Podcasts about care podcast

In this episode of the PFC Podcast, Dennis interviews Dr. John Aho, a general surgeon and emergency medicine expert, discussing the critical topic of needle decompression and the confirmation of placement in cases of tension pneumothorax. Dr. Aho shares his insights on assessing the need for decompression, the techniques and sites for needle placement, and the challenges faced in pre-hospital settings. He introduces the CapNoSpot device, which aids in confirming the correct placement of the needle, and emphasizes the importance of training and understanding vital signs in emergency situations. The conversation highlights the complexities of treating tension pneumothorax and the need for effective tools and protocols in emergency medicine.TakeawaysNeedle decompression is a critical procedure in emergency medicine.Assessing the mechanism of injury is key to determining the need for decompression.Tracheal deviation is a late sign of tension pneumothorax.Subcutaneous emphysema can indicate significant trachea or bronchial trauma.Placement location and depth are crucial for successful needle decompression.The CapNoSpot device can help confirm correct needle placement.Vital signs can change after decompression, but monitoring is essential.Ultrasound technology could enhance pre-hospital care if properly trained.Training and experience are vital for effective use of emergency procedures.Pre-hospital decompression can save lives, but under-treatment is common. Chapters00:00 Introduction to Needle Decompression and Confirmation of Placement01:39 Assessing the Need for Decompression09:47 Techniques and Sites for Needle Decompression14:56 Confirming Placement of Needle Decompression18:49 Monitoring Vital Signs Post-Decompression24:46 The Role of Ultrasound in Decompression29:31 CapNoSpot: A New Tool for Confirmation34:33 Challenges in Pre-Hospital Settings39:31 Final Thoughts on Needle DecompressionThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

In this episode of the Pre-hospital Care Podcast, we explore a cutting-edge innovation that's transforming how HEMS clinicians are trained for high-stakes, life-saving procedures, such as thoracotomy, resuscitative hysterotomy, and other HALO interventions. We're joined by Jamie, founder of Maxres, and Lily, a Critical Care Doctor, to discuss how immersive headset training is being introduced into clinical education, starting with the Thames Valley Air Ambulance.Jamie brings a unique perspective from his time as a pilot and helicopter flight instructor in the Royal Air Force, where he experienced first-hand the value of scenario-based, immersive learning. Combined with Lily's background as a prehospital critical care doctor, their expertise is helping shape a new frontier in clinical preparedness for the most complex and time-critical interventions.Together, we unpack how the MaxRes system works, the science behind its development, and the real-world impact it's having on clinical performance, confidence, and decision-making. We also look to the future, exploring how this technology could revolutionise pre-hospital education, expand into new clinical domains, and deliver highly realistic, repeatable, and effective training experiences.Whether you're a critical care paramedic, HEMS doctor, educator, or healthcare innovator, this episode offers an exciting look at where pre-hospital training is heading and how technology developed for the skies is now making a difference on the ground. Further information on MaxRes can be found here: https://maxres.ai/This episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at pax-bags.com

In this episode of the PFC Podcast, Dennis and John discuss the complexities of chest trauma management, focusing on the use of chest seals, the importance of patient assessment, and the evolving guidelines in tactical medicine. They explore the debate surrounding the March algorithm, the role of blood transfusions, and the techniques for needle decompression and finger thoracotomy. The conversation emphasizes the need for a systematic approach to trauma care and the importance of adapting medical practices based on real-world experiences and outcomes.TakeawaysChest seals can be overused and may cause harm.Patient assessment is crucial before applying interventions.The March algorithm may need reevaluation based on new data.Blood transfusion should be prioritized in trauma care.Needle decompression and finger thoracotomy have distinct roles.Effective thoracotomy techniques can improve patient outcomes.Managing hemothorax and pneumothorax requires careful consideration.Guidelines for chest trauma are evolving based on practical experiences.Training should reflect realistic scenarios in trauma care.Continuous assessment is key in trauma management.Chapters00:00 Introduction to Chest Trauma Management02:56 Understanding Chest Seals and Their Use05:53 The Debate on Chest Seal Application08:31 The Importance of Patient Assessment11:37 Revisiting the March Algorithm14:33 The Role of Blood Transfusion in Trauma17:15 Needle Decompression vs. Finger Thoracotomy20:09 Techniques for Effective Thoracotomy23:16 Managing Hemothorax and Pneumothorax26:01 The Future of Chest Trauma GuidelinesThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this episode of the PFC Podcast, host Dennis interviews Jeff Ory, a recent medical graduate and former infantryman, discussing the critical topic of tension pneumothorax and the techniques for needle decompression. They explore the historical data on tension pneumothorax mortality, the effectiveness of different decompression sites, and the risks associated with the procedure. The conversation also delves into the importance of ongoing training for medics, the debate over who should be trained in needle decompression, and the best practices for chest tube placement. The episode concludes with thoughts on the future of trauma care and the need for continuous improvement in medical training.TakeawaysTension pneumothorax is primarily a blood flow issue, not a respiratory one.The fifth intercostal space is often preferred for needle decompression due to safety and accuracy.Hubbing a needle during decompression poses significant risks.Many patients do not show objective improvement after needle decompression.Training in emergency procedures must be continuous to maintain skills.The placement of chest tubes is debated, with various opinions on the best approach.Most patients with pneumothorax also have other injuries that complicate treatment.Emergency procedures should be simplified for better retention and execution.The risk of injury from needle decompression is a significant concern.Emergent decompression is crucial for patient survival in trauma situations.Chapters00:00 Introduction to the Podcast and Guest01:08 Understanding Tension Pneumothorax07:04 Needle Decompression Techniques and Efficacy12:20 Risks and Complications of Needle Decompression20:03 Training and Skill Retention in Emergency Medicine30:44 Debate on Needle Decompression in Military Training39:04 Chest Tube Placement and Techniques49:22 Conclusion and Future Directions in Trauma CareThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this episode of the Pre-hospital Care Podcast, we delve into the origins and current structure of the Hazardous Area Response Team (HART), a specialist unit within UK pre-hospital care. We explore why the HART model was specifically chosen in the UK and how it compares to Urban Search and Rescue (USAR) counterparts internationally. The conversation offers insights into the unique day-to-day role of a HART team member and how the team integrates with the wider emergency medical services, particularly during high-risk or complex incidents.We also reflect on the evolution of HART, how the model has grown from its early foundations into a sophisticated and responsive service that plays a crucial role in emergency preparedness and response. The episode explores the learning mechanisms and governance structures built into HART to ensure continuous development and safe practice.Additionally, we examine how change management and cultural integration have been essential to embedding HART within the wider healthcare and emergency response ecosystem. This includes addressing the 'hearts and minds' aspect, how to build trust, acceptance, and collaboration between specialist teams and frontline responders to ensure effective teamwork and optimal patient care.Whether you're familiar with HART or new to the concept, this episode offers a deep dive into one of the UK's most technically demanding emergency response capabilities and how it continues to shape the landscape of pre-hospital care.This episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life. PAX – built to perform, made to last.Learn more at pax-bags.com

In this episode of the PFC Podcast, Dennis and Alex Drum discuss the Massimo EMMA device, focusing on its functions, calibration, and clinical applications. They explore the importance of understanding waveforms, interpreting end-tidal CO2 values, and the significance of training and familiarity with medical equipment. The conversation emphasizes the need for proper monitoring techniques and troubleshooting common issues, ultimately highlighting the value of the EMMA device in emergency medicine.TakeawaysThe EMMA device is essential for monitoring end-tidal CO2 in patients.Calibration is crucial for accurate readings and should be done before use.Understanding waveforms can provide valuable insights into patient status.End-tidal CO2 values can indicate patient responsiveness and fluid status.The EMMA device can be used for airway confirmation and monitoring during transport.Training on the device is important for effective use in critical situations.Common issues include leaks in the circuit that can affect readings.Setting alarm variables can help manage patient care more effectively.Familiarity with normal values is key to recognizing abnormalities.The EMMA device is a valuable tool in both civilian and military medical settings.Chapters00:00 Introduction to Massimo and the EMMA Device02:51 Basic Functions and Calibration of the EMMA05:37 Understanding Waveforms and Monitoring08:21 Clinical Applications of Capnography11:39 Interpreting End-Tidal CO2 Values14:35 Advanced Monitoring Techniques and Patient Assessment17:20 Common Issues and Troubleshooting20:08 The Importance of Training and Familiarity23:02 Conclusion and ResourcesThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

Dive into how we, as a church, are “preparing the jars” through praying expectantly, as we were challenged by Pastor Allan. Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog. 

The conversation delves into the complexities of end of life care in combat settings, emphasizing the need for palliative care discussions among military medical personnel. It highlights the challenges faced in recognizing non-survivable injuries, the decision-making process in resuscitation efforts, and the importance of compassionate care for both patients and their loved ones. The discussion also touches on the role of opioids in managing pain and anxiety during end of life care, advocating for a shift in focus from aggressive treatment to comfort and dignity for the patient.TakeawaysEnd of life care is a critical conversation in military medicine.Palliative care is often overlooked in combat settings.Recognizing non-survivable injuries is essential for effective care.Decision-making in resuscitation requires courage and leadership.Compassionate care benefits both the patient and their loved ones.Opioids play a significant role in managing pain in palliative care.Transitioning to palliative care is a necessary step in certain cases.Medical providers must educate themselves on end of life care.Patient autonomy should be respected in decision-making.Compassionate care can alleviate the emotional burden on medical providers.Chapters00:00 Introduction to End of Life Care in Combat02:34 The Challenges of Palliative Care in Military Settings09:57 Recognizing Non-Survivable Injuries19:08 Decision-Making in Resuscitation Efforts35:49 Transitioning to Palliative Care43:03 The Role of Opioids in Palliative Care53:18 Compassionate Care and Patient AutonomyThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

(Lander, WY) - Sarah Wilzbacher and Rachael Price from Lander's Anam Cara Caregiving return for an in-depth interview about their services and information for those dealing with end-of-life caregiving. They're joined by Kelly Dehnert, who used Anam Cara's services when his parents were in need of care. To listen to the full conversation, click the player below or search for the County 10 Podcast on any major podcast player. The Lander non-profit strives to bring relationship, meaning and dignity to the forefront for those dealing with progressive illnesses and end-of-life. Anam Cara Caregiving will be participating in "WyoGives Day" on July 16th. To make a donation to Anam Cara Caregiving during the 24-hour matching period, click here. For more information about Anam Cara's services you can visit their website here. They're also available via phone at: 307-335-4330 *Paid for by Anam Cara Caregiving*

In this episode of the PFC Podcast, Dennis and Kateryna discuss the complexities of trauma care in Ukraine, focusing on a specific case study involving a soldier injured by a drone explosion. They explore the challenges faced in medical response, including the importance of training, communication, and the need for standardized procedures. The conversation highlights the lessons learned from past mistakes and emphasizes the necessity for ongoing education and adaptation in combat medicine.TakeawaysThe importance of learning from mistakes in medical response.Training should be proactive, not reactive to emergencies.Communication is critical in medical evacuations.Standard Operating Procedures (SOPs) are essential for effective care.Medical competence varies widely among personnel in conflict zones.Telemedicine can enhance communication and decision-making in emergencies.Equipment must be accessible and understood by all medical personnel.The need for continuous education and training in trauma care.Understanding the difference between civilian and combat medical practices is crucial.Lessons learned from current conflicts should inform future medical training. Chapters00:00 Introduction and Overview of the Workshop02:53 Case Study: Injury Patterns and Medical Response06:00 Challenges in Medical Competence and Training09:06 Communication and Coordination in Medical Evacuations11:53 The Importance of Standard Operating Procedures15:02 Lessons Learned and Future Improvements17:58 Conclusion and Final ThoughtsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

In this podcast episode, Dr. Givens discusses the complexities of dealing with CBRNE patients in the field, emphasizing the need for a methodical approach to treatment. He introduces the March concept, which integrates CBRNE protocols into tactical care, and outlines the importance of agent identification and treatment protocols. The conversation covers the management of CBRNE patients across different zones, the specific challenges posed by nerve agents and cyanide, and the necessity of supportive care for chemical exposures. Dr. Givens concludes with key takeaways for medical professionals working in high-stress environments.TakeawaysCBRNE is a significant concern in military medicine.A methodical approach is essential for managing CBRNE patients.The March concept can be adapted for CBRNE scenarios.Agent identification is crucial for effective treatment.Understanding the hot, warm, and cold zones is key to patient management.Nerve agents and cyanide require specific treatment protocols.Supportive care is vital for patients exposed to chemicals.Training and practice are necessary for effective response.Communication and teamwork are critical in high-stress situations.Basic skills in chemical exposure management are essential for all medical personnel.Chapters00:00 Introduction to CBRNE and Its Challenges02:53 Understanding CBRNE: A Methodical Approach05:38 The March Concept: Integrating CBRNE into Tactical Care08:47 Agent Identification and Treatment Protocols11:35 Managing CBRNEPatients: Hot, Warm, and Cold Zones14:48 Specific Agents: Nerve Agents and Cyanide17:30 Supportive Care for Chemical Exposures20:28 Key Takeaways and Final ThoughtsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

When life throws the worst at you, are you still giving thanks to God? Corrie Ten Boom's story can give some insight into this concept. Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog. 

In this episode of the PFC Podcast, Dennis and Ethan discuss the complexities of managing chest trauma in pre-hospital settings, focusing on the controversial topic of finger thoracostomy versus needle decompression. They explore the challenges of existing protocols, the importance of training and diagnostics, and the need for better data collection to improve outcomes in trauma care. The conversation emphasizes the significance of context in decision-making and the balance between equipment and training in emergency medical situations.Listen to this podcast AD-Free with premium membership on Spotify or Apple Podcast.TakeawaysThe conversation around chest trauma protocols is ongoing and complex.Finger thoracostomy is not universally applicable; context matters.Training and assessment are crucial in pre-hospital care.Infection risks must be considered with invasive procedures.Data collection in trauma care is often inadequate.Diagnostic techniques like ultrasound can improve decision-making.The effectiveness of procedures can vary based on patient condition.Equipment should complement, not replace, proper training.Understanding the nuances of trauma can lead to better outcomes.Protocols should be adaptable to different scenarios and providers.Chapters00:00 Introduction and Controversial Post02:04 Understanding Chest Trauma Protocols04:59 Exploring the IDF Trauma Registry Study09:54 Infection Risks and Protocol Considerations12:34 Training and Assessment in Pre-Hospital Care15:06 Diagnostic Techniques and Their Importance19:36 Evaluating the Effectiveness of Procedures23:29 The Role of Equipment vs. Training29:22 Data Collection for Better Outcomes35:29 Conclusion and Future ConsiderationsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

Remember when we used to use stacked shocks for ventricular arrhythmias or load patients up with high doses of epinephrine and bicarb? Over the last 25 years, resuscitation guidelines have evolved and it's our job to stay updated on the current protocols.Here to help us break down what's changed and what still works is Dr. Ashish Panchal, Chair of Emergency Cardiovascular Care for the AHA and host of the In the Heart of Care podcast. We discuss how a common cardiac arrest scenario would be treated from 2000 to today, highlighting key guideline changes like the shift to neuroprotective strategies, high-quality CPR, and post-arrest care.Tune in to stay current and hear how science continues to shape the way we save lives!Topics discussed in this episode:How AHA guidelines are developedDr. Panchal's research and impactEarly 2000s resuscitation guidelines“Save the brain” approach in the 2010sHow medication use has evolved, like epinephrineThe current focus on high-performance CPR and neuroprotective strategiesPost-arrest care and survivorshipBalancing clinical trends with scientific validationHow nurses can stay current on AHA guidelinesCheck out the In the Heart of Care Podcast here:https://rqipartners.com/podcast/Mentioned in this episode:CONNECT

This podcast discusses the evolution and importance of telemedicine in operational environments, particularly in military settings. It highlights case studies that demonstrate the need for telemedical support during prolonged field care, the challenges faced by medical teams, and the current solutions available. The conversation emphasizes the significance of training, effective communication, and the integration of technology to enhance patient care in remote and challenging environments.Listen to this podcast AD FREE with premium Membership on Spotify, Apple Podcast, and PatreonTakeawaysTelemedicine is rapidly evolving to support operational environments.Case studies illustrate the critical need for telemedical support.Challenges exist in current medical support systems, particularly in remote areas.Prolonged field care requires innovative solutions like telemedicine.Telemedicine is defined as remote evaluation and consultation using technology.Current telemedical solutions have limitations that need addressing.Future innovations in telemedicine may include AI and robotics.Training is essential for effective telemedical consultations.Asking for help through telemedicine is a sign of strength, not weakness.Technology must be reliable, convenient, and adaptable to various situations.Chapters00:00 Introduction to Telemedicine in Operational Environments02:43 Case Studies Highlighting Telemedical Support05:56 Challenges in Current Medical Support Systems08:35 The Need for Telemedicine in Prolonged Field Care11:53 Defining Telemedicine and Its Importance14:45 Current Telemedical Solutions and Their Limitations17:44 Future Directions and Innovations in Telemedicine20:35 Operational Telemedicine: Best Practices and Recommendations23:24 Q&A Session: Addressing Concerns and Future Growth26:35 Conclusion and Final Thoughts on TelemedicineThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

In this podcast episode, Dennis and Michael discuss the critical role of hemostatic agents in hemorrhage control. Michael, a clinical education manager at Celox Medical, shares his extensive experience as a Navy corpsman and firefighter, emphasizing the importance of understanding the mechanisms of hemostatic agents, the necessity of pressure in controlling bleeding, and the impact of coagulopathy on treatment effectiveness. They also explore practical tips for effective wound packing, the significance of anatomy knowledge, and advancements in hemostatic technology. The conversation highlights the need for continuous training and understanding of medical products to ensure effective trauma care.Listen to this podcast AD-FREE with membership.TakeawaysHemostatic agents provide advantages in controlling bleeding.Pressure is essential for effective hemorrhage control.Understanding anatomy is crucial for effective wound packing.Coagulopathy can significantly affect the effectiveness of hemostatic agents.Different hemostatic agents have varying activation times.Experience and practice are vital for effective hemorrhage management.Advancements in hemostatic technology improve treatment outcomes.Knowledge of product deployment is critical in emergency situations.Training should focus on practical skills and unconscious competence.Continuous education is necessary for all medical professionals. Chapters00:00 Introduction to Hemostatic Agents03:08 Understanding the Need for Hemostatic Agents06:03 Mechanisms of Action in Hemostatic Agents09:05 The Importance of Pressure in Hemorrhage Control11:56 Activation Times and Their Significance14:56 Impact of Coagulopathy on Hemostatic Agents18:01 Practical Tips for Effective Wound Packing21:06 Understanding Anatomy for Effective Hemorrhage Control23:52 The Role of Experience in Hemorrhage Management27:05 Advancements in Hemostatic Technology30:11 Conclusion and Final Thoughts on Hemostatic AgentsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

In this podcast episode, the hosts discuss the critical importance of team dynamics in emergency medical situations, particularly when dealing with critically injured patients. They explore the challenges teams face when individuals work in isolation rather than collaboratively, emphasizing the need for effective communication and organization. The conversation highlights the role of a team leader in overseeing the resuscitation process, the necessity of training as a cohesive unit, and strategies for adapting these concepts in solo medic scenarios. The episode concludes with insights on training for mass casualty situations and empowering team members to take initiative during emergencies.Listen to this podcast AD-Free with membership.TakeawaysTeam dynamics are crucial in critical care situations.Effective communication can prevent missed injuries during resuscitation.A well-organized team can significantly improve patient outcomes.The team leader's role is to maintain oversight and ensure all tasks are completed.Training as a cohesive unit is essential for effective emergency response.Solo medics should utilize checklists to ensure comprehensive care.Mass casualty training should include triage and stabilization protocols.Empowering all team members enhances situational awareness and response.Repetitive training improves team performance in real-life scenarios.Mentored training fosters confidence and cohesiveness within the team.Chapters00:00 Understanding Team Dynamics in Critical Care04:52 Effective Team Organization in Trauma Situations11:14 The Role of the Team Leader in Resuscitation13:38 Adapting Team Concepts for Solo Medics17:00 Training for Mass Casualty Scenarios20:35 Empowering the Team for Better OutcomesThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

When the gravity of life is working against us, what is the thing that protects us from “going splat?” 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 interviews Jason, a seasoned surgeon with extensive military experience. They discuss the challenges and adaptations required for surgical practices in austere environments, the importance of mindset in trauma care, and the need for effective training in both military and civilian contexts. Jason shares insights from his combat deployments and humanitarian work, emphasizing the necessity of flexibility and resourcefulness in providing care under challenging conditions. The conversation also touches on the differences between definitive care and damage control surgery, and offers advice for new providers looking to work in austere settings.TakeawaysJason has extensive experience in military and humanitarian surgical care.Adapting to limited resources is crucial in austere environments.Training in military settings provides invaluable experience for trauma care.Definitive care may be necessary when follow-up is uncertain.Surgical practices must be flexible to accommodate different environments.Understanding the context of care is essential for effective treatment.Courage and basic principles are key for new providers in austere medicine.Experience helps in determining what surgical tools are truly necessary.The global surgical capacity is insufficient for the growing population.Effective communication with local partners is vital for successful operations.Chapters00:00 Introduction to the Podcast and Guest01:14 Military Experience and Surgical Training05:27 Adapting Surgical Practices in Austere Environments13:27 Challenges in Military and Civilian Surgical Training22:13 Definitive Care vs. Damage Control Surgery37:24 Advice for New Providers in Austere MedicineThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this episode of the PFC Podcast, host Dennis interviews Nate, a Special Forces Detachment Commander, who shares his unique perspective on the integration of medical training within military operations. Nate discusses his journey into the medical side of Special Forces, the challenges of establishing effective Standard Operating Procedures (SOPs), and the importance of realistic training and communication of medical capabilities to commanders. The conversation emphasizes the need for curiosity and problem-solving in medical training, as well as the value of community feedback in improving medical practices in austere environments.Listen ad-free with membershipTakeawaysNate's background is not in medicine, but he has a strong interest in improving medical capabilities.The importance of hands-on experience in medical training for Special Forces.Creating effective SOPs is crucial for operational success in medical scenarios.Testing and validating medical plans is essential to ensure effectiveness.Training standards in medicine should be as rigorous as in other military skills.Communication of medical capabilities to commanders is vital for mission success.Curiosity about medicine can enhance team dynamics and operational effectiveness.Problem-solving is a key aspect of medical training and should be embraced.Feedback from the community can help improve medical practices in the field.Establishing a culture of honesty about medical capabilities is necessary for effective planning.Chapters00:00 Introduction to the Podcast and Guest01:02 Nate's Journey into Medical Training03:38 Establishing Standard Operating Procedures (SOPs)06:12 Testing and Validating Medical Plans09:33 The Importance of Training Standards in Medicine12:44 Planning and Realistic Medical Training16:51 Communicating Medical Capabilities to Commanders20:07 The Role of Curiosity in Medical Training23:18 Seeking Community Feedback on Clinic SetupThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-

In this episode of the PFC Podcast, Dennis interviews John Dominguez, a veteran with extensive experience in the Special Operations Medical Association (SOMA). They discuss the origins of SOMA, its evolution into a global organization, and its impact on interoperability among special operations forces. John emphasizes the importance of networking, professional development, and learning from failures in medical training for medics. The conversation highlights how SOMA serves as a platform for sharing experiences and knowledge among medical professionals in the military and beyond. The conversation delves into the importance of experiential learning in medical training, particularly through SOMA's various labs and courses. It highlights the challenges faced in organizing medical conferences, the professional development opportunities available through SOMA, and the significance of leveraging technology for enhanced learning. The discussion also emphasizes the importance of early engagement and membership in SOMA for career advancement and knowledge sharing.Listen to this episode ad-free with our membership.TakeawaysSOMA was established to improve interoperability among special operations medics.The organization has grown to include international representation from over 30 countries.Networking at SOMA events fosters relationships and collaboration among medics.SOMA provides a platform for professional development and training for medics.Learning from failures is crucial in medical practice, especially in high-stakes environments. Experiential learning enhances the connection between theory and practice.SOMA offers various labs that provide hands-on experience in medical training.Attendees can gain different perspectives through international training opportunities.The organization of medical conferences faces unique challenges, especially in funding and logistics.SOMA's growth in attendance reflects its importance in the medical community.Vendors play a crucial role in funding and supporting SOMA events.Professional development opportunities are available for those interested in advancing their careers.Mentorship is a key component of SOMA, aiding in career guidance and development.Technology is increasingly important in medical education and training.Engagement in SOMA can lead to leadership opportunities and influence in the field.Chapters00:00 Introduction to SOMA and Its Origins07:49 The Evolution of SOMA and Its Global Impact14:53 Networking and Interoperability in Special Operations21:59 Training and Professional Development for Medics26:59 Learning from Failures and Sharing Experiences33:54 Experiential Learning in Medical Training41:06 Challenges in Organizing Medical Conferences47:40 SOMA's Professional Development Opportunities55:30 Leveraging Technology for Enhanced Learning01:01:28 Engagement and Membership in SOMAThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

When you are squeezed by life's circumstances, do you ooze the fruits of the spirit or is it something else?   Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog.

In this episode of the PFC Podcast, Dennis and Master Sergeant Dan McGarra discuss the evolving role of females in combat and the challenges faced in medical treatment for female casualties. They explore discrepancies in medical protocols, cultural implications, and the need for gender-neutral approaches in military medicine. The conversation highlights the importance of understanding physiological differences and social dynamics that affect treatment outcomes, as well as the necessity for training that prepares medics for real-world scenarios involving female patients. Dan proposes solutions to improve medical protocols and training to ensure that all soldiers receive appropriate care, regardless of gender.TakeawaysThe percentage of females in the military is increasing, necessitating discussions on their treatment in combat.Studies show discrepancies in trauma treatment between genders, affecting outcomes for female casualties.Cultural and social factors influence how medics respond to female patients in emergencies.Training scenarios often fail to prepare medics for the realities of treating female casualties.Gender biases can lead to inappropriate prioritization in triage situations.Medical protocols need to be updated to reflect the physiological differences between genders.There is a need for gender-neutral training in military medical education.International military practices can provide insights into better treatment for female soldiers.The Sharp training program must include medical emergency protocols to protect both patients and medics.Open discussions about gender and medical treatment are essential for improving care in the military.Chapters00:00 Introduction to Female Participation in Combat02:48 Challenges in Medical Treatment for Female Casualties06:06 Discrepancies in Medical Protocols and Gender Bias09:56 Cultural and Social Implications in Medical Emergencies17:01 Learning from Global Military Practices21:12 Addressing the Sharp Training and Medical Protocols28:46 Proposed Solutions for Gender Neutral Medical TreatmentThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

In this episode of the PFC Podcast, host Dennis engages with Andy Fisher to discuss the controversial topic of needle decompression in Individual First Aid Kits (IFACs). They explore the historical context of IFAC contents, the effectiveness of needle decompression, and the challenges in identifying tension pneumothorax in the pre-hospital setting. The conversation also delves into the training and decision-making processes in combat medicine, assessment techniques for pneumothorax, and potential alternatives to needle decompression. In this conversation, the speakers delve into the evolving perspectives on thoracostomy and its application in pre-hospital settings, particularly in combat medicine. They discuss the implications of tension physiology in hemothorax and the prevalence of massive hemothorax in recent years. The conversation also revisits treatment protocols for chest injuries, emphasizing the need for a shift towards simple thoracostomy over needle decompression. Finally, they evaluate the use of pigtail catheters versus traditional chest tubes, weighing the pros and cons of each in emergency situations.TakeawaysNeedle decompression is debated in the context of IFACs.Historical context shows that needle decompression was not originally included in official DOD lists.Hemorrhage is the leading cause of mortality in trauma cases.Tension pneumothorax is rare, occurring in only 1.1% of cases.Identifying tension pneumothorax in pre-hospital settings is challenging.Medics should rely on objective data for decision-making.Training often prioritizes speed over thorough assessment.Prophylactic interventions for tension pneumothorax may not be effective.Chest tubes are not always life-saving interventions.Exploring alternatives like finger thoracostomy may be beneficial. Evolving views on thoracostomy emphasize its selective use.Needle decompression may be overused in practice.Tension physiology can occur with blood accumulation in the chest.Massive hemothorax is increasingly recognized in trauma cases.Up to 49% of combat casualties require chest tubes.Simple thoracostomy should be prioritized over needle decompression.Patient monitoring is crucial in pre-hospital settings.Pigtail catheters may not be suitable for pre-hospital use.Chest tubes are preferred for their reliability in emergencies.Comfort for the patient is important but should not compromise urgent care.Chapters00:00 Introduction to the Podcast and Guest01:01 Debate on Needle Decompression in IFACs03:20 Historical Context of IFAC Contents06:40 Effectiveness of Needle Decompression09:09 Challenges in Identifying Tension Pneumothorax12:00 Training and Decision-Making in Combat Medicine16:21 Assessment Techniques for Pneumothorax21:29 Interventions for Tension Pneumothorax25:19 Exploring Alternatives to Needle Decompression25:50 Evolving Perspectives on Thoracostomy31:38 Understanding Tension Physiology in Hemothorax36:41 Revisiting Treatment Protocols for Chest Injuries43:12 Evaluating Pigtail Catheters vs. Chest TubesThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

In this conversation, Dennis and Ryan Maves delve into the complex world of hemorrhagic fevers, discussing various viral infections such as Ebola, Lassa fever, and dengue. They explore the symptoms, diagnosis, and treatment options available for these dangerous pathogens, emphasizing the importance of supportive care and proper waste management. The discussion also highlights the challenges faced in resource-limited settings and the need for medical intelligence and preparedness when dealing with potential outbreaks.TakeawaysViral hemorrhagic fevers are highly dangerous pathogens.Ebola is a prototype for understanding these diseases.Symptoms often start as nonspecific febrile illnesses.Diagnosis can be challenging due to overlapping symptoms.Supportive care is crucial for patient survival.Fluid management is a key aspect of treatment.Preventative measures are essential in endemic areas.Waste management is critical in handling infected materials.Medical intelligence plays a vital role in outbreak preparedness.Expertise and resources are available for managing these diseases.Chapters00:00 Introduction to Hemorrhagic Fevers03:07 Understanding Viral Hemorrhagic Fevers05:48 Symptoms and Diagnosis of Hemorrhagic Fevers14:46 Treatment and Supportive Care24:01 Preventative Measures and Waste Management32:00 Expertise and Resources for CareThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

In this episode of the PFC Podcast, hosts Dennis, John, and Paul delve into the development and application of the Abdominal Aortic Junctional Tourniquet (AAJT). John shares his background as an ER doctor and military medic, explaining the need for a device to control pelvic hemorrhage in trauma cases. Paul discusses the first applications of the AAJT in combat situations, highlighting successful case studies. The conversation also covers research findings on the device's efficacy, application techniques, and user experiences, emphasizing its importance in modern trauma care. This conversation delves into the application and implications of medical devices in emergency situations, particularly focusing on ventilation, prolonged application challenges, reperfusion injury, and the comparative effectiveness of RABOA and AJT. The discussion highlights the importance of rapid intervention in traumatic cardiac arrest and the need for ongoing research to improve outcomes in combat and emergency medicine.TakeawaysThe AAJT was developed to address junctional hemorrhage in trauma cases.John's experience in military medicine influenced the design of the AAJT.The device aims to control blood flow to the pelvis effectively.Initial applications of the AAJT have shown promising results in saving lives.Research indicates that the AAJT can be safely applied for up to two hours.Studies have shown that the AAJT is effective in controlling hemorrhage in combat situations.User experience suggests that the AAJT is less painful than traditional tourniquets.The device's design allows for easy application without extensive medical training.Ongoing research is exploring the potential for extended application times.The AAJT has been adopted by multiple military units and allied nations. Ventilation can be maintained even with device application.Prolonged application of medical devices can be challenging.Preparedness is crucial in emergency situations.Every minute of delay in hemorrhage control increases mortality.RABOA has shown to cause harm in some studies.The AJT device offers a promising alternative for hemorrhage control.Research is ongoing to validate the effectiveness of AJT.Traumatic cardiac arrest requires immediate and effective intervention.The future of emergency medicine must adapt to new challenges.Understanding the risks and benefits of interventions is essential.Chapters00:00 Introduction to the AAJT and Its Creators05:09 The Development and Purpose of the AAJT09:59 First Applications and Case Studies14:47 Research and Study Data on the AAJT20:03 Application Techniques and Pressure Management25:09 Practical Demonstration and User Experience26:35 Ventilation and Device Application29:15 Challenges of Prolonged Application32:13 Reperfusion Injury and Monitoring36:59 Risk-Benefit Analysis in Emergency Interventions39:41 RABOA vs. AJT: A Comparative Discussion42:09 Research Insights on AJT Effectiveness45:53 Future of Non-Compressible Torso Hemorrhage Treatment50:03 Traumatic Cardiac Arrest and New ApproachesThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

As we draw closer to Jesus through spiritual disciplines, like soul care, He enables us to see that things in this world are not as they seem.   Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog.

In this episode of the PFC Podcast, Dennis and Kevin discuss the intricacies of waking patients after sedation, focusing on procedural sedation techniques, managing emergence delirium, and the challenges of airway management. They share insights from real-world experiences, particularly in combat and austere environments, emphasizing the importance of monitoring and patient safety during the awakening process. The conversation also covers extubation strategies, the differences between Cric and ET tube management, and the significance of having a well-thought-out emergence plan from the start of anesthesia.TakeawaysWaking a patient requires careful monitoring and reorientation.Emergence delirium can occur with ketamine; vigilance is key.Communication with the patient is crucial during awakening.Airway management is critical, especially in trauma cases.TIVA can complicate the emergence process; planning is essential.Extubation should be based on patient readiness and safety.Cric tubes may be better tolerated than ET tubes.Ventilation support may be necessary during the emergence phase.Understanding the patient's history aids in sedation decisions.Always be prepared for unexpected airway challenges.Chapters00:00 Introduction to Patient Awakening01:16 Procedural Sedation Techniques06:24 Managing Emergence Delirium10:40 Airway Management in Sedation15:27 Waking Up After Long Procedures24:23 Extubation Strategies and Considerations30:29 Cric vs. ET Tube Management39:06 Ventilation and Monitoring During EmergenceThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

In this episode of the PFC Podcast, Dennis and Ethan discuss the critical role of patient positioning in emergency and prolonged field care. They explore various aspects of patient positioning, including its importance for TBI management, ventilation, and airway management. The conversation also addresses the risks associated with changing patient positions, the need for a safety net in patient care, and the operational considerations for medics in the field. They emphasize the significance of training and cultural factors in reducing preventable deaths in combat situations, concluding with a call to focus on the basics of patient care.TakeawaysPatient positioning is often overlooked but crucial in care.Elevating the head of the bed can help with TBI.Ventilation improves with proper patient positioning.Patients can manage their airways better when allowed to position themselves.Reassess interventions after changing patient positions.Improvisation is key in resource-limited environments.Equipment design can enhance patient care in the field.Cultural factors in military medicine impact patient outcomes.Training in patient positioning is essential for medics.Mastering the basics can significantly reduce preventable deaths.Chapters00:00 Introduction to Patient Positioning02:21 The Importance of Patient Positioning06:01 Patient Positioning for TBI and Ventilation09:20 Airway Management and Patient Positioning14:25 Risks and Downsides of Changing Patient Position19:18 Building a Safety Net in Patient Care20:22 Operational Considerations for Patient Positioning24:29 Improvisation and Equipment in Patient Care27:46 Positioning in Prolonged Field Care30:03 Cultural Factors in Reducing Preventable Deaths36:40 Conclusion and Key TakeawaysThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

Since the vast majority of you guys couldn't go to SOMSA '25, I'm bringing SOMSA '25 to you. Paul and I got our steps in this year and recorded a ton of presentations. These presentations with slides will only be available for subscription members...EnjoyIn this episode of the PFC Podcast, Dr. Jason Hiles discusses the challenges and strategies of providing medical care in unconventional warfare environments. He shares insights from his experiences in Southeast Asia, focusing on the importance of adaptability, community engagement, and training local medics to ensure sustainable healthcare practices in resource-limited settings. The conversation covers various surgical techniques, trauma management, and the significance of building trust within the communities served.TakeawaysThe need for trained personnel in war zones is critical.Adaptability in surgical techniques is essential in resource-limited environments.Community engagement fosters trust and improves healthcare access.Surgical care must be tailored to the specific needs of the environment.Triage and evacuation strategies are vital in managing war wounds.Training local medics ensures continuity of care after foreign personnel leave.Simplicity in medical kits can enhance operational efficiency.Understanding local customs and languages improves patient care.The impact of war on civilian health requires innovative solutions.Building relationships with local communities can lead to better health outcomes.Chapters00:00 Introduction to Unconventional Warfare Medicine03:12 Operational Challenges in Resource-Limited Environments06:07 Surgical Techniques and Patient Care in Conflict Zones09:00 Managing War Wounds and Trauma11:55 Triage and Evacuation Strategies15:10 Community Engagement and Building Trust18:14 Training Local Medics and Sustainable PracticesThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

In this episode of the PFC Podcast from last year, Dennis interviews Victor, a former Ranger and current tactical medicine program manager, who shares his experiences in Burma with the Free Burma Rangers. Victor discusses the evolving situation on the ground, his transition from military to humanitarian work, and the challenges of training indigenous forces in combat medicine. He emphasizes the importance of basic medical techniques, the complexities of blood collection and transfusion, and the management of mass casualties in a combat environment. Throughout the conversation, Victor reflects on the lessons learned from his experiences and the realities of operating in a conflict zone. In this conversation, the speaker shares their experiences and insights from operations in Burma, focusing on air operations, reconnaissance techniques, and the challenges of medical planning in hostile environments. They discuss the importance of movement discipline, ground reconnaissance, and resource management in ensuring the safety and effectiveness of their operations. The conversation highlights the complexities of providing medical care in combat situations and the need for adaptability and strategic planning.TakeawaysVictor transitioned from military service to humanitarian work.The situation in Burma is rapidly changing with ethnic forces gaining ground.Training indigenous forces requires cultural understanding and respect.Basic medical techniques are crucial in combat medicine training.Blood collection and transfusion present significant challenges in the field.Managing mass casualties requires effective triage and resource allocation.Training local medics can lead to successful outcomes in emergencies.Logistics and communication are vital in combat scenarios.The experience highlighted the importance of adaptability in medical training.Victor learned to appreciate the resources available in military medicine. The Burma army utilizes advanced air operations for reconnaissance and strikes.Movement and noise discipline are critical in combat situations.Ground reconnaissance is essential for safe movement and operational success.Medical planning must account for the capabilities of local hospitals.Prolonged field care requires careful consideration of resources and logistics.Effective communication and teamwork are vital during operations.Understanding enemy tactics can enhance operational planning.Pre-packing medical supplies can save time during emergencies.Adaptability is key in unpredictable combat environments.Continuous learning and preparation are necessary for effective field care.Chapters00:00 Introduction to Victor's Journey01:57 The Situation in Burma04:08 Transitioning from Military to Humanitarian Work05:50 Training Indigenous Forces in Combat Medicine12:07 Implementing Medical Techniques in the Field19:47 Challenges of Blood Collection and Transfusion28:03 Managing Mass Casualties in Combat39:48 Lessons Learned from the Experience41:58 Air Operations and Reconnaissance Techniques47:12 Engaging with the Enemy: Capturing Prisoners50:16 Ground Reconnaissance and Movement Discipline55:29 Medical Planning in Hostile Environments01:01:40 Challenges of Prolonged Field Care01:07:13 Logistical Considerations and Resource ManagementThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

To most of us, worry is second nature. However, in tough circumstances, God is often asking us not to worry, but rather to trust him.   Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Podcast. 

In this episode of the PFC Podcast, Dennis and Doug delve into the complexities of bradyarrhythmias, discussing their recognition, causes, and treatment options. They explore the importance of vital signs, differential diagnosis, and the various pharmacological and electrical interventions available for managing bradycardia. The conversation also touches on the implications of overdoses and the long-term management of patients with bradyarrhythmias, emphasizing the need for a comprehensive approach in emergency medicine.TakeawaysRecognizing bradycardia involves checking vital signs and symptoms.Not all bradycardias are the same; context matters.Altered mental status can indicate shock in bradycardia cases.Lyme disease is a significant cause of bradycardia in younger populations.Narcotic overdose can lead to bradycardia and requires immediate attention.Atropine is a quick and handy treatment for bradycardia.Transcutaneous pacing is a common emergency intervention.Dopamine is preferred for its targeting of heart rate in bradycardia.Glucagon is an expensive but necessary treatment for beta-blocker overdose.Treating hypoxia is crucial before addressing bradycardia.Chapters00:00 Introduction to Bradyarrhythmias03:01 Recognizing Bradycardia and Its Symptoms06:14 Causes of Bradycardia09:02 Differential Diagnosis in Bradycardia11:57 Stabilization and Treatment Approaches14:46 Pharmacological Interventions for Bradycardia17:59 Electrical Interventions: Pacing Techniques20:55 Managing Overdoses and Bradycardia23:48 Long-term Management and Follow-up26:54 Conclusion and Key TakeawaysLink to full podcast:⁠⁠https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-228-DImE-e32aek2⁠⁠Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

In this episode of the PFC Podcast, Ian Wedmore, an expert in high altitude medicine, discusses the newly released Clinical Practice Guidelines (CPG) for altitude-related illnesses. The conversation covers the pathophysiology of acute mountain sickness, high altitude pulmonary edema, and high altitude cerebral edema, as well as their diagnosis and treatment protocols. Ian emphasizes the importance of understanding the symptoms, utilizing technology, and implementing prevention strategies to effectively manage altitude illnesses in military and wilderness settings.TakeawaysThe new CPG for altitude medicine is a significant advancement.Acute mountain sickness occurs when the body ascends too quickly without acclimatization.Diagnosis of altitude sickness relies heavily on symptom scoring systems.Vital signs are crucial for diagnosing high altitude pulmonary edema.Dexamethasone is essential for treating high altitude cerebral edema.Pre-exposure prophylaxis can reduce the risk of altitude sickness.Acetazolamide is the primary medication for preventing acute mountain sickness.Understanding the pathophysiology of altitude illnesses is key for treatment.Good hydration and nutrition are critical for acclimatization.Data collection through medic encounter forms will improve altitude care.Chapters00:00 Introduction to High Altitude Medicine02:51 Understanding Acute Mountain Sickness06:13 Diagnosing and Differentiating Altitude Illnesses08:56 Pathophysiology of High Altitude Pulmonary and Cerebral Edema12:04 Treatment Protocols for Altitude Illnesses15:08 Utilizing Technology in Altitude Medicine18:00 Prevention and Prophylaxis Strategies20:45 The Role of Medications in Altitude Care24:13 Future Directions in Altitude Medicine27:01 Conclusion and Key TakeawaysLink to full podcast:⁠https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-228-DImE-e32aek2⁠Thank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

In this episode of the PFC Podcast, Dennis speaks with Dr. Jim Czarnik, a retired Army officer with extensive experience in military medicine and operations. They discuss the complexities of military medicine, the importance of communication between medical and operational personnel, and the challenges of adapting to future conflicts, particularly in the context of large-scale combat operations (LISCO). Jim emphasizes the need for honest discussions about the role of medicine in the military and the moral dilemmas faced in battlefield situations. The conversation also touches on the integration of technology in tactical medicine and the necessity of training for real-world scenarios. In this conversation, the speakers delve into the complexities of military operations, focusing on the moral dilemmas faced by medics, the importance of understanding diplomatic language, and the necessity of being well-informed about national interests when engaging in foreign nations. They emphasize the need for courageous vulnerability in communication and the importance of preparation and information gathering to ensure successful missions. This conversation delves into the complexities of military operations, particularly focusing on the importance of resource management, the necessity of basic medical skills in prolonged field care, and the critical role of clinical judgment in medical training. The speakers emphasize the need for cultural sensitivity and effective patient interaction in combat situations, as well as the importance of strategic engagement and long-term planning in military medicine. They discuss the challenges faced by medics in adapting to different environments and the need for a collaborative approach to healthcare in military operations.TakeawaysMedicine exists to serve the line, highlighting its role in military operations.There is often a lack of understanding between medical and operational personnel.Training for LISCO requires adapting to the environment, not just changing it.Time is a critical factor in military operations and training.Moral dilemmas in battlefield medicine need to be addressed beforehand.Technology can enhance tactical medicine, but must be integrated thoughtfully.Honest discussions about roles and expectations are crucial in military settings.The complexity of military medicine requires a balance between operational needs and medical capabilities.Future conflicts will demand innovative approaches to medical care on the battlefield. It's not just about the mission; it's about the relationships.Engagement with foreign nations requires understanding their systems.Courageous vulnerability is essential in military interactions.Clinical judgment is often lacking in medical training.The command element must prioritize medical training.Long-term planning is necessary for successful military engagement.Chapters02:51 Winning in a Complex World: Insights from Jim19:32 The Role of Technology in Tactical Medicine27:15 Adapting to Future Conflicts: LISCO and Beyond42:51 Warrior's Will and Moral Dilemmas45:07 Understanding the Medic's Role in Military Operations47:20 Navigating Diplomatic and Military Language52:00 Engagement Strategies in Foreign Nations01:01:11 Understanding National Interests and Engagement Plans01:07:57 Information Gathering and Preparation01:12:43 Courageous Vulnerability in Military Engagements01:20:26 The Future of Military Operations and Resource ManagementThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

This conversation delves into the critical aspects of tourniquet management in trauma care, focusing on the distinction between tourniquet conversion and replacement, the importance of resuscitation, and the physiological implications of prolonged tourniquet use. The speakers discuss techniques for safe conversion, the challenges faced in the field, and the assessment of limb salvageability, emphasizing the need for preparedness and patient assessment in high-stress environments. This conversation delves into the complexities of patient care in trauma situations, focusing on the challenges faced by medics in making critical decisions about limb salvage, managing acidosis, and understanding reperfusion injury. The speakers emphasize the importance of resuscitation, the need for adequate resources, and the moral dilemmas that arise in emergency medical situations. They provide practical advice for medics on how to navigate these challenges effectively while ensuring patient safety and care quality.TakeawaysTourniquet conversion is essential in trauma care.Understanding the difference between conversion and replacement is crucial.Resuscitation is a key factor before converting a tourniquet.The two-hour mark for tourniquet use is based on physiological considerations.Prolonged tourniquet time can lead to significant metabolic issues.Be prepared for reperfusion injury when converting a tourniquet.Confidence in tourniquet conversion skills is often lacking among providers.Patient assessment is critical before converting a tourniquet.Limb salvageability can vary and should be assessed carefully.The decision to convert a tourniquet should prioritize patient stability. Imperfect situations require difficult decisions in patient care.Triage decisions are crucial when resources are limited.Resuscitation is the primary goal in trauma care.Understanding reperfusion injury is essential for medics.Managing acidosis can significantly impact patient outcomes.Blood transfusions are critical in trauma situations.Medics must be prepared for potential complications.Always monitor and assess the patient's condition continuously.Reading medication labels is vital for safe practice.Confidence in converting tourniquets is essential for medics.Chapters00:00 Introduction to Tourniquet Management02:56 Understanding Tourniquet Conversion vs. Replacement06:10 Resuscitation Goals and Tourniquet Timing08:58 Physiological Implications of Prolonged Tourniquet Use11:47 Techniques for Safe Tourniquet Conversion15:09 Challenges in Tourniquet Management17:53 Assessing Limb Salvageability and Patient Stability25:44 Navigating Imperfect Situations in Patient Care30:32 Triage Decisions: When to Save a Limb31:03 Understanding Reperfusion Injury and Its Challenges35:43 Managing Acidosis in Trauma Patients46:34 Advice for Medics: The Importance of ConversionThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

How often do you sit in God presence? We can be good at doing things, even good things, but is that taking away our opportunity to be still with God?   Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog. 

In this episode of the PFC Podcast, Dennis and Alex delve into the complexities of burn resuscitation, discussing recent advancements in fluid management and the importance of urine output monitoring. They explore the historical context of burn care, the role of glycocalyx in fluid dynamics, and evaluate various resuscitation protocols. The conversation emphasizes the need for careful fluid management to avoid complications and improve patient outcomes, particularly in emergency and military settings.TakeawaysBurn injuries require specialized and intensive care.Fluid management is critical in burn resuscitation.The glycocalyx plays a significant role in fluid dynamics.Urine output is a key indicator of patient status.Over-resuscitation can lead to severe complications.Plasma therapy shows promise in improving outcomes.Historical protocols may need reevaluation based on new evidence.Monitoring urine output is essential for adjusting fluid therapy.Collaboration with burn centers is crucial in managing severe cases.Understanding the physiological changes in burn patients is vital.Chapters00:00 Introduction to Burn Resuscitation03:09 Understanding Burn Injuries and Their Management06:00 Fluid Management in Burn Patients09:05 The Role of Glycocalyx in Fluid Dynamics12:04 Evaluating Burn Resuscitation Protocols15:08 Comparing Fluid Resuscitation Strategies17:51 The Importance of Urine Output Monitoring20:47 Outcomes of Different Resuscitation Approaches24:01 Recommendations for Burn Care in the Field26:59 Final Thoughts on Burn ResuscitationThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

In this episode of the PFC Podcast, trauma surgeon Dr. Mark Shapiro discusses advanced trauma care techniques, including Roboa, hemorrhage control methods, and the importance of decision-making in high-stakes environments. He emphasizes the need for ongoing training and collaboration between civilian and military medical professionals to improve patient outcomes in trauma situations. The conversation also touches on the role of telemedicine in providing guidance for advanced procedures in austere settings.TakeawaysRoboa is a controversial procedure with mixed reviews.Decision-making in trauma surgery is critical and complex.Training and practice are essential for proficiency in advanced procedures.Telemedicine can enhance trauma care by providing expert guidance.Collaboration between civilian and military trauma care is vital.Alternative hemorrhage control techniques are limited but evolving.The consequences of surgical decisions can be life or death.Regular training refreshers are necessary for trauma medics.Understanding the environment is crucial for effective trauma care.Patient outcomes can improve with better training and experience.Chapters00:00 Introduction to Advanced Trauma Care02:51 Understanding Roboa and Its Implications06:11 Decision-Making in Trauma Surgery09:03 Exploring Alternative Hemorrhage Control Techniques12:03 The Role of Training and Practice in Trauma Procedures15:04 Shunts and Limb Reperfusion in Trauma18:04 Thrombectomy and Its Challenges21:03 Telemedicine in Trauma Care24:11 Collaboration Between Civilian and Military Trauma Care27:13 Recruiting and Training for Advanced Trauma ProceduresThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this conversation, Dennis and Justin explore the nuances of providing feedback in educational settings, particularly in medical training. They discuss the importance of tailoring feedback to different learner levels, the concept of training to failure, and the significance of creating a safe environment for feedback. The conversation also delves into assessing learner needs, setting expectations, and the balance between giving constructive criticism and managing personal egos. Overall, the discussion emphasizes the art of effective teaching and the complexities involved in delivering feedback that fosters growth and learning. In this conversation, Justin Doroshenko and Dennis discuss the intricacies of medical education, focusing on the importance of addressing learner anxiety, facilitating self-discovery, and the significance of process-oriented learning. They explore the concept of training to failure, the design of effective training scenarios, and the necessity of establishing clear learning outcomes. Additionally, they emphasize the recognition and addressing of training scars that can hinder a learner's development.takeawaysTailoring feedback is essential for different learner levels.Training to failure can enhance learning experiences.Feedback should be task-oriented for beginners.Creating a safe environment for feedback is crucial.Setting clear expectations helps learners prepare for feedback.Experienced providers may not always be effective teachers.Feedback can resonate differently with each individual.Understanding the learning spectrum aids in providing effective feedback.Balancing feedback with personal ego is important for educators.Feedback is a gift that can lead to growth or resistance. New learners often panic when faced with criticism.Understanding the thought process behind decisions is crucial.Facilitating self-discovery enhances learning outcomes.Training to failure can be a valuable educational tool.Creating realistic training scenarios is essential.Establishing clear learning outcomes guides the educational process.Feedback should focus on the thought process, not just outcomes.Recognizing training scars can improve teaching effectiveness.Peer feedback can be less intimidating for learners.Teaching judgment is more complex than teaching facts.Chapters00:00 Tailoring Feedback for Different Learners02:57 Training to Failure in Education05:57 Understanding the Learning Spectrum08:55 Assessing Learner Needs11:59 Creating a Safe Feedback Environment14:59 The Importance of Setting Expectations17:46 Navigating the Feedback Process20:47 The Gift of Feedback24:00 The Role of Experience in Teaching27:05 Balancing Feedback and Ego35:00 Navigating Learner Anxiety in Medical Education37:50 Facilitating Self-Discovery in Learning40:55 The Importance of Process Over Outcome43:55 Pushing Boundaries: Training to Failure48:48 Designing Effective Training Scenarios54:10 Establishing Clear Learning Outcomes57:55 Recognizing and Addressing Training ScarsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

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

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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.

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

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