuable insights for treatment.Continuous research and questioning are vital for medical advancement.Chapters00:00 Introduction to Scientific Article Review04:14 The Importance of Critical Thinking in Medicine10:41 Understanding Hyperkalemia in CPR11:07 PICO Framework for Research Analysis16:19 Evaluating Study Outcomes and Limitations22:15 Physiological Mechanisms of Calcium and Sodium Bicarbonate28:53 Clinical Practice Guidelines for Hyperkalemia34:07 Conclusions and Future DirectionsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 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 speaks with Brett and Sean about the Arctic Medic course designed to train medics in cold weather environments. They discuss the unique challenges posed by the Arctic, including cold weather injuries, hypothermia management, and the importance of survival skills. The conversation also covers the course structure, objectives, and the necessity of knowledge and experience in extreme conditions.TakeawaysThe Arctic Medic course is essential for training medics in cold weather environments.Cold weather injuries like frostbite and trench foot are significant concerns.Preventative measures and knowledge are key to reducing cold weather injuries.Airway management in extreme conditions poses unique challenges.Hypothermia management requires innovative techniques and equipment.Survival skills are critical for operating in the Arctic.Shelter is a top priority for survival in extreme cold.Experience in the Arctic environment is invaluable for medics.The course aims to create routine and repetition in training.Future iterations of the course will be nested in the Northern Warfare Training Center.Chapters00:00 Introduction to Arctic Medic Course04:02 Course Structure and Objectives10:00 Cold Weather Injuries and Prevention13:56 Airway Management in Extreme Conditions19:57 Hypothermia Management Techniques23:48 Survival Skills in the Arctic30:05 Preparing for Arctic Operations33:55 Course Overview and Future PlansThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 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, Dennis and Doug discuss acute liver injury, its causes, recognition, and management. They explore the liver's vital functions, the implications of liver injury in shock situations, and the importance of early recognition and treatment. The conversation also touches on the role of supplements and heat injury in exacerbating liver issues, emphasizing the liver's resilience and the need for vigilant care in critical situations.TakeawaysThe liver plays a crucial role in toxin clearance and blood metabolism.Acute liver injury can result from hypoxia, heat stroke, and toxins like acetaminophen.Recognizing signs of liver injury early can significantly impact patient outcomes.Supportive care for liver injury includes maintaining glucose levels and managing coagulopathy.The timeline for liver injury can vary, often showing signs later than other organ failures.Preventing acute liver injury involves early recognition and treatment of shock.Supplements can increase the risk of liver injury, especially in heat-related cases.The liver's resilience allows it to withstand significant damage before showing dysfunction.Monitoring lactate and glucose levels can help in diagnosing liver injury.Effective resuscitation is key to preventing progression to severe liver injury.Chapters00:00 Introduction to Acute Liver Injury02:58 Understanding Liver Functions and Injury06:04 Recognizing Acute Liver Injury08:57 Supportive Care for Liver Injury11:47 Challenges in Managing Acute Liver Injury15:04 The Timeline of Liver Injury17:47 Preventing Acute Liver Injury21:13 The Role of Supplements and Heat Injury24:07 Conclusion and Key TakeawaysThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 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, Paul, and Ian discuss the critical topic of cold weather injuries, focusing on frostbite and trench foot. Ian shares his extensive experience in wilderness medicine and military contexts, providing historical insights into the impact of these injuries in warfare. The conversation covers prevention strategies, treatment protocols, and the importance of buddy checks in cold environments. Ian explains the pathophysiology of frostbite, the classification of injuries, and the role of thrombolytics in treatment. The episode concludes with a discussion on trench foot, emphasizing the need for proper foot care and hydration to prevent these injuries. Takeaways Frostbite and trench foot have significant historical military implications. Prevention is key in avoiding cold weather injuries. Buddy checks can help identify early signs of frostbite. Rapid rewarming in warm water is the best treatment for frostbite. Thrombolytics can help reduce tissue loss if administered early. Trench foot requires slow, dry rewarming and careful monitoring. Frostbite classification helps determine treatment and prognosis. Hydration and keeping feet dry are crucial for preventing trench foot. Avoid using active heat sources for rewarming frostbite. Rubbing frostbite with snow is a dangerous myth. Chapters 00:00 Introduction to Cold Weather Injuries 01:49 Historical Context of Cold Weather Injuries 03:14 Understanding Frostbite and Non-Freezing Cold Injuries 05:51 Prevention Strategies for Cold Weather Injuries 09:06 Buddy Checks and Hydration 10:58 Pathophysiology of Frostbite 14:01 Treatment Protocols for Frostbite 20:03 Evacuation Considerations for Frostbite 24:42 Assessment and Classification of Frostbite 30:25 Thrombolytics and Their Role in Treatment 36:11 Trench Foot: Understanding and Treatment 45:39 Conclusion and Key Takeaways Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

When circumstances are less than ideal, how quick are we to put our trust in God? Learn how spending time with God demonstrates our trust in him Visit rollinghills.org/worship to learn how you can interact with other listeners on our Soul Care Blog.

In this gripping conversation, trauma surgeon Max Sirkin MD shares his harrowing experience of being a patient in a mass casualty situation following a helicopter crash. He recounts the chaos of the event, the physical and emotional trauma he endured, and the profound lessons learned about resilience, brotherhood, and the importance of being present for others in crisis. Sirkin's narrative highlights the stark realities of military medicine and the bonds formed in the face of adversity. In this conversation, Max shares his harrowing experience in the trauma bay after a serious injury, reflecting on feelings of inadequacy and failure in the face of trauma. He discusses the psychological impact of moral injury and the importance of behavioral health in recovery. The conversation emphasizes the principle of 'less is more' in trauma care, highlighting the need for careful decision-making in chaotic situations. Max also recounts his experience with ketamine during treatment, illustrating the limited situational awareness of patients in trauma. Finally, he underscores the significance of camaraderie and support among peers in the recovery process. In this conversation, Max Sirkin shares his harrowing experiences in a life-threatening situation, emphasizing the importance of training and preparation in chaotic medical environments. He discusses the critical role of behavioral health in recovery from trauma and the necessity of learning from failures in medical practice. The dialogue highlights the need for teamwork, effective communication, and continuous training to ensure readiness in emergency situations. Takeaways He shares his unique perspective as a patient in a mass casualty situation. The chaos of a mass casualty requires quick and effective decision-making. Surviving a helicopter crash was a life-altering experience for Sirkin. The importance of brotherhood and support in crisis situations is paramount. Sirkin emphasizes the need for medical professionals to be present for their patients. He reflects on the emotional toll of being unable to help others in distress. The narrative illustrates the unpredictability of trauma care in combat zones. Sirkin's story serves as a reminder of the resilience of the human spirit. The conversation sheds light on the realities faced by military medical personnel. It's hard to face the reality of failure in trauma situations. Moral injury can be as impactful as physical injuries. Behavioral health is crucial for recovery after trauma. Less intervention can sometimes lead to better outcomes. Situational awareness is limited when you're a patient. Keeping injured individuals together can aid in recovery. The importance of communication in chaotic medical situations. Ketamine can provide pain relief but also alter perception. Understanding the dynamics of trauma care is essential for providers. Camaraderie among peers is vital for emotional support. Training is essential for managing chaos in medical emergencies. Behavioral health is crucial for recovery from trauma. Surgeons should not consider themselves special; everyone is vulnerable. Daily medical practice is necessary for readiness. Teaching non-medical personnel basic medical skills saves lives. Failure in medicine is inevitable; learning from it is essential. Hope alone is not a strategy in critical care. Understanding trauma can lead to better coping mechanisms. Team dynamics and communication are vital in emergency situations. Every medical provider should be prepared for the unexpected. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this episode of the PFC podcast, Dr. Jim DeCanto, an experienced anesthesiologist, discusses the critical aspects of airway management in emergency situations. He emphasizes the importance of decision-making processes, assessing neurological status, and the necessity of proper planning and preparation for airway interventions. The conversation highlights the challenges faced in both hospital and pre-hospital settings, the significance of having the right equipment, and the need for practitioners to be confident in their skills. Dr. DeCanto shares valuable insights and advice for new practitioners in the field, stressing the importance of thorough assessments and timely interventions to ensure patient safety. Takeaways Airway management is a critical skill for anesthesiologists. Decision-making in emergencies can be complex and requires a plan. Assessing neurological status is crucial before airway interventions. Proper planning and preparation can enhance confidence in emergency situations. Communication with patients, even when unconscious, is important. Practitioners must be ready to act when necessary, as no one else may be available. Understanding the tools and techniques for airway management is essential. Experience and continuous learning are key to improving skills in airway management. Practitioners should not hesitate to perform necessary procedures when indicated. Physical exams and clinical judgment are vital in emergency medicine. Chapters 00:00 Introduction to Airway Management 03:05 Decision-Making in Emergency Situations 12:29 Assessing Neurological Status 20:40 Planning and Preparing for Airway Management 30:50 Clinical Decision-Making in Airway Management 41:21 Advice for New Practitioners Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider 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 ongoing updates and changes within the Tactical Combat Casualty Care (TCCC) guidelines. They delve into the role of the TTC Committee, the importance of literature reviews in developing algorithms for trauma care, and the proposed changes to the March algorithm, emphasizing the need for resuscitation before decompression. The conversation also covers the overhaul of the analgesic section, the recommendations for antibiotics, and the role of TXA in treating hemorrhagic shock. Additionally, they touch on the significance of triage in mass casualty situations and the future directions of the committee's work. Takeaways TCCC is continuously updated to reflect new research. Resuscitation should be prioritized over decompression in trauma care. The March algorithm may undergo significant changes to improve outcomes. Analgesic options are being re-evaluated due to supply issues. Rocephin is being recommended as a primary antibiotic. TXA is crucial for managing hemorrhagic shock in trauma patients. Triage protocols are essential for effective mass casualty management. The committee is open to innovative ideas and solutions. Training and education are vital for implementing new guidelines. Future meetings will focus on finalizing and voting on proposed changes. Chapters 00:00 Introduction to the PFC Podcast 02:46 Understanding the TTC Committee and Its Role 06:06 Literature Review and Algorithm Development 09:00 Resuscitation vs. Decompression in Trauma Care 12:07 Proposed Changes to the March Algorithm 15:06 Analgesic Section Overhaul and Alternatives 18:09 Antibiotic Recommendations and Changes 20:54 TXA and Its Role in Hemorrhagic Shock 23:51 Triage in Mass Casualty Situations 26:45 Future Directions and Upcoming Votes 30:06 Conclusion and Final Thoughts Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this podcast episode, Dennis, Stacy Shackelford, and Doc Rush discuss the critical topic of triage in emergency medical situations, particularly in military contexts. They explore the current challenges in triage practices, emphasizing the need for a shift in thinking towards large-scale events and the importance of adapting strategies based on the number of casualties. The conversation highlights the significance of immediate actions in the first hour post-injury and the necessity of training medics to handle chaotic situations effectively. The episode concludes with a call for a more standardized approach to triage that prioritizes population health over individual patient categorization. This conversation delves into the complexities of tactical medicine in combat situations, emphasizing the importance of prioritizing tactics over medicine, the necessity of clinical experience for medics, and the psychological challenges faced in high-stress environments. The discussion also covers the decision-making process in evacuation scenarios, the identification of surgical needs, and the training required for mass casualty incidents. The speakers advocate for a simplified approach to triage and the need for ongoing training to prepare medics for the realities of their roles. Takeaways Triage practices need to evolve with changing conflict scenarios. Current triage systems are not standardized and often ineffective. Immediate actions in the first hour post-injury are crucial. Training should focus on large-scale event responses, not just individual cases. The first pass actions should prioritize stopping bleeding and ensuring airway clearance. Medics should be prepared for chaotic situations and make quick decisions. Understanding the scale of an event is essential for effective triage. The concept of treating the population rather than individuals is vital. Preparation and rehearsal are key to effective triage in emergencies. Triage decisions should be offloaded to allow for rapid response. Tactics often take precedence over medical interventions in combat. Medics should have regular clinical rotations to enhance their skills. Risk management in evacuation decisions is crucial for team leaders. Psychological preparation is essential for medics facing trauma. Identifying surgical needs should focus on unstable patients. Basic principles of triage should guide decision-making in emergencies. Training for mass casualty scenarios is vital for operational readiness. Medics must be prepared for the reality of not saving every patient. Experience and pattern recognition are key to effective triage. Simplicity in approach can lead to better outcomes in chaotic situations. Chapters 00:00 Introduction to Triage and Its Importance 07:00 Current Challenges in Triage Practices 14:13 Revising Triage Approaches for Large-Scale Events 19:55 Practical Strategies for Effective Triage 30:12 Conclusion and Future Directions in Triage 31:13 Understanding Tactical Medicine in Combat Situations 36:00 The Importance of Clinical Experience for Medics 39:42 Risk Management in Evacuation Decisions 43:03 Preparing Medics for Psychological Challenges 46:07 Identifying Surgical Needs in Critical Care 49:54 The Role of Basic Principles in Triage 52:44 Training for Mass Casualty Scenarios Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this episode of The Standard of Care Podcast, Samantha Johnson and Nick Adams tackle a harrowing real-life EMS case involving a catastrophic ambulance fire in Honolulu, Hawaii. A routine oxygen tank switch turned deadly, sparking conversations around scene safety, equipment maintenance, and the legal standards EMS providers face. Explore the chilling details, from the moment the fire erupted to the ensuing lawsuit against EMS providers and manufacturers. This case shines a spotlight on the intersection of clinical practice and legal implications, offering critical insights for providers at every level.Listen now on your favorite podcast platform or at FlightBridgeED.com. While you're there, explore our award-winning courses designed to elevate your practice and recertification goals. Key TakeawaysAdvanced Insight: The importance of maintaining oxygen equipment, understanding contamination risks (e.g., oil or grease in oxygen regulators), and mitigating dangers in oxygen-rich environments.Practical Tip: Always ensure proper protocol when switching oxygen tanks, such as turning off regulators during transitions and verifying equipment cleanliness.Foundational Learning: Scene safety remains paramount—never compromise personal safety when responding to emergencies, regardless of perceived public expectations.

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In this episode of the PFC Podcast, Dennis speaks with Dr. Ryan Maves, an infectious disease physician, about dengue fever, a significant tropical disease. They discuss the epidemiology, clinical presentation, management, and prevention strategies for dengue, emphasizing the importance of recognizing warning signs and providing supportive care. Dr. Maves shares insights from his extensive experience in tropical medicine, particularly during his time in the Navy and in Peru, where he conducted research on dengue and other vector-borne diseases. The conversation highlights the increasing relevance of dengue in both civilian and military contexts, especially in light of climate change and urbanization. Takeaways Dengue fever is part of the flavivirus family, which includes Zika and chikungunya. The disease is primarily transmitted by the Aedes aegypti mosquito, which thrives in urban areas. Dengue can cause severe morbidity, particularly in non-endemic populations. Management of dengue is largely supportive, with a focus on fluid resuscitation. Warning signs of severe dengue include persistent vomiting, abdominal pain, and altered mental status. Preventive measures include using insect repellent and controlling standing water. Dengue is endemic in many tropical regions, including parts of Latin America and Southeast Asia. Vaccines for dengue exist but are not widely available for adults. Dengue can present with a wide spectrum of symptoms, making diagnosis challenging. Public health strategies are crucial in controlling dengue outbreaks. Chapters 00:00 Introduction to Tropical Medicine and Dengue Fever 03:12 Understanding Dengue Fever: Background and Epidemiology 06:03 Clinical Presentation and Diagnosis of Dengue Fever 08:56 Management and Treatment of Dengue Fever 11:54 Warning Signs and Severe Dengue 15:13 Preventive Measures and Public Health Strategies 18:01 Final Thoughts on Dengue and Tropical Medicine Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this episode of the PFC Podcast, Dennis, Casper, and Paul discuss the concept of Tactical Timeout, a leadership tool designed to enhance communication and operational effectiveness in medical scenarios, particularly in military contexts. They explore the importance of security, operational considerations, and effective patient care, emphasizing the need for clear communication and teamwork. The conversation highlights the significance of understanding the operational environment, managing shift changes, and ensuring that all team members are informed and prepared for any changes in patient status or operational conditions. Takeaways Tactical Timeout enhances team communication and cohesion. Security is paramount in medical operations. Understanding the operational environment is crucial for effective care. Shift changes require clear communication about patient status. Regular patient updates are essential for team awareness. Pain management should be proactive, not reactive. Encouraging team members to speak up fosters a supportive environment. Contingency planning is vital for unexpected situations. Essential supplies should be organized for quick access. Tactical Timeout can be used to clarify uncertainties among team members. Chapters 00:00 Introduction to Tactical Timeout 02:54 Understanding Tactical Timeout in Medical Context 05:48 Importance of Security in Medical Operations 09:13 Operational Considerations for Medical Teams 11:58 Shift Changes and Administrative Updates 14:55 Patient Updates and Communication 17:50 Managing Pain and Patient Care 21:12 Team Dynamics and Communication 24:03 Final Thoughts on Tactical Timeout Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this episode of the PFC Podcast, Dennis speaks with John McClellan, a military trauma surgeon, about the use of Tranexamic Acid (TXA) in trauma care. They discuss the mechanism of TXA, its applications in pre-hospital settings, potential complications, and evolving dosing strategies. John emphasizes the importance of TXA in managing hemorrhage and the need for standardized protocols in trauma care, especially for medics in the field. Takeaways TXA is a lysine analog that helps stabilize clots. The ideal patient for TXA is anyone suspected of needing massive transfusion. TXA is considered a low-risk drug for trauma patients. Pre-hospital administration of TXA is crucial for patient outcomes. Complications from TXA are not increasing significantly. Current dosing strategies for TXA are evolving towards higher initial doses. Preloading TXA can save time in emergency situations. TXA has solidified its role in trauma care over the years. Understanding the pharmacokinetics of TXA is essential for effective use. Standardized protocols are vital for medics in the field. Chapters 00:00 Introduction to TXA and Trauma Care 03:12 Understanding TXA: Mechanism and Applications 05:53 Pre-Hospital Administration of TXA 08:48 Complications and Concerns with TXA 12:06 Dosing Strategies and Evolving Guidelines 15:02 Practical Considerations for Medics 17:57 The Future of TXA in Trauma Care Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Considering recent events, I thought it would be a good time to push this info back out. In this episode of the PFC Podcast, Dennis and Rick discuss critical lessons learned from military operations, particularly focusing on mass casualty situations. Rick shares his extensive experience as a senior medic in the Special Forces, detailing the complexities of managing casualties in combat, the importance of realistic training, and the challenges of communication and coordination during crises. The conversation emphasizes the need for adaptability, accountability, and principle-driven medicine in the field, as well as the resilience of soldiers in the face of adversity. In this conversation, Dennis shares his experiences and insights as a combat medic during a mass casualty event. He discusses the challenges of managing equipment and space, the importance of airway management, and the emotional toll of making critical medical decisions. Dennis emphasizes the need for effective communication, leadership, and the ability to manage chaos in high-pressure situations. He reflects on the lessons learned from his experiences and the importance of advocating for team members' health and well-being. Takeaways Mass casualty situations require a different mindset and approach. Understanding the tactical implications of casualties is crucial. Realistic training scenarios prepare medics for actual combat situations. Communication and coordination are vital during crises. Documenting patient information is essential for effective care. Survival in combat can depend on factors beyond medical intervention. Principle-driven medicine is necessary in unpredictable environments. Adaptability is key when plans change unexpectedly. Accountability in casualty management is critical for success. Resilience among soldiers can lead to unexpected recoveries. Managing equipment effectively is crucial in crisis situations. Airway management can be severely impacted by equipment damage. Quick release systems are essential for efficient casualty management. Senior medics must focus on managing the scene rather than individual patients. Emotional detachment can aid in making difficult medical decisions. Advocating for expectant patients is a challenging but necessary task. Creative solutions are often required for successful evacuations. Post-mission reflections can lead to valuable lessons learned. Communication is key in managing chaos during medical emergencies. Understanding the mission and appropriate equipment is vital for medics. Chapters 00:00 Introduction to Lessons Learned 03:02 Understanding Mass Casualty Situations 05:54 Planning and Execution of Operations 09:01 Adapting to Changing Situations 11:59 The Impact of Explosions and Casualties 14:54 Managing Casualties in Combat 17:48 Training Realism and Preparedness 21:09 Communication and Coordination in Crisis 24:04 Lessons on Accountability and Documentation 27:00 Survival and Resilience in Combat 29:46 Principle-Driven Medicine in the Field 32:57 Navigating Medevac Challenges 35:58 Final Thoughts and Reflections 44:42 Managing Equipment and Space in Crisis 45:39 Airway Management Challenges 46:06 The Importance of Quick Release Systems 47:31 Lessons from Casualty Management 48:46 The Emotional Toll of Medical Decisions 50:51 The Role of Senior Medics in Crisis 52:11 Expectant Patients and Difficult Decisions 54:35 Creative Solutions for Evacuation 56:33 Post-Mission Reflections and Lessons Learned 01:00:03 Advocating for Team Members' Health 01:02:14 The Aftermath of Combat and Team Dynamics 01:04:17 Managing Chaos in Medical Situations 01:06:14 Communication and Leadership in Crisis 01:09:09 Final Thoughts on Mass Casualty Events Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠

Perspective can change our views on our circumstances. Viewing these things through God's perspective can help us avoid the downward spirals and see the greater picture.   Visit rollinghills.org/worship to learn how you can listen to the full episode.

Welcome Back...Let's kick 2025 off with another training discussion. In this conversation, Dennis and John discuss the current state of medical training, particularly in military contexts. They explore the shortcomings of existing training methodologies, emphasizing the need for a foundational knowledge base and a structured approach to skill acquisition. John introduces the concept of cognitive load theory and advocates for a gradual progression in training stressors to enhance learning outcomes. The discussion also touches on cultural challenges within training environments and the importance of engaging experienced learners effectively. In this conversation, Dennis discusses the intricacies of training in operational medicine, emphasizing the importance of establishing a solid training framework, the need for skill development, and the role of effective instructors. He highlights the significance of providing immediate and actionable feedback to build confidence in trainees while avoiding no-win scenarios that can negatively impact learning. The discussion also touches on the cultural aspects of training and the necessity for instructors to adapt their methods based on the audience's experience and needs. Link to Paper: https://nextgencombatmedic.com/2024/09/16/a-lost-opportunity/ Takeaways Training needs a refocus on foundational knowledge. Skill atrophy occurs quickly without regular practice. Repetition is crucial for skill mastery in medical training. Cognitive load theory helps optimize training effectiveness. Gradual progression in stress is essential for learning. Cultural issues can hinder effective training. Experienced learners require different engagement strategies. Training should have clear objectives and outcomes. Effective training must balance quality and quantity of practice. Understanding the audience is key to successful instruction. Establish a clear training framework to guide instruction. Skill development should be prioritized over complex scenarios. Instructors must adapt their teaching methods based on audience experience. Immediate feedback is crucial for effective learning. Avoid no-win scenarios that can demoralize trainees. Confidence building is a key goal of training. Cultural issues can impact training effectiveness. Deliberate practice is essential for instructor improvement. Training scenarios should be relevant and realistic. Instructors should focus on actionable feedback to enhance learning. Chapters 00:00 Introduction to Training Philosophy 05:09 Identifying Issues in Current Training Methods 09:52 The Importance of Foundational Knowledge 15:11 Cognitive Load Theory in Training 19:55 Gradual Progression in Stress Training 24:53 Cultural Challenges in Training 29:48 Engaging Experienced Learners 33:46 Establishing a Training Framework 39:46 The Importance of Skill Development 44:50 Creating Effective Instructors 50:39 Feedback and Confidence Building 58:12 Avoiding No-Win Scenarios in Training

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In this episode of the PFC podcast, Dennis and Doug delve into the practical aspects of lab values in trauma care. They discuss when to draw labs, the significance of pH, the role of bicarbonate and calcium in resuscitation, and the interpretation of blood gas values. The conversation also covers the limitations of hemoglobin measurements, the management of potassium levels in crush injuries, and the use of hypertonic saline in head injury cases. The episode emphasizes the importance of understanding lab values in the context of patient care and the need for timely interventions. Takeaways The pH level is crucial for assessing trauma patients. Resuscitation strategies should be based on lab values. Calcium and bicarbonate play significant roles in trauma care. Blood gas values are essential for ventilator management. Hemoglobin levels may not accurately reflect bleeding severity. Lactate levels can be misleading in trauma situations. Frequent lab draws are not always necessary in stable patients. Hypertonic saline can be beneficial in head injuries. Potassium management is critical in crush injuries. Understanding lab values helps in making informed clinical decisions. Chapters 00:00 Introduction to Trauma Labs 03:02 Understanding pH and Its Importance 06:06 Resuscitation Strategies in Trauma 08:58 The Role of Calcium and Bicarbonate 11:53 Interpreting Blood Gas Values 15:04 The Limitations of Hemoglobin Measurements 18:00 Ventilator Management and Blood Gases 20:47 Frequency of Lab Draws in Trauma 23:55 Managing Potassium Levels in Crush Injuries 26:48 Head Injury Management and Hypertonic Saline 30:08 Lactate Levels and Their Significance 33:13 Conclusion and Key Takeaways Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In this episode of the PFC Podcast, Dennis and Jamie discuss the critical topic of tourniquet conversion versus replacement in trauma care. They explore the guidelines for when and how to convert a tourniquet, the implications of prolonged tourniquet use, and the importance of assessing limb salvageability. The conversation also covers the management of reperfusion injury and the use of calcium and bicarbonate in resuscitation. Jamie emphasizes the need for medics to be prepared and confident in their decision-making to ensure the best outcomes for their patients. Takeaways Tourniquet conversion is crucial for effective hemorrhage control. Understanding the difference between conversion and replacement is essential. Guidelines for conversion depend on the tactical situation. The two-hour mark for tourniquet application is significant for patient outcomes. Resuscitation goals should guide the timing of tourniquet conversion. Be prepared for potential reperfusion injuries after conversion. Assess the viability of the limb before making decisions. Calcium administration can help stabilize the heart during resuscitation. Medics should be confident in their ability to convert tourniquets. Always prioritize patient resuscitation over limb preservation. Chapters 00:00 Understanding Tourniquet Conversion vs. Replacement 03:14 Guidelines for Tourniquet Conversion 08:59 The Two-Hour Rule and Its Implications 12:55 Techniques for Tourniquet Conversion 18:11 Challenges of Prolonged Tourniquet Use 23:48 Assessing Limb Salvageability 29:36 Managing Reperfusion Injury 35:30 Calcium and Bicarbonate in Resuscitation 46:40 Final Advice for Medics on Tourniquet Conversion Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider 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 a recent study on hemodynamic deterioration in trauma patients during inter-hospital transfers. They discuss the implications of the study's findings, the challenges posed by the tyranny of distance in trauma care, and the importance of effective communication in medical transfers. The conversation also covers the study's methodology, the significance of injury severity scores, and the need for stringent monitoring parameters in trauma patient management. In this conversation, Dennis and Alex delve into the complexities of trauma data, particularly focusing on civilian versus military contexts. They discuss the prevalence of ground-level falls in geriatric patients, the challenges of translating civilian trauma data to military settings, and the importance of diagnostic imaging and clinical experience in making informed decisions about patient transfers. The conversation emphasizes the need for better methodologies in trauma research to identify reversible outcomes and improve patient care. Takeaways The tyranny of distance significantly impacts trauma care delivery. Retrospective studies have limitations that can affect their reliability. Effective communication is crucial in medical transfers between facilities. Monitoring parameters like heart rate and blood pressure may not always indicate true patient stability. Understanding injury severity scores is essential for assessing trauma patients. The shock index can be a valuable tool in trauma assessment. There is a need for more stringent criteria in determining patient deterioration. The study's findings highlight the importance of optimizing pre-hospital care. Collaboration between military and civilian medical communities is vital for improving outcomes. Evidence-based practice should guide trauma care protocols. The most common injury mechanism in civilian trauma is ground-level falls. Geriatric patients are particularly vulnerable to lethal injuries from falls. Civilian trauma data may not apply to military settings due to different injury patterns. Diagnostic imaging plays a crucial role in assessing trauma patients. Clinical experience is essential for making transfer decisions. Understanding the limitations of diagnostic tools is vital for accurate assessments. Identifying reversible outcomes can improve trauma care. There is a need for better trauma research methodologies. Noise in data can obscure meaningful insights in trauma studies. Engaging with recent articles can enhance the quality of trauma discussions. Chapters 00:00 Introduction and Overview of the Podcast 02:57 Exploring the Hemodynamic Deterioration Study 05:55 Understanding the Tyranny of Distance in Trauma Care 09:10 Analyzing the Study's Methodology and Outcomes 11:51 Evaluating the Evidence Level and Its Implications 14:45 Discussion on Monitoring Parameters in Trauma Patients 18:01 The Importance of Communication in Medical Transfers 20:46 Diving Deeper into the Study's Findings 23:55 The Role of Injury Severity Scores in Trauma Care 27:11 Concluding Thoughts on Trauma Patient Management 38:01 Understanding Civilian Trauma Data 41:18 Injury Patterns in Geriatric Patients 43:21 Comparing Civilian and Military Trauma 46:37 The Role of Diagnostic Imaging in Trauma 49:17 Decision-Making in Patient Transfers 52:11 The Importance of Clinical Experience 56:30 Limitations of Diagnostic Tools 01:01:30 Identifying Reversible Outcomes in Trauma 01:05:12 Improving Trauma Research Methodologies Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

  All Home Care Matters and our host, Lance A. Slatton were honored to welcome Eoin Walker as guest to the show.     About Eoin Walker:     Eoin has been a paramedic since 2004 with the London Ambulance Service. He has also spent 10 years as a flight Paramedic from 2009-2019 in London, and six years as a ground-based Critical Care Paramedic. He has also recently worked for the Red Cross as a pre-hospital delegate in Cairo, Nairobi and Somalia. He currently works for Airbus Helicopters in Bavaria, Germany.     Eoin runs three podcast channels, these are the “Pre-hospital Care Podcast', Restore with Eoin Walker, and the ‘World Extreme Medicine' podcast.     Eoin started the Pre-hospital Care podcast to have insightful and educating conversations with leaders in their fields of specialism in 2018. The podcast attracts over half a million downloads from over 130 countries (2024). The audience is primarily medical and is aimed at paramedics, nurses, doctors, and other allied healthcare professionals.