POPULARITY
23 episodes with Disaster medicine
3 episodes with Disaster medicine
3 episodes with Disaster medicine
3 episodes with Disaster medicine
2 episodes with Disaster medicine
2 episodes with Disaster medicine
2 episodes with Disaster medicine
2 episodes with Disaster medicine
2 episodes with Disaster medicine
For the first time in decades, US officials confirmed new cases of the New World screwworm: a flesh-eating parasite that eats living tissue from the inside out and can cross over to humans. As the government prepares emergency declarations and a $750 million fly factory in Texas, McCullough Foundation epidemiologist Nicolas Hulscher reveals the not-so-surprising, over-the-counter medication that he says “provided more than 97% protection against screwworm infestations in wounds under real-world conditions.” But because it's so cheap and easily available, you will likely never hear about it in the headlines. In this special episode hosted by Dr. Kelly Victory, Nic Hulscher discusses the New World screwworm, ebola, and breaks down the meteoric rise of alpha-gal syndrome (meat allergies) and its connections to bio-engineered ticks. Nicolas Hulscher is an epidemiologist and administrator at the McCullough Foundation. He earned a Master of Public Health degree with a specialization in epidemiology at Michigan School of Public Health. He has contributed to the publication of more than 25 scientific studies, advancing understanding of COVID-19 vaccine injuries, childhood vaccine injuries, cancer treatments, SARS-CoV-2, and H5N1 avian influenza. Follow at https://x.com/NicHulscher Dr. Kelly Victory is Chief of Emergency & Disaster Medicine at The Wellness Company. A trauma and emergency specialist with over 30 years of experience, she served as Chief Medical Officer for Fortune 500 companies and is an alumna of Harvard's National Preparedness Leadership Initiative. She is a contributing author of “Toxic Shot: Facing the Dangers of the COVID Vaccines.” Find more at https://x.com/DrKellyVictory 「 SUPPORT OUR SPONSORS 」 • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at https://drdrew.com/fatty15 • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at https://drdrew.com/paleovalley • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew 「 ABOUT THE SHOW 」 This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Executive Producers • Kaleb Nation - https://kalebnation.com • Susan Pinsky - https://x.com/firstladyoflove Content Producer • Emily Barsh - https://x.com/emilytvproducer Learn more about your ad choices. Visit megaphone.fm/adchoices
Tech entrepreneur Steve Kirsch used advanced AI to analyze raw, independent datasets about mRNA injuries – and uncovered what “no public health official wants to know.” Legacy media continues to ignore the staggering reality of adverse reactions and side effects of mRNA for COVID-19. Steve Kirsch took matters into his own hands – and his latest analysis estimates that as many as 2 million Americans were seriously disabled by the shots. He joins Dr. Kelly Victory to share his methods, how he used AI to analyze the data, and why “not a single national public-health authority, anywhere in the world, has produced an estimate of the type we just constructed.” Steve Kirsch is a former Silicon Valley high-tech executive with two engineering degrees from MIT. He founded the COVID-19 Early Treatment Fund and the Vaccine Safety Research Foundation (VSRF). He hosts the VSRF Live Weekly Update and has authored more than 1,900 articles on vaccine safety at kirschsubstack.com. Follow at https://x.com/stkirsch Dr. Kelly Victory is Chief of Emergency & Disaster Medicine at The Wellness Company. A trauma and emergency specialist with over 30 years of experience, she served as Chief Medical Officer for Fortune 500 companies and is an alumna of Harvard's National Preparedness Leadership Initiative. She is a contributing author of “Toxic Shot: Facing the Dangers of the COVID Vaccines.” Find more at https://x.com/DrKellyVictory 「 SUPPORT OUR SPONSORS 」 • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at https://drdrew.com/fatty15 • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at https://drdrew.com/paleovalley • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew 「 ABOUT THE SHOW 」 This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Executive Producers • Kaleb Nation - https://kalebnation.com • Susan Pinsky - https://x.com/firstladyoflove Content Producer • Emily Barsh - https://x.com/emilytvproducer Hosted By • Dr. Drew Pinsky - https://x.com/drdrew Learn more about your ad choices. Visit megaphone.fm/adchoices
In this timely episode of Transmission Interrupted, host Jill Morgan sits down with Dr. Alex Isakov, Medical Director of the Emory Grady EMS Biosafety Transport Program, to explore the unique healthcare challenges presented by the 2026 FIFA World Cup. With eleven U.S. cities preparing to welcome visitors from 48 countries, the conversation digs into how the influx of international travelers brings both excitement and a complex spectrum of public health considerations. Dr. Isakov sheds light on the heightened vigilance required of frontline healthcare personnel, emphasizing the increased likelihood of encountering diseases not routinely seen in the United States, from vector-borne illnesses like malaria and dengue to the risks of global outbreaks such as measles or norovirus. The discussion also broadens beyond infectious diseases, touching on the operational demands that mass gatherings impose on health systems, including the management of injuries, heat illness, and crowd-related incidents. Dr. Isakov and Jill offer practical advice for both travelers and providers, highlighting the importance of vaccination, hand hygiene, and staying informed about evolving health risks. They stress the need for preparedness not just within host cities but nationwide, as World Cup attendees are expected to venture far beyond stadiums, making readiness a shared responsibility. As the countdown to kickoff continues, this episode offers essential insights for anyone charged with safeguarding public health during one of the world's largest sporting events. Guest Alex Isakov, MD, MPH Alex Isakov is the founding executive director of the Office of Critical Event Preparedness and Response (CEPAR) and a professor of emergency medicine at Emory University. He directs CEPAR's initiatives to enhance disaster resilience at Emory and in the broader community. He is also the director of Emory's Section of Prehospital and Disaster Medicine and leads Emory EMS. Alex serves as a co-lead for NETEC's EMS Workgroup. Host Jill Morgan, RN Emory Healthcare, Atlanta, GA Jill Morgan is a registered nurse and a subject matter expert in personal protective equipment (PPE) for NETEC. For 35 years, Jill has been an emergency department and critical care nurse, and now splits her time between education for NETEC and clinical research, most of it centering around infection prevention and personal protective equipment. She is a member of the Association for Professionals in Infection Control and Epidemiology (APIC), ASTM International, and the Association for the Advancement of Medical Instrumentation (AAMI). Resources NETEC - Countdown to Kickoff: 2026 World Cup HCID PreparednessNETEC - Global Visitors, Local Preparedness: Dr. Laura Evans on World Cup Health StrategiesNETEC - Summer Travel Q&A: Expert Tips for Staying Safe and HealthyNETEC - World Cup 2026 Resource Library ExhibitNETEC - Transmission Interrupted Podcast About NETEC A Partnership for Preparedness The National Emerging Special Pathogens Training and Education Center's mission is to set the gold standard for special pathogen preparedness and response across health systems in the U.S. with the goals of driving best practices, closing knowledge gaps, and developing innovative resources. Our vision is a sustainable infrastructure and culture of readiness for managing suspected and confirmed special pathogen incidents across the United States public health and health care delivery systems. For more information visit NETEC on the web. NETEC Consultation Services Assess and Advance Your Readiness for Special Pathogens with Free, Expert Consulting. NETEC offers free virtual and onsite readiness consulting to help health care facilities and EMS agencies prepare for special pathogen events. Our targeted support services are delivered by experts selected and assigned to each inquiry based on the unique needs of your organization. Have a question? Ask a NETEC expert. For more information visit NETEC's Consultation Services.
Date: April 21, 2026 Guest Skeptic: Lauren Openshaw is a medical student at the George Washington University School of Medicine & Health Sciences, Class of 2027, where she is a part of the Disaster Medicine Scholarly Concentration. Her clinical interests include pediatrics, disaster medicine, critical care, and emergency preparedness, particularly as they relate to protecting vulnerable […] The post SGEM Xtra: Welcome to the Jungle of Disaster Medicine first appeared on The Skeptics Guide to Emergency Medicine.
Dr. Paul D. Biddinger, Chief Preparedness and Continuity Officer at Mass General Brigham and one of the nation's foremost authorities on disaster medicine, joins WarDocs to deliver an unflinching assessment of the United States' readiness to manage mass battlefield casualties in a large-scale combat operations (LSCO) scenario. Drawing on nearly 30 years as a practicing emergency physician, his leadership of the National Special Pathogen System, and his co-PI role on a Henry M. Jackson Foundation-funded LSCO readiness project, Dr. Biddinger illuminates the critical gaps — and the urgent solutions — that will determine whether Team America can meet the medical demands of tomorrow's wars. The conversation opens with Dr. Biddinger's distinctive academic trajectory: international relations and public policy at Princeton before medical school, a combination that instilled a deep appreciation for the policy infrastructure that either enables or obstructs effective healthcare coalitions. That framework shapes his entire approach to LSCO readiness, where the challenge is never a single hospital or a single physician — it is always the system. Dr. Biddinger identifies data silos as the foundational failure threatening LSCO response. The civilian healthcare system is already operating at or above capacity in most American cities, and the Federal Coordinating Centers within the National Disaster Medical System lack the real-time clinical expertise needed to make sophisticated patient regulation decisions. He argues for urgent integration of civilian-side patient transfer intelligence with military command structures — ensuring that warfighters returning home at scale are routed to the right bed, with the right subspecialty capability, rather than flooding Level I trauma centers and displacing civilian critical care. The Ukraine conflict provides sobering real-world data: drone-driven injury patterns unfamiliar to most civilian trauma surgeons, extended evacuation timelines that demand adaptive point-of-injury care, and an overwhelmed rehabilitation pipeline that the U.S. system is wholly unprepared to replicate. Dr. Biddinger draws direct parallels to the Boston Marathon bombing response, where tactical combat casualty care principles — rapid hemorrhage control, aggressive patient distribution, and relentless questioning of old-school disaster assumptions — saved lives that a conventional mass casualty protocol would have lost. The episode closes with two pieces of career advice for young military medicine professionals: question every assumption respectfully and within proper command structures, and be a passionate, data-driven advocate for systems change. The Joint Trauma System's continuous learn-and-adapt model is held up as the gold standard. Dr. Biddinger's message is clear — the next large-scale conflict will be won or lost in part by how effectively military and civilian medicine learn to speak the same operational language before the shooting starts. Chapters (00:00-02:30) From International Relations to Emergency Medicine: Building Systems-Level Thinking (02:30-07:37) LSCO Readiness Gaps: Data, Capacity, and the Civilian Healthcare System (07:37-13:58) Federal Coordination, Ukraine Lessons, and the Rehabilitation Crisis (13:58-19:24) AI, Heat Injury Prevention, and Patient Surge Load Balancing (19:24-26:30) National Special Pathogen System and All-Hazard Response Leadership (26:30-38:40) Boston Marathon Bombing Lessons, Innovation Culture, and the Future of Military Medicine Chapter Summaries (00:00-02:30) From International Relations to Emergency Medicine: Building Systems-Level Thinking Dr. Biddinger traces his unconventional path from Princeton's international relations program to nearly 30 years as a practicing emergency physician. He explains how policy training shaped his conviction that no individual doctor or hospital succeeds in isolation — effective disaster response is fundamentally a systems problem, and the policy infrastructure surrounding those systems determines everything. (02:30-07:37) LSCO Readiness Gaps: Data, Capacity, and the Civilian Healthcare System Drawing on his Henry M. Jackson Foundation LSCO project, Dr. Biddinger identifies the civilian healthcare system's chronic overcapacity as the primary threat to absorbing mass battlefield casualties. He quantifies the challenge — a hundred thousand extra patients over a hundred days — and explains why real-time data integration across hospital systems, state lines, and trauma center capabilities is the non-negotiable foundation of any viable patient distribution plan. He specifically flags EMS workforce shortages as an underappreciated rate-limiting factor. (07:37-13:58) Federal Coordination, Ukraine Lessons, and the Rehabilitation Crisis Dr. Biddinger critiques the current Federal Coordinating Center structure as insufficiently connected to civilian-side clinical expertise, and calls for direct integration of military command data with civilian patient tracking systems. He applies lessons from the Ukraine conflict — drone injury patterns, extended evacuation timelines, and rehabilitation system collapse — to underscore how fundamentally different LSCO will be from the counter-insurgency environments most current military medical leaders trained in. (13:58-19:24) AI, Heat Injury Prevention, and Patient Surge Load Balancing Dr. Biddinger describes his IBM Sustainability Accelerator collaboration developing AI-driven early warning systems for extreme heat events, and explains how that same data integration logic applies to battlefield thermal stress monitoring and real-time casualty tracking via the Joint Trauma System. He then walks through the COVID-era Boston hospital load-balancing system he helped build — competitive hospitals sharing real-time bed and ICU data and making collaborative surge decisions multiple times daily — and explores how that model translates to theater patient regulation. (19:24-26:30) National Special Pathogen System and All-Hazard Response Leadership Dr. Biddinger explains the tiered architecture of the National Special Pathogen System — the infectious disease analog to the trauma center hierarchy — and its identify-isolate-inform framework, developed from the 2014 West African Ebola outbreak. He applies the framework directly to military medicine, emphasizing the importance of maintaining high clinical suspicion, knowing real-time global outbreak data, and preserving robust reach-back capability to specialty expertise. He closes with field lessons from Hurricane Katrina, Nepal earthquake response, and the Haiti earthquake on integrating civilian and military assets under ESF-8 and WHO cluster structures. (26:30-38:40) Boston Marathon Bombing Lessons, Innovation Culture, and the Future of Military Medicine Dr. Biddinger credits tactical combat casualty care principles from Gulf War I and II for the lives saved at the Boston Marathon bombing, specifically the pivot away from staged triage toward rapid hemorrhage control and immediate hospital distribution. He documents how Boston EMS cleared more than 60 critical casualties in 18 minutes. The episode closes with career guidance for young military medicine professionals: question every assumption within appropriate command structures, remain data-driven, and be a fierce advocate for systems that better serve the injured warfighter. Biography Dr. Paul Biddinger is the Chief Preparedness and Continuity Officer at Mass General Brigham (MGB) and the Chief of the Division of Emergency Preparedness in the Department of Emergency Medicine at MGB. He holds the Ann L. Prestipino MPH Endowed Chair in Emergency Preparedness and is also the Director of the Center for Disaster Medicine at Massachusetts General Hospital (MGH). Dr. Biddinger additionally serves as the Director of the Emergency Preparedness Research, Evaluation and Practice (EPREP) Program at the Harvard T. H. Chan School of Public Health and holds appointments at Harvard Medical School and at the Chan School. Dr. Biddinger serves as a medical officer for the MA-1 Disaster Medical Assistance Team (DMAT) in the National Disaster Medical System (NDMS) in the US Department of Health and Human Services (HHS). Dr. Biddinger is an active researcher in the field of emergency preparedness and has lectured nationally and internationally on topics of preparedness and disaster medicine. He has authored numerous articles and book chapters on multiple topics related to disaster medicine and emergency medical operations and has responded to numerous prior disaster events, including Hurricane Katrina, Superstorm Sandy, the Boston Marathon bombings, the Nepal earthquakes, and many others. He completed his undergraduate study in international relations at Princeton University, attended medical school at Vanderbilt University, and completed residency training in emergency medicine at Harvard. Episode Keywords military medicine, large-scale combat operations, LSCO, disaster medicine, emergency medicine, Paul Biddinger, Mass General Brigham, patient surge, civilian military integration, Henry M. Jackson Foundation, National Disaster Medical System, NDMS, Federal Coordinating Centers, trauma system, combat casualty care, Boston Marathon bombing, Ukraine war lessons, drone injuries, mass casualty, hemorrhage control, tactical combat casualty care, TCCC, National Special Pathogen System, Ebola preparedness, AI in medicine, heat injury prevention, hospital capacity, patient distribution, military healthcare, WarDocs podcast Hashtags #MilitaryMedicine, #WarDocs, #LargeScaleCombatOperations, #DisasterMedicine, #CombatCasualtyCaree, #EmergencyMedicine, #MilitaryReadiness, #TCCC Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoW, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast
This week, the DOJ indicted Dr. Fauci's senior advisor Dr. David Morens for destroying federal records and hiding communications, allegedly to protect the COVID-19 “natural origins” narrative and bury what health officials knew in 2020. This marks the historic first criminal prosecution of a top pandemic official. “We are all smart enough to know to never have smoking guns, and if we did we wouldn't put them in emails,” Dr. Morens allegedly wrote in June 2020. He encouraged NIH colleagues and EcoHealth Alliance president Dr. Peter Daszak to communicate with him via Gmail – specifically to avoid FOIA requests. Dr. Kelly Victory joins Dr. Drew to expose the massive FDA cover-up of VAERS safety signals recently revealed by Senator Ron Johnson, detailing how officials allegedly masked severe adverse events from the public. Epidemiologist Nicolas Hulscher breaks down the alarming rise in young adult cancers, the controversial link to pesticides, and why the latest studies on Paxlovid spell disaster for Big Pharma. Dr. Kelly Victory is Chief of Emergency & Disaster Medicine at The Wellness Company. A trauma and emergency specialist with over 30 years of experience, she served as Chief Medical Officer for Fortune 500 companies and is an alumna of Harvard's National Preparedness Leadership Initiative. She is a contributing author of “Toxic Shot: Facing the Dangers of the COVID Vaccines.” Follow at https://x.com/DrKellyVictory Nicolas Hulscher is an epidemiologist and administrator for the McCullough Foundation. He earned a Master of Public Health (MPH) degree with a specialization in epidemiology from the University of Michigan School of Public Health. Follow at https://x.com/NicHulscher 「 SUPPORT OUR SPONSORS 」 • VANMAN - Go to http://vanman.shop/drew and use code DREW for 15% off your first order • NATIVEPATH - Take advantage of my 56% off bundle at https://GetNativeCreatine.com/Drew • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at https://drdrew.com/fatty15 • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at https://drdrew.com/paleovalley • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew 「 ABOUT THE SHOW 」 This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Executive Producers • Kaleb Nation - https://kalebnation.com • Susan Pinsky - https://x.com/firstladyoflove Content Producer • Emily Barsh - https://x.com/emilytvproducer Hosted By • Dr. Drew Pinsky - https://x.com/drdrew Learn more about your ad choices. Visit megaphone.fm/adchoices
For years, Dr. Kelly Victory warned of the dangers of mRNA shots, only to be censored and criticized by her peers as an “anti-vaxxer”. But today, the receipts are in: a Senate investigation revealed federal health officials intentionally buried vaccine stroke risks in seniors, alongside a groundbreaking study showing clinical benefits of “the I word” medication and Mebendazole in cancer patients. Dr. Kelly Victory returns to Ask Dr. Drew to break down the latest bombshell medical reports, the media's new “Bird Flu” fear campaign, and the truth about embalmers' clots found after mRNA shots. Dr. Jessica Duncan (Chief Medical Officer at Ivim Health) joins to discuss the MAHA movement, why the FDA is severely restricting critical peptide research, and the urgent need for real nutrition education in modern medical schools. Dr. Kelly Victory is Chief of Emergency & Disaster Medicine at The Wellness Company and a trauma and emergency specialist with over 30 years of experience. She is a contributing author of “Toxic Shot: Facing the Dangers of the COVID Vaccines.” Find more at https://x.com/DrKellyVictory Dr. Jessica Duncan, MD, DABOM, DABA, is a board-certified obesity medicine physician and Chief Medical Officer at Ivim Health. She holds board certifications from the American Board of Obesity Medicine and the American Board of Anesthesiology, with an undergraduate degree from Georgetown University, Cum Laude. Learn more at https://instagram.com/doctorjessica.md and find Ivim Health at https://ivimhealth.com 「 SUPPORT OUR SPONSORS 」 • STRONG CELL – If you want to feel more like your younger self, go to https://strongcell.com/ and use code DREW for 20% off. • AUGUSTA PRECIOUS METALS – Thousands of Americans are moving portions of their retirement into physical gold & silver. Learn more in this 3-minute report from our friends at Augusta Precious Metals: https://drdrew.com/gold or text DREW to 35052 • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at https://drdrew.com/fatty15 • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at https://drdrew.com/paleovalley • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew 「 ABOUT THE SHOW 」 This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Executive Producers • Kaleb Nation - https://kalebnation.com • Susan Pinsky - https://x.com/firstladyoflove Content Producer • Emily Barsh - https://x.com/emilytvproducer Hosted By • Dr. Drew Pinsky - https://x.com/drdrew Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of Transmission Interrupted, host Jill Morgan leads a compelling conversation with leading experts at the intersection of air transport and high-consequence infectious disease (HCID) care. The panel includes Vance Ferebee, former Medical Division Director and Chief Flight Nurse for Phoenix Air Group; Wade Miles from Emory's Office of Critical Event Preparedness and Response; Ben Tysor of Omaha Fire and Rescue; and Alex Isakov, Executive Director of Emory's Office of Critical Event Preparedness and Response. Together, they break down the realities, challenges, and lessons learned from transporting infectious disease patients both internationally and domestically. The discussion includes behind-the-scenes stories from landmark missions, including patient transports during the West Africa Ebola outbreak. Listeners get an inside look at what it really takes—from specialized airborne containment systems to the intricate handoffs between fixed-wing and ground teams—to safely move critically ill patients across continents while protecting both patients and providers. The conversation explores technical hurdles such as maintaining ICU-level care in the air and managing security and privacy concerns, as well as the importance of relationships, protocols, and practice in ensuring smooth operations. The experts emphasize the value of preparation, collaboration, and adaptable risk assessment in facing future outbreaks and ensuring that health systems are ready to respond—whether for major events like the World Cup, another global crisis, or unexpected threats closer to home. Tune in for a fascinating look at the journey from runway to ICU—and what it takes to keep both patients and transport teams safe. Questions or comments for NETEC? Contact us at info@netec.org. Visit Transmission Interrupted online at netec.org/podcast. Guests Vance Ferebee, BSN Vance Ferebee is the former Medical Division Director and Chief Flight Nurse for Phoenix Air Group. He served as the Director from 2007-2025 and was co-lead on the team that developed the Airborne Biological Containment System (ABCS) utilized for patient transport during the West Africa Ebola outbreak of 2014-2015. He lead the team that developed and implemented the follow on infectious disease transport unit, the Containerized Biological Containment System (CBCS) utilized during the initial COVID outbreak, transporting over 100 patients from Japan, California and Africa back home to Europe and the US. Alex Isakov, MD, MPH Alex Isakov is the founding executive director of the Office of Critical Event Preparedness and Response (CEPAR) and a professor of emergency medicine at Emory University. He directs CEPAR's initiatives to enhance disaster resilience at Emory and in the broader community. He is also the director of Emory's Section of Prehospital and Disaster Medicine and leads Emory EMS. Alex serves as a co-lead for NETEC's EMS Workgroup. Wade Miles, NRP Wade Miles is the Operations and Training Manager for the Emory Office of Critical Event Preparedness and Response (CEPAR). Wade is responsible for the development, management and delivery of educational programs. In addition, he works with the CEPAR team to help develop and coordinate drills and exercises for the University. Miles also serves as the Training Manager for the Section of Prehospital and Disaster Medicine. Wade also serves as a co-lead for NETEC's EMS Workgroup. Ben Tysor, NPR Ben Tysor is Captain and Paramedic of Emergency Medical Services Quality Assurance at Omaha Fire & Rescue. Ben has over 20 years of experience in fire and emergency medical services. He is a member of the Omaha Fire & Rescue high consequence infectious disease transport team and was instrumental in the transport of patients with confirmed Ebola Virus Disease who were cared for at the Nebraska Biocontainment Unit. Host Jill Morgan, RN Emory Healthcare, Atlanta, GA Jill Morgan is a registered nurse and a subject matter expert in personal protective equipment (PPE) for NETEC. For 35 years, Jill has been an emergency department and critical care nurse, and now splits her time between education for NETEC and clinical research, most of it centering around infection prevention and personal protective equipment. She is a member of the Association for Professionals in Infection Control and Epidemiology (APIC), ASTM International, and the Association for the Advancement of Medical Instrumentation (AAMI). Resources NETEC Emergency Medical Services (EMS) Featured Resources ASPR TRACIE EMS Infectious Disease Playbook Phoenix Air Group Transmission Interrupted Podcast NETEC Resource Library NETEC's YouTube channelAbout NETEC A Partnership for Preparedness The National Emerging Special Pathogens Training and Education Center's mission is to set the gold standard for special pathogen preparedness and response across health systems in the U.S. with the goals of driving best practices, closing knowledge gaps, and developing innovative resources. Our vision is a sustainable infrastructure and culture of readiness for managing suspected and confirmed special pathogen incidents across the United States public health and health care delivery systems. For more information visit NETEC on the web. NETEC Consultation Services Assess and Advance Your Readiness for Special Pathogens with Free, Expert Consulting. NETEC offers free virtual and onsite readiness consulting to help health care facilities and EMS agencies prepare for special pathogen events. Our targeted support services are delivered by experts selected and assigned to each inquiry based on the unique needs of your organization. Have a question? Ask a NETEC expert. For more information visit NETEC's Consulting Services.
Out-of-hospital cardiac arrest remains one of the most emotionally complex and ethically challenging events in pre-hospital care. Families can transition from normality to devastating loss within minutes, while clinicians must make rapid, high-stakes decisions that often leave a lasting emotional impact. Traditionally, EMS practice has centred on the moment of “termination of resuscitation”, a clinical decision that often results in abrupt death notifications and limited family involvement. But a growing body of work challenges this model, suggesting that it may unintentionally amplify trauma for both families and providers.In today's episode, we're joined by Dr Darren Braude, Paramedic, Director of the Centre for Prehospital Resuscitation and ECMO, Chief of the Division of Prehospital, Austere and Disaster Medicine. Dr Braude is one of the leading voices behind a powerful reframing: viewing the end of resuscitative efforts not as termination, but as the withdrawal of life support.Borrowing principles from ICU end-of-life care, this approach centres families, promotes clearer communication, and acknowledges that CPR and ventilation are themselves forms of life support. Today, we explore how this model can transform the way EMS navigates death, grief, and humanity in the field. You can read the article this interview is based on here: https://pubmed.ncbi.nlm.nih.gov/40928306/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 https://www.pax-bags.com/en/
In this episode of WarDocs, we sit down with Dr. Franklin Sechriest, a former US Navy Commander and orthopedic surgeon, to explore the high-stakes world of Humanitarian Assistance and Disaster Relief (HADR) missions. Drawing from his extensive experience, Dr. Sechriest details the unique challenges of performing complex surgeries aboard naval vessels while responding to some of the most devastating natural disasters of the 21st century, including the 2004 Indonesian tsunami and the 2010 earthquake in Haiti. He provides a fascinating comparison between the capabilities of massive hospital ships like the USNS Mercy—floating Level 1 trauma centers—and the tactical agility of amphibious assault ships like the USS Bataan. Dr. Sechriest shares gripping personal anecdotes, including the life-saving resuscitation and surgery of a young Indonesian boy, which highlight the profound human impact of military medicine. Beyond the operating room, the conversation delves into the strategic importance of these missions. Dr. Sechriest explains how medical teams project "soft power," strengthening diplomatic ties and winning hearts and minds in regions where traditional military force is not the answer. He also discusses his collaboration with the Naval Health Research Center to analyze surgical data, revealing how past missions have reshaped current staffing models to better care for pediatric and geriatric populations often found in disaster zones. Looking ahead, the discussion covers the potential of Artificial Intelligence to reduce provider burnout and the advent of smart orthopedic implants. Finally, Dr. Sechriest offers timeless advice on leadership, emphasizing that the most effective leaders in chaotic environments are those who view themselves primarily as servants to their team and their patients. This episode offers a comprehensive look at how Navy Medicine combines compassion, logistics, and surgical excellence to bring hope to the darkest corners of the globe. Chapters (00:00-04:46) Introduction to Dr. Sechriest and the Path to Navy Orthopedics (04:46-14:55) Hospital Ships, Warships, and Life-Saving Stories from the Tsunami (14:55-27:14) Logistical Challenges, Ethical Dilemmas, and Data-Driven Improvements (27:14-36:12) Medical Diplomacy as Soft Power and Training for Future Conflicts (36:12-48:29) The Future of AI in Medicine and Leadership Advice for Aspiring Officers Chapter Summaries (00:00-04:46) Introduction to Dr. Sechriest and the Path to Navy Orthopedics The episode begins with Dr. Sechriest explaining his motivation for combining a medical career with military service, viewing it as the ultimate form of servant leadership. He describes his journey from general surgery to becoming an "accidental orthopedic surgeon" and how he found himself deployed on major humanitarian missions shortly after joining the Navy. (04:46-14:55) Hospital Ships, Warships, and Life-Saving Stories from the Tsunami This section distinguishes the medical capabilities between the massive USNS Mercy hospital ship and the tactical USS Bataan amphibious assault ship. Dr. Sechriest shares a moving anecdote about a young Indonesian boy who was airlifted to the ship in critical condition, illustrating how Navy assets can provide hope and advanced trauma care where absolutely none existed. (14:55-27:14) Logistical Challenges, Ethical Dilemmas, and Data-Driven Improvements The conversation shifts to the complexities of operating in disaster zones, including language barriers, continuity of care, and resource allocation. Dr. Sechriest details his work with the Naval Health Research Center to analyze mission data, which helped transition staffing models from World War II-era combat configurations to robust teams capable of treating diverse pediatric and geriatric populations. (27:14-36:12) Medical Diplomacy as Soft Power and Training for Future Conflicts Dr. Sechriest explains how humanitarian missions serve as a vital tool for "soft power" in the post-9/11 era, using compassion to improve global security and international relations. He also discusses how the chaotic, resource-constrained environments of natural disasters provide unparalleled training for medical officers preparing for combat operations. (36:12-48:29) The Future of AI in Medicine and Leadership Advice for Aspiring Officers In the final segment, the discussion explores how Artificial Intelligence can reduce administrative burdens for physicians and how smart implants will revolutionize orthopedic recovery. Dr. Sechriest concludes with advice for the next generation of military medical professionals, encouraging them to seek out tough assignments and lead with humility. Take Home Messages Medical Diplomacy as Soft Power: Humanitarian assistance missions are a critical strategic tool that allows the military to project goodwill and strengthen international alliances without firing a shot. By providing high-level medical care to foreign populations during crises, military medicine acts as a stabilizing force that can improve global security and alter negative perceptions of the United States in sensitive geopolitical regions. Data-Driven Operational Readiness: The analysis of surgical logs and patient encounters from previous disaster relief missions is essential for modernizing military medical responses. Research has shown that historical staffing models based on combat trauma were often insufficient for natural disasters, leading to a new focus on deploying with the right mix of pediatric and geriatric resources to match the actual needs of the affected population. The Distinction Between Naval Medical Assets: Understanding the difference between Echelon 3 hospital ships and Echelon 2 casualty receiving and treatment ships is vital for logistical success. While hospital ships offer comprehensive, prolonged care similar to a land-based trauma center, amphibious warships provide essential damage control surgery and superior air and sea transport capabilities to move casualties efficiently. Servant Leadership in Chaos: Leading effectively in the high-stress, chaotic environment of a disaster zone requires a mindset of humility and service rather than authority. The most successful medical officers are those who maintain focus on the mission, prioritize the well-being of their team, and acknowledge that they must rely on the collective expertise of others to solve complex logistical and ethical problems. AI and the Future of Orthopedics: Advanced technologies, particularly Artificial Intelligence and smart implants, are poised to revolutionize military and federal medicine by improving efficiency and outcomes. AI has the potential to alleviate provider burnout by automating non-clinical tasks, while sensor-embedded implants will provide objective data on patient recovery, allowing for proactive interventions and better long-term care. Episode Keywords WarDocs, Military Medicine, Navy Medicine, Orthopedic Surgery, Humanitarian Assistance, Disaster Relief, USNS Mercy, USS Bataan, Tsunami Relief, Haiti Earthquake, Medical Diplomacy, Naval Health Research Center, Trauma Surgery, Global Health, Military Leadership, Soft Power, Navy Doctor, Hospital Ship, Warship Medicine, AI in Healthcare, Disaster Medicine, Servant Leadership Hashtags #MilitaryMedicine, #NavyDoctor, #OrthopedicSurgery, #DisasterRelief, #HumanitarianAid, #USNavy, #MedicalLeadership, #WarDocs Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. 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Andrew Gabrielson is a pediatric urology fellow at Lurie Children's Hospital of Chicago. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. A.T. Gabrielson and C. Corwin. Occupational Health and Safety on the Chopping Block — What's at Stake? N Engl J Med 2025;393:1353-1355.
The American Academy of Pediatrics released new vaccine recommendations that directly oppose guidance from the HHS – insisting on COVID-19 vaccinations in babies as young as 6 months. Pathologist Dr. Ryan Cole & Dr. Kelly Victory reveal how the AAP has been captured by Big Pharma interests. The organization's top donors, listed on their own website, are Merck, Moderna, Pfizer, and Sanofi: the 4 pharma companies that “make virtually every vaccine on the CDC recommended childhood vaccine schedule.” HHS Secretary Robert F. Kennedy Jr. issued a stern warning in response: “AAP should also be candid with doctors and hospitals that recommendations that diverge from the CDC's official list are not shielded from liability under the 1986 Vaccine Injury Act.” Dr. Ryan Cole is a board-certified pathologist trained at Mayo Clinic with subspecialty in dermatopathology from Columbia University. He holds a PhD in virology and immunology and directed a medical laboratory in Idaho for 20 years. He testifies globally on Covid policy and medical freedom. Follow at https://x.com/drcole12 Dr. Kelly Victory is Chief of Emergency & Disaster Medicine at The Wellness Company. A trauma and emergency specialist with over 30 years of experience, she served as Chief Medical Officer for Fortune 500 companies and is an alumna of Harvard's National Preparedness Leadership Initiative. More at https://x.com/DrKellyVictory 「 SUPPORT OUR SPONSORS 」 Find out more about the brands that make this show possible and get special discounts on Dr. Drew's favorite products at https://drdrew.com/sponsors • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at https://drdrew.com/fatty15 • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at https://drdrew.com/paleovalley • VSHREDMD – Formulated by Dr. Drew: The Science of Cellular Health + World-Class Training Programs, Premium Content, and 1-1 Training with Certified V Shred Coaches! More at https://drdrew.com/vshredmd • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew 「 MEDICAL NOTE 」 Portions of this program may examine countervailing views on important medical issues. Always consult your physician before making any decisions about your health. 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (https://kalebnation.com) and Susan Pinsky (https://twitter.com/firstladyoflove). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices
The conspiracy theorists were right again. In a shocking report released by RFK, the HHS found at least 28 patients who were likely still alive when organ harvesting began. “Our findings show that hospitals allowed the organ procurement process to begin when patients showed signs of life, and this is horrifying,” says Robert F. Kennedy Jr. The Trump admin has launched an investigation into the organ transplant system, promising new policies aimed to protect donors. Dr. Kelly Victory is Chief of Emergency & Disaster Medicine at The Wellness Company. A trauma and emergency specialist with over 30 years of experience, she served as Chief Medical Officer for Fortune 500 companies and is an alumna of Harvard's National Preparedness Leadership Initiative. More at https://x.com/DrKellyVictory Dr. Cate Shanahan is a NY Times bestselling author of Dark Calories and a leader in the No Seed Oil Movement. She focuses on the health impacts of vegetable oils and promotes food as medicine. More at https://x.com/drcateshanahan Dr. Steph Venn-Watson, DVM, MPH, is CEO of Seraphina Therapeutics. A veterinary epidemiologist, she discovered C15:0 deficiencies and developed fatty15 to address chronic diseases. Learn more at https://drdrew.com/fatty15 「 SUPPORT OUR SPONSORS 」 Find out more about the brands that make this show possible and get special discounts on Dr. Drew's favorite products at https://drdrew.com/sponsors • ACTIVE SKIN REPAIR - Repair skin faster with more of the molecule your body creates naturally! Hypochlorous (HOCl) is produced by white blood cells to support healing – and no sting. Get 20% off at https://drdrew.com/skinrepair • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at https://drdrew.com/fatty15 • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at https://drdrew.com/paleovalley • VSHREDMD – Formulated by Dr. Drew: The Science of Cellular Health + World-Class Training Programs, Premium Content, and 1-1 Training with Certified V Shred Coaches! More at https://drdrew.com/vshredmd • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew 「 MEDICAL NOTE 」 Portions of this program may examine countervailing views on important medical issues. Always consult your physician before making any decisions about your health. 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (https://kalebnation.com) and Susan Pinsky (https://twitter.com/firstladyoflove). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of the World Extreme Medicine podcast, Eoin Walker speaks with humanitarian health leader Hareen De Silva about his recent deployments in Gaza, Syria, and beyond. From mass casualty incidents and waterborne disease outbreaks to the psychological toll on healthcare workers, Hareen shares vital insights into what it takes to deliver medical care in conflict zones.We explore:The worsening humanitarian crisis in GazaLessons from Syria and UkraineMental health challenges for aid workersThe complexities of coordinating care under fireWhat needs to change in humanitarian operationsThis conversation offers a powerful look at the realities on the ground.
This Flashback Friday is from episode 210 published last April 24, 2011. Jason talks with Dr. Geoffrey Simmons, a physician who is Board-certified in Internal Medicine and Disaster Medicine. He has a B.S. in Zoology and has completed the course work for a Masters degree in Microbiology. Follow Jason on TWITTER, INSTAGRAM & LINKEDIN Twitter.com/JasonHartmanROI Instagram.com/jasonhartman1/ Linkedin.com/in/jasonhartmaninvestor/ Call our Investment Counselors at: 1-800-HARTMAN (US) or visit: https://www.jasonhartman.com/ Free Class: Easily get up to $250,000 in funding for real estate, business or anything else: http://JasonHartman.com/Fund CYA Protect Your Assets, Save Taxes & Estate Planning: http://JasonHartman.com/Protect Get wholesale real estate deals for investment or build a great business – Free Course: https://www.jasonhartman.com/deals Special Offer from Ron LeGrand: https://JasonHartman.com/Ron Free Mini-Book on Pandemic Investing: https://www.PandemicInvesting.com
Frontline Connections: Strengthening Our ResilienceIn honor of May's National Nurses Week, EMS Week, Hospital Week, and more, Transmission Interrupted celebrates the frontline professionals who stand at the crossroads of care, safety, and preparedness.In this special episode, host Jill Morgan is joined by a panel of experts from across the country: Tristan Twohig, an emergency department nurse from Spokane, Washington; Caroline Persson, who co-leads the NETEC IPC and BCU leadership workgroups and joins from Denver Health; and Stefanie Lane, co-leader of the NETEC Regional Coordination workgroup from Mass General in Boston.Together, they unpack the real-world challenges facing frontline healthcare providers—the moments when communication breaks down between EMS and hospital teams, the risks of missed or unclear handoffs, and the persistent gaps in infection prevention. The panel shares stories from the field, discusses the importance of the “identify, isolate, inform” model, and explores strategies for strengthening resilience and teamwork across emergency settings.Whether you're a healthcare worker, a leader, or simply curious about how our health systems come together in high-risk scenarios, this episode amplifies the voices of those who make healthcare resilient from the ground up.Questions or comments for NETEC? Contact us at info@netec.org.Visit Transmission Interrupted on the web at netec.org/podcast.GuestsStefanie Lane, MS, MPH, NREMT Biothreats Program Manager, Center for Disaster Medicine Massachusetts General HospitalStefanie Lane serves as a Biothreats Program Manager within the MGH Center for Disaster Medicine. In this role, she ensures operational readiness of the special pathogens program, spearheads the development of novel educational modalities (including XR/VR) for high-risk low frequency events, and serves as a SME/liaison between the EMS and healthcare facilities. Stefanie has an extensive background in education and has designed and facilitated a wide variety of training courses. She has eighteen years of experience as an Emergency Medical Technician, where she has served as a training coordinator and board member for ambulance services in Vermont. Stefanie completed her undergraduate degree in Biology at the University of Vermont, and holds Masters degrees in Environmental Science & Policy from Johns Hopkins University and Public Health from Harvard University. Caroline Croyle Persson, MPH, MPA, CIC , PMP, FAPIC Program Director, Denver Health Caroline Croyle Persson is the Program Director for Disaster Health at Denver Health & Hospital Authority. Her work focuses on healthcare emergency management, coordination and collaboration, and capacity building to enhance healthcare preparedness and response efforts. Ms. Persson also serves as an agency representative (AREP) for NDMS IMT. Prior to her current role, Mrs. Persson worked in infection prevention and control with a focus on influenza, emergency management, high risk pathogens, program and policy management, hand hygiene, and regulatory compliance. She has worked on various public health projects prior to arriving at Denver Health spanning malaria prevention, community health worker sustainment, emergency management, and HIV/AIDs mobile health application acceptance. Mrs. Persson has an MPH from Columbia University with a certificate in Infectious Disease Epidemiology, an MPA from the University of Colorado Denver, and is a Fellow of the Association for Professionals in Infection Control and Epidemiology. Tristan...
In this episode of EMRA*Cast's "Bridging Health and Humanity" series, host Natalie Hernandez, MD, MPH, speaks with Aslam Akhtar, MD, PhD, a fourth-year EM resident at Harbor UCLA, about his experience volunteering on a medical mission trip to Northern Gaza.
Doctor Tom Stein recently published his first book, Gratitude Is Not Enough, The True Story of a Belgian Family Forever Changed by a Band of American WWII Soldiers. The book focuses on the Remember Museum ‘39-‘45 in Clermont, Belgium that was opened by Marcel and Mathilde Schmetz, better known as the M&Ms by soldiers in a U.S. Army Company of the First Infantry Division who were briefly quartered on Marcel's family farm in December 1944 before the Battle of the Bulge. Marcel saved many of the items the soldiers left behind, what he calls “treasure,” and which became the core of this special collection dedicated to the Americans who helped liberate Belgium from four years of Nazi occupation. The Museum, which is adjacent to the M&M's home, contains the requisite "stuff" of a museum, but importantly, tells the soldiers' stories, many of whom became lifelong friends with Marcel and Mathilde. I've read Gratitude is Not Enough and can tell you it's a powerfully written account of what the people of Clermont endured during World War II and the M&Ms efforts to preserve its history in their museum. I highly recommend this book to you. Dr. Tom Stein is a retired Emergency Physician, as well as a retired Colonel in the U.S. Army Medical Corps. He completed his Emergency Medicine Residency at Darnall Army Community Hospital, Fort Hood, Texas and served thirty-eight years in the Army and Army Reserves. Emergency Medical Services and Disaster Medicine are his sub-specialties.
Drug toxicity is a leading cause of death in Canada and around the world. Over the course of three episodes, we address three interrelated topics related to the toxic drug crisis. This final episode will review decriminalization policies in Portugal, British Columbia, and Oregon, and examine the mandatory treatment scheme in Alberta. Guests discuss how decriminalization is ineffective as a standalone policy and suggest additional resources that are needed to address the overdose crisis. Host Sarah Rowe discuss this issue and more with guests, internist and addiction specialist, Dr. Monty Ghosh, and criminal defence lawyer, Kyla Lee. This series is produced in memory of Marc Alexander O'Keefe. Guests S. Monty Ghosh, Doctor of Internal Medicine, Disaster Medicine, and Addiction Medicine; Assistant Professor, Departments of General Internal Medicine & Neurology, University of Alberta; Clinical Associate Professor, Departments of Medicine & Psychiatry, University of Calgary Kyla Lee, Vancouver Criminal Lawyer, Acumen Law Corporation Host Sarah Rowe, Articling Clerk, Legal Aid Newfoundland and Labrador The Toxic Drug Crisis Podcast Series To further explore the discussion, listen to our previous podcasts on the subject: The Toxic Drug Crisis Podcast Series: Is Harm Reduction Enough? — With guests Geoff Bardwell, Ph.D. and Craig Marshall. Host: Sarah Rowe The Toxic Drug Crisis Podcast Series: The Role of Safer Supply — With guests Gillian Kolla, PhD, MPH and Sukhpreet Klaire, MD CCFP (AM). Host: Sarah Rowe
CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.
This week, Aebhric O'Kelly talks with Dr Derrick Tin, a professor of critical care and director of counterterrorism medicine at Harvard University, and discusses the multifaceted field of disaster medicine. He explains the importance of providing quality care in resource-limited environments and the various pathways for medical professionals to get involved in this speciality. Dr Tin shares his journey from critical care to disaster medicine, emphasising the need for practical training and the psychological aspects of working in disaster scenarios. He also highlights the significance of mentorship and the evolving nature of disaster medicine as a recognised subspecialty.TakeawaysDisaster medicine focuses on providing care in resource-limited environments.Soft skills are crucial for disaster medicine specialists.There are various pathways to enter disaster medicine, including courses and fellowships.Critical care experience is valuable in disaster medicine.Training should include practical, hands-on experiences.Mental health support is essential for disaster responders.Disaster medicine should be integrated into medical school curricula.The Harvard DM Fellowship offers unique resources and training.Networking and collaboration are vital in the disaster medicine community.Future developments in disaster medicine should focus on recognition as a standalone subspecialty.Chapters00:00 Introduction to Disaster Medicine02:57 Understanding Disaster Medicine06:07 Pathways into Disaster Medicine09:14 The Role of Critical Care in Disaster Medicine11:47 Training for Disaster Medicine15:05 The Ideal Disaster Medicine Course18:04 Harvard's Disaster Medicine Fellowship20:57 Experiences in Disaster Response24:13 Psychological Aspects of Disaster Medicine27:05 Contributions to the Field Guide30:03 The Future of Disaster Medicine32:52 Advice for New Practitioners36:10 Involvement in WADEM
In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe talk with Nathalie Pattyn at TacTrauma24 in Sweden about the phenomenon of skills fade amongst emergency physicians. Nathalie discusses her extensive background in medicine, psychology, and neuroscience, and shares insights from her research on how skills can deteriorate during low workload deployments, such as her 15-month clinical stint in Antarctica. They delve into the lack of systemic measures to address returning to practice after long absences, how cognitive and psychomotor skills are affected by skill fade, and the contrast between teaching technical skills and ensuring they become automatic and stress-resilient. The conversation highlights the need for evidence-based guidelines to ensure healthcare professionals maintain their proficiency, which ultimately benefits patient care and the healthcare system. 00:00 Introduction and Guest Introduction 00:13 Natalie's Background and Expertise 00:38 Skills Fade in Emergency Medicine 01:01 Personal Experience with Skills Fade 02:14 Regulations and Policies on Skills Maintenance 04:19 Imposter Syndrome vs. De-skilling 06:42 Aviation vs. Medical Field: Skills Certification 08:27 Aging and Cognitive Decline in Medical Skills 09:57 Teaching vs. Training in Medical Education 12:42 Future Directions and Systemic Solutions 14:31 Conclusion and Contact Information The Guest Nathalie Pattyn, MD, MPsy, PhD, received a degree in medicine from the Université Libre de Bruxelles (magna cum laude, 2001), a Master in Clinical Psychology from the Vrije Universiteit Brussel (cum laude, 2004), a PhD in Psychological Sciences from the Vrije Universiteit Brussel (2007) and a PhD in Social and Military Sciences from the Royal Military Academy (2007). She also holds a postgraduate degree in Aerospace Medicine; a postgraduate degree in Emergency Medicine; a postgraduate degree in General Practice ; a postgraduate degree in Disaster Medicine ;and a Master in Global and Remote Healthcare. She completed her Junior Officer Course with the Belgian Defense College in 2005, and her Staff Officer Course in 2008. She has a mixed clinical, research and operational background, having been deployed as a medical officer in various Middle Eastern and African countries, and having completed missions in Antarctica for a total duration of more than two years. Her longest deployment was 15 months to the Halley VI Research Station in Antarctica, where she worked as the station physician while setting up a new biomedical research laboratory for the European Space Agency. She is currently still working as an emergency physician and a flight surgeon. Her research interests include the psychophysiological measures of performance in elite populations; and Human Factors approach to isolated and confined environments, ranging from space to submarines. In 2010, she founded a research unit within the Royal Military Academy, dedicated to the multidisciplinary study of human performance in operational environments. This led her to be the project manager for designing a tailored Human Performance Program for the tier one unit of the SOF community in Belgium. She is currently an Associate Professor in Physiopathology at the Vrije Universiteit Brussel and in Human Performance at the Royal Military Academy. You can read Nathalie's excellent book "Handbook of Mental Performace" for free here.
Today, we spoke to Dr. Jeffrey Freeman, who directs the National Center for Disaster Medicine and Public Health (NCDMPH). Dr. Freeman leads a team that Congress has tasked with studying something called the National Disaster Medical System, which would coordinate how we treat casualties in the event of a hot war with a peer. Freeman worries that our on-paper system for distributing patients is likely to collapse once the shooting starts, if we don't make serious reforms.Timestamps:* (00:00) Introduction* (00:18) Working with INDOPACOM* (3:55) 1,000 casualties, every day, for 100 days* (11:27) What private sector hospitals can expect* (23:43) Preparing for situations you can't predict* (37:32) What happens when digital systems go down?* (44:19) What's the potential scale of a conflict like this?You can read the full interview transcript at www.statecraft.pub. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.statecraft.pub
Dr. Merry Jennifer Markham and ASCO CMO Dr. Julie Gralow discuss the shortage of IV fluids and other challenges that have emerged from Hurricane Helene as high-risk areas brace for impact from another storm, Hurricane Milton. In a conversation with Dr. John Sweetenham, they highlight resources for oncologists and patients and stress the importance of crisis preparedness at cancer centers. TRANSCRIPT Dr. John Sweetenham: Hello, I'm Dr. John Sweetenham, the host of the ASCO Daily News Podcast. Hurricane Helene made landfall on September 26th in Florida and raged over parts of Georgia, North Carolina, Tennessee, and Virginia. The disaster has claimed over 230 lives. Many people are still missing, and many thousands are homeless. The hurricane has exacerbated the nation's IV fluid shortage, and some health care facilities have begun implementing conservation strategies. Meanwhile, Hurricane Milton, another powerful hurricane, is expected to wreak havoc as Florida braces for back-to-back hurricanes in parts of the state. On today's episode, we'll be discussing the impact of these events on cancer care, including the shortage of IV fluids. Joining me for this discussion is Dr. Merry Jennifer Markham, a professor and research lead for the University of Florida Health Cancer Center's Gynecologic Cancer Disease Site Group. I'm also delighted to welcome Dr. Julie Gralow, the chief medical officer at ASCO. Our full disclosures are available in the transcript of this episode. Merry Jennifer and Julie, many thanks for joining us for the podcast today. Dr. Julie Gralow: Thanks for having us, John. Dr. Merry Jennifer Markham: Yes, thank you. Dr. John Sweetenham: Merry Jennifer, can you tell us your exact location today and how your patients and institution have been impacted by Hurricane Helene so far? Dr. Merry Jennifer Markham: I am in the north-central part of Florida. I'm in Gainesville, Florida, which is the home of the University of Florida, where I practice medicine. And we are physically about two hours north of Tampa, two hours north of Orlando, and about an hour and a half southwest of Jacksonville. So right in the middle. And we are currently in the track for the next storm. Helene was a really a devastating storm and what our area felt was primarily what we tend to get in most storms here in the center part of the state, which is a lot of rain, a high risk for tornadoes and a lot of power outages. And one of the challenges that my center in particular faces, and some of the local cancer centers and cancer care providers around in our region, is our patients live in a very rural population. So for those patients who are not in downtown Tampa, downtown Orlando, for example, the rest of the state, especially in the northern part, tends to be quite rural. And so many of our patients had loss of power and a lot also in those regions are on well water. And so when the power goes out, it's not just a matter of losing air conditioning and losing access to Wi-Fi, but it's also losing access to fresh, clean water. Dr. John Sweetenham: Wow, it sounds very challenging. And of course, there are growing concerns at the moment about the IV fluid shortage that's being caused by Hurricane Helene and some hospitals have already begun conserving IV fluid supplies. Can you tell us a little bit about your experience with IV fluid shortages so far and whether you are anticipating other medical supplies to be affected by these shortages in the days or weeks ahead? Dr. Merry Jennifer Markham: Well, the IV fluid shortage has definitely impacted us. I happened to be on service last week and this week, and, working in the inpatient setting right now on our oncology inpatient service, we are having to conserve all IV fluid, and the entire hospital has been directed to find workarounds. And it's not always easy to find workarounds. It has definitely impacted our ability to safely discharge patients and to sometimes adequately give people the hydration, for example, that they need. A lot of the cancer therapies, we also use intravenous fluids to pre-hydrate or post-hydrate, and it's a challenge when we also need to conserve those IV fluids for other critical needs in the hospital setting. And for me, the shortage is really being felt in that inpatient setting right now. I think that other centers are still going through. And what we learned from the pandemic is that when there is a shortage, and it's not just actually the pandemic that we learned this from, but from any of the supply chain issues that we've had is then centers start buying it up, right? And so there's a bit of a panic in the healthcare field where if we're short on IV fluids, then well, now everybody is buying up the remaining IV fluids. And I think that does impact, unfortunately, everyone in a negative way. Dr. John Sweetenham: Yeah, I was reading some news reports earlier today actually about stockpiling and the efforts that some of the companies are going to control their outward going supplies to hopefully prevent some of that stockpiling. As if life for you and your patients wasn't difficult enough, you now have the prospect of another major storm, Hurricane Milton, which is headed your way and predicted to be among the most destructive hurricanes ever on record in central Florida. What are your major concerns in the days ahead and for what this might mean for the longer-term impact on cancer care? Dr. Merry Jennifer Markham: It's concerning. We are definitely in the path and the hospital is currently in sort of crisis preparedness mode. My concerns are always for the patients and for the teams caring for them, especially in my current work in the inpatient setting, these last two weeks. Our patients, because they come from such rural areas, are going to lose power. We will probably lose power, but we have generators at the hospital system, so we're a bit protected. But in many of these areas around us, there will be high winds, there will be flooding for those along the coast, and just the access to a clean, safe living environment is going be in jeopardy during and after the storm. What concerns me about our patients in particular with cancer are the ones who are undergoing treatments and who may have complications and may not be able to reach the help that they need during the storm or in the days following. I have patients that I have been caring for in the last week who still haven't recuperated, still haven't recovered their power from Helene. And so this is just adding insult to injury. I think that the impact on medical supplies is still to be seen. The challenge is always when a storm wipes out the major manufacturer of a particular product, I think we'll probably continue to have the IV fluid shortages. And I think it's just going to be a matter of preparing for a worst-case scenario but being prepared. Dr. John Sweetenham: Absolutely, yes. I think you've already alluded to the fact that as each of these successive disasters affect the country, we sort of learn a little bit more each time. And ASCO has provided resources on its website for disaster assistance. We'll share a link in the transcript of this episode to connect providers and patients to the Hurricane Helene-specific resources, government agencies, and also to patient and caregiver groups. Julie, as ASCO's chief medical officer, you've been speaking to stakeholders across the oncology community, as well as many groups that are responding to the crisis. What's your message to ASCO members and patients and caregivers today? Dr. Julie Gralow: Our main message at ASCO to our members, our immediate outreach was, ‘We're thinking of you, we're here for you, let us know how we can help you.' As you've already said, we've learned from past natural disasters. We had Katrina way back when, specifically for the IV drug shortages. We had a shortage back in 2014 due to a problem in Norway, but in 2017 we had another hurricane, Maria, which impacted Puerto Rico and majorly impacted IV fluids. So we have knowledge that we've gained, we as the whole medical community have gained on how to adapt and where we can hydrate orally or, you know, give electrolytes and where we can reserve things. I think one of our main messages at ASCO is that while our members are those who treat patients with cancer, we use IV fluid everywhere in the hospital, the operating room, the emergency room, the ICUs. We are all in this together, and so, while we have some specific things related to oncology where we can probably save fluid and conserve, etc., we need to work as a whole team, a whole body to protect each other. So, if you're developing an incident management team at your institution or whatever, it needs to be multidisciplinary. We all need to be protecting each other's patients as well. Dr. John Sweetenham: Yeah, absolutely. Just briefly on the subject of IV fluids, do you think it will be necessary to mitigate the IV fluid issue by bringing IV fluids in from other countries? Dr. Julie Gralow: I think the full impact, how long this is going to be, how much we can ramp up domestically, is really yet to be seen. all looking at this. So Baxter, which supplies about 60% of hospital IV fluids and peritoneal dialysis solutions, it was flooded essentially at their big plant in North Carolina. They have several other plants in the US and some internationally too. So the question will be, did those other plants also make IV fluids? Can they be ramped up? There are another at least two companies in the U.S. that make IV fluid. What will be their ability to ramp up? we already do. Baxter says they've already; I think Merry Jennifer alluded to this, they've already instituted a mitigation strategy where they're placing products on a protective allocation. So they are really trying to protect against stockpiling, et cetera. The FDA has come out and said it will consider reviewing potential temporary imports. It also is looking at expediting reviews once the manufacturing lines are up and going again, it will expedite those as well. And they're looking at alternative providers. IV drugs are officially on the FDA's drug shortages list, and that allows certain flexibilities, I am told, in terms of, for example, being able to make sterile IV fluids at a local site if it's on the FDA drug shortage list. And there are some other things that go along with it. It's really hard to find on the FDA drug shortage site. You have to use the right keyword. You have to look it up under sodium chloride for injection. You can't look up saline on it. But it is now there. I think it just got placed in the last 24 hours or so. And so that does allow some additional flexibilities. Dr. John Sweetenham: Okay, great. Thank you. So a question for both of you. A couple of years ago, we covered the consequences of Hurricane Ian on this podcast. And Helene and Milton will presumably not be the last storms which are going to disrupt cancer care and undoubtedly cause a great deal of hardship to many people, both our patients and our caregivers, those who are giving care. Climate change probably predicts that this is going to be an ongoing event. You know, these events have undoubtedly tested the disaster preparedness plans of cancer centers in the region. I wonder how you would assess the readiness of cancer centers to respond to these big disasters, which are undoubtedly in our future, and what areas of care do you think would need more attention? Merry Jennifer, maybe I'll start with you for that question. Dr. Merry Jennifer Markham: I think cancer centers, working within their health system, really should have a disaster preparedness plan in place. Here in Florida, I am very used to the preparedness plans that my system has developed really for every hurricane season. And because hurricane season is from June to the end of November, we are fully aware of this plan and can start taking action. And a lot of that deals with when do we close particular clinics? What areas do we need to prioritize? How do we make sure we've got proper staffing? I think that is the type of thing that cancer centers should have really in a written protocol – here's what we do when this news is coming out of the weather center or something along those lines. One of the challenges that we face, and I think probably this is, I guess I'm going to speak for all of the Southeast who is in the, you know, a hurricane, you know, risk area is disaster fatigue. And I think that is a problem. I don't know if it's unrecognized. I fully recognize it because I feel it. think earlier when we were talking, you mentioned Hurricane Ian and I don't even remember, Ian, because we have so many of these hurricanes. Every year there's a new one or multiple, and they all seem to bring the same kind of disasters. Usually on a local scale; I think what we've seen with Helene has just been so massive across multiple states. But the fatigue, that disaster fatigue, I think can lead people to become a little lax. And there is a risk. If we think of all of us as caregivers for all of our patients and for the physicians and teams practicing, it's easy to become numb and tired and worn out of preparing for these disasters. So, I think it's very important that this stays top of mind and that centers are preparing and also cognizant of the fact that fatigue is also a real potential issue. Dr. John Sweetenham: Right, thanks. Julie. Dr. Julie Gralow: We learn from each event and the events have come closer and closer, at least the hurricanes have. I totally agree with Merry Jennifer that we can't have disaster fatigue. Each one does have its unique component. For example, Helene, while we could see the path and it didn't stray that far from its path, did we really expect that this region, this Appalachian region would be the one most impacted? They're nowhere near a coast, you know, it was a bunch of flooding and dams breaking, so each one is different. From ASCO's perspective, we've learned and we've developed both a domestic crisis response team and plan, as well as an international one. And it's, besides hurricanes and major storms, you know, we've had fires and earthquakes and for our international crisis response team, we've been dealing with conflict and getting cancer care delivery in regions of conflict. So by having a team formed, by learning from each event, and then quickly communicating with members when we can get ahold of them on the ground as to what the real situation is and how we can help, I think we've gotten stronger over the years. It's still, with each one, it's horrible for the people on the ground and our job really is to best support our members and their patients as they're trying to get their lives back together. Dr. John Sweetenham: Thank you. So, I think that winds up most of the issues we wanted to cover today. And I wanted to thank you both Dr. Markham and Dr. Gralow for being on the podcast today and sharing your insights on what is, of course, an extremely challenging situation. I should remind listeners that they will find links to disaster resources for providers and patients on the ASCO website at asco.org. You can also follow Dr. Markham on X. Her tag is at @DrMarkham, where she has been sharing key information and resources. And Dr. Julie Gralow will continue to share resources on X. You can find her @jrgralow. We want to wish you, Merry Jennifer, and our many colleagues in the affected regions, all the best during what we know are very challenging times. Dr. Merry Jennifer Markham: Thank you. And thanks to you, Dr. Gralow, for sharing your insights and thoughts with us today as well. Dr. Julie Gralow: Thanks for having us, John. Dr. John Sweetenham: And thank you to our listeners for your time today. If you value the insights that you hear on the ASCO Daily News Podcast, please take a moment to rate, review and subscribe wherever you get your podcasts. Disclaimer: The purpose of this podcast is to educate and inform. It is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. The guests on this podcast express their own opinions, experience, and conclusions. Guest statements do not necessarily reflect the opinions of ASCO. Mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Find out more about today's guests: Dr. Merry Jennifer Markham @DrMarkham Dr. Julie Gralow @jrgralow Follow ASCO on social media: @ASCO on Twitter ASCO on Facebook ASCO on LinkedIn Disclosures: Dr. John Sweetenham No relationships to disclose Dr. Merry Jennifer Markham: Stock and Other Ownership Interests (Immediate Family Member): Pfizer Research Funding (Inst.): AstraZeneca, Merck Dr. Julie Gralow: No relationships to disclose
Welcome to the Nothing Shocking Podcast 2.0 episode 261 with our guest Ryan Caudle of Sound&Shape a Nashville based Rock Trio. We discuss their latest album Pillars of Creation (2024), the album Disaster Medicine (2022), videos, touring, and more! For more information visit: https://www.soundandshape.net/ Please like our Facebook page: https://www.facebook.com/nothingshockingpodcast/ Follow us on twitter at https://twitter.com/hashtag/noshockpod. Libsyn website: https://nothingshocking.libsyn.com For more info on the Hong Kong Sleepover: https://thehongkongsleepover.bandcamp.com Help support the podcast and record stores by shopping at Ragged Records. http://www.raggedrecords.org Nothing Shocking Podcast Best of 2024 Apple Playlist: https://music.apple.com/us/playlist/nothing-shocking-podcast-2024/pl.u-NP2Ws7135YR
Be prepared. Perhaps it is some of the best advice we can offer anyone and everyone as we survey the global landscape, the exposure of corruption and lies, the battle for power and control, and the relentless the pursuit of greed. Hopefully by now our audience is "hip to the game", but we wanted you all to hear from Dr. Kelly Victory, a board-certified trauma and emergency specialist with over 30 years of clinical experience who has served as CMO for Whole Health Management, delivering on-site healthcare services for Fortune 500 companies and is Chief of Emergency & Disaster Medicine at The Wellness Company. She talks about the bird flu, how media is used to control the public, and what the public needs to know--the truth.
In this special episode of the podcast, we talk with the Chief Medical Officer for the National Disaster Medical System and Deputy Director of the National Center for Disaster Medicine and Public Health, Dr. Michael Zanker. I am joined by Dr. Luke Wohlford and Sriram Venkatesan. We talk about Dr. Zanker's role in the disaster environment as a practicing emergency physician.
In this episode, we interview Brian J. Maguire, Dr.PH, MSA, EMT-P, about the serious realities faced by EMS responders, exploring the intricate details of responder injuries and fatalities. Dr. Maguire's insightful 2023 research in "Prehospital and Disaster Medicine" provides a sobering look at the risks these brave individuals encounter daily, offering valuable perspectives on safeguarding those who are first on the scene to save lives.
Please listen to and watch our latest episode of The Lebanese Physicians' Podcast discussing disaster preparedness in hospitals in Lebanon. In this episode, I interview Dr. Mariana Helou, the Chief of Emergency Medicine at the LAU-MC Rizk Hospital in Achrafieh. Dr. Helou is very active in Disaster Medicine and Mass Casualty event preparedness training in Europe. We discuss the August 4th explosion and disaster preparedness at that time, and then discuss current hospital preparedness in Lebanon for a potential mass casualty event given the political events in the region. We discuss emergency preparedness specifically at LAUMC-RH, but also discuss the national emergency preparedness plan and the importance of closed loop communication among the various hospitals in case of a mass casualty event. If you want to learn more about disaster and emergency preparedness, this is the episode to listen to. Also available on Podbean, Apple, Spotify, Anghami, and iHeartRadio Website: www.thelebanesephysicianspodcast.podbean.com #emergencypreparedness #disastermedicine #masscasualtyevent
Today I have Lisa back on with Kevin tonight to discuss a few different preparedness topics, including alternative energy, online security, and any questions about SHTF or disaster medical needs. Most of you know Lisa is an R.N. specializing in wound care, but she is also one of us “crazy” conspiracy theorists. I'm sure aliens […] The post SPP397: Disaster Medicine and Emergency Power appeared first on Survivalist Prepper.
About Our Guest: Deena grew up in Pittsburgh and spent a year studying in Israel before studying for her undergraduate degree at Stern College, where she majored in biology and minored in education. She received her MD from University of Pittsburgh School of Medicine and then went on to complete residency in Emergency Medicine at Temple University Hospital in Philadelphia. She completed a fellowship in EMS and Disaster Medicine at Cooper University Hospital in Camden before making aliyah. She now lives and works in Ashdod, Israel. www.twitter.com/deenadiamond https://www.instagram.com/deenadiamond/ Would you like to be a SPONSOR? Would you like to join the Whatsapp Discussion Group? Reach out about new sponsorship opportunities for your brand & organizations - franciskakay@gmail.com Check out www.JewishCoffeeHouse.com for more Jewish Podcasts on our network.
Kekoa Taparra is a postdoctoral medical fellow and resident in the Department of Radiation Oncology at Stanford Medicine. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. K. Taparra, M.-.-.-. Purdy, and K.L. Raphael. From Ashes to Action — Indigenous Health Perspectives on the Lāhainā Fires. N Engl J Med 2023;389:1543-1545.
“We're recording this in mid-2023,” host Shane Tenny says. “Already, there have been more mass shootings in our country than there have been days in the year. We're pacing about 330 mass shootings as it's often defined, which is atrocious.”Hearing these numbers is jarring and figuring out how to solve this problem is downright daunting. Where does the solution begin?On this episode of the Prosperous Doc®, our host Shane Tenny, CFP® welcomes Dr. David Callaway to discuss the complex issue of gun violence in America. Dr. Callaway brings a distinctive perspective to the conflict, approaching it from the standpoint of a physician, a veteran, a gun owner, a law enforcement officer, a father, and a leader in his community. Dr. Callaway is an emergency medicine physician at Atrium Health in Charlotte, North Carolina, the region's only Level I trauma center. He's been practicing medicine for about 20 years and served as a physician with the United States Navy and the Marine Corps, as well as in Iraq with a mobile surgical unit. After leaving active duty in 2005, Dr. Callaway spent the bulk of his career working on security and violence-related issues with law enforcement and now serves as a sworn Task Force officer with US Marshals. Needless to say, he has extensive experience with guns, violence, and the law. Together, Shane and Dr. Callaway needle through tough gun violence topics. Dr. Callaway shares his beliefs in coalitions and the importance of getting everyone to agree on a single issue.Tune in to hear about Dr. Callaway's belief in gun safety and gun ownership accountability as two of the first steps to be prioritized in combating gun violence.
Guests: Deborah Thomson, Founder and CEO at One Health Lessons [@OneHealthLesson]On ITSPmagazine | https://www.itspmagazine.com/itspmagazine-podcast-radio-hosts/dr-deborah-thomson-dvmAllison A. Sakara, Executive Director, High Alert Institute [@High-Alert-Inst]On ITSPmagazine | http://www.itspmagazine.com/itspmagazine-podcast-radio-hosts/allison-a-sakaraDr. Maurice A Ramirez, Founder and President, High Alert Institute [@High-Alert-Inst]On ITSPmagazine | http://www.itspmagazine.com/itspmagazine-podcast-radio-hosts/dr-maurice-a-ramirez____________________________Host: Marco Ciappelli, Co-Founder at ITSPmagazine [@ITSPmagazine] and Host of Redefining Society PodcastOn ITSPmagazine | https://www.itspmagazine.com/itspmagazine-podcast-radio-hosts/marco-ciappelli_____________________________This Episode's SponsorsBlackCloak
Episode Notes In this special episode of Breakpoints, pharmacist Hailie Uren joins Dr. Erin McCreary (@ErinMcCreary) to talk about the current practice of medicine in Ukraine, including the extremely drug-resistant war wound infections she frequently encounters. You won't want to miss this amazing insight, and can support UK-Med in Ukraine here: https://www.uk-med.org/donate-now Learn more about the Society of Infectious Diseases Pharmacists: https://sidp.org/About Twitter: @SIDPharm (https://twitter.com/SIDPharm) Instagram: @SIDPharm (https://www.instagram.com/sidpharm/) Facebook: https://www.facebook.com/sidprx LinkedIn: https://www.linkedin.com/company/sidp/ SIDP welcomes pharmacists and non-pharmacist members with an interest in infectious diseases, learn how to join here: https://sidp.org/Become-a-Member Listen to Breakpoints on iTunes, Overcast, Spotify, Listen Notes, Player FM, Pocket Casts, Stitcher, Google Play, TuneIn, Blubrry, RadioPublic, or by using our RSS feed: https://sidp.pinecast.co/ Check out our podcast host, Pinecast. Start your own podcast for free with no credit card required. If you decide to upgrade, use coupon code r-7e7a98 for 40% off for 4 months, and support Breakpoints.
In the Virgis adventure, a major sickness has decended upon the country. Medication is needed but must be produced. The major reliance on pharmaceuticals in America puts us at risk if the supply were cut off.
Discover the powerful journey of Major General Tim Hodgetts, the Surgeon General of the United Kingdom Defense Medical Services, in revolutionizing military Emergency Medicine, as he shares his experience in leading a contemporary revolution in combat casualty care, his principles for leadership, and the many benefits of a continuing partnership. In this fascinating conversation, Major General Hodgetts recounts how he demonstrated that the outcomes of a mixed military and civilian hospital in Kosovo were the same as those of a civilian hospital and how he established a telephone conference of all deployed Medical Treatment Facilities (MTFs), paving the way for advancements in Military Medical care. Uncover Major General Hodgetts' unique insights into multinational collaboration, the importance of interoperability, and standardization in the Armed Services as you listen to his experiences learning Danish and studying International Cultural Theory. Learn how he developed resilience for younger military personnel through sports psychology and mindfulness techniques and how he uses poetry and journaling in his personal life. Also, discover his innovative approach to setting up a Field Hospital simulation using actors to create realistic casualties. Finally, explore the essential collaboration between the military and civilian sectors as Major General Hodgetts delves into the NATO Medical Support Capstone Concept and its potential impact on the National Health Service's Major Incident and Mass Casualty Guidelines. Listen in as he discusses how these guidelines were implemented and he reflects on his proudest career accomplishments and future plans. Don't miss this captivating and inspiring conversation with one of the most influential figures in Military Medicine. EPISODE CHAPTERS (0:00:00) - Military Medicine and Emergency Care (0:10:01) - Revolutionizing Military Emergency Medicine (0:21:52) -Multinational Collaboration (0:28:06) - Military Medicine and Coping Mechanisms (0:39:24) - Preparing for Civilian-Military Collaboration in Wartime EPISODE CHAPTER SUMMARIES (0:00:00) - Military Medicine and Emergency Care (10 Minutes) Major General Tim Hodgetts, the Surgeon General of the United Kingdom Defense Medical Services, is an expert in Emergency and Disaster Medicine and is the most senior uniformed medical officer within the UK armed forces. Major General Hodgetts shares how he led a contemporary revolution in combat casualty care, his principles for leadership, the similarities and differences between US and UK military health systems, and the many benefits of the continuing partnership. He also shares an inspiring story about the challenges he faced in developing the specialty of Military Emergency Medicine and his most memorable clinical case. (0:10:01) - Revolutionizing Military Emergency Medicine (12 Minutes) Major General Tim Hodgetts demonstrated that the outcomes of a mixed military and civilian hospital in Kosovo were the same as those of a civilian hospital. He established a telephone conference of all the deployed Medical Treatment Facilities (MTFs), and a process for an acute clinician to attend post-mortem autopsies and coroner inquests. He was also able to push for changes in vehicle and personal protection and develop a trauma registry to review lessons learned in real time. George Bernard Shaw's quote of “progress is only made by unreasonable people” can be applied to the advancements made in Military Medical care. (0:21:52) -Multinational Collaboration (6 Minutes) Major General Tim Hodgetts shares his experience of learning Danish and studying International Cultural Theory to better understand the differences between nations. He also outlines the need for interoperability across the Armed Services of our own nations and the need for standardization in tactics, techniques, equipment, drugs, and treatment guidelines. Finally, we discuss the implications of Brigadier General David Ward's statement that there is no safe place on the battlefield and ways to cope with the stress of seeing horrific things. (0:28:06) - Military Medicine and Coping Mechanisms (11 Minutes) Major General Tim Hodgetts reflects on the importance of keeping a war diary and shares a piece of his own poetry. He also discusses the introduction of sports psychology and mindfulness techniques to develop resilience for younger personnel in the military. He further shares his experiences of setting up a Field Hospital simulation and using actors to create realistic casualties. (0:39:24) - Preparing for Civilian-Military Collaboration in Wartime (8 Minutes) Major General Tim Hodgetts shares the NATO Medical Support Capstone Concept and how the civilian sector may need to rely on the military for support. He discusses how the military has informed the National Health Service's Major Incident and Mass Casualty Guidelines, and how they have been implemented. Major General Hodgetts reflects on his proudest career accomplishments and plans for the future. EPISODE KEYWORDS Military Medicine, Emergency Medicine, Disaster Medicine, Combat Casualty Care, Leadership, Partnership, Multinational Cooperation, Interoperability, Standardization, Mindfulness, Field Hospital Simulation, NATO Medical Support Capstone, National Health Service, Mass Casualty Guidelines, Tourniquet #Military #Medicine #Podcast #WarDocs #MilitaryMedicine #EmergencyMedicine #CombatMedicine #BattlefieldCare #MilitaryLeadership #TraumaRegistry #MilitaryInnovation #UnitedKingdom #Leadership #LessonsLearned Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing Military Medicine career opportunities, experiences, and achievements. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all Military Medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast
Reading survival manuals and stocking medical supplies is a great start, but it will never replace the need for a qualified, experienced doctor.
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. This week, Host Rob Lawrence welcomes back, Alexander Isakov, MD, MPH, professor of emergency medicine at Emory University School of Medicine, executive director of the Emory Office of Critical Event Preparedness and Response (CEPAR), and EMS lead for the National Emerging Special Pathogens Training and Education Center (NETEC). Returning guest, Dr. Isakov provides an update on the current emerging pathogens, diseases, outbreaks and fevers that have featured recently in the news. Candida auris, Marburg virus disease, avian influenza, Nipah virus are discussed as well as recaps on Ebola, COVID-19, polio and seasonal influenza. TOP QUOTES FROM THIS EPISODE “What's concerning CDC officials and experts is there is a multi-drug resistant strain of Candida auris that is really picking up in their surveillance programs.” “While no one wants to be exposed to a multi-drug-resistant Candida auris, it's really the ominous compromised patient that's going to be likely most affected by it, so that means elderly patients or patients that are getting chemotherapy and have some immunosuppression consequence of that or people that are taking immunosuppressant drugs, they are the ones really at greatest risk.” “The likelihood that EMS personnel are going to encounter somebody with Marburg virus disease in the U.S. during routine operations is extremely low, but good to be vigilant about it and identifying that someone might have been exposed, and understanding their travel history, if someone is ill, has a fever or myalgia, GI complaints and has travelled within the last 21 days to equatorial Guinea or Tanzania, then it would raise suspicion.” ADDITIONAL RESOURCES ON THIS TOPIC CDC: Infection prevention and control for Candida auris CDC: Information for infection preventionists NETEC: Situation report: Marburg cases rise in equatorial Guinea and Tanzania NETEC: EMS guidelines for Marburg virus disease ABOUT OUR GUEST Alexander Isakov, MD, MPH, is a professor of emergency medicine at Emory University School of Medicine. He is certified by the American Board of Emergency Medicine in both emergency medicine and emergency medical services (EMS). Dr. Isakov is the director of the Section of Prehospital and Disaster Medicine whose faculty provides medical oversight for 911 communications centers, and ground and air EMS responders in metropolitan Atlanta. He is also the executive director of the Emory Office of Critical Event Preparedness and Response (CEPAR), which serves as the center for Emory enterprise-wide planning for and coordinated response to catastrophic events. Dr. Isakov has provided leadership in emergency medical services and disaster preparedness locally and nationally. He serves as the medical director for the Sandy Springs Fire Department and Air Life Georgia. He is the founding medical director for the Emory-Grady EMS Biosafety Transport Program. He is the EMS lead for the National Emerging Special Pathogens Training and Education Center (NETEC) and is a designated Subject Matter Expert for the Assistant Secretary for Preparedness and Response, Technical Resources, Assistance Center, and Information Exchange (ASPR TRACIE). Dr. Isakov is also on the American College of Emergency Physicians Epidemic Expert Panel and is a member of the EMS sub-board for the American Board of Emergency Medicine. He previously served on the National Association of EMS Physicians board of directors and the Technical Expert Panel for NHTSA's EMS Agenda 2050. Dr. Isakov has an MD from the University of Pittsburgh and an MPH from Boston University. He completed his emergency medicine residency training at the University of Massachusetts Medical Center and his EMS fellowship with Boston EMS. Dr. Isakov has lived and worked in Atlanta for 20 years. He practices clinically in the emergency department of Emory University Hospital. RATE AND REVIEW THE EMS ONE-STOP PODCAST Enjoying the show? Please take a moment to rate and review us on Apple Podcasts. Contact the EMS One-Stop team at editor@EMS1.com to share ideas, suggestions and feedback.
Dr. Gerard Carroll is the Division head of EMS and Disaster Medicine and an emergency room physician at Cooper University Health Care in Camden, New Jersey. He joins Dr. Josh Sharfstein to talk about a pilot program that allows emergency responders to give the treatment buprenorphine after the reversal medication naloxone—right at the scene of an overdose. Dr. Carroll is the co-author of a new paper about his hospital's experience, as well as its impressive results. Learn more: https://pubmed.ncbi.nlm.nih.gov/36192278/
Can hospital care be delivered at home? Will the hospital of the future only consist of ERs, ORs and ICUs? Dr. Helen Ouyang is an emergency physician, Associate Professor in Emergency Medicine at Columbia University, and contributing writer for The New York Times Magazine. She has written for The Atlantic, Harper's, Los Angeles Times, New York, The New Yorker, The New York Times, The Washington Post, and others. Her writing has been a finalist for the National Magazine Award, anthologized in The Best American Science and Nature Writing, and funded by The Pulitzer Center. Helen has worked in 20 countries across five continents in public health and humanitarian assistance. Her publications have also appeared in many academic medical journals, including The Lancet and JAMA, and she currently serves as a reviewer for Annals of Emergency Medicine and Disaster Medicine and Public Health Preparedness. She is also a mentor-editor for The OpEd Project. Until 2015, Helen was the Associate Director of Columbia's International Emergency Medicine Fellowship. After graduating with a bachelor of arts from Brown University, Helen went to medical school at Johns Hopkins and studied for a master's in public health at Harvard, where she was also a Zuckerman Fellow at the Harvard Kennedy School of Government's Center for Public Leadership. Upon completing her training at Harvard, at the Massachusetts General Hospital and Brigham & Women's Hospital, she moved out to the Pacific Northwest before finding her way back to the East Coast. Episode mentions and links: https://helenouyang.com Your Next Hospital Bed Might Be At Home via NY Times Magazine Can Virtual Reality Help Ease Chronic Pain via NY Times Magazine Restaurant Helen would take you to: Bernie's Restaurant Follow Helen: Twitter | LinkedIn Episode Website: https://www.designlabpod.com/episodes/107
We're going back to July 15, 2022 when we chatted with Ryan from Sound & Shape! We talked with him about The meaning behind their recent album's title, Disaster Medicine, musical influences, and got to hear a bunch of tunes. Be sure to check it out! During this episode, we were kicking back with a glass of bold JaM Cab! So grab a glass, sip back and get ready to JaM out and wind down. Cause this is JaMHappyHour, poured by JaM Cellars.Find Sound & Shape online over at soundandshape.net.And stay connected on Facebook, Instagram, and YouTube!Find more music on Spotify, Apple Music, and many other streaming platforms.Find your favorite JaM Cellars wines by visiting us online, at JaMCellars.comAnd on Facebook, Instagram, and YouTube.
Dr. Cassandra Donnelly talks about her personal journey shifting from Emergency and Disaster Medicine to Urgent Care, her path to leadership and why diversity work is not a trend, but good business.
Vol 217, Issue 8: 10 October 2022. Professor George Braitberg AM is Professor of Emergency Medicine at Royal Melbourne Hospital and the University of Melbourne. He is also the Emergency Medicine Head of the Centre for Integrated Critical Care Medicine. He talks about the way we can think about and respond to climate change through the lens of disaster medicine. To accompany his MJA Perspective published here. With MJA news and online editor, Cate Swannell.
Dr. Sonja Rasmussen is a professor of genetic medicine at Johns Hopkins University Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. S.A. Rasmussen and D.J. Jamieson. Protecting Pregnant People and Babies from the Health Effects of Climate Change. N Engl J Med 2022;387:957-959.
Dr. Amna Buttar, Dr. Geet Chainani and Director of Humanitarian Affairs, Sabyn Zaidi, will be going to Pakistan at the end of September to perform emergency disaster relief work. The most emergent needs are tents, food kits, clean water, medical care, mosquito nets. Severe rains and flooding have killed at least 1,300 people, including 348 children since mid-June, officials said on Sunday. At least 50 million people have been affected by the disaster, Pakistan's Minister for Climate Change Sherry Rehman said on Thursday. She called the floods "unprecedented" and "the worst humanitarian disaster of this decade." The southern province of Sindh, which has been badly hit by the flooding, has asked for 1 million tents, while nearby Balochistan province -- largely cut off from electricity, gas and the internet -- has requested 100,000 tents, Rehman said. "Pakistan's priority, at the moment, is this climate-induced humanitarian disaster of epic proportions," Rehman said, urging the international community to provide aid given Pakistan's "limited" resources. - CNN Donate here: https://givebutter.com/pl45rf
In this episode, we interview Emergency Medicine physician Dr. Mark Cichon on the recent ACEP report regarding potential Emergency Medicine physician job shortages over the next decade. This has been a hot topic among medical students and emergency medicine residents. Dr. Cichon clears the air on this report and gives great insight into the world of emergency medicine. Dr. Cichon is a Professor in the Department of Emergency Medicine and the Department of Cell and Molecular Physiology, and has been a member of the Loyola University Chicago faculty since joining the institution in 1996. Dr. Cichon is the Medical Director for Loyola University Medical Center – Emergency Medical Services System where he oversees the licensing, education, policy and procedures for the 3000 "Pre-Hospital" personnel in the Loyola System. As Medical Director, Dr. Cichon has overseen the establishment and organization of disaster preparedness. As Faculty at the Loyola's Stritch School of Medicine, Dr. Cichon mentors and teaches in the existing curriculum during the sophomore pathology program and during the clerkship years, and he has developed a curriculum in Disaster Medicine for the medical students. Dr. Cichon has held several other leadership positions and greatly impacted the field of Emergency Medicine, the before mentioned are just a few of his several achievements! Episode produced by: Aaron Deng and Lauren Hekman Episode recording date: 4/11/22 www.medicuspodcast.com | medicuspodcast@gmail.com | Donate: http://bit.ly/MedicusDonate --- Send in a voice message: https://anchor.fm/medicus/message
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In light of the recent monkeypox outbreak, both the CDC and Atlanta's National Emerging Special Pathogens Training and Education Center (NETEC) have issued specialist guidance to both EMS and healthcare. To discuss this emerging issue, Rob Lawrence is joined by Alexander P. Isakov, MD, MPH, professor of emergency medicine at Emory University. He is also the director for Emory's Section of Prehospital and Disaster Medicine, whose faculty and staff provide medical oversight for 911 communications centers, first responders, and air and ground ambulance services in the metropolitan Atlanta area. Additionally, Dr. Isakov founded and directs the Emory-Grady EMS Bio-Safety Transport Program, which supports the Emory University Hospital Serious Communicable Diseases Unit and the CDC for the transport and management of persons confirmed or suspected to have a high consequence infectious disease. Discussed in the podcast are the signs and symptoms of monkeypox, methods of transmission, precautions for providers and notification requirements. The conversation also includes COVID-19, and the current upward trend in cases.
Government agencies generally did large-scale disaster responses, but Team Rubicon has grown, becoming verified by the World Health Organization as a regency medical team that can be deployed to sudden-onset disasters globally. In this episode, Dr. David Callaway discusses veteran-led disaster response and humanitarian organizations currently working in Ukraine. Dr. Callaway is a US Navy Veteran and Professor of Emergency Medicine at Carolinas Medical Center. He serves as the Chief of Crisis Operations and Sustainability, the Director of the Division of Operational and Disaster Medicine, and the Medical Director of Carolinas MED-1. He shares how a disaster response team works, the types of medical work that can be done in areas of conflict, and how you can help. Love the show? Subscribe, rate, review, and share! https://www.theemergencydocs.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Steve, Dan, and Holly are back in the studio after a 6-month hiatus. The team reviews disaster medicine, how to get in the door, and what to expect on deployments. Dan Livengood is interviewed and discussed his multiple deployments that started in 2001 in El Salvador up to his most recent deployment to Ukraine.
A jury found Ghislaine Maxwell guilty on five of six counts related to her role in Jeffrey Epstein's sexual abuse of minor girls between 1994 and 2004. She faces up to 65 years in prison. Former federal prosecutor and CNN Legal Analyst Jennifer Rodgers joins AC360 to discuss the verdict and explains why it was “a good day for justice.” Plus, the CDC predicts more than 44,000 new Covid-19 deaths over the next four weeks as cases continue to surge. The U.S. hit a seven-day average of 256,427 new coronavirus cases, blowing past the country's previous record. Dr. James Phillips is the Chief of Disaster Medicine at George Washington University Hospital. He tells AC360 the rise in cases is “unlike anything” he's ever seen, even at the peak of the prior surges. To learn more about how CNN protects listener privacy, visit cnn.com/privacy
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