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Episode Summary On January 18, 2018, in Helmand Province, Afghanistan, Green Beret combat medic Luke Sciulli stopped being the medic and became the patient. A booby-trapped building collapsed on him during a personnel-recovery operation, fracturing his C4, C5, and C6 vertebrae, both scapulas, and his pelvis, and leaving him with a spinal cord injury at C5. In this episode of WarDocs, SFC(R) Luke Sciulli walks through that day and the MEDEVAC chain that followed — forward surgical team, Kandahar, Landstuhl, and Walter Reed — and explains how living through the system he once operated permanently reshaped his view of casualty care, pain management, and patient advocacy. SFC(R) Sciulli is candid about the recovery that nearly broke him. He describes the culture shock of moving from elite combat operations to a 30-bed spinal cord injury ward populated largely by elderly veterans, and the slow, deliberate realization that, in his words, the only person who was going to make his life better was him. He maps the framework that pulled him back — physical health, mental health, and career — and offers a direct message to wounded operators who cannot get out of bed: the discipline that earned the Beret, the Tab, or the Trident is still inside them. The conversation then widens into the operational and strategic challenges Sciulli has tackled across an extraordinary career. He compares civilian and military trauma systems and argues that surgeons in major American cities now see more penetrating trauma than many military providers — making military-civilian partnerships essential to keeping skills sharp. He recounts building a joint, combined MEDEVAC architecture across five African nations, and embedding at forward surgical teams in Ukraine just kilometers from the front, where 60 to 90 casualties a day exposed gaps in Role 1 and Role 2 doctrine, risk tolerance, and interoperability that U.S. tabletop exercises rarely surface. SFC(R) Sciulli also draws on his time supervising a 216-bed field hospital at Columbia University during the 2020 COVID surge and his current work with Vigilant Consulting and Valinor Enterprises advising on tactical medical technology. He makes the case for predictive analytics, wearables, and automated resuscitation systems to force-multiply providers in large-scale combat operations — while confronting the risk-acceptance and accountability questions that slow adoption. He closes with the cause he intends to define his legacy: fixing the negligent disconnect that leaves SOF medics and operators underutilized in the civilian, defense, and healthcare worlds, and expanding the transition programs that turn their hard-won skills into lives saved at home. Chapters (00:00-01:10) Cold Open and Introduction (01:10-05:30) Becoming the Casualty in Helmand Province (05:30-11:30) The Recovery That Rewired Everything (11:30-15:45) Civilian and Military Medicine, Two Ways (15:45-22:45) Distance, Mass Casualties, and Lessons from Ukraine (22:45-32:30) Field Hospitals, Tactical Technology, and Risk (32:30-36:15) Recruiting the Next Force and a SOF Medic Legacy Chapter Summaries (00:00-01:10) Introduction Dr. Soderdahl frames the journey ahead: a Green Beret combat medic who became the patient on the wrong side of an IED blast and now drives technology and policy for the next war. The standard WarDocs welcome sets up a firsthand look at military medicine from the austere edge of combat to the front lines of innovation. (01:10-05:30) Becoming the Casualty in Helmand Province SFC(R) Sciulli recounts volunteering to backfill a buddy's ODA as senior medic and the January 18, 2018 operation in which a booby-trapped building collapsed onto him. He details catastrophic injuries — broken C4-C6, a C5 spinal cord injury, fractured scapulas and pelvis — and the MEDEVAC through the forward surgical team toward higher care, including how his teammates stabilized and moved him. (05:30-11:30) The Recovery That Rewired Everything He describes six months split between Walter Reed and the Tampa VA, the jolt of moving from combat to a spinal cord injury ward, and the loss of career, health, and identity overnight. The turning point came when he accepted that no one else could make his life better, and built a deliberate framework around physical health, mental health, and career. (11:30-15:45) Civilian and Military Medicine, Two Ways Drawing on his paramedic, firefighter, and critical-care flight background plus SF service, Sciulli argues civilian surgeons now out-rep many military providers on penetrating trauma, making military-civilian partnerships essential. He also reflects on serving as senior medical provider for SEAL Teams Two and Eight and why interoperability comes down to people and personality. (15:45-22:45) Distance, Mass Casualties, and Lessons from Ukraine He explains building a joint, combined MEDEVAC system across Chad, Niger, Nigeria, Cameroon, and Libya, then scales the problem to the Indo-Pacific and Eastern Europe. Embedded at forward surgical teams in Ukraine, he saw 60 to 90 casualties a day and learned hard lessons about volume, interoperability, civilian EMS integration, and U.S. risk tolerance. (22:45-32:30) Field Hospitals, Tactical Technology, and Risk SFC(R) Sciulli describes supervising a 216-bed COVID field hospital at Columbia University and why a military-style community made it work. He then identifies penetrating and shrapnel trauma as a top killer and makes the case for wearables, predictive analytics, and automated resuscitation — confronting the risk acceptance and human trust that slow adoption. (32:30-36:15) Recruiting the Next Force and a SOF Medic Legacy Speaking to students, residents, and recruiters, Sciulli reframes the pitch: the military needs people willing to operate beyond their comfort zone and scope, not just another credential. He closes on the legacy he intends to leave — fixing the negligent disconnect that leaves SOF medics and operators underutilized after service. Take Home Messages Experiencing Care Builds the Best Advocates: Living through the casualty evacuation chain as the patient teaches lessons no provider can learn from the other side of the litter. Empathy, pain management, and patient advocacy take on new meaning once a clinician has been the one strapped to the litter. Recovery Is a Decision You Make Daily: The hardest part of catastrophic injury is mental, not physical. Progress comes from a conscious choice to get up and be better than yesterday, supported by resources but driven by personal ownership of physical health, mental health, and career. Keep Military Providers Sharp in Civilian Trauma: Civilian surgeons in major cities now see more penetrating trauma and polytrauma than many military clinicians. An integrated military-civilian system that rotates providers through high-volume civilian centers is essential to keeping wartime skills ready. Plan for Volume, Distance, and Interoperability: Future large-scale combat means moving casualties across oceans and continents while relying on host-nation, partner, and civilian systems. High casualty volumes and contested distance demand generalist skill, civilian EMS integration, and a higher tolerance for operational risk. Close the Gap Between Research and the Warfighter: Government funds enormous amounts of combat casualty research and technology that never reaches frontline providers fast enough. The mission is to translate proven findings and devices into the warfighter's hands tomorrow — not years from now. Episode Keywords military medicine, combat medicine, Green Beret medic, 18D combat medic, special forces medic, combat casualty care, TCCC, spinal cord injury recovery, polytrauma, Helmand Province, Walter Reed, MEDEVAC, forward surgical team, Ukraine combat medicine, mass casualty, large scale combat operations, LSCO, prolonged field care, tactical medicine, medical device innovation, SOF medic, military civilian partnership, WarDocs, Luke Sciulli, veteran resilience, penetrating trauma Hashtags #MilitaryMedicine, #CombatMedicine, #GreenBeret, #WarDocs, #CombatCasualtyCare, #SOFMedic, #VeteranResilience, #TacticalMedicine Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission- WarDocs exists to honor the legacy of Military Medicine, preserve its history, and inspire every generation — across all Services, Corps, and Ranks — to serve with excellence and pride. Through mentorship, coaching, and education, we equip those considering, entering, and serving in military medicine with the knowledge, connections, and community they need to thrive. We celebrate 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
What does it take to break through leadership barriers in medicine without sacrificing your authenticity? In this inspiring episode, Dr. Andrea Austin welcomes Dr. Shannon Udovic-Constant, as she shares her journey into executive leadership, the lessons she learned navigating spaces where women remain significantly underrepresented, and why visibility, not just hard work, is essential for career advancement. Together, Andrea and Shannon unpack the realities women physicians continue to face, from being mistaken for non-physician staff to balancing invisible labor at home while pursuing leadership opportunities. Rather than accepting these challenges as personal failures, they encourage physicians to recognize the systemic barriers that exist and develop intentional strategies to overcome them. Shannon introduces the concept of strategic visibility, explaining why saying "yes" to every opportunity isn't enough. She shares actionable advice on building relationships with decision-makers, leading high-impact initiatives, communicating accomplishments with confidence, and understanding the difference between mentorship and sponsorship. The conversation also explores psychological safety, creating healthy leadership cultures, and why diverse leadership ultimately leads to better healthcare decisions for patients. Whether you're considering your first leadership role or looking to expand your influence within medicine, this episode offers practical tools, encouragement, and a powerful reminder that authentic leadership creates lasting change—for physicians, healthcare systems, and the patients they serve. You'll Hear How They: Discuss why women remain significantly underrepresented in executive healthcare leadership despite representing the majority of today's medical graduates. Explain how strategic visibility helps physicians position themselves for leadership opportunities by intentionally building relationships with key decision-makers. Share practical techniques for communicating accomplishments confidently while remaining authentic and collaborative. Explore the critical difference between mentorship and sponsorship, and why sponsorship is often the missing ingredient in advancing women leaders. Reveal leadership practices that build psychological safety, encourage healthy disagreement, and strengthen team performance. Discuss why physician advocacy and participation in organized medicine are essential for creating meaningful healthcare reform and improving patient care. Encourage physicians to embrace leadership without compromising their values, identity, or authenticity. About the Guest "You don't have to change who you are to become an effective leader, you simply need to become visible for the impact you're already creating." — Dr. Shannon Udovic-Constant Dr. Shannon Udovic-Constant is a pediatrician, leadership coach, and advocate for women in medicine. As President of California's largest medical association, she's a trailblazer for women in leadership. Through Physician Women Rising, she empowers women physicians to pursue executive roles, building visibility, presence, and influence. Her PWR Leadership Method drives meaningful change in healthcare."
The best call-in car talk show in America! Under The Hood. We take your live calls and get you answers to all your car repair problems fast. Give us a call today. Here are today's callers... A happy Hyundai owner gets his expensive engine replaced for free Why are there 4 front shocks on my 94 F150 Truck? Are some cheap OBD2 Scanners no good? My Corvette won't scan The Chrysler Jeep 3.6 Tick. Can I change my oil weight? DIY car cam ADAS replacement. Do I need to have it calibrated? Blue smoke from my 18 Subaru Crosstrek. What is it? Why did my Sorento Tach drop to zero and stall? Almost no oil changes on my 98 Ranger with a bazillion miles. Say it aint so! Can I install a 6" lift on my 26 Ram and not void the warranty?
It's time for Ask the Medic! Where an expert joins to answer any of your health-related questions.This week, Andrea is joined by Consultant, Trauma and Orthopedic Surgeon, Mr Pádhraig O'Loughlin, to answer any of your questions, as well as discuss the announcement of changes to e-scooter rules.
Sat, Jul 18 7:29 PM → 7:31 PM End of Watch for the Christiansburg Fire Department firefighter and Christiansburg Rescue honorary member and Montgomery County Sheriffs Deputy William Lacy Linkous. Radio Systems: - New River Valley Communications
There is speculation today that the Home Secretary Shabana Mahmood will become Chancellor when the incoming Prime Minister Andy Burnham announces his Cabinet on Monday. Whoever takes on the role will face quite the in-tray: high debt, low growth, welfare reform, defence spending, and the economic fallout from the US-Israel war with Iran, to name a few issues. So, if it's Shabana Mahmood, how might she fare and what do we know about her? Anita Rani speaks to Lucy Fisher, Whitehall Editor of the Financial Times and Host of the FT's Political Fix podcast.Australian surf and fashion photographer Cait Miers says that on shoots women often criticise and apologise for their looks before a single photo is taken. She is now photographing 1,000 women globally, bare-faced, for a project she has called Laugh Lines. Anita is joined by Cait to talk about her mission to challenge beauty standards and also by Alexis Zahner, author of Real: Reconnecting to Yourself in a World of Likes and Lies, and one of the first women to be photographed for the project.Dr Suzanne Huurman is the only woman to head a country's medical staff in the men's 2026 FIFA World Cup, meaning there is just one woman and 47 men in the lead role for the teams taking part this year. Anita talks to Suzanne about being a trailblazer, how she - as head of medical staff for Curacao's national men's side - got to become only the third-ever female team doctor in the 96-year history of the tournament and what she thinks could be done to increase female representation in football.The Young British Artists, YBA movement of the 1990s is the inspiration for a new novel, Exhibition, by Alex Hyde. The protagonist, Rabble, an aspiring photographer, finds herself in the YBA scene after meeting an artist always referred to in the novel as “you”. Anita talks to Alex about how, through Rabble, her novel explores the inspiration and process of creating art - and the question of ownership, referencing real works.Presenter: Anita Rani Producer: Rebecca Myatt
CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.
This week, Aebhric is joined by Fred, who has spent almost four and a half years working in military and military-adjacent medicine in Ukraine, primarily on the forward line of troops (FLOT), with additional experience at casualty collection points and stabilisation points. In this episode, he and Aebhric trace how combat casualty care has changed since 2022: evacuation timelines have stretched from minutes to weeks, wounding patterns have shifted as troop formations disperse to avoid drone strikes, and medics on the ground are being asked to deliver prolonged field care (PFC) far beyond their training. The conversation covers current combat wound pack medications, the phase-out of nalbuphine, tramadol's hepatotoxicity risk in dehydrated patients, the training gap between CLS/CMC-qualified providers, and the disease and non-battle injury (DNBI) burden from leptospirosis to Lyme disease to anthrax that frontline medics are managing largely on their own.Chapters00:00 – Introduction and guest welcome01:00 – Four years of medical experience on the Ukrainian front02:00 – How drone warfare has changed casualty patterns03:10 – Evolution of TCCC and prolonged evacuation04:20 – Changes to battlefield medications and analgesia06:00 – Ketamine, morphine and tramadol in prolonged casualty care08:00 – The challenge of prolonged pain management09:15 – Nerve blocks and expanding combat medic skills10:15 – Closing the knowledge gap for frontline medics12:00 – Self-directed learning and educational resources13:15 – Current medical training available in Ukraine15:00 – Could prolonged casualty care become a formal certification?16:00 – A day in the life of a frontline combat medic18:15 – Drone casualty evacuation: promise and limitations20:00 – What knowledge do combat medics really need?22:00 – Disease, dehydration and prolonged field medicine23:20 – Final advice for new austere medical providersEvolving battlefield medicine. Evacuation that once happened within minutes from positions near the front now can take weeks, driven by pervasive drone surveillance and strike capability. Mass casualty incidents near the front line have become less common as units disperse, changing the injury and casualty flow medics have to plan for.Training and knowledge gaps. There's a wide spread in provider background — from Ukrainian feldshers (registered-nurse equivalent) to personnel who completed a seven-day CMC course — all filling the same frontline medic role. Nerve blocks beyond digital blocks aren't commonly taught. Fred argues CMC training was never meant to stand alone; it assumes a prior EMT-level foundation that many providers don't have. Training availability is inconsistent and largely filled by NGOs of varying quality, with NAMT/CLS/CMC certification currently the closest thing to a standard.Evacuation reality on the ground. Getting to a casualty may take hours to days depending on drone "weather windows." Waits of 30–60 days for evacuation are not unheard of. As a result, stabilisation points are increasingly seeing patients who would survive regardless of intervention, rather than the critical mid-triage-category patients medics are most needed for. Ground evacuation drones (UGVs) are seeing real use but only for stable patients, since medics can't manage an airway or maintain a sedated patient during transit; aerial casualty evacuation is currently considered infeasible due to drone threats.Disease and non-battle injury (DNBI). Fred and Aebhric discuss the need for a Ukraine-specific DNBI framework and better environmental/threat updates reaching medics in the field.Closing advice. Fred's advice for new medics, nurses, and physicians entering austere medicine: keep learning and keep developing — people are counting on you to do your job well.
What happens when a dedicated family physician hits burnout after 22 years in practice? Dr. Rashmi Schramm opens up about her path from residency activism (securing a 15% raise for her program) through deep burnout, physical symptoms, and eventual transition to coaching, retreats, and teaching meditation and laughter yoga. The conversation covers arrival fallacy, the power of mindfulness practices rooted in her Indian heritage and Ayurveda, laughter yoga's origins, Duke's integrative health coaching program, and creating safe spaces for women physicians through retreats. You'll hear how they: Recognize and address burnout through self-compassion, meditation, and somatic practices Use laughter yoga and breathwork as accessible tools for physiological shifts Bridge clinical medicine with coaching and integrative approaches Build community and intuition to sustain change-making work in healthcare About the Guest “Remember who you are beneath the roles.” – Dr. Rashmi Schramm Dr. Rashmi Schramm is a board-certified family medicine physician with 22 years of clinical experience. She is a certified coach, meditation teacher, laughter yoga instructor, and host of the Inner Peace and Power podcast. Passionate about helping high-achieving women reclaim energy and purpose, she leads retreats and coaching programs focused on mindfulness, intuition, and wholehearted living.
It's time for Ask the Medic! Where an expert joins to answer any of your health-related questions.This week, Andrea is joined by Dr Nina Byrnes, GP at Generation Health Medical Clinic, to answer your medical questions!
„Když vyšetřujete pacienta a jste s ním, tak mu tu hodinu věnujete, nesmíte zvedat telefony – to je svaté, to může jen sestřička, když by šlo o život, tak vám někoho přepojí – ale jinak opravdu nejsou v průběhu konzultací s pacientem dovoleny rozhovory s někým jiným,“ říká lékařka Gertrúda Čápová v rozhovoru pro pořad Kupředu do minulosti. 1. díl, 10.07.2026, www.RadioUniversum.cz
Záznam diskusie o tom, ako si zachovať radosť z medicíny, nevyhorieť a nenechať sa znechutiť systémom či stavom krajiny. Anesteziologička z Fakultnej nemocnice v Banskej Bystrici Eva Kušíková, súdny lekár Norbert Moravanský a detský chirurg z pražského Motola Ján Trachta v debate s Veronikou Folentovou hovoria o vyhorení, búraní dogiem, ale aj o malých radostiach, ktoré medicína prináša každý deň. Diskusiu zorganizovali Mladí lekári v spolupráci s Denníkom N.
What happens when we stop treating hospitals like factories and start recognizing them as complex systems filled with uncertainty, competing priorities, and deeply human experiences? In this thought-provoking episode, Dr. Andrea Austin sits down with John D'Alesandro to discuss the realities of improving healthcare from an operational perspective. Drawing from decades of experience in manufacturing and healthcare systems, John shares why traditional dashboards often fail to predict problems, how organizations can learn to identify early warning signals, and why building a culture of action matters more than simply completing improvement projects. Together, they tackle some of healthcare's most pressing issues, including emergency department boarding, leadership versus management, technology adoption, and the disconnect between policy-level solutions and frontline realities. John also offers a powerful perspective as both an operations expert and a patient navigating a serious neurological condition, reminding listeners that healthcare ultimately succeeds or fails through the experiences of those who depend on it. This conversation invites listeners to think differently about accountability, agency, and the small cultural shifts that can make meaningful change possible. They discussed: Why hospitals function more like complex adaptive systems than factories The limitations of traditional dashboards and retrospective metrics Identifying early warning signals before crises develop Creating cultures that empower frontline staff to act Leadership versus management in healthcare settings The ongoing emergency department boarding crisis and throughput challenges Why local solutions often outperform one-size-fits-all mandates Lessons learned from navigating healthcare as a patient Building trust, agency, and accountability within healthcare teams How small actions shape organizational culture over time
Nākotnē zobārsta kabinetā veikts rentgena izmeklējums varētu palīdzēt ne tikai ārstēt zobus, bet arī savlaicīgi brīdināt par nopietniem kaulu veselības riskiem visā organismā – tostarp osteoporozi. Osteoporoze ir izplatīta slimība visā pasaulē un nereti to atklāj pēc kaulu lūzuma, jo sākuma stadijās slimībai nav nekādu simptomu. Kā zobārsta kabinets var palīdzēt kaulu veselības uzlabošanā, par to saruna ar Rīgas Stradiņa universitātes Vispārējās zobārstniecības katedras vadošo pētnieci, projekta "OsteoXplore" vadītāju Andu Slaidiņu. Ārste skaidro, ka, piemēram, pacients atnāk pie zobārsta, viņam veic rentgenu kāda iemesla dēļ, piemēram, viņš grib ievietot zobu implantus, viņam veic 3D rentgenu, kas ir standarts mūsdienu implantoloģijā, papildus tam, izmantojot veikto rentgenu, var noteikt arī osteoporozes risku. Šī vairāk varētu būt skrīninga metode, pēc kuras jāveic padziļināti izmeklējumi. Lielākoties osteoporozes risks ir sievietēm vecumā pēc menopauzes. Ar hormonu aizvietojošu terapiju var pasargāt. Tāpat nozīmīgi osteoporozes riska faktori ir D vitamīna un kalcija trūkums organismā. Pareizi būtu jebkurai sievietei pēc 65 gadu vecuma veikt osteoporozes risku pārbaudi, lai novērtētu kaulu blīvumu. Realitāte pacienti par to uzzina, kad jau ir bijis pirmais kaulu lūzums. Osteoporozi labi palīdz novērst un kontrolēt medikamenti.
It's time for Ask the Medic! Where an expert joins to answer any of your health-related questions.This week, Andrea is joined by Dr Nina Byrnes, GP at Generation Health Medical Clinic, to answer your medical questions!
In Part 2 of a two-part episode, Dr. Rob Orman joins Dr. Andrea Austin to discuss the profound changes in emergency medicine, the importance of intentional joy, and powerful coaching frameworks that help physicians navigate reactivity and complexity. Rob shares a powerful passage from his book Supernormal about the Drama Triangle, discusses career ownership versus renting, and offers insights on redesigning medical education with mindfulness and awareness at the center. This episode is filled with immediately applicable tools for clinicians, leaders, and anyone seeking to create space in high-stakes moments. They discussed: How emergency medicine has changed profoundly since COVID Finding and creating joy in medicine through intentional practices Owning vs. renting your career The Drama Triangle and staying “above the line” Cognitive empathy and declining invitations to drama Powerful reset phrases: “Good.” and “I wish it wasn't this way, but it is this way.” Redesigning medical education with meditation and listening skills Coaching tools that translate from one-on-one sessions to clinical practice
It's time for Ask the Medic! Where an expert joins to answer any of your health-related questions.This week, Andrea is joined by Dr Niall Breen from the Portmarnock GP Clinic to answer your medical questions!
The offical death toll stands at 235 and is expected to rise. Medics say the hospitals are overwhelmed, with a lack of medicines and other essential supplies. Korahiza Macari, Vice Chair of the Venezualan community in Ireland spoke to Rachael.
#234 - Your childhood dream is supposed to save you, not send you to the burn ward. Dan Schlund is one of the rare people who has flown a real rocket belt, a true rocket motor strapped to your back with about 30 seconds of fuel, superheated thrust, and no room for hesitation. After his third flight off the training cable, a bad landing turns into a nightmare: he gets slammed into the ground, can't shut the belt off, and is burned in the field until the crew can pull him free. We talk about the long recovery, skin grafts, and the part that lingers even longer: anxiety and the mental scars that follow a catastrophic crash. Dan explains why he still chose to fly again, how stunt work taught him to never let your last run be a failure, and what it feels like to lift off under full throttle with a roaring crowd and a ticking fuel clock. Along the way, he shares global performance stories, including high pressure flights like the Rose Parade and surreal moments performing in Turkmenistan. Then the dream ends hard with a later crash during a Guinness World Records flight, a neck injury, and the identity crash that comes when the applause disappears. Dan's pivot is the plot twist: he rebuilds his life as a paramedic and founder of National Set Medics, helping protect cast and crew across film and TV productions nationwide. If you've ever faced a career change, burnout, or the question “who am I now,” this conversation brings both honesty and practical hope. Subscribe, share this with a friend who needs a reset, and leave a review with your biggest takeaway.To learn more about Dan check out www.rocketman.tv. You can also give him a follow on Instagram @rocketman.tv.To learn more about me and see clips from past, present, and future shows give me a follow on Instagram @humanadventurepod.Want to be a guest on The Human Adventure? Send me a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/journeywithjakeXploreum connects you with authentic wilderness expeditions led by trusted local experts. Browse real adventures, book directly with experienced guides, and get $200 off your first trip using code HumanAdventure2026 at xploreum.io/humanadventure.
What happens when a lifelong emergency physician steps back from clinical practice and dedicates himself to helping other doctors navigate the impossible job of medicine? In Part 1 of a two-part episode, Dr. Rob Orman joins Dr. Andrea Austin to share his remarkable path, from documenting mass casualty events to becoming a technical advisor for the hit HBO series The Pit, and ultimately building a coaching practice that helps physicians create meaningful change in their behavior and careers. Together they discuss the importance of awareness, the space between stimulus and response, cognitive empathy, and why art and storytelling may be powerful vehicles for transforming healthcare. Rob also opens up about his own career struggles and the deep fulfillment he finds in one-on-one behavioral coaching. They discussed: How documenting mass casualty events led to advising on The Pit The career shift from full-time clinician and educator to physician coach Why “not everyone thinks like you do”, and the power of cognitive empathy Building awareness and creating the pause between stimulus and response Behavioral coaching for physicians on performance plans or struggling with reactivity The role of storytelling and art in driving healthcare change Lessons from burnout, skill decay, and career transitions
Become a Medic for only $400.00 - Tap the link to listen to the intertview. Enroll today at becomeamedic.com. Take advantage of discounted tuition for this class! All Louisiana campuses are offering $400 tuition - a savings of $1,500. Classes begin July 13, 2026. Campus Locations - Thibodaux, Lafayette, Alexandria, Baton Rouge, Covington, Lake Charles, Monroe, New Orleans.
Kevin welcomes back Desert Storm veteran and retired Army medic Hector Soto for a powerful discussion about life after Desert Storm, military service, deployments, family sacrifice, PTSD, recovery, and the challenges veterans face long after coming homeGet access to past and bonus content with exclusive guest. Please help support the podcast and veterans so we can keep making the show - patreon.com/GulfWarSideEffects▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬Merch: https://gulfwarsideeffects.myshopify.com/Contact me with your questions, comments, or concerns at kevinsimon@gulfwarsideeffects.com
In this episode of NOON, I'm joined by Jeff, better known as Redbeard the Medic. Jeff is a flight paramedic, educator, and content creator who brings a raw, honest perspective to EMS, patient care, and the realities of learning at a higher level. We talk about his journey from the fire service into EMS, the difficult calls that still stay with him, what it's really like stepping into flight, and why kindness can leave a bigger impact on patients than we sometimes realize. This was a real conversation about growth, humility, burnout, advocacy, and the people we carry with us in this job.Podcast: https://open.spotify.com/show/1vAokfqG5aifoRBKk9MAUh?si=T8DipSBCQzWfOeiBW3h-VwFB Page: https://m.facebook.com/groups/nineoneonenonsense/?ref=shareInstagram: https://www.instagram.com/911nonsense/X: https://twitter.com/911NonsenseBonfire Merch: https://www.bonfire.com/store/nine-one-one-nonsense/?utm_source=copy_link&utm_medium=store_page_share&utm_campaign=nine-one-one-nonsense&utm_content=defaultContent Warning: This episode contains discussions about death, including graphic and potentially triggering details. Listener discretion is advised. The episode also covers sensitive topics and may not be suitable for all audiences. If you or someone you know is struggling with suicidal thoughts or mental health issues, please seek help immediately. You can contact the Suicide & Crisis Lifeline by dialing 988 from anywhere in the U.S.
Disclosure: I received a free review copy of this product from https://www.game.press#keymailer#medicpacificwar
This week, we welcome guest Queen Sim [of the Cocoa Sistahs Podcast] and discuss: • Burning ANPR cameras • Empathy v Sympathy • Neurodivergence breakdown • ADHD breakdown • How to asses who is on the spectrum • Lazy parenting or actual spectrum behaviour • Labelling children • Medics labelling conditions for low grade reasons • Neurodivergence in developing countries • Serial killers and CEOs are twins • Belfast knife attack • Belfast riots • Racism in riots • American streamer records themselves getting shot • Teenager Karmelo Anthony sentenced to 35 years for killing fellow student • Kemi Badenoch happy to increase stop and search • NY Knicks with the NBA Championship after 53 years • World Cup talk • AITA for banning my wife's lover from her funeral • #StavrosSays : One54 Africa Podcast Feat. David Oyelowo [https://www.youtube.com/watch?v=P-0v9_kIYXA] Connect with our guest Queen Sim: Instagram : https://linktr.ee/CocoaSistahs Connect with us at & send your questions & comments to: #ESNpod so we can find your comments www.esnpodcast.com www.facebook.com/ESNpodcasts www.twitter.com/ESNpodcast www.instagram.com/ESNpodcast @esnpodcast on all other social media esnpodcast@gmail.com It's important to subscribe, rate and review us on your apple products. You can do that here... www.bit.ly/esnitunes
Healthcare is filled with great ideas, promising technologies, and passionate clinicians, but why do so many innovation efforts fail? In this episode, Dale Ellicott joins Dr. Andrea Austin to explore what it really takes to create sustainable change in healthcare. From his early experiences introducing groundbreaking rehabilitation technologies to his current work at Rely Health, Dale shares lessons about resistance to change, organizational alignment, and the importance of putting patients first. Together, they discuss the realities of value-based care, the challenges clinicians face when navigating fragmented healthcare systems, and the growing role of AI in supporting, not replacing human connection. Dale explains how Rely Health combines agentic AI with human care navigators to help patients schedule appointments, access transportation, connect with primary care, and overcome barriers that often lead to poor outcomes and avoidable readmissions. The conversation offers practical guidance for clinicians, leaders, and innovators who want to move beyond pilot programs and build solutions that truly improve healthcare delivery. They discussed: How a values-based decision shaped Dale's career in healthcare innovation Why healthcare organizations struggle to adopt new technology The dangers of "pilotitis" and failed innovation projects How AI-powered care navigation improves patient follow-up Lessons for clinicians who want to become successful change-makers
Vasarā laikapstākļi mēdz būt viens no iemesliem, kāpēc notiek negadījumi un cilvēku gūst traumas. Biežāk arī notiek nelaimes. Tiesa, laikapstākļi var būt „bīstami” visos gadalaikos, ja ziemā tās ir slidenas ielas un ceļi, vasarā, protams, visas āra aktivitātes, ko ļauj siltāks laiks. Turklāt gaidāmajās Jāņu brīvdienās kļūs krietni vasarīgāks un tas ir laiks, kad cilvēki burtiski metas baudīt visu, ko vasara sniedz un aizmirst par drošību. Tāpēc pirms svētkiem saruna ar Neatliekamās Medicīniskās palīdzības mediķi Aiviju Bankevicu. Viņa strādā mediķu brigādē Vidzemes pusē, Skrīveru apkārtnē. Ar 12 gadu pieredzi, kuros piedzīvojusi gan to, kā karstumā cilvēki jāglābj burtiski no dārza vagas, kurā strādājot ir pārkarsuši, gan to, kā sniegi un ledi neļauj nokļūt līdz pacientam.
No zirgu pajūga līdz īpaši aprīkotam transportam, kas spēj uz lauku ceļa pieņemt gan dzemdības, gan reanimēt pacientu. Neatliekamās palīdzības iespējas simts gadu laikā ir piedzīvojušas teju neticamas pārmaiņas un labi, ka tā, jo šodien mūsu iespējas saņemt ātru mediķa palīdzību ir krietni lielākas nekā agrāk. Tikai pirms nedaudz vairāk kā simts gadiem Jēkaba kazarmās ar zirgu pajūgu tika nogādāti sasirgušie un darboties sāka Ātrās ārsta palīdzības stacija. Tie bija mūsdienu neatliekamās medicīniskās palīdzības pirmsākumi. Kā gadu gaitā mainījies Neatliekamās medicīniskās palīdzības dienesta darbs? Raidījumā Zināmais nezināmajā stāsta Jūrmalas muzeja pētnieks Mārtiņš Vesperis un Rīgas Stradiņa universitātes Medicīnas vēstures institūta pētnieks, Neatliekamās medicīnas ārsta palīgs Rafaels Ciekurs.
CELÝ ROZHOVOR V DÉLCE 68 MIN. JEN NA HTTPS://HEROHERO.CO/CESTMIR A HTTPS://FORENDORS.CZ/CESTMIR „Důležitá součást naší práce je nebrat se vážně a neustále přemýšlet, kde to máme špatně,“ říká biochemik Jan Konvalinka o vědě, která podle něj nestojí jen na odpovědích, ale hlavně na pochybnostech. Mluví o boji s virem HIV, Antonínu Holém i o tom, proč ho po pár letech baví měnit téma a dělat něco úplně jiného. Velkou část rozhovoru ale věnuje i Česku. „V našem zájmu je co nejvyšší vzdělanost,“ říká a varuje, že regiony ztrácejí talenty a malá země si nemůže dovolit nechat talentované děti propadnout systémem. Z Litvínova si nese citlivost k Sudetům a odsunu Němců, o němž říká, že to není problém Němců, ale „náš vnitřní problém“. „Sami jsme si hrozně ublížili,“ říká a varuje, že se dnes „průmyslově rozdmýchává nenávist“, protože vystrašit lidi a ukázat jim nepřítele je nejjednodušší způsob, jak je ovládnout. Slušná země je podle něj taková, kde se dodržují nepsaná pravidla, kde platí zákon, kde je justice nezávislá a kde můžete veřejně říkat svoje názory. A i když si nemyslí, že už je z Česka „orbánovská země“, nebezpečí podle něj hrozí. „Možná ještě i naši generaci čeká pár důležitých morálních rozhodnutí,“ říká. Jako člověk spojený s covidovou debatou trvá na tom, že vakcíny zachránily miliony životů a u nás pravděpodobně několik desítek tisíc. Očkování označuje za nejlevnější, nejjednodušší a vlastně přírodní způsob, jak podpořit vlastní imunitu, zatímco homeopatii považuje za placebo a šarlatánství. „V ordinaci lékaře, kterému věřím, bych nechtěl vidět homeopatika,“ říká. Zároveň zůstává technooptimistou. Umělá inteligence je podle něj ve vědě famózní nástroj, který už pomáhá navrhovat proteiny a nové léky. „To je revoluce v medicíně,“ hodnotí. Jenže stejně jako u internetu přiznává, že tehdy nedohlédl rizika a dnes mezi mladšími kolegy pozoruje něco, co by skoro nazval „epidemií osamělosti“. Konvalinka mluví také o editování genů, embryích a hranici, za kterou už věda nesmí jen proto, že něco umí. „Život je něco víc než jen soubor buněk,“ říká a dodává, že víra pro něj není učebnice geologie ani astronomie, ale text o vztahu člověka a smyslu života. V závěru vysvětluje i to, proč jako ředitel instituce váží slova, proč po 7. říjnu vyvěsili izraelskou vlajku a proč mu bojkot izraelských akademických institucí připadá absurdní. Proč podle Jana Konvalinky Česko potřebuje zůstat trochu nudnou a slušnou zemí? Co jsme se z covidu nenaučili a proč je důvěra v instituce důležitější než nové léky? Kde může AI zachraňovat životy a kde je pro člověka nebezpečná? A jak se má věda rozhodovat ve chvíli, kdy už dokáže zasahovat do samotných základů života? Poslechněte si celý rozhovor.
In this episode of the PFC Podcast, Dennis sits down with David Plaster — former U.S. Army combat nurse, medic, and 68 Delta who has lived and worked in Ukraine since 2012, long before the full-scale invasion. David pulls back the curtain on one of the most remarkable stories in modern tactical medicine: how Ukraine built resilient, dispersed, underground manufacturing networks for hemostatic gauze and tourniquets when conventional supply chains collapsed or became targets.From the very first improvised IFACs in 2014 (duct-tape chest seals and all) to scaling production of Krovin Goss / Hemostat gauze at roughly $1 per meter and developing a functional “cat-style” tourniquet that Ukrainian and U.S. SOF tested and trusted, David shares the real mechanics of wartime medical logistics. He explains pre-planned basement factories, compartmentalized production across multiple hidden sites, the shift from volunteers to paid war widows and veterans' families, rigorous quality control, and the constant fight against opportunists, “carpet baggers,” and adversarial intelligence collection.This is far more than a war story — it's a masterclass in austere medical manufacturing, supply-chain resilience, and why training and knowledge will always outperform gear alone.Key Takeaways:Pre-war planning and deep personal networks (built years earlier) are the real force multipliers when supply chains get bombed or corrupted.Highly motivated local workforces — especially people with direct skin in the game (war widows, veterans' families) — can deliver exceptional quality and output even in dispersed, low-tech underground conditions.Dramatic cost advantages ($1/m hemostatic gauze vs. $10+ imported) free up resources to buy more of everything else and keep production sustainable.Dispersed, multi-site manufacturing with compartmentalized components dramatically increases survivability and operational security.Functional analogs that are properly tested (double-blind SOF trials included) can serve as effective bridges when premium Western gear is unavailable or too expensive.The biggest failure point in tactical medicine is almost never the gear — it's implementation and mastery of the basics by everyone, not just medics. Tourniquet application, conversion/repositioning, and preventive medicine thinking belong at the squad-leader level.Medics must operate as advisors and educators. Command emphasis on these skills across the force (not just in the aid bag) is what actually moves the needle on survival.Chapters:00:00 – Introduction & David Plaster's Background (U.S. Army combat nurse in Ukraine since 2012)02:30 – Early Days: 2014 Improvisation, First IFACs, and the Complete Absence of Western TCCC06:00 – The Krovin Goss / Hemostat Gauze Story: Chemistry, Corruption, and the Pivot Underground11:30 – Going Underground: Pre-Planned Basements, Plan B/C/D, and Dispersed Manufacturing Strategy16:00 – Why the Tourniquet Project Started: Fake Chinese Gear, Expensive CATs, and Local Demand23:30 – The Manufacturing Model: Volunteers to Paid Staff, War-Affected Workers, and Quality Control27:00 – Security Realities: Protecting Sites from “Carpet Baggers,” Visitors, and Adversarial Interest30:00 – Bigger Lessons: Training Failures, ASM/Tourniquet Conversion Changes, and Why Knowledge > Gear36:00 – Preventive Medicine Mindset, Medics as Advisors, and Building Systems That Actually WorkFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
It's time for Ask the Medic! Where an expert joins to answer any of your health-related questions.This week, Andrea is joined by Dr Matthew Barrett Consultant Cardiologist and Clinical Governance Lead for Heart Health Check to discuss ‘Hearth Health Check', a new comprehensive heart health check-up, and answer your questions.
Rakovina plic je diagnóza, která dříve znamenala jednoznačný ortel, ale díky pokrokům vědy dnes píše úplně jiné příběhy. U nekuřačky pacientky Patricie byste ji možná vůbec nečekali. Jak moc dokáže moderní medicína zvrátit nepříznivý osud?
Rakovina plic je diagnóza, která dříve znamenala jednoznačný ortel, ale díky pokrokům vědy dnes píše úplně jiné příběhy. U nekuřačky pacientky Patricie byste ji možná vůbec nečekali. Jak moc dokáže moderní medicína zvrátit nepříznivý osud?
Send us Fan MailCan emotional wounds keep us from experiencing the fullness of healing and freedom that Jesus purchased for us?In this conversation, Karl Gessler sits down with Dave Hayes (The Praying Medic) to discuss what he calls "3 Easy Steps to Emotional Healing." Dave shares how he first began seeing miracles and healings, why emotional and inner healing are so important, and a simple process believers can use to partner with Jesus in bringing healing to the soul.We also explore the connection between emotional wounds and physical health, and Dave shares remarkable testimonies of people who experienced physical healing as Jesus healed the deeper issues of the heart.As the Apostle John wrote:"Beloved, I pray that you may prosper in all things and be in health, just as your soul prospers." (3 John 1:2)Whether you're carrying past hurts, struggling with recurring emotional pain, or simply want to learn how to help others find freedom in Christ, this conversation offers practical insight and encouraging testimonies of God's healing power.In This Episode: What is emotional healing? What is inner healing? How Dave Hayes began operating in healing and miracles The 3-step emotional healing process The connection between soul health and physical health Testimonies of emotional and physical healing How Jesus heals the brokenhearted today Connect with Dave Hayes (The Praying Medic):https://prayingmedic.com/healing-prayer/Connect with The Faith of the Fathers:https://www.karlgessler.com/#EmotionalHealing #InnerHealing #PrayingMedic #DaveHayes #HealingTestimony #Deliverance #ChristianPodcast #FaithHealing #HolySpirit #JesusHeals #TheFaithOfTheFathersSupport the show❤️ SHOW YOUR SUPPORT - LINKS BELOW...➡️ Email me: https://www.karlgessler.com/deliverance➡️ DONATE ➡️ Join our team!https://www.givesendgo.com/karlgessle... / karlgessler ...
Dr Daniel Nour considers himself an accidental change maker, but he is also a pretty prodigious one. A doctor, inspired by the health care that helped his brother as a child, it was an experience offering emergency medical care to a homeless man in London during his medical studies that left him unable to ignore the gaps in the healthcare system, especially for marginalised communities.In response in Australia he created Street Side Medics, a mobile general practice unit that meets and provides medical care to people that are homeless in the places where they are at - at food venues. It started in Sydney and has spread across Australia. His work led him to be recognised as 2022 Young Australian of the Year.Here he talks about that journey and what he learnt creating something from nothing. He explores the art of founding an organisation, the limits of planning and the importance of mentors and vision.For more on Street Side Medics: https://www.streetsidemedics.com.au/For more on ChangeMakers check us out:Via our Website - https://changemakerspodcast.org (where you can also sign up to our email list!)Facebook: https://www.facebook.com/ChangeMakersPodcast/Instagram: https://www.instagram.com/changemakerspodcast/Threads: https://www.threads.com/@changemakerspodcastBlue Sky: https://www.threads.com/@amandatattersall.bsky.socialFor more on the books and Amanda's writing, have a look at:Amanda's website - https://amandatattersall.com/ Conscious Tribes: thinking differently about making a difference - here and via Hardie GrantPeople Power in Cities - here and via Oxford Uni PressOn Substack - https://substack.com/@amandatattersallOn Medium - https://amandatatts.medium.com/And - her much earlier book about coalition building - Power in Coalition and via Cornell Uni PressAmanda is on Socials here:On LinkedIn: https://www.linkedin.com/in/amandatattersall/Facebook: https://www.facebook.com/amanda.tattersallBlueSky: https://bsky.app/profile/amandatattersall.bsky.socialThreads: https://www.threads.com/@amandatattersallTikTok: https://www.tiktok.com/@amanda.tattersallAmanda's website - https://amandatattersall.com/ Hosted on Acast. See acast.com/privacy for more information.
What does it take to drive meaningful change in healthcare when systems feel broken and institutional betrayal runs deep? Dr. Jessica Bunin, a retired Army Colonel with deployments to Iraq and Afghanistan, joins Dr. Andrea Austin to discuss her remarkable journey from psychiatrist to critical care physician and senior academic leader. Through compelling stories; including dramatically reducing ICU central line infections by empowering unexpected team members, Jessica reveals how shifting from “extreme ownership” to true team-building, practicing moral courage, and mastering civil discourse can rebuild trust and create healthier healthcare cultures. The conversation explores self-awareness as the foundation of effective leadership, the CLEAR framework for civil discourse, navigating institutional betrayal, and why leadership development must become central to medical education. You'll hear how they: Address institutional betrayal and moral injury by focusing on micro-cultures and small-team empowerment Build high-impact teams by including unexpected voices and shifting from doing things to people to doing things with them Practice moral courage in everyday healthcare settings, from challenging hierarchy to protecting patient safety Use the CLEAR framework (Create safety, Listen actively, Establish common ground, Adjust thinking, Respond skillfully) for productive conversations across difference Develop self-aware leaders who build trust and drive system-level transformation About the Guests “Civil discourse is our way forward.” – Dr. Jessica Bunin Dr. Jessica Bunin is a retired Army Colonel, critical care physician, and former psychiatrist with 23 years of service including deployments to Iraq and Afghanistan. She has held numerous leadership roles in academic medicine including critical care program director, assistant dean of faculty development, associate dean of DEI and community, and professor of medicine and health professions education. She is the co-founder and Chief Architect of All Levels Leadership, an International Coaching Federation certified executive leadership coach, and the author of the upcoming book From the Inside Out: How Self-Aware Leaders Build Trust and Transform Healthcare.
Tonight on Gulf War Side Effects, Kevin and Wade welcome Desert Storm veteran Becci Hannigan to share her remarkable journey as an Army combat medic during Operations Desert Shield and Desert Storm.Becci discusses basic training, becoming a medic, serving in Germany and Fort Hood, deploying to Saudi Arabia, treating wounded soldiers, caring for Iraqi prisoners of war, surviving chemical alarms, and witnessing the realities of war from the front lines.Get access to past and bonus content with exclusive guest. Please help support the podcast and veterans so we can keep making the show - patreon.com/GulfWarSideEffects▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬Contact me with your questions, comments, or concerns at kevinsimon@gulfwarsideeffects.com
It's time for Ask the Medic! Where an expert joins to answer any of your health-related questions.This week, guest host Clare McKenna is joined by Frank McGrath, Audiologist and owner of TinnitusClinic.ie to discuss all you need to know about tinnitus.
Co pro Knihovnu Václava Havla znamená to, že od ní odstupuje její zakladatelka Dagmar Havlová? Jak dlouho se může udržet překvapivý růst reálných mezd? A proč odborníci na estetickou medicínu chtějí zavést pro svůj obor nová pravidla?
What if the biggest threat to healthcare isn't just burnout, but the belief that suffering is simply part of the job? In this deeply validating and practical conversation, Dr. Andrea Austin welcomes Dr. Sarah Smith, to unpack the hidden habits and systemic pressures that keep clinicians trapped in unsustainable work patterns. Dr. Smith shares her personal journey of spending years staying late after clinic, working evenings and weekends, and feeling crushed by the endless demands of medicine. What began as frustration with change initiatives eventually became a transformative realization: sustainability in medicine required changing not just the system, but also the way clinicians interact with it. Together, Andrea and Sarah discuss the emotional burden of perfectionism, the trauma many physicians carry from training, and how documentation fears often stem from past criticism and adverse outcomes. They explore practical strategies for reducing interruptions, improving workflow, documenting in real time, and setting healthier boundaries with teams. The conversation also challenges the myth that changing healthcare systems or countries automatically solves burnout. Drawing from her experience practicing in both Australia and Canada, Dr. Smith explains why sustainability must ultimately come from developing new skills, new boundaries, and new ways of thinking. Most importantly, this episode offers hope: impossible things can become possible. Physicians can build careers that are meaningful, sustainable, and aligned with the lives they actually want to live. Inside This Episode: Why so many physicians stay hours after their shifts finish The hidden emotional impact of perfectionism in charting How medical training trauma shapes documentation habits Practical ways to reduce interruptions and cognitive overload Why real-time documentation improves efficiency and safety The importance of boundaries, teamwork, and shift huddles How healthcare systems can better support frontline clinicians Why changing countries or jobs doesn't automatically fix burnout The role of coaching in building sustainable careers What sustainability in medicine truly looks like
Nebolo to tak vždy... a vlastne to nie je tak ani všade. Ale dnes liečime najmä vďaka medicíne založenej na dôkazoch: no medicína založená na dôkazoch sa začala presadzovať až koncom 50-tych rokov. Pozrieme sa teda, ako sa to stalo. Tento týždeň sa v podcaste Zoom obzrieme za vznikom medicíny založenej na dôkazoch a NASA predstavila svoje mesačné plány. Objavom týždňa je vôbec prvé priame pozorovanie rodiacej sa planetárnej sústavy. – Všetky podcasty denníka SME si môžete vypočuť na jednom mieste na podcasty.sme.sk. – Ak máte pre nás spätnú väzbu, odkaz alebo nápad, napíšte nám na podcasty@sme.sk – Odoberajte aj (Ne)vedecký newsletter Tomáša Prokopčáka na sme.sk/nevedecky – Ďakujeme, že počúvate podcast Zoom.See omnystudio.com/listener for privacy information.
In this raw and unflinching episode of the Prolonged Field Care Podcast, Dennis sits down with Thad Snyder (physician, former medic, and brigade surgeon) to tackle one of the most uncomfortable topics in combat medicine: what happens when resources run out, evacuation timelines collapse, and “doing everything” is no longer possible.Drawing from a 72-page crisis standards of care memo (originally written for flu and updated for COVID), Thad explains the shift from standard → contingency → crisis care, the ethical duty to plan for no-win scenarios, and why medics, teams, and leaders must have real conversations about capabilities, limitations, and what “living” actually means after catastrophic injury. They explore palliative/comfort care in austere environments, the emotional weight of those decisions, and practical ways to share the burden so the medic isn't left carrying it alone.Essential listening for medics, operators, team leaders, and anyone preparing for large-scale combat or prolonged operations where the next casualty might not get a bird out for days or weeks.Key TakeawaysThere is a duty to plan for crisis standards of care before you're in the middle of it.Leaders and teams must understand the real capabilities and limitations of their medics—not the 437-task training list.Pre-mission conversations about quality of life, advanced directives, and unacceptable outcomes give medics a moral framework when they have to make the hardest calls.Palliative/comfort care is already happening in modern conflicts (Ukraine, etc.) even if no one wants to talk about it.The emotional and moral burden of end-of-life decisions cannot fall solely on the medic—teams and leaders must share ownership.Staying busy to “do something” can sometimes cause more harm than shifting to dignity-focused comfort care.Chapters00:00 – Intro & Pulling the Crisis Standards Memo from the Closet00:56 – Standard, Contingency, and Crisis Care: What Changes When Resources Vanish02:51 – The Duty to Plan: Preparing for No-Win Scenarios04:55 – Why Commanders Need Brutally Honest Briefs on Medic Capabilities06:20 – Surgical Team Limitations, Non-Survivable Injuries, and Realistic Expectations08:40 – Advanced Directives, Quality of Life, and “Living vs. Being Alive”11:36 – Palliative Care in Large-Scale Combat (Ukraine, Future Conflicts)13:15 – How (and When) to Have These Conversations with Your Team14:38 – The Emotional Reality: Holding Someone's Hand While They Die Is Harder Than Any Procedure20:33 – Real Hospital Examples of Hard End-of-Life Discussions25:58 – What Outcomes Actually Matter to Warriors? (Walking, talking, independence)32:00 – Using Patient Values as a Moral Framework in Crisis35:04 – Offloading the Burden: Team Ownership of Comfort Care Decisions40:43 – Shared Responsibility, Rituals, and Preventing Moral Injury43:14 – Final Thoughts + Where to Get the Crisis Standards DocumentThis episode is heavy, honest, and desperately needed. Share it with your team.For more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Send us Fan MailI left the previous interview on a cliff hanger. I wanted you all to not only come back to hear the circumstances surrounding Jay's shooting, but I believe the bumps in the road of his career can speak to so many of us who choose to be a first responder. It's easy to glamorize and gloss over the highlights, but I'm overwhelmed and honored that so many guests have walked through the door and been completely authentic and real. I believe my Squad of listeners would detect anything less than real truth. It's a standard we should all aspire to and I'm so grateful for everyone brave enough to come on the show and share without holding back.It takes courage to do the job, and it takes courage to know when to call it and move on. I can respect and appreciate everyone I know who has served honorably...but know when enough is enough.Please tune in, turn it up and enjoy the show. Jay is a great guest, I'm excited to share the rest of his career here...Come see me on Facebook at https://www.facebook.com/choir.practice.94 or on Instagram at https://www.instagram.com/cp_sfaf/
What happens when a sharp-eyed cruise ship doctor spots a hantavirus amid a sea of hangovers and flu symptoms? In this high-stakes episode of the Prolonged Field Care Podcast, Dennis sits down with Dr. Ryan Maves — combat-experienced infectious disease expert and military medicine veteran — to break down the shocking recent Andes virus outbreak.Far from the next global pandemic, hantaviruses are a real, rodent-borne threat that has hit soldiers before (Korean War, anyone?) and can strike deployed units in austere environments. Ryan delivers hard-hitting insights on rapid diagnosis, the “off-script” decompensation that screams hantavirus, supportive care when there's no magic antiviral, and — most importantly — prevention strategies that actually work in the field.If you operate in rodent-infested buildings, set up in abandoned structures, or just want to trust your gut when a patient goes south fast, this episode is required listening. Real talk from the A-team who are currently managing these patients stateside.Key TakeawaysClassic presentation: Flu-like prodrome (fever, fatigue, myalgias, GI upset) for a few days followed by sudden shock, respiratory failure, and decompensation.Bedside diagnostic gold: Thrombocytopenia (low platelets) + hemoconcentration (elevated hematocrit) in a previously healthy patient = major red flag.Treatment reality: Purely supportive — fluids, pressors, oxygen, renal support. No silver-bullet antiviral; ribavirin has limited data at best.Prevention beats everything: Humans are dead-end hosts. Avoid aerosolizing rodent urine/feces/droppings (no dry sweeping!). Use bleach, N95 (or equivalent), gloves, and gown.Human-to-human spread: Extremely rare except with Andes virus (this outbreak strain). Still, treat unknowns with respect.Military relevance: Endemic in deployment zones worldwide; occupying previously rat-infested buildings is a classic risk. History tied directly to U.S. troops in Korea.Mindset: When things go “off script,” trust your clinical instincts over machines. The best tool in the field is still an experienced medic's gut.Chapters00:00 – Welcome back to the PFC Podcast00:26 – Introducing Dr. Ryan Maves & the cruise ship outbreak00:55 – Why this isn't the next pandemic… but still matters03:04 – Military relevance: hantaviruses in deployment zones03:51 – How the cruise ship doc nailed the diagnosis05:27 – Clinical syndrome & the “virus-y” prodrome07:04 – Key labs: thrombocytopenia + hemoconcentration explained09:42 – Disease progression and why young healthy people can still crash10:50 – History of hantaviruses (Korean War → Sin Nombre → Andes)12:21 – Who actually dies and why14:50 – Biocontainment units and the military experts on the case17:35 – Treatment in the field: supportive care only19:35 – Shock management: distributive + capillary leak20:55 – Prevention is king: rodent control & PPE tactics24:22 – Human-to-human transmission (Andes virus exception)27:31 – Infection control, differential diagnosis, and real-world precautions30:08 – Final thoughts: clinical acumen, zoonoses, and trusting your instincts32:32 – Closing & where to find more PFC contentGrab your N95 and hit playFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
What happens when excellence makes others uncomfortable? In this deeply personal solo episode, Dr. Andrea Austin introduces the concept of Tall Poppy Syndrome, the tendency for high achievers to be criticized, diminished, or excluded simply because they stand out. Drawing from her own experiences and the stories of coaching clients, she explores how this dynamic often shows up in healthcare organizations, leadership structures, and academic medicine. Dr. Austin unpacks the connection between tall poppy syndrome and gaslighting, the emotional impact of professional rejection, and the difficult process of discerning when to fight for accountability versus when to leave toxic environments behind. She also reflects on the importance of self-awareness, humility, healthy conflict, and community in sustaining meaningful growth. This episode is ultimately a reminder that being different, courageous, or innovative does not make you the problem. Sometimes it simply means you've outgrown the field you're standing in, and it's time to find one where you can thrive alongside other tall poppies. Inside This Episode: What Tall Poppy Syndrome is and why it shows up in medicine How gaslighting is often used to diminish high achievers Why professional rejection can feel devastating for physicians The importance of healthy conflict, coaching, and self-reflection Finding communities where growth and authenticity are celebrated
Send us Fan MailJay reached out and asked to be on the show. He is currently an Air Medic, but his service started right out of high school. He joined the US Navy and became a Corpsman. His stories from this formative period in his life helped him grow up quickly, but he also worked with some extremely professional individual s who taught him the value of competence and confidence.He joined the Pima County Sheriff's Department and continued to serve the community. During this time, he learned that he was on the autism spectrum, and it helped him understand why his thought process on calls, enforcement of the law, and everyday interaction with his peers was different than others around him. He told me he thought it was important to share this part of his experience because he imagines there are others out there and they might find value in his willingness to share. I enjoyed his perspective, we had a very long chat (I thought I talked a lot) and so I've split this conversation into two episodes...but I urge you to catch the entire conversation because the great stories just continued to roll and roll. Don't miss out! Come see me on Facebook at https://www.facebook.com/choir.practice.94 or on Instagram at https://www.instagram.com/cp_sfaf/
What to listen for:“Everything I knew about my dog that I thought was true a week ago is no longer true. I have to reset my baseline and go, ‘Who are you today?'”Our hosts, Robin Greubel and Stacy Barnett, pick up the conversation with Joy Brenner of K9 Medic. This time, they're talking about turning everyday crate time into deliberate heat acclimation.Joy explains that many handlers keep cars too cold, creating a dangerous temperature “delta” that leaves dogs physiologically unprepared for field work. Instead, she programs her dog Storm by running the car just below panting level during downtime, shrinking that gap and building real biological tolerance. This is exactly what military and kennel dogs get by living outside.High-fidelity monitoring makes it safe.Cheap baby cameras with temperature readouts and night vision let handlers watch remotely and check every 20 minutes during high-risk windows (right after work or when AC fails) because “temperature has momentum” and cars remain a leading cause of preventable heat death.They discuss crate fans, breathable pads, reflective car covers, and the limited but situational value of cooling vests (ask your dog). Another practical tip is to do two-minute “t-checks” (transitions checks) at every car entry, with copious water and paw inspections.Whether traveling from Iowa's sweaty season to mountain fires or simply switching seasons, it's important to reset baselines daily and support the dog you actually have today. Key Topics:Crate Acclimation and Reducing the Temperature Delta (01:35)Why Nosework and LE Handlers Must Stop Over-Cooling Cars (03:44)High-Risk Monitoring Windows (09:41)Baby Cameras for Real-Time Safety and Acclimation (12:59)Resetting Your Baseline (23:45)“Ask Your Dog!” (26:53)T-Checks, Paw Inspections, and Copious Water Decon (34:19)Key Takeaways (40:25) Resources:· K9 Medic: https://www.k9medic.com/· K9 Medic First Aid Kit: https://www.k9medic.com/gear/· K9 Medic Academy: https://www.k9medic.com/#loginWe want to hear from you:Check out the K9 Detection Collaborative FB page and comment on the episode post!K9Sensus Detection Dog Trainer AcademyK9Sensus Foundation can be found on Facebook and Instagram. We have a Trainer's Group on Facebook!Scentsabilities Nosework is also on Facebook. Here is a Facebook group you should join!You can follow us for notifications of upcoming episodes, find us at k9detectioncollaborative.com to enjoy the freebies, and tell your friends so you can keep the conversations going.And don't forget to check out the YouTube Channel!
Vi pratar Musikvideos från Foo Fighters, OK GO, och Red hot chili Peppers. Vad är det som gör en bra video, bra?Hur kopplar vi detta till Jackass? Finns det ens ett forum för detta idag, eller har ALLT blivit mer eller mindre Jackass?Har vi överlåtit all underhållning till AI, genom Chuck Norris, och Tom Cruise ? Äger vi vårt Dopamin genom Sociala Medier, eller är vi i händerna på något större som vi inte kan kontrollera?Trummisen Josh Foster har lite att säga till om och Chrisförklarar också ”Medic” funktionen i Hemvärnet.Förbannat festligt att just du lyssnar!Vill du ha din låt uppspelad direktmed tillhörande analys.Maila oss låtlänk + info om projektet till: Musiksnacket@iwm.seLänk till Spellista:https://open.spotify.com/playlist/25dSufz7mpKXI0vbMclpgz?si=77c7b74518db43fdYoutubekanal:https://www.youtube.com/channel/UCRWilvJuy0i6VnwoPj2mjjAoch Patreon:www.patreon.com/musiksnacket#recension #analyser #musik #analys #spotify #Podcast #podd #musiksnacket #Artist #Musiker #scen #studio #AI
A paramedic calls in this week, and he and Gethard bond fast over the real deal world of first response. This caller is operating at a pretty intense level, working in roles that require very specific skill sets. He and Geth get into the ins and outs of the job, ambulance hierarchy, and whether there's real beef between paramedics, EMTs, and everybody else on the scene. Plus, the caller talks about growing up around addiction and instability, doing his own mental health work, and how all of it shaped the way he shows up for people in crisis. Sign up for Beautiful/Anonymous+ to get ad free episodes and access to exclusive audio including 5 Random Questions with this week's caller. Leave us a voicemail at (973) 306-4676 Visit Upwork.com right now and post your job for free. Refresh your wardrobe with Quince. Go to Quince.com/beautiful for free shipping and 365-day returns. Text BEAUTIFUL to 64000 to get 20% off all IQBAR products, plus FREE shipping. Message and data rates may apply. Get 20% off your DeleteMe plan when you go to joindeleteme.com/ BEAUTIFUL and use promo code BEAUTIFUL at checkout.
Ashley Okland ////// 917 Part 1 of 1 www.TrueCrimeGarage.com Ashley Okland was 27 years old when she was murdered. She was a real estate agent and had been showing a model townhouse when she was shot twice and left to die by her assailant. Someone heard a commotion inside 558 Stone Creek Court. When they went inside to investigate, Ashley was lying on the floor. Medics rushed her to the hospital where she later died. After nearly 15 years of investigating, there has finally been a major break in this case. Beer of the Week - Easy Eddy Hazy IPA by Big Grove Brewery Garage Grade - 4 and a quarter bottle caps out of 5 More True Crime Garage can be found on Patreon and Apple subscriptions with our show - Off The Record. Catch dozens of episodes of Off The Record plus a couple of Bonus episodes and our first 50 when you sign up today. True Crime Garage merchandise is available on our website's store page. Follow the show on X and Insta @TrueCrimeGarage / Follow Nic on X @TCGNIC / Follow The Captain on X @TCGCaptain Thanks for listening and thanks for telling a friend. Be good, be kind, and don't litter! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Headlines for March 30, 2026; No Kings: Rep. Omar, Sen. Sanders, Bruce Springsteen, Jane Fonda, Joan Baez at Massive St. Paul Rally; “People Are Rising Up”: Voices of No Kings Protests from NYC to Denver; NYC Palestine Activist Nerdeen Kiswani Speaks Out After Being Target of Assassination Plot; Report from Beirut: “Hearts Are Very, Very Heavy” After Israeli Strikes Target Journalists, Medics; “The Institutions Have Not Collapsed”: Prof. Ali Kadivar on Iran’s Resilience to U.S.-Israeli War