Podcasts about prolonged

Let the work begin!  This week the boys get together to select the theme for Mixtape 2! Will they fight demons? ICE? Prolonged masturbation? Actors of a certain ilk? tune in and find out in this brand NEW EPISODE OF AWESOME! Remember this…TRY This link here folks https://jordanrannells.com/ https://waywardraven.com/ FOLLOW THIS LINK FOR SOME AWESOME […]

Show notes at pharmacyjoe.com/episode1041. In this episode, I'll discuss which overdose patients with prolonged QTc are most likely to experience ventricular dysrhythmia. The post Episode 1041: Predicting Which Overdose Patients With Prolonged QTc Will Have Ventricular Dysrhythmia appeared first on Pharmacy Joe.

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

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

This week, Aebhric O'Kelly talks with Andy Bell, Deputy Director of Paramedicine for St. John's Ambulance in Western Australia, who shares his extensive experience in paramedicine, discussing the evolution of the profession, the role of critical care paramedics, and the challenges faced in remote healthcare settings. He emphasises the importance of academic advancement in paramedicine and the need for a mindset shift towards prolonged field care in austere environments. Bell also provides insights into the future of paramedicine, highlighting the growing role of community paramedics and the integration of evidence-based practices in patient care.TakeawaysAndy Bell is originally from New Zealand and has extensive experience in paramedicine.Paramedics in Australia are now registered medical health professionals under APRA.The critical care paramedics have the most advanced scope of practice in Australia.There is a significant push for academic advancement in paramedicine.Evidence-based practice is essential for the future of paramedicine.Prolonged field care is a common practice in remote areas of Australia.Communication and coordination are crucial in managing patients in remote locations.Community paramedics are becoming increasingly important in the healthcare system.New practitioners should focus on mastering the basics of patient care.A mindset shift is necessary for effective, prolonged field care. Chapters00:00 Introduction to Andy Bell and His Background03:30 Understanding Paramedicine in Australia08:15 The Role of Critical Care Paramedics12:39 The Evolution of Paramedicine and Academia18:02 The Future of Academic Paramedicine22:42 Prolonged Field Care in Remote Areas29:10 Challenges in Patient Management in Remote Locations35:46 Advice for New Practitioners in Austere Medicine

Interview with Adrian D. Haimovich, MD, PhD, author of National Trends in Prolonged Emergency Department Length of Stay Among Older Adults: 2017-2024 and Maura Kennedy, MD, MPH author of Addressing the Hospital Boarding Crisis in the US—Time to Act: Addressing the Hospital Boarding Crisis in the US. Hosted by Eve Rittenberg, MD. Related Content: Addressing the Hospital Boarding Crisis in the US—Time to Act Prolonged Emergency Department Stays for Older US Adults

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

Interview with Adrian D. Haimovich, MD, PhD, author of National Trends in Prolonged Emergency Department Length of Stay Among Older Adults: 2017-2024 and Maura Kennedy, MD, MPH author of Addressing the Hospital Boarding Crisis in the US—Time to Act: Addressing the Hospital Boarding Crisis in the US. Hosted by Eve Rittenberg, MD. Related Content: Addressing the Hospital Boarding Crisis in the US—Time to Act Prolonged Emergency Department Stays for Older US Adults

Why do some pine nuts cause a bad taste in our mouth that can last for weeks?

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

Summary Dr. Amy Vertrees, the host, introduces the episode focusing on the prolonged stress cycle, a topic relevant to many, especially female surgeons, given the various stressors in medicine and the world . She notes that this topic arose from discussions within the female boss surgeons group, emphasizing its importance and broad applicability . The group, which meets weekly and twice monthly on Sundays, covers topics not typically addressed in residency but crucial for career and mental health . Dr. Vertrees shares her background as a general surgeon and certified coach, highlighting her experiences in military and civilian settings, as well as private practice, which led her to create the Boss Business and Surgery series . She details the program's structure, including three-month modules on dealing with difficult colleagues and managing the impact of complications . The discussion emphasizes the pervasive nature of stress, exacerbated by global events and the demands of being a surgeon . The prolonged stress cycle often begins in training, with experiences that may have been hostile or malignant, impacting future stress responses . Dr. Vertrees references the book "What Happened to You?" by Bruce Perry and Oprah Winfrey, explaining how prolonged stress can dysregulate the nervous system, hindering rational thinking . She differentiates between regulated stress, which builds resilience, and dysregulated stress, which results from extreme, prolonged, and unpredictable situations . Dr. Vertrees explains the stress cycle, involving a trigger, a stress response (fight, flight, freeze, or fawn), and a physiological reaction . Recognizing one's physiological stress response is crucial, as it serves as a red flag indicating excessive stress . She provides an example of a stressful surgical scenario, emphasizing that recognizing a stress response is a sign of awareness, not a personal failing . Finding a colleague in such situations can provide stability and prevent potentially harmful actions . The discussion covers the importance of emotional regulation, especially for new attendings, and the impact of decision fatigue . Impaired coping mechanisms, such as doom scrolling or overeating, can worsen the stress cycle . Confidence is defined as the ability to manage any emotion, including fear and uncertainty, while still acting effectively . Practical techniques to interrupt the stress cycle include deep breathing exercises, focusing on the next best step, and box breathing . Dr.Vertrees stresses that emotional and physiological regulation is crucial for surgeons, who are leaders of their teams and responsible for their patients . She advises on communicating with families during stressful events, emphasizing the importance of reassuring them that their loved one is okay . The value of having a second set of skilled eyes, such as residents, is highlighted, as they can prevent potentially devastating mistakes . Strategies to manage the stress cycle include awareness and tracking, physiological regulation, emotional processing, cognitive reframing, and setting boundaries . Purpose and value alignment, along with gratitude, are also important . Dr. Vertings recommends finding a challenge network, a group of supportive individuals who can be relied upon during difficult times . She concludes by promoting the Boss Female Surgeons Group Coaching Program and other resources available at bosssurgery.com . Chapter Introduction to Prolonged Stress Cycle Dr. AmyVertrees introduces the episode's focus on the prolonged stress cycle, a topic of significant relevance, particularly for female surgeons, given the multitude of stressors present in both medicine and the broader world. She highlights that this subject emerged from discussions within the female boss surgeons group, underscoring its importance and widespread applicability. The Female Boss Surgeons Group Dr. V describes the group of female surgeons who meet weekly, Wednesdays at 6 p.m. Central, and twice a month on Sundays, to discuss topics often overlooked in residency but essential for career advancement and mental well-being. Dr. Vertings' Background and the Boss Business and Surgery Series Dr. V shares her background as a general surgeon and certified coach, emphasizing her experiences in military and civilian settings, as well as in private practice, which inspired her to create the Boss Business and Surgery series. She notes that the business was reinvigorated in 2020 to address new challenges faced by surgeons. Program Structure: Difficult Colleagues and Complications Dr. V details the program's structure, which includes three-month modules dedicated to addressing difficult colleagues and managing the impact of complications. She emphasizes that the program teaches strategies to improve relationships and positively influence workplace dynamics. Pervasive Nature of Stress The discussion emphasizes the pervasive nature of stress, which is exacerbated by global events and the inherent demands of being a surgeon. Dr. V mentions theories suggesting that the high level of stress in the world may be intentional, designed to keep people off balance and disengaged. Stress Cycle in Training and Early Career The prolonged stress cycle often begins during training, with experiences that may have been hostile or malignant, significantly impacting future stress responses. Dr. V reflects on her own training, initially downplaying its hostility but later recognizing its challenging aspects. "What Happened to You?" and Dysregulated Nervous System Dr. V references the book "What Happened to You?" by Bruce Perry and Oprah Winfrey, explaining how prolonged stress can dysregulate the nervous system, hindering rational thinking. She explains that stress can overwhelm the primitive brain, preventing signals from reaching the smart part of the brain. Regulated vs. Dysregulated Stress Dr. V differentiates between regulated stress, which builds tolerance and resilience, and dysregulated stress, which results from extreme, prolonged, and unpredictable situations. She notes that predictable, moderate, and controllable stress can lead to productive stress responses. The Stress Cycle: Trigger, Response, and Physiological Reaction Dr. V explains the stress cycle, which involves a trigger, a stress response (fight, flight, freeze, or fawn), and a physiological reaction. She emphasizes that recognizing these responses is crucial for managing stress effectively. Recognizing Physiological Stress Response Recognizing one's physiological stress response is crucial, as it serves as a red flag indicating excessive stress. Dr. V provides examples such as increased heart rate, muscle tension, and poor sleep. Surgical Scenario and Stress Response Dr. V provides an example of a stressful surgical scenario, emphasizing that recognizing a stress response is a sign of awareness, not a personal failing. She notes that in high-stress situations, the primitive brain can take over, hindering clear thinking. Finding a Colleague for Stability Finding a colleague in stressful situations can provide stability and prevent potentially harmful actions. Dr. V likens this to grabbing onto a stable object during a tornado. Emotional Regulation and Decision Fatigue The discussion covers the importance of emotional regulation, especially for new attendings, and the impact of decision fatigue. Dr. Vertings notes that making numerous decisions can impair one's ability to make further decisions effectively. Impaired Coping Mechanisms Impaired coping mechanisms, such as doom scrolling or overeating, can worsen the stress cycle. Dr. V explains that these behaviors are often attempts to avoid negative feelings but ultimately lead to increased vulnerability. Confidence as Emotional Regulation Confidence is defined as the ability to manage any emotion, including fear and uncertainty, while still acting effectively. Dr. V emphasizes that courage is acting despite feeling fear. Techniques to Interrupt the Stress Cycle Practical techniques to interrupt the stress cycle include deep breathing exercises, focusing on the next best step, and box breathing. Dr. V mentions Dr. Robin Tiger's advice on using deep breathing for both surgeons and patients. Importance of Emotional and Physiological Regulation Dr. V stresses that emotional and physiological regulation is crucial for surgeons, who are leaders of their teams and responsible for their patients. She notes that a calm leader can help the team remain calm and effective. Communicating with Families During Stressful Events Dr. V advises on communicating with families during stressful events, emphasizing the importance of reassuring them that their loved one is okay. She suggests leading with the assurance that the patient is fine before explaining the details. Value of a Second Set of Skilled Eyes The value of having a second set of skilled eyes, such as residents, is highlighted, as they can prevent potentially devastating mistakes. Dr. Vertings shares a personal experience where a resident prevented her from making a significant error. Strategies to Manage the Stress Cycle Strategies to manage the stress cycle include awareness and tracking, physiological regulation, emotional processing, cognitive reframing, and setting boundaries. Dr. V emphasizes the importance of naming and owning feelings. Purpose, Value Alignment, and Gratitude Purpose and value alignment, along with gratitude, are also important. Dr. V suggests reflecting on past experiences to identify one's values and aligning actions with those values. Finding a Challenge Network Dr. V recommends finding a challenge network, a group of supportive individuals who can be relied upon during difficult times. She credits Dr. Jill Clark for this concept. Promotion of Boss Female Surgeons Group Coaching Program Dr. V concludes by promoting the Boss Female Surgeons Group Coaching Program and other resources available at bosssurgery.com. She mentions upcoming topics such as power and negotiating, as well as strategies for managing clinic and developing a CEO self-concept.

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

Evan Collier - Psalm 13 - Jun 22, 2025

Conscious Strength

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

Listen to today's podcast... It is time to take make sure that we take our lunch break.  North American workers who take a lunch break every day scored higher on a wide range of engagement metrics, including job satisfaction, likelihood to continue working at the same company, and likelihood to recommend their employer to others. And though we would like to blame others for not taking our lunch break, that doesn't seem to be the case in reality. It seems that our workload is a much greater influence on whether or not we take a lunch break than our boss or company policy. And if we do eat, we tend to stay at our desks and nibble while we work. Take One Action Today To Build Your #Resiliency!      So Here are today's Tips For Building Resiliency and Celebrating Take Back The Lunch Break Day: Know that it is essential to take that lunch break in order to maintain your energy and productivity. 38% of employees don't feel encouraged to take a lunch break. It is everyone's responsibility to ensure healthy habits within the workplace.  So, invite a friend to go for a lunchtime walk. The light break and exercise will boost your mental health and your immunity. If you are the boss, model healthy habits by not calling lunch time meetings. Encourage your team to leave their desks for lunch. Prolonged sitting is a health risk, so get up, stretch, grab something to eat, and change the scenery. Your mind and body will thank you. Remember, If you like today's wellness tips, let me know. You can leave me a review on amazon or through your #alexa app. Take One Action Today To Build Your Resiliency! #mentalhealth #hr

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

Story at-a-glance Sitting more than 10.6 hours daily increases heart failure risk by 45% and cardiovascular death risk by 62%, even for those who regularly exercise Breaking up sedentary time is important; even reallocating 30 minutes of sitting to light activity reduces heart failure risk by 7% Prolonged sitting impairs blood circulation, decreases insulin sensitivity and reduces mitochondrial activity, which damages cardiovascular health over time Regular movement throughout the day is necessary to protect your heart health and metabolic function Simple strategies like standing for 10 minutes every hour and integrating more walking into your daily routine significantly lower cardiovascular risks

Send us a textI sit down once again with Professor Paul Robinson to continue our exploration of the ongoing Ukraine-Russia war. We dive into the uncomfortable questions rarely addressed in mainstream media: Have Western sanctions actually worked? Why does media silence dissent within Ukraine? And is Canada's role sustainable—or even justified—in a war with no clear end?From examining the economic reality of sanctions and shadow fleets to questioning the strategic silence on Ukraine's democratic backsliding, this conversation pulls no punches. We also explore the uncomfortable truth about Western foreign policy's double standards, and whether Ukraine is being used as a proxy in a much larger geopolitical chess match.Professor Robinson and I also tackle the peace process—if it can even exist—and the uneasy truth that peace often means compromise no one wants to make. We dissect the differing diplomatic philosophies between the Biden and Trump camps, the shifting Overton window in Canada, and the quiet erosion of civil society's voice in the name of “duty.”Support the showVisit my NEW Website! https://www.christopherbalkaran.comCheck out my Instagram/Tik Tok for daily posts: Instagram @openmindspodTiktok @openmindspodcast

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

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

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MSU Extension Corn Specialist Erick Larson visited the Crop Doctors' Podcast studio in Stoneville to continue an ongoing discussion of managing corn nitrogen fertility.  Nitrogen fertilizer losses are inevitable with prolonged saturated soils.  Erick shares suggestions for how to manage the crop at or as it approaches tasseling.  For more episodes from the Crop Doctors, visit our website at http://extension.msstate.edu/shows/mississippi-crop-situation   #mscrops #MSUext

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

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

This week, Aebhric O'Kelly speaks with Jason Jarvis, a former Special Forces medic and current PhD student, about his experiences in military medicine, the evolution of prolonged field care, and the development of the 'SHEEP VOMIT' mnemonic for patient care in austere environments. They discuss the importance of nursing care, the practical applications of medical knowledge in the field, and the challenges medical practitioners face in remote settings. This conversation delves into critical aspects of patient care, particularly in prolonged field care settings. It emphasises the importance of managing pressure points, understanding vital signs, monitoring core temperature, maintaining oral hygiene, preventing DVT, and ensuring proper input and output monitoring. The discussion also highlights the significance of turning, coughing, and deep breathing for patient recovery, culminating in the legacy of the 'sheep vomit' concept in medical training.TakeawaysJason Jarvis has a master's in infectious disease and is pursuing a PhD.Military experiences shaped his interest in tropical medicine.Prolonged field care is a systematic approach to patient care in remote settings.The 'SHEEP VOMIT' mnemonic was developed to aid in prolonged field care.Skin protection is crucial in austere environments.Hypothermia prevention is a key focus in field care.Patient mobility and exercises are essential for recovery.Checklists help ensure comprehensive patient care.The evolution of medical mnemonics reflects advancements in field medicine. Pressure sores develop in specific areas when supine.Vital signs must be documented and trended over time.Core temperature is crucial for assessing trauma patients.Oral hygiene prevents infections that can lead to pneumonia.DVT prevention is essential for immobilised patients.Urine output is a key indicator of hydration and health.Turning and coughing help maintain lung function.The 'SHEEP VOMIT' concept aids in prolonged field care training.Training should prepare providers for practical challenges.Community impact is a goal of medical training.Chapters00:00 Introduction to Jason Jarvis 00:46 Jason Jarvis: Background and Current Work02:37 Military Experiences and Deployments05:58 Transitioning to Civilian Life and DMI09:52 Prolonged Field Care: Concepts and Evolution13:45 Developing the Sheep Vomit Mnemonic18:35 Understanding the Sheep Vomit Mnemonic21:58 Practical Applications of Prolonged Field Care26:12 Exercises and Patient Mobility29:35 Managing Pressure Points in Patient Care30:05 Understanding Vital Signs and Their Importance31:10 The Role of Core Temperature in Patient Assessment32:40 Oral Hygiene and Its Clinical Significance36:02 Preventing Deep Vein Thrombosis (DVT) in Immobilised Patients40:44 Monitoring Input and Output: A Vital Sign49:04 The Importance of Turning, Coughing, and Deep Breathing55:00 The Legacy of Sheep Vomit in Medical Training

Send us a textGeri Clark, Resource and Advocacy Manager at Treatment Advocacy Center, shares her devastating journey of losing her son to severe mental illness while navigating a broken treatment system that wouldn't help until it was too late. She reveals critical gaps in our mental health system and explains how legal barriers, misunderstood medical conditions, and insufficient family support create deadly consequences for those with severe psychiatric disorders.• Son experienced his first psychotic break at 19 while attending college on a debate scholarship• After a four-year struggle with severe mental illness, her son took his own life in 2019• Anosognosia is a neurobiological symptom where the brain cannot perceive its own illness• Current mental health system requires evidence of harm before providing involuntary treatment• Treatment standards based on legal criteria rather than medical need lead to preventable tragedies• Insurance companies create "ghost networks" of mental health providers who aren't actually available• Families are often excluded from treatment decision-making despite being primary caregivers• Prolonged exposure to untreated psychosis causes brain damage and reduces recovery chances• Some states now include psychiatric deterioration in their criteria for involuntary treatment• Treatment Advocacy Center works to develop grassroots advocates pursuing legislative change• Mental health crises receive far less urgent response than medical emergencies like strokesIf you know anyone who would like to tell their story, send them to tonymantor.com and contact us so they can be a guest on our show. Tell everyone everywhere about Why Not Me? The World, the conversations we're having, and the inspiration our guests give to show that you are not alone in this world.https://tonymantor.comhttps://Facebook.com/tonymantorhttps://instagram.com/tonymantorhttps://twitter.com/tonymantorhttps://youtube.com/tonymantormusicintro/outro music bed written by T. WildWhy Not Me the World music published by Mantor Music (BMI)

Susan Slusser joins Papa & Silver to recap the Giants' offensive struggles, their young pitchers thriving, and how to handle Willy Adames during this prolonged slump See omnystudio.com/listener for privacy information.

In this episode, I'm joined by Coach Lindsey from the Risely team to uncover nine surprising reasons why people with type 1 diabetes often feel exhausted—even when they're doing everything “right.” From hidden blood sugar variability and subtle dehydration to nutrient deficiencies and the cognitive fatigue of nonstop diabetes management, we dive into the physical, mental, and emotional tolls of T1D. Coach Lindsey shares real client experiences and practical insights to help you identify what might be draining your energy. We also explore how overlooked factors like morning caffeine habits, thyroid issues, and burnout can quietly sap your strength. If you're ready to stop guessing and start feeling more energized, this episode will point you toward the clarity and support you need.Quick Takeaways:Understanding your energy levels is crucial for managing T1D Impact of coffee (and cortisol) on blood sugar levels The ‘non-clinical' things contributing to exhaustion (that are in your control) How to know if your tiredness is an underlying autoimmune condition  Diabetes burnout: How to know if you've hit that point and what to do if soTimestamps:[01:11] Breaking down today's conversation [07:26] Prolonged high blood sugars + insulin resistance [11:16] Blood sugar variability, even when you have a good A1C[16:00] How your morning coffee is impacting your BG [20:43] What nutrients your body might be missing as a T1D [24:18] Underlying autoimmune conditions or ‘sister conditions' [26:15] Constantly being tired doesn't mean something is ‘clinically wrong' with you[27:43] Are you dehydrated even if you are drinking water?  [30:12] The cognitive load + mental fatigue of T1D [37:55] “The life burnout that happens that leads to diabetes exhaustion”What to do now: Follow me @lauren_bongiorno and @riselyhealth on Instagram to stay in the loop when new episodes drop.Apply for coaching and talk to our team so you can reclaim the life you deserve. Listen to Episode 121: T1D + Thyroid Health Dr. Sandra Sobel 

Susan Slusser joins Papa & Silver to recap the Giants' offensive struggles, their young pitchers thriving, and how to handle Willy Adames during this prolonged slump See omnystudio.com/listener for privacy information.

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

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

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

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

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

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

Prolonged drought conditions and increasing production costs are compelling farmers to reduce their flocks, leaving shearers struggling to find work. 

Dr. Satchin Panda is a renowned neuroscientist and professor at the Salk Institute for Biological Studies. He is best known for his groundbreaking research on circadian rhythms, time-restricted eating, and their impact on metabolism and overall health. His work has significantly influenced the fields of chronobiology and nutrition. Dr. Panda is also the author of The Circadian Code, where he shares practical strategies to optimize health by aligning daily routines with the body's internal clock.In our conversation we discuss:(00:00) – What happens in our bodies when our circadian rhythm is out of sync(06:16) – How to know if your circadian rhythm is out of sync(11:07) – What matters more: timing of sleep or how long is your sleep(15:47) – Consistency in your sleep schedule(18:37) – Importance of getting bright natural light(24:23) – Resetting circadian rhythm for a night shift worker(28:54) – Product recommendation(30:50) – Compensating for lost or poor sleep(34:31) – What are the worst common habits the generation is doing that harm the quality of sleep(40:45) – Eating late in relation to quality of sleep(42:59) – Supplements(48:15) – Prolonged fasting(51:05) – Time window for liquid intake(54:07) – Sipping(56:10) – Exercising in the morning vs in the afternoon(59:24) – Factors that may be overlooked in improving circadian rhythm(1:01:32) – Ideal circadian dayLearn more about Dr. Satchin Panda:https://www.salk.edu/scientist/satchidananda-panda/https://www.instagram.com/satchin.panda/?hl=enhttps://www.linkedin.com/in/satchin-panda-926ba369App: https://www.mycircadianclock.org/Book: https://www.amazon.com/Circadian-Code-Supercharge-Transform-Midnight/dp/163565243XWatch full episodes on: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@seankim⁠⁠⁠⁠⁠⁠⁠Connect on IG: ⁠⁠⁠⁠⁠⁠https://instagram.com/heyseankim

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

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

What does it really mean to grieve — and when does grief become a danger to your life? In this weighty episode, host Gabe Howard sits down with Dr. Mary-Frances O'Connor, a leading expert in psychology whose work on grief and loss has touched millions. Dr. O'Connor shares groundbreaking insights on the subtle yet critical differences between the stereotypical grief process and prolonged grief, revealing why your heart can literally stop functioning due to loss. From staggering statistics showing a man's heart attack risk skyrockets on the day his spouse dies, to the intimate science of how our bonds regulate our well-being, this conversation is as thought-provoking as it is moving. Discover practical strategies to navigate those raw, overwhelming moments of loss, and learn how to build a personal toolkit for healing. Whether you're coping with grief yourself or supporting someone who is, this episode promises a deep, human exploration into turning heartbreak into hope. This episode has been sponsored by the Anxiety and Depression Association of America (ADAA). “It's not just that you're having grief, which is normal. It's that we're unable to find a way to adapt given that we have grief. So people with prolonged grief feel like life holds no meaning anymore, or they feel so angry and bitter about what's happened that they have trouble connecting with their living loved ones.” ~ Mary-Frances O'Connor, PhD Our guest, Mary-Frances O'Connor, PhD, is a professor of psychology at the University of Arizona, where she directs the Grief, Loss and Social Stress (GLASS) Lab, investigating the effects of grief on the brain and the body. Her book “The Grieving Brain” was included on Oprah's list of Best Books to Comfort a Grieving Friend. O'Connor holds a PhD in clinical psychology from the University of Arizona and completed a postdoctoral fellowship in psychoneuroimmunology at the UCLA Semel Institute for Neuroscience and Human Behavior. Having grown up in Montana, she now lives in Tucson, Arizona. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today we are putting on our public intellectual hats for Torrey Peters, author of "Detransition, Baby" and whose incredible new book "Stag Dance" is available now. She brings insights that will potentially take years to fully grasp. Things like how all marriages can be straight if the divorce takes long enough. Or how there's no such thing as "the big moment" despite what the mainstream media will try to tell you. Or (and this is potentially the most important) how there's a whole community of nasty discord users who have yet to be brought to light by the proper channels. Well that ends here and now, enjoy the most prestigious episode of podcasting ever made. STRAIGHTIOLAB MERCH: cottonbureau.com/people/straightiolab SUBSCRIBE TO OUR PATREON at patreon.com/straightiolab for bonus episodes twice a month and don't forget to rate and review us on Apple Podcasts!See omnystudio.com/listener for privacy information.

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

AP correspondent Haya Panjwani reports on Gene Hackman's autopsy report.

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

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

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

Discover how to navigate public meltdowns, reduce anxiety, and heal from the trauma of feeling constantly judged.In this episode of The Autism Mom Coach, we unpack the PTSD of being “on display” as the parent of a child with autism. Episode SummaryPublic meltdowns can trigger deep emotional distress for both the child and the parent. Prolonged exposure to judgmental stares, unsolicited advice, and sudden confrontations often leads to anxiety, hypervigilance, and feelings of fear or helplessness. Drawing from real-life events, this episode shines a light on why these experiences stay with us, how our brains respond to perceived threats, and practical ways to build resilience for you and your child.Why You Should ListenIf you've ever felt criticized, misunderstood, or singled out in public while managing your child's meltdown, this episode is for you. Gain trauma-informed insights, real-life examples, and actionable tips to help you cope and heal. By addressing both the emotional and practical aspects of public meltdown stress, you'll walk away feeling more equipped, supported, and empowered in your parenting journey.Subscribe & Stay ConnectedListen now to Episode 163 of The Autism Mom Coach on your favorite podcast platform.Subscribe so you never miss an episode packed with actionable advice for parenting children with autism.Connect on social media for more autism-friendly strategies, PTSD awareness, and mental health resources.

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