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When a paramedic in Kentucky faced a dying patient and a vial of antivenom, he had to make a split-second decision that could save a life… or end his career.In this episode of The Standard of Care Podcast, hosts Samantha Johnson and Nick Adams unpack one of the most talked-about EMS legal stories of the year: a paramedic who administered a rare antivenom under physician direction, only to find himself facing potential loss of his license.They break down the legal and ethical dilemmas behind the scope of practice, the real-world limits of medical direction, and what administrative law really means for providers in the field. Whether you're an advanced clinician, a medic early in your career, or just starting in EMS, this episode offers insights that can protect your license — and your patients.Listen now wherever you get your podcasts!KEY TAKEAWAYSScope vs. survival: Following the book may not always match the field reality — but understanding the limits of your practice can be the difference between being cleared and being called before the board.Medical direction matters: Acting under direct physician orders may protect you legally, but not always administratively — and that nuance can decide the fate of your license.Administrative law 101: The state board doesn't have discretion to ignore complaints; every case gets investigated. Knowing this process is essential to defending your practice.Culture check: Heroic instincts can lead to dangerous freelancing. True professionalism lies in humility, documentation, and system adherence.Protect your license: When facing an investigation, don't go it alone. Hire an attorney familiar with administrative law. You wouldn't run a resuscitation solo — don't handle your legal defense solo either.SHOWNOTESGivot, D. (2025, October 7). When Doing the Right Thing Breaks the Rules. EMS1. https://www.ems1.com/ems-protocols/when-doing-the-right-thing-breaks-the-rules Hawkins, T. (2025, September 28). Facebook Comment. October 10, 2025, https://www.facebook.com/tiffany.heilmann/posts/this-is-the-best-breakdown-i-have-seen-/10108839286161953/ Abo, B. (2025). Venom / Toxinology. Venom / Toxinology & Wildlife. https://www.abo911.org/venom-toxinology Williams, A. (2025, September 28). Expert Weighs in as Ky.. EMS Team Under Fire for Administering Antivenom. https://www.wkyt.com. https://www.wkyt.com/2025/09/28/expert-weighs-ky-ems-team-under-fire-administrating-anti-venom/
In this episode of the PFC podcast, Dennis and Bryce discuss the challenges and strategies of training non-medics in medical skills. Bryce shares his experiences as an 18 Delta Special Forces medic, emphasizing the importance of engaging team members in medical training to enhance patient care and operational effectiveness. The conversation covers the benefits of mentorship, fostering curiosity among team members, and the significance of cross-training. They also delve into the progression of medical training, the importance of understanding vital signs, and offer advice for new medics entering the field.TakeawaysTraining non-medics is essential for effective patient care.Engagement through competition can motivate team members.Proficiency in medical skills enhances team reputation.Mentorship plays a crucial role in developing skills.Curiosity among team members leads to better learning.Cross-training improves overall team performance.Understanding vital signs is critical for decision-making.Progressive training helps in skill retention and application.Effective communication with medical providers is vital.New medics should focus on building confidence and competence.Chapters00:00 Introduction to Medical Training for Non-Medics02:52 Engaging Non-Medics in Medical Training05:43 Operational Benefits of Training Non-Medics09:04 The Role of Mentorship in Medical Training11:58 Encouraging Curiosity and Learning14:52 Cross-Training and Its Importance17:46 Progression in Medical Training20:55 Vital Signs and Patient Assessment23:53 Advice for New MedicsFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Are we choosing to sit on the bus while we miss out on the experiences that God has planned for us? Visit rollinghills.org/worship to learn how you can interact with others on the Soul Care Blog.
In this episode of the PFC Podcast, Dennis speaks with Justin Ball, a licensed clinical social worker and former Green Beret, about the complexities of combat stress and mental health. They discuss the importance of recognizing maladaptive stress responses, the concept of limbic hijack, and the significance of co-regulation techniques in high-stress situations. Justin introduces the SABRE method for managing stress and emphasizes the impact of home life on mental health. They also explore the challenges of dealing with failure, imposter syndrome, and the importance of daily calm practices, especially during the transition out of military service. The conversation concludes with resources for mental health support within the military community.TakeawaysCombat stress can lead to maladaptive behaviors.Limbic hijack can impair decision-making in emergencies.Co-regulation is essential for managing stress in others.The SABRE method provides a structured approach to calming techniques.Daily practices of calm can help maintain mental health.Retirement can be a challenging transition for veterans.Understanding personal limits is crucial for mental well-being.Imposter syndrome affects many in the military community.Home life stress can significantly impact mental health.Resources like Soft Network can aid in finding mental health support.Chapters00:00 Introduction to Combat Stress and Mental Health01:21 Justin's Background and Experience04:50 Recognizing Maladaptive Stress Responses11:10 Understanding Limbic Hijack and Emotional Responses17:46 Co-Regulation Techniques in High-Stress Situations21:50 The SABRE Method for Managing Stress34:38 Identifying Signs of Emotional Distress41:31 The Impact of Home Life on Mental Health49:15 Dealing with Failure and Imposter Syndrome01:00:59 The Importance of Daily Calm Practices01:07:10 Navigating Retirement and Transitioning Out01:38:02 Resources for Mental Health SupportFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC podcast, Dennis, Andrew, and Rick delve into the complexities of triage in emergency medicine, particularly in mass casualty situations. They discuss the importance of understanding triage categories, share real-life experiences, and emphasize the role of leadership and resource management in effective triage. The conversation also highlights the need for integrated training that encompasses security and command aspects, as well as the necessity of adapting training scenarios to prepare for the realities of mass casualty events. The episode concludes with reflections on how to improve triage processes and training methodologies.TakeawaysTriage is chaotic and unpredictable, requiring intuitive methods.In mass casualty situations, focus on immediate life threats first.Leadership is crucial in managing triage and patient movement.Dynamic triage requires continuous reassessment of patient conditions.Training should include realistic scenarios where not all patients survive.Effective communication and coordination are essential in triage.Incorporate security measures in triage training.Training should align with both medical and non-medical goals.Utilize available resources efficiently during triage.Commanders must be involved in triage decision-making processes.Chapters00:00 Introduction to Triage and Its Importance02:27 Understanding Triage Categories07:11 Real-Life Triage Experiences09:43 The Role of Leadership in Triage19:32 Dynamic Triage and Resource Management29:04 Integrating Security and Command in Triage38:40 Training for Mass Casualty Scenarios50:40 Final Thoughts on Triage and TrainingFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, host Dennis speaks with Steve Schauer, a lieutenant colonel in the US Army and a critical care fellow, about his research on calcium levels in trauma patients. They discuss the importance of understanding calcium derangements, the challenges of correlating civilian and military trauma, and the impact of pre-hospital care on calcium levels. Steve shares insights from his study, including data collection methods, patient enrollment, and the physiological implications of calcium in trauma care. The conversation also covers the prioritization of interventions in trauma management, the role of TXA, and the need for ongoing research in this critical area of medicine.TakeawaysCalcium derangements are common in trauma patients.Pre-hospital care can significantly affect calcium levels.Understanding the correlation between civilian and military trauma is challenging.Data collection in trauma studies is complex and requires careful planning.TXA is crucial for preventing the breakdown of clots in trauma patients.Calcium administration must be approached cautiously in trauma care.Blood products are the top priority in trauma management.The physiological role of calcium in coagulation is critical.Future research is needed to clarify the role of calcium in trauma care.Medicine is constantly evolving, and practitioners must stay updated.Chapters00:00 Introduction to Calcium Study in Trauma02:48 Understanding Calcium Derangements in Trauma Patients05:47 Challenges in Correlating Civilian and Military Trauma08:32 Pre-Hospital Factors Affecting Calcium Levels11:31 Data Collection and Patient Enrollment14:29 Retrospective Data Insights on Calcium Levels17:04 Calcium Administration in Trauma Care20:16 Prioritizing Interventions in Trauma Management23:25 The Role of TXA in Trauma Care26:19 Physiological Implications of Calcium in Trauma29:17 Final Thoughts and Future Research DirectionsFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Jesus is asking us to follow Him, so we can be more like Him. Every day. All day. And that is hard. Visit rollinghills.org/worship to learn how you can interact with other listeners on the Soul Care Blog.
By Adam Turteltaub With a rising focus on value-based care, and a new program seeking to make the approach mandatory, we spoke with Ed White (LinkedIn), Partner at Nelson Mullins. Previous efforts to move toward value-based models, such as Accountable Care Organizations (ACOs), faced significant barriers due to regulatory frameworks like the Stark Law and Anti-Kickback Statute. These laws were designed to prevent financial incentives from influencing medical decisions, but they also limited the ability of hospitals and physicians to collaborate in ways necessary for effective value-based care implementation. Recognizing these constraints, CMS and the Office of Inspector General (OIG) collaborated in 2020 to issue new regulations aimed at facilitating the transition to value-based care. The next step in the transition is the new Transforming Episode Accountability Model or TEAM program, which will become mandatory in 2026. This program includes 740 hospitals across the country and targets five specific surgical procedures. Participating hospitals must coordinate care with a range of providers—including specialists, primary care physicians, labs, durable medical equipment (DME) providers, hospice agencies, and others. The TEAM program is designed to last for five years, during which time hospitals are responsible for ensuring that patients are connected to appropriate post-discharge care, including follow-up with primary care providers. The goal is to reduce complications, avoid emergency room readmissions, and promote better health outcomes—all while keeping costs below a CMS-established target price. To drive efficiency, the TEAM program introduces three financial risk “tracks”: Upside-only track – Hospitals can earn shared savings if costs come in below the target price. Moderate risk (upside/downside) track – Hospitals can either earn savings or incur penalties depending on performance. Full-risk track – This track will offer both greater risks and rewards. According to industry consultants, two-thirds of participating hospitals are expected to lose money in the early phases of the TEAM program. Hospitals must rethink their compliance, care coordination, and partnership strategies in the wake of these changes. Listen in to learn more about what this all means for your compliance program both today and in the future.
In this episode of the PFC Podcast, Dennis and Mike Hetzler delve into the intricacies of mission planning, particularly in the context of medical operations in foreign environments. They emphasize the importance of thorough preparation, understanding local medical infrastructures, and the necessity of proactive planning to ensure successful outcomes in high-stakes situations. The conversation covers various aspects of pre-deployment planning, including site surveys, gathering medical intelligence, and the critical need for validation of resources. The speakers share personal experiences and lessons learned, highlighting the importance of communication, collaboration, and attention to detail in military medicine.TakeawaysPlanning and preparation are crucial for success in medical missions.Assumptions can lead to critical failures in planning.Validating medical resources on the ground is essential.Pre-deployment site surveys provide vital information for mission success.Understanding local medical infrastructure is key to effective operations.Proactive planning helps mitigate risks in high-stress environments.Communication with local facilities is necessary for effective patient care.Rehearsing evacuation plans ensures readiness for emergencies.Civilian transportation options can complicate medical evacuations.Attention to detail can make the difference between success and failure. Chapters00:00 Introduction to Mission Planning and Preparation03:00 Understanding the Importance of Pre-Mission Analysis06:00 Planning for Medical Operations in Foreign Environments08:55 The Role of Intelligence in Medical Planning11:37 Navigating Medical Resources and Facilities14:47 Confirming Medical Assets and Avoiding Assumptions17:45 Creating a Common Operating Picture for Medical Operations20:29 The Importance of Communication and Coordination23:46 Enhancing Host Nation Medical Capabilities26:40 Utilizing Running Sketches for Effective Planning27:40 Proactive Risk Mitigation in Medical Operations29:44 Assessing Medical Facility Capacity32:18 Understanding Patient Movement Requests35:47 Navigating Civilian Transportation for Medical Evacuations40:26 The Importance of Rehearsals and Planning52:18 Professionalism in Medical PreparednessFor 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 Mike discuss the complexities of providing medical care in austere environments, focusing on the importance of understanding requirements, building relationships, and executing effective educational processes. They emphasize the need for thorough planning, cultural awareness, and continuous assessment to ensure successful outcomes in humanitarian missions.TakeawaysUnderstanding the requirement is critical for success.Building a common language enhances collaboration.Cultural interpretation is essential in medical missions.Assessment should be continuous throughout the process.Planning and preparation account for 80% of success.Under promise and over deliver to manage expectations.Engaging with local partners is vital for effective training.Utilizing local resources can enhance understanding.Measuring both performance and effectiveness is necessary.Perfecting the basics is crucial for impactful education.Chapters00:00 Introduction to the Podcast and Guest01:43 Understanding Requirements in Humanitarian Medical Care05:09 Analyzing the Environment and Common Language12:14 Building Relationships in Medical Missions20:15 Executing the Educational Process38:59 Measuring Success and Effectiveness in Training49:38 Final Thoughts and Key TakeawaysFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
This conversation explores the advancements in point-of-care ultrasound for combat abdominal trauma, particularly in the context of the ongoing war in Ukraine. The speaker discusses the limitations of traditional ultrasound protocols and introduces innovative approaches to enhance diagnostic accuracy. Through case studies, the importance of timely detection of injuries is emphasized, along with the necessity of training combat medics in ultrasound techniques. The discussion also highlights the challenges faced in modern warfare and the critical role of ultrasound in improving patient outcomes.TakeawaysUltrasound is crucial for emergency trauma diagnosis in combat situations.The FAST protocol is not sufficient for all types of injuries.Innovative ultrasound techniques can improve diagnosis of colon injuries.Timely detection of injuries can significantly reduce mortality rates.Training for combat medics in ultrasound is essential for effective care.The new FAST-U protocol enhances the standard FAST protocol.Portable ultrasound devices are vital in combat zones.Understanding retroperitoneal injuries is key to trauma management.Collaboration and support are necessary for effective medical training.Combat medicine education needs more recognition and resources.Chapters00:00 Introduction to Combat Ultrasound00:37 The Importance of Ultrasound in Combat Trauma02:32 Challenges of Modern Warfare and Trauma06:07 Innovations in Ultrasound Protocols12:19 Case Studies and Practical Applications16:56 Training and Support for Combat Medics19:02 Understanding Retroperitoneal Injuries27:20 Enhancing Diagnostic Accuracy with FAST-U35:02 Future Directions in Combat MedicineFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
The conversation delves into the complexities of providing medical care in remote areas, particularly focusing on the challenges faced in replicating hospital procedures. It emphasizes the critical nature of understanding hemorrhagic shock and the importance of timely resuscitation techniques, including blood transfusions, to improve patient outcomes.TakeawaysThere are limitations in replicating hospital care in remote areas.Non-compressible torso hemorrhage is a significant concern in trauma care.Many potentially survivable deaths occur due to inadequate resuscitation.The MARCH algorithm is essential in trauma management.Recognizing hemorrhagic shock is crucial for effective treatment.Airway, respiration, and circulation are fundamental in resuscitation.Starting blood transfusions early can save lives.Remote medical care requires adaptation of hospital protocols.Training for remote care must address unique challenges.Effective communication is key in emergency medical situations.Chapters00:00 Introduction to Combat Medicine and Remote Resuscitation00:52 Innovations in Hemorrhage Control: The ERAPTOR CourseFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Even when we're called into “active service,” our strength is not in our resources and abilities, but rather our strength is in Jesus Christ and His power. 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 interviews Jennifer Gurney, an Army general surgeon specializing in trauma and burn care. They discuss the evolution of burn resuscitation practices, particularly the historical use of plasma and its potential benefits over crystalloid solutions. Gurney emphasizes the importance of plasma in treating burn shock, the timing and dosage of plasma administration, and the challenges faced in burn resuscitation. The conversation highlights the need for a shift back to plasma therapy to improve patient outcomes in burn care.TakeawaysBurn resuscitation has evolved significantly over the years.Historical use of plasma in burn care was effective but fell out of favor due to safety concerns.Current practices often rely too heavily on crystalloid solutions, which can lead to complications.Plasma therapy can address the plasma deficit seen in burn shock.The anti-inflammatory properties of plasma can aid in recovery.Timing of plasma administration is crucial for effective resuscitation.Monitoring clinical parameters is essential for determining fluid needs.Dried plasma could revolutionize burn resuscitation in the field.Over-resuscitation with crystalloid can lead to long-term complications.A return to plasma therapy may improve outcomes for burn patients.Chapters00:00 Introduction to Burn Resuscitation00:59 Historical Context of Plasma Use05:11 The Case for Plasma in Burn Resuscitation11:08 Understanding Resuscitation Endpoints14:44 Timing and Dosage of Plasma Administration19:54 Practical Considerations in Burn CareFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Colonel Stacey Shackelford discusses the critical aspects of managing abdominal trauma, particularly in battlefield settings. The conversation covers the statistics of battlefield casualties, current practices in trauma management, innovations in hemorrhage control, surgical techniques, and the challenges faced in trauma care. The discussion also emphasizes the importance of post-operative care and the need for future research in trauma medicine.Takeaways90% of casualties died before reaching a surgical hospital.Two thirds of pre-hospital deaths were from torso hemorrhage.Advanced pre-hospital care options are limited.RoboA and other techniques are being explored for hemorrhage control.Retropartennial packing is primarily for pelvic fractures.Basic skills in trauma care are essential for success.Chest tubes may play a larger role in reducing hemorrhage.Ongoing resuscitation and electrolyte management are critical post-surgery.Team dynamics are crucial in trauma surgery.More clinical exposure for medics is necessary for better outcomes.Chapters00:00 Introduction to Abdominal Trauma02:38 Understanding Battlefield Casualties05:21 Current Practices in Trauma Management08:42 Innovations in Hemorrhage Control11:21 Surgical Techniques and Decision Making14:30 Challenges in Trauma Care17:14 Post-Operative Care and Complications20:10 Future Directions in Trauma ResearchFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Noel discuss the complexities of maritime irregular warfare, drawing on historical insights and personal experiences. They explore the challenges faced in maritime operations, the importance of experience, and the role of innovation and technology in modern warfare. The conversation emphasizes the need for effective communication within command structures and the necessity of preparing the next generation for the unique challenges of maritime IW.TakeawaysThe podcast serves as a platform for storytelling and knowledge sharing.Historical insights can provide valuable lessons for current operational challenges.Maritime operations face unique unpredictability due to environmental factors.Experience is crucial in adapting to the complexities of maritime warfare.Effective turnover processes are essential for operational continuity.Innovation should be preemptive rather than reactive during conflicts.Morale significantly impacts operational effectiveness in combat situations.Training and iteration are key to identifying gaps in capabilities.Good decision-making requires a combination of intelligence, knowledge, and context.Honesty in reporting and communication is vital for future improvements.Chapters00:00 Introduction to Maritime Irregular Warfare00:56 Historical Insights and Lessons Learned03:51 Challenges of Maritime Operations09:15 The Role of Experience in Maritime Warfare11:58 Innovation and Technology in Warfare17:43 Communication and Command Structure26:41 Preparing the Next Generation for Maritime IWFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Mikola, a self-medic from a special forces unit, shares his experiences and challenges faced in the medical field during the ongoing conflict in Ukraine. He discusses the complexities of medical evacuation processes, the importance of stabilization points, and the evolving threats posed by enemy tactics, particularly the use of drones. The conversation highlights the need for adaptability, thorough planning, and continuous training to ensure effective medical care in combat situations.TakeawaysThe frontline in Ukraine is over 3,600 kilometers long.Medical evacuation processes are complex and vary by region.Stabilization points are crucial but often under-resourced and dangerous.Drones have changed the dynamics of medical care on the battlefield.Planning for medical missions must include contingencies for facility destruction.Training and supply challenges are ongoing issues for medics.The use of armored transport is essential for casualty evacuation.Communication and teamwork are vital in high-stress environments.Casualty numbers can fluctuate dramatically based on enemy activity.Anticipating enemy tactics is crucial for medics' safety. Chapters00:00 Introduction to the PFC Podcast00:55 Challenges Faced by Medics in Ukraine06:43 Medical Evacuation Processes Explained12:01 The Role of Stabilization Points17:59 Adapting to Evolving Threats22:50 Training and Supply Challenges28:55 Conclusion and Reflections on Combat MedicineFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
It is easy to wear are own armor, but the armor that God has given us is meant to display HIS strength and HIS character. 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 interviews Jessica, known as the Combat Midwife, who shares her extensive experience in both paramedicine and midwifery. The conversation delves into the critical issues surrounding postpartum hemorrhage, the mismanagement of obstetrics, and the importance of proper labor management. Jessica emphasizes the need for understanding the physiological process of birth and the risks associated with unnecessary interventions. She also discusses the significance of positioning during labor, the delivery of the placenta, and the risks of infection postpartum. Additionally, Jessica introduces the resources available for further education in maternal care.TakeawaysJessica is both a paramedic and a midwife.Postpartum hemorrhage is a leading cause of maternal death.Mismanagement in obstetrics often leads to complications.Birth is a natural physiological process that should not be micromanaged.Less than 10% of births require medical intervention.Proper positioning during labor is crucial for a successful delivery.The delivery of the placenta should be handled with care to avoid complications.Postpartum care is essential to prevent infections and other issues.The Combat Midwives Emergency OB Kit is designed for use in austere environments.Education and resources are available for those interested in maternal care.Chapters00:00 Introduction to the Combat Midwife01:28 Understanding Postpartum Hemorrhage04:37 The Mismanagement of Obstetrics06:14 Categories of Postpartum Hemorrhage15:13 Advice for Managing Labor19:11 The Importance of Positioning During Labor21:03 Delivery of the Placenta27:34 Postpartum Care and Infection Risks36:06 Addressing Postpartum Hemorrhage and Infection45:42 The Combat Midwife's Emergency OB Kit48:41 Resources and Courses for Further LearningFor more information Connect with The Combat Midwife™:Email: ask@combatmidwife.comWebsite: https://combatmidwife.comClasses & Kits: Workshops & KitsInstagram: @CombatMidwifeYouTube: Combat Midwife on YouTubeFacebook: Combat Midwife on FacebookX: @CombatMidwifeDiscount Code for your followers: PFCFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Kevin dive deep into the complexities of ketamine, exploring its pharmacodynamics, pharmacokinetics, and practical applications in emergency medicine. They discuss the drug's disassociative properties, its analgesic effects, and the importance of individualized dosing based on patient physiology. The conversation also touches on the risks of catecholamine depletion and the management of side effects, particularly in trauma patients. Throughout the discussion, Kevin shares valuable insights and practical advice for medics and healthcare professionals using ketamine in real-life scenarios.TakeawaysKetamine is an NMDA receptor antagonist with various effects on the body.It can cause profound analgesia and disassociation at different doses.S-ketamine is preferred for its more intense analgesic effects and quicker recovery.Dosing should be individualized based on patient condition and physiology.Ketamine can lead to catecholamine depletion, especially in trauma patients.Smaller doses are safer for patients with compromised vital signs.Analgesic effects can be achieved without full disassociation at lower doses.Managing side effects is crucial, especially in the 'party zone' of ketamine use.Always have a plan for potential complications when using ketamine.Refer to clinical practice guidelines (CPGs) for best practices.Chapters00:00 Understanding Ketamine: Basics and Mechanisms09:17 Pharmacokinetics of Ketamine: How It Works15:58 Dosing Ketamine: Individualized Approaches25:23 Analgesic Properties of Ketamine: Beyond Disassociation31:39 Managing Side Effects: The Party Zone and Hallucinations39:19 Catecholamine Depletion: Risks and Considerations43:05 Practical Advice for Medics: Using Ketamine SafelyFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Max discuss the evolving landscape of modern combat injuries, focusing on neck and upper chest injuries. They delve into the anatomy of the neck, the importance of understanding different zones for surgical intervention, and effective hemorrhage control techniques. The conversation emphasizes the critical role of teamwork in trauma care and the necessity of airway management in emergency situations. A case study of a traumatic incident illustrates the practical application of these concepts in real-world scenarios.Link to Video Kentucky Ballistics: https://www.youtube.com/watch?v=1449kJKxlMQ&t=983sTakeawaysModern combat injuries have evolved, necessitating updated medical responses.Neck and upper chest injuries present unique challenges in trauma care.Understanding the anatomy of the neck is crucial for effective treatment.Zone classification helps determine surgical approaches to neck injuries.Upper extremity junctional injuries are particularly difficult to manage.Effective hemorrhage control requires teamwork and quick decision-making.Airway management is critical in trauma situations, especially with neck injuries.Hands-on techniques, such as packing and suturing, are essential skills for medics.Training and preparation are key to successful trauma interventions.Real-world case studies highlight the importance of timely medical responses.Chapters00:00 Introduction to Modern Combat Injuries02:43 Understanding Neck and Upper Chest Injuries05:38 Anatomy of the Neck: Zones and Surgical Considerations09:50 Upper Extremity Junctional Injuries15:36 Management of Hemorrhage in Neck Injuries21:37 Airway Management in Trauma26:24 Effective Hemorrhage Control Techniques30:35 The Importance of Teamwork in Trauma Care36:22 Surgical Interventions and Techniques42:25 Case Study: Kentucky Ballistics Incident48:27 Conclusion and Key TakeawaysFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
This podcast episode explores the innovative use of maggot therapy in wound care, discussing its historical context, benefits, and applications in various medical settings, particularly in austere environments. The conversation highlights the importance of maggot therapy as a cost-effective and efficient treatment option, especially in the face of rising antimicrobial resistance. The speakers emphasize the need for proper sourcing, preparation, and application techniques for maggot therapy, as well as the potential for integrating this method into modern medical practices.TakeawaysMaggot therapy has historical roots dating back thousands of years.Maggots effectively debride wounds and promote healing.Maggot therapy is cost-effective, especially in low-resource settings.Chronic wounds often develop biofilms that resist antibiotics; maggots can help.Maggots can be used in both chronic and acute wounds, including burns.Maggot therapy can be implemented in austere environments with proper training.Specific fly species are required for effective maggot therapy.Maggots can be sourced locally in various environments.Maggot therapy can be a sustainable alternative to antibiotics in combat situations.Documentation and sharing of experiences are crucial for advancing maggot therapy.Chapters00:00 Introduction to Maggot Therapy01:16 Historical Context of Maggot Therapy04:41 Benefits of Maggot Therapy08:39 Application in Various Wound Types11:14 Maggot Therapy in Austere Environments15:32 Sourcing and Preparing Maggots23:33 Application Techniques for Maggot Therapy29:32 Patient Management and Treatment Regimens35:06 Future of Maggot Therapy in Medicine43:51 Conclusion and Call to ActionFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Staying in tune with the Holy Spirit is vital in how we stay in sync with the role that God has given each of us, but how do we do that? 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 topic of forced vital capacity in the context of chest trauma. They discuss a research paper that explores the assessment of forced vital capacity for risk stratification of blunt chest trauma patients in emergency settings. The conversation covers the importance of understanding chest wall injuries, clinical guidelines for treatment, challenges in diagnosing rib fractures, and the implications of the study's findings on patient outcomes and resource allocation in military medicine.TakeawaysForced vital capacity is crucial for assessing chest trauma.Chest wall injuries can significantly impact patient outcomes.Pain management is a key component of treatment strategies.Clinical guidelines help in managing chest injuries effectively.Risk stratification is essential for resource allocation in trauma care.The study highlights the importance of forced vital capacity measurements.Understanding patient dispositions is vital in emergency settings.Challenges exist in diagnosing rib fractures in the field.The study's methodology raises questions about its applicability.Future research is needed to refine treatment approaches for chest trauma.Chapters00:00 Introduction to the Podcast00:30 Exploring Forced Vital Capacity02:02 Understanding Chest Trauma04:56 The Importance of Chest Wall Injuries08:37 Clinical Guidelines and Treatment Algorithms10:21 Challenges in Diagnosing Rib Fractures12:33 Pain Management and Treatment Strategies16:25 Dispositions and Resource Allocation19:02 Risk Stratification in Chest Injuries22:39 Forced Vital Capacity and Its Relevance27:16 Study Overview and Methodology32:29 Outcomes and Implications of the Study36:41 Critical Analysis of the Research46:38 Reflections on the Study's Impact52:12 Conclusion and Future DirectionsFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Doug discuss the critical aspects of analgesia and sedation in emergency and critical care settings. They emphasize the importance of patient safety, comfort, and effective communication among medical teams. The conversation covers decision-making processes for sedation, the types of medications used, and the significance of sedation wake-up trials to assess patient status. The hosts also address the management of over-sedation and the need for clear communication in patient assessments.TakeawaysKeep the patient alive as the top priority.Sedation may be necessary for patient safety.Decision-making for sedation involves assessing comfort and safety.Different medications serve specific purposes in sedation and analgesia.Light to moderate sedation can help minimize PTSD risks.Daily sedation wake-up trials are essential in critical care.Communication using standardized scales aids in patient assessment.Over-sedation management requires a systematic approach.Medazolam and Propofol are preferred sedatives in critical care.Start sedation at lower doses and adjust based on patient response.Chapters00:00 Priorities in Analgesia and Sedation04:16 Decision-Making for Sedation Needs07:47 Understanding Sedative Medications14:32 Guiding Sedation Management in Critical Care20:49 Sedation Wake-Up Trials26:46 Communication and Neuro Exam in Sedation31:25 Managing Over-Sedation and EmergenciesFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this podcast episode, Dr. John Holcomb discusses the management of traumatic brain injury (TBI) and the innovative use of plasma as a treatment option. He emphasizes the importance of understanding the glycocalyx and its role in preventing edema and managing intracranial pressure (ICP). The conversation also highlights the limitations of current guidelines in TBI treatment and the need for practical considerations in administering plasma. Dr. Holcomb advocates for a shift in practice towards using plasma early in the treatment process to improve patient outcomes.TakeawaysPlasma is used as a drug to prevent edema in TBI patients.The glycocalyx plays a crucial role in brain injury management.Preventing increased ICP is more effective than treating it.Current guidelines often lag behind clinical practice.Understanding the physiology behind treatments is essential for medics.Monitoring blood pressure is critical in TBI management.Plasma can repair the blood-brain barrier and reduce edema.Practical considerations are necessary for administering plasma in the field.The outcomes of TBI treatment should focus on functional recovery.Future directions in TBI management include more research on plasma use.Chapters00:00 Introduction to TBI Management and Plasma Use03:04 Understanding Plasma as a Drug for TBI05:39 The Role of Glycocalyx in Brain Injury08:47 Preventing Edema and Managing ICP11:31 Guidelines and Their Limitations in TBI Treatment14:33 Practical Considerations for Administering Plasma17:29 The Importance of Patient Monitoring and Judgment20:44 Outcomes and Future Directions in TBI ManagementFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
In this episode of the PFC Podcast, Dennis and Jeff delve into the complexities of anoxic brain injury, discussing its causes, recovery processes, and prevention strategies in tactical environments. They emphasize the importance of maintaining oxygen levels, effective airway management, and addressing hypotension and hypoxia. The conversation highlights the critical role of preventing secondary brain injuries and the significance of basic medical interventions in saving lives.TakeawaysAnoxic brain injury is caused by a lack of oxygen to the brain.The brain requires oxygen to function, and deprivation leads to cell death.Recovery from brain injuries can take time and various therapies.Prevention strategies in tactical environments are crucial to avoid anoxic brain injury.Monitoring oxygen levels is vital in emergency situations.Airway management decisions should be based on the patient's condition and available skills.Hypotension and hypoxia must be addressed promptly to prevent further injury.Secondary brain injuries can be prevented with proper care and monitoring.Treating pain and agitation is important to reduce intracranial pressure.Basic medical interventions can save lives in critical situations.Chapters00:00 Understanding Anoxic Brain Injury02:56 Recovery and Rehabilitation Process05:27 Prevention Strategies in Tactical Environments10:09 Monitoring and Maintaining Oxygen Levels16:48 Airway Management Decisions20:01 Addressing Hypotension and Hypoxia26:56 Preventing Secondary Brain InjuriesThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Sometimes finding God feels like playing a game of “Where's Waldo?” But the author has told us that God is indeed there every time. 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 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
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