Podcasts about special operations medical association

Dr Ella Corrick discusses her experiences at the Special Operations Medical Association's conference, her work in mountain rescue, and her insights from the AEC instructor development course. She also shares her experiences with traditional American food and her involvement in the CoROM doctoral programme.   Keywords Special Operations Medical Association, conference experiences, mountain rescue, AEC instructor development course, traditional American food, Coram doctoral program   Takeaways Cross-pollination of ideas and practices at the SOMA conference Challenges and experiences in mountain rescue operations Insights from the AEC instructor development course Exploring traditional American food experiences Overview of the CoROM doctoral program   Sound Bites "I enjoyed it so much more than I expected. I don't eat a lot of kind of fried food. I eat a lot of unhealthy food, don't get me wrong." "The doctoral programme that Coram offers is a taught doctorate, by which I mean there are several taught modules which cover aspects such as global health, medical ethics, academic writing, research methodology, and then there is a two -year period if you're full -time to work on your thesis exclusively, so there's still a very heavy researchcomponent."   Chapters 00:00 Insights from the SOMA Conference 05:00 Challenges in Mountain Rescue Operations 20:00 Exploring Traditional American Food 25:00 CoROM Doctoral Program Overview

Dr. "Barb" Barbara J. Mainville, MD has been working with medical cannabis for more than 8 years following 30 years of practice in Emergency Medicine, and 30 years as a Coroner for the Province of Ontario (conducting both investigations and inquests.Barb is a member of the Canadian Consortium for the Investigation of Cannabinoids, the Society of Cannabis Clinicians, the Western Trauma Association, and the Special Operations Medical Association, as well as serving as the Medical Director for DBI Tactical.  Barb has a particular interest in the potential applications of medical cannabis in physical and psychological trauma, both long term and acutely. She is a featured guest on another podcast, Let's Talk Cannabis.I hope you enjoy our conversation.Thank you to Jeremy Benning, our co-producer and sound editor.And thank you to Albert Wong, who created and performed our beautiful music.For more insightful conversations related to cannabis law, listen to our other episodes at https://podcast.cannabislawonearth.com/ If you're looking for a good text book on Canada's federal cannabis law and regulations with helpful related case law, read Canada's Cannabis Act.And if you need a cannabis lawyer, ask Russell for more information at https://cannabislaw.ca

Please support the Special Operations Medical Association. Come to the MAY 2024 meeting in NC. Go to specialoperationsmedicine.org   Attend- learn, network, become a better Medic. Present- move the needle forward, share your experience and knowledge. THAT OTHERS MAY LIVE

   When you think of heroism on the frontlines, images of soldiers valiantly charging into battle often come to mind. However, there are unsung heroes whose battlefield is the human body, whose weapons are their medical equipment, and whose mission is to save lives. Master Sergeant John Dominguez, a retired Special Operations Medic, joined us on WarDocs to share his incredible journey from a family steeped in the military tradition to dedicating his life to providing care in the harshest conditions across the globe. With a career spanning elite units and austere locations around the globe, John is a true veteran, sharing his story and insights on the life of a Special Operations Medic. It's an enlightening and inspiring ride you don't want to miss.     As a well-decorated veteran, John gave us an insider's view of the challenges and triumphs that come with being a Special Operations Medic. He shared heart-stopping stories from his time at the Ben Taub Trauma Center, proving that even in the face of overwhelming casualties, the human spirit and instinct to protect life prevail. His innovative approach to medicine was tested when he ran out of supplies in the Philippines, demonstrating the necessity for resourcefulness and close collaboration with local teams. It was sobering yet inspiring to hear how the lessons learned in these high-stakes situations have shaped John's approach to medicine and his life beyond the battlefield.     Among the many stories shared by John, one particularly stood out. It was a tale of bravery, compassion, and quick thinking in Ethiopia, where he treated a young girl using unconventional methods. It was a stark reminder that being a medic on the frontline is not just about the physical wounds but also about understanding cultural differences and building trust. A testament that medicine is as much an art as it is a science, and John's canvas was the human body in the most extreme circumstances.      John opens up about the evolution of medical approaches to combat casualties, a journey spanning over 15 years of his career as a Special Operations Medic. He underlines the importance of understanding the environment in which data was collected, the limitations of studies done in combat, and the need for medical personnel to be educated on the science of their field. He talks about the critical role that the Special Operations Medical Association (SOMA) plays in providing data-driven recommendations and guidelines for Tactical Critical Care. This episode is a profound reflection, a celebration of resilience, and a fantastic look into the world of military medicine. Don't miss out on this rare opportunity to hear from a true hero.   Chapters: (0:00:00) - Military Medicine and Special Operations Medic (0:04:08) - Combat Medic Training and Experience (0:15:30) - Medical Encounters and Overwhelming Casualty (0:21:39) - Improvising Medical Care in Challenging Situations (0:27:56) - Rescue of Endangered Cheetah Cubs (0:31:36) - Combat Casualty Care and Medical Devices   Chapter Summaries: (0:00:00) - Military Medicine and Special Operations Medic (4 Minutes) We speak with retired Army Master Sergeant John Dominguez about what it takes to be a Special Operations Medic. He shares stories from his distinguished career providing care in austere locations with elite units around the globe and describes his role as President of the Special Operations Medical Association. We learn how his military service is in his family's tradition, how he wanted to join the military to be a medic, and the credentials he has earned along the way. This is a fantastic look into the mission and unique opportunities of the military healthcare team.   (0:04:08) - Combat Medic Training and Experience (11 Minutes) John Dominguez shares his experience at Ben Taub Trauma Center and the lessons he learned there, as well as his advice to medics encountering their first bolus of casualties. He reflects on his most memorable experience in the back of a C-130, and explains the hemorrhage control maneuvers used at that time. We discuss the process of becoming a Special Operations Medic, as well as the advanced training they receive and the type of training they receive in live tissue versus mannequins.   (0:15:30) - Medical Encounters and Overwhelming Casualty (6 Minutes) John Dominguez shares a powerful story of his most austere medical encounter in Ethiopia. He recounts how he used Skittles and Axe body spray to gain the trust of a young girl who was thought to be possessed. He describes the moment when the girl climbed onto his knee and hugged him after years of not having human contact. John also shares how he was able to connect with her parents and educate them on how to give her the care she needed.   (0:21:39) - Improvising Medical Care in Challenging Situations (6 Minutes) John shares his experience of running out of supplies during times of high demand and how he worked with the Philippine Army to get resupplied. He also shares his approach to treating local and national fighters and what it takes to mentally prepare for caring for teammates in the field.   (0:27:56) - Rescue of Endangered Cheetah Cubs (4 Minutes) MSG(R) Dominguez recounts the incredible story of rescuing two endangered cheetah cubs in Ethiopia. He explains how the US military became involved and how he used unconventional medicine to treat the cubs. We discuss the challenges facing special operations medics and how they can benefit from access to level one trauma centers and more supplies.   (0:31:36) - Combat Casualty Care and Medical Devices (14 Minutes) John shares his 15-year career as a Special Operations Medic and the evolution of medical approaches to combat casualties. He emphasizes the importance of understanding the environment in which data was collected, the limitations of studies done in combat, and the need for medical personnel to be educated on the science of their field. We explore the current hot topics of the Special Operations Medical Association, including better international relationships and blood therapy for patients in combat.   Take Home Messages: The life of a Special Operations Medic involves operating in extreme conditions with the mission to save lives, often employing innovative and unconventional medical methods. Serving in the military as a medic is not only about treating physical wounds, but also understanding cultural differences, building trust, and dealing with emotional trauma. Even in situations of overwhelming casualties, the human spirit and instinct to protect life often prevail. Being a medic on the frontline requires resourcefulness, particularly in situations where supplies run out and there is a need for close collaboration with local teams. The role of a Special Operations Medic often involves treating local and national fighters, requiring a different approach compared to treating US soldiers. In the face of extreme challenges, sometimes the best course of action is to do nothing, as creating a problem or adding to one that can't be solved can lead to more harm. A medic's education should extend beyond training to understanding the science of their field, the environment in which data is collected, and the limitations of studies done in combat. In austere and dangerous conditions, innovative medical solutions are essential. This could involve unconventional methods and equipment, like using Skittles and Axe body spray to gain trust or using furniture and clothing for medical interventions. Special Operations Medics are trained to provide care in the most extreme circumstances, often putting their own safety at risk. Mental preparation for these situations is crucial. The journey of a Special Operations Medic offers valuable lessons on resilience, innovation, compassion, and the importance of understanding cultural differences in the field of military medicine. Episode Keywords: Special Operations Medic, Military Medicine, Combat Medic Training, Ben Taub Trauma Center, Hemorrhage Control, Philippine Army, Endangered Cheetah Cubs, Combat Casualties, Level One Trauma Centers, Blood Therapy, SOMA, Medical History Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #SpecialOperationsMedic #MilitaryMedicine #FrontlineHeroes #BattlefieldMedics #CombatCasualtyCare #UnsungHeroes #ExtremeMedicine #MilitaryLife #WarStories #MedicalInnovation Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast

 EPISODE SUMMARY      What does it take to become a Special Forces Medic, and how has combat casualty care evolved over the years? Discover the world of Special Operations Medics and Military Medicine in our captivating conversation with retired Army Master Sergeant Samuel Rodriguez. Through Sam's expertise, you'll gain insights into the rigorous training, crucial qualifications, and evolution of Special Operations medics, while understanding how the Special Operations Medical Association (SOMA) has transformed battlefield care and saved countless lives. Join us as we discuss the importance of unconventional medicine in Special Operations, from planning for extreme situations to the actual medical supplies and procedures used on the battlefield. Hear incredible stories from Sam's experiences deep in the Amazon basin and learn about the challenges and initiatives currently being tackled by SOMA. Don't miss this opportunity to see how the advancement of technology and knowledge in military medicine is enhancing the survivability and recovery of Special Operations personnel.   EPISODE CHAPTERS (0:00:00) - Special Operations Medics and Military Healthcare (0:11:10) - Special Operations Medic Lessons (0:21:44) - Unconventional Medicine in Special Operations   CHAPTER SUMMARIES (0:00:00) - Special Operations Medics and Military Healthcare (11 Minutes) MSG Samuel Rodriguez shares his pathway to becoming a special forces medic and explains how the training and experiences of Special Operations medics have evolved. He also talks about the history of the Special Operations Medical Association (SOMA) and how it has utilized lessons learned to improve care on the battlefield and save lives. Sam shares some helpful resources and information on programs for veterans and first responders to help them improve their quality of life, following traumatic experiences. We discuss the qualifications required to become an 18D and the importance of physical and mental preparedness. Finally, Sam shares how his training has evolved and changed over the years.   (0:11:10) - Special Operations Medic Lessons (11 Minutes) We explore the planning process for medical care in dangerous and austere situations and the types of medical supplies and procedures carried out on the battlefield. Sam shares a memorable clinical experience of providing medical aid in an area of the Amazon basin, as well as the advice given to the US Army Special Operations Command from a medical and enlisted medic perspective.   (0:21:44) - Unconventional Medicine in Special Operations (14 Minutes) From its inception in 1987 to its official formation in 1992, SOMA's main mission has been to ensure the survivability and speed of recovery of Special Operations personnel through advancing technology and knowledge in unconventional medicine. We explore the different learning tracks at SOMA meetings, ranging from canine sessions to brain health sessions, and discuss some of the most significant milestones in the organization's history. We also discuss the challenges SOMA has faced and the initiatives and projects they are currently focused on. EPISODE KEYWORDS Special Operations Medics, Military Healthcare, Unconventional Medicine, Special Operations Medical Association, Battlefield Care, Amazon Basin, Technology, Knowledge, Canine Sessions, Brain Health, Survivability, Recovery, Special Operations Personnel, Qualifications, Physical Preparedness, Mental Preparedness, Planning Process, Medical Supplies, Procedures, Clinical Experience, US Army Special Operations Command, SOMA, Milestones, Challenges, Initiatives, Projects   #SpecialOperationsMedics #MilitaryHealthcare #BattlefieldMedicine #MilitaryMedicine #SOMA #Survivability #UnconventionalMedicine #SpecialForces #ArmyMasterSergeant #SamRodriguez   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you.   WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast

John Clark has stepped into the leadership role within the College. Aebhric has stepped down into an advisory role. They chat about the long history between them and the collaboration between the IBSC and CoROM. They will have a joint exhibition table during the Special Operations Medical Association conference in May. Why not stop by and say hello and congratulate John on his new position?

El cuidado prolongado de heridos ("prolonged casualty care") es la nueva frontera en el desarrollo de guías de cuidado médico bajo situaciones de combate. Según la definición de la OTAN del cuidado prolongado de heridos consiste en el cuidado médico de campo que se lleva a cabo más allá de la línea de tiempo doctrinal para disminuir la mortalidad y morbilidad del paciente. El cuidado prolongado de heridos utiliza recursos limitados y se sostiene hasta que el paciente llegue al próximo nivel de cuidado apropiado. En otras palabras, el cuidado prolongado de heridos, antes conocido como "cuidado prolongado de campo" (prolonged field care) consiste en la atención médica necesaria más allá del periodo dorado. Tres escenarios de una fractura expuesta Version de combate Durante una misión a una región a 10 horas de distancia por carretera, ocurre una emboscada. La explosión de un artefacto improvisado provoca una fractura cerrada de fémur, y una fractura expuesta de tibia derecha a un masculino de 30 años. No hay apoyo aéreo disponible en este momento y las rutas de salida están bloqueadas. El convoy se refugia en una casa segura en espera de más información sobre rutas de egreso o de apoyo aéreo. Se espera que la ayuda llegue no más temprano de 24 a 36 horas. El sangrado está controlado. El paciente no tiene signos de pobre perfusión. Durante la noche, el paciente comienza a tener episodios de nivel de conciencia alterado. Las fuentes de inteligencia dicen que las milicias insurgentes que provocaron la emboscada están llamando a sus militantes a protestar "pasivamente" ahora mismo. Versión de desastre Usted está proveyendo asistencia médica en el centro local de diagnóstico y tratamiento de una comunidad de la montaña luego del embate de un huracán categoría 4. El centro no tiene servicio de energía eléctrica ni generador. Usted está atendiendo en la clínica a un masculino de 30 años con una fractura cerrada de fémur que sufrió una caída mientras limpiaba los escombros en su comunidad. Mientras provee asistencia, se entera que un río se salió de su cauce, y ha provocado un derrumbe del único puente que provee acceso a la comunidad. Las malas condiciones meteorológicas han forzado a cancelar cualquier intento de rescate por vía aérea en la región. En adición, hay diversas solicitudes de ayuda de diferentes lugares. No se espera que pueda haber una brigada de rescate que pueda llegar a donde usted dentro de las próximas 24 a 36 horas. Durante la noche, el paciente comienza a tener episodios de nivel de conciencia alterado. El pronóstico del tiempo espera de 3" a 6" de lluvia en las próximas 12 horas. Versión de lugar remoto Usted es parte de una expedición dentro de una cueva. Al segundo día de la expedición, un integrante de su equipo sufre una caída y se queja de fuerte dolor en el fémur izquierdo mientras buscaban refugio por una inundación repentina. Los crepitantes le hacen sospechar una fractura cerrada. Están en un lugar seguro pero no creen poder moverse del lugar a pedir ayuda durante las próximas horas debido al nivel del agua. Durante la noche, el paciente comienza a tener episodios de nivel de conciencia alterado. Algunos pasillos pudieran ser muy estrechos para una camilla Sked o una camilla de canasta, y la entrada tiene una caída inicial de 150'. Uno no planifica el cuidado prolongado de heridos En un mundo ideal, uno no quiere tener que proveer cuidado prolongado de heridos. Uno NO quiere tener alguien más enfermo de lo que uno puede atender... por más tiempo de lo que uno quiere... con menos recursos de lo que necesita... y en un lugar donde no quieres estar. En palabras sencillas, el cuidado prolongado de heridos es una circunstancia que desafortunadamente ocurre por mala suerte y/o mala planificación. Combate, Desastre, Remoto... Medicina Operacional Los tres ejemplos anteriores tienen el mismo escenario: una fractura de fémur. Pero cada uno tiene un elemento diferente. Si usted tiene experiencia trabajando en esos entornos, debe haber tenido rápidamente algunas preocupaciones propias del entorno que pueden afectar la forma en que se proveería el cuidado médico. La medicina operacional consiste en medicina buena en lugares malos (medicina bona locis malis). Esto implica proveer la mejor medicina posible bajo las circunstancias. Esas "circunstancias" hacen que la capacidad de proveer la atención médica se vea afectada o limitada. Aunque muchos de los principios médicos siguen siendo los mismos, el entorno y las circunstancias ambientales proveen limitaciones específicas. Por ejemplo, es probable no poder cargar todo el equipo que uno tenga disponible en una mochila si también tienes que cargar agua, comida, y otros equipos necesarios. Tener que envolver a un paciente en varias capas de protección, calefacción y aislamiento puede dificultar el monitoreo continuo del paciente críticamente enfermo. Tener que movilizar el paciente por periodos prolongados porque no hay forma de que los elementos de ayuda lleguen a donde la víctima se encuentra puede dificultar el cuidado prolongado de heridos, y detener la marcha para atender al herido significa retrasar la llegada al destino. Aunque muchos de los principios médicos siguen siendo los mismos, la incidencia de algunos problemas médicos es mayor en escenarios determinados. Por ejemplo, pudiera ser necesario prestarle más atención a discutir el síndrome por aplastamiento, rabdomiólisis y fallo renal es mayor luego de un desastre ocasionado por un terremoto a diferencia de un combate. Similarmente, pudiera ser útil discutir la prevención y manejo de la hipotermia en el manejo de un paciente dentro de un río subterráneo. En fin, pudiéramos estar el día entero citando ejemplos de cómo las circunstancias y el entorno pueden afectar. Entonces, la medicina operacional atiende ambos aspectos: el problema clínico y el problema operacional (táctico, o relacionado con las circunstancias), porque uno se ve afectado por el otro y vice versa. Solape entre guías A veces el manejo no es diferente... pero se "siente" diferente. Cuando podemos replicar el nuevo entorno, entonces podemos ver esos factores humanos en vivo. Para el que no conoce el entorno, es necesario replicarlo. Por ejemplo, es fácil decir que uno pierde movimientos finos cuando tiene frío. Puede sonar trivial pero pudiera ser útil practicar realizar movimientos finos tales como obtener un acceso vascular. Igualmente, puede resultar más complicado el realizar movimientos dentro de un vehículo en movimiento. Para el que conoce el entorno, puede resultar más fácil entender los detalles intrínsecos del entorno y del problema clínico. Heridas… y enfermedades Los proveedores de cuidado médico prehospitalario se adiestran en cómo responder a emergencias médicas con el objetivo de derivar el paciente a la facilidad adecuada en el menor tiempo posible para aumentar la posibilidad de que puedan recibir el tratamiento que necesitan. Este modelo NO contempla el tener que quedarse con el paciente por largas horas (o días). Por lo tanto, ignora muchos conceptos y temas. Según el "Prolonged Field Care Working Group" de la Special Operations Medical Association, el cuidado prolongado de heridos requiere diez (10) capacidades básicas: 1. Monitoreo de tendencias de signos vitales El cuidado prolongado de heridos puede incluir acceso a equipo avanzado de monitoreo, especialmente si se planifica la necesidad de tenerlo y se incluye en la operación de forma estratégica. Por ejemplo, un equipo de respuesta a desastres puede tener mucho equipo de monitoreo. 2. Resuscitar al paciente más allá de cristaloides El paciente coagulopático va a necesitar transfusión de productos sanguíneos, o sangre completa. En adición, algunos pacientes tienen necesidades especiales de infusión de cristaloides (trauma a la cabeza, quemaduras, etc.) 3. Manejo de la vía aérea Aunque una vía supraglótica puede salvarle la vida a su paciente, el paciente que necesita una vía aérea definitiva requiere la conversión de ese dispositivo a una vía definitiva. 4. Ventilar y oxigenar al paciente Si usted tuvo que intubar al paciente para poder mantener una vía aérea patente y asegurar un buen intercambio de gases, va a necesitar decidir cómo piensa mantener esa ventilación por las próximas horas o días. Idealmente, esto puede incluir el uso de un ventilador mecánico. El manejo ventilatorio de un paciente también requiere medidas de protección para evitar barotrauma y volutrauma (ventilación protectora, etc.) Al igual que en las discusiones anteriores de monitoreo y transfusión, la planificación de cómo proveer esta atención ante la posibilidad de que sea necesario proveer cuidado prolongado de heridos puede llevar a que usted tenga acceso a los equipos que necesite. 5. Sedación y manejo del dolor Una vez atendidas las amenazas a la vida, el manejo del dolor y aliviar el sufrimiento puede ser una de las intervenciones más importantes desde la perspectiva del paciente. 6. Examen físico y diagnóstico Con más tiempo potencialmente disponible, es posible llevar a cabo una mejor investigación de la condición del paciente incluyendo un mejor historial y examen físico con el objetivo de buscar más información sobre la condición actual, así como complicaciones en el futuro cercano. Dependiendo de los recursos disponibles, esto puede incluir pruebas diagnósticas. Existen pruebas de laboratorio que pueden hacerse con muestra capilar, en la cabecera del paciente. Es posible que una facilidad con cierta capacidad de estudios diagnósticos (centros de atención primaria) puedan tener acceso a correr ciertas pruebas, sujeto a que estén operantes. 7. Cuidado prolongado del enfermo (enfermería) Una vez que sobrepasamos la crisis inicial, tenemos otras necesidades básicas que atender, tales como cuidado de heridas, agua, comida, y otras necesidades biológicas. 8. Procedimientos avanzados Algunos pacientes pudieran necesitar procedimientos avanzados. Esto pudiera ser una opción dependiendo de las capacidades y competencias del proveedor. Es posible que un proveedor competente entienda que no es el lugar apropiado para realizar el procedimiento bajo circunstancias normales, pero pudiera entender que es absolutamente necesario hacerlo ahora u hoy en este paciente. 9. Telemedicina Ninguna planificación está completa sin tener un plan de comunicación. Sin embargo, no es raro que la comunicación sea el motivo por la cual buenos planes fallan. En adición al aspecto de la tecnología a emplearse, es importante entender con quién uno se está comunicando. No todos los proveedores médicos van a entender. Un proveedor que conozca las realidades del entorno puede entender las limitaciones, opciones y realidades de lo que está ocurriendo. Por otro lado, es necesario practicar cómo proveer la información. 10. Preparar para la evacuación El transporte del paciente provee esperanza de conseguir acceso a recursos necesarios que no están disponibles actualmente y que, sin ellos, la condición del paciente seguramente se deteriorará. No obstante, el transporte produce estresores adicionales en el paciente. Las condiciones fisiológicas del paciente pudieran no permitirle compensar esos estresores y, por ende, deteriorarse durante el transporte. A veces es posible mitigar ese deterioro con medicamentos y/o intervenciones oportunas. En algunas ocasiones es posible consultar con el equipo que va a recibir el paciente para identificar qué acciones pudieran proveer mayor oportunidad de éxito. Cuando el equipo de personas actual es quien está a cargo de llevar a cabo la evacuación, los equipos disponibles son los únicos que pueden contar. Sin embargo, cuando se espera por un equipo externo, es posible que vengan recursos que no están disponibles actualmente. Esos recursos puede que no siempre o necesariamente venga si no se solicitan. Por ejemplo, es posible que venga una aeronave pero no necesariamente traiga personal adicional. Es posible que no tenga un ventilador mecánico, una bomba de infusión y/o medicamentos específicos. Si se solicita, pudiera ser algo que puedan traer y mejorar la capacidad del equipo en la escena de proveer un mejor cuidado durante el transporte. El transporte puede suponer elevación a una altura que puede provocar descompensación si no se realizan procedimientos específicos. El personal también necesita planificar qué necesita. El personal necesita tener agua y comida si el viaje es prolongado. El personal debe estar descansado si el viaje requiere esfuerzo físico. El personal requiere saber qué se espera que ocurra durante el viaje y quiénes deben estar a cargo de ciertas tareas cuando el trabajo en equipo es necesario para el éxito. Por más incómodo que sean las condiciones actuales, el refugio actual puede servir de cierto alivio dentro de las circunstancias. El transporte requiere una preparación adicional que debe planificarse siempre que sea posible. Adiestramientos Aunque existen guías de cuidado prolongado de heridos, no existe un curso específico de cuidado prolongado de heridos. Aunque un curso puede cubrir las generalidades (por ejemplo, los aspectos mencionados anteriormente), sería imposible cubrir todos los escenarios posibles con la profundidad necesaria en el tiempo disponible (y a un costo asequible). Por lo tanto, es importante que los adiestramientos de cuidado prolongado tengan cierto contexto. Las unidades deben entrenar según el tipo de operaciones que esperan llevar a cabo. El tipo y cantidad de equipo disponible puede variar grandemente. El equipo disponible va a depender de las circunstancias de por qué estamos en el lugar de los hechos. No necesariamente depende de que el equipo exista o esté disponible. Puede estar disponible y uno querer llevárselo, pero simplemente no puede porque no sería práctico hacerlo. En esta tabla hay una comparación del equipo que debe tener y las capacidades para cargarlo. Por ejemplo, un sonógrafo portátil como el Butterfly, que se conecta a un teléfono inteligente como el iPhone o tableta como el iPad puede ser una excelente herramienta si está disponible. Es posible que el personal, o la unidad, cuente con uno. No obstante, es posible que no sea práctico llevarlo, por ejemplo, por el tema del peso y/o por protección contra el agua. El "cross training", o entrenamiento en diferentes disciplinas de medicina operacional, es una de las mejores opciones porque expone al personal al reto de pensar con originalidad los problemas médicos bajo situaciones adversas. De hecho, en la comunidad de medicina táctica ha habido desde hace mucho tiempo el interés de tomar adiestramientos en medicina en lugares remotos precisamente por esta misma razón. Conclusión El cuidado prolongado de heridos supone la próxima frontera en la evolución y desarrollo de las capacidades de la medicina operacional porque va más allá de las acciones iniciales que ya practicamos y conocemos para atender lo que el paciente necesitará en el futuro inmediato. Referencias https://emottawablog.com/2019/06/prolonged-field-care/ https://deployedmedicine.com/market/31/content/2423 https://nextgencombatmedic.com/2017/06/15/prolonged-field-care-for-the-combat-medic/ http://www.specialoperationsmedicine.org/pages/pfcresources.aspx  

Dr. Mainville is currently on staff with Apollo Applied Research Inc. in Ontario, Canada, which is dedicated to researching the most effective, reliable & high quality medical cannabis to help patients achieve a better quality of life. With more than 30 years of experience as an Emergency Room doctor and 30 years as a Coroner for the Province of Ontario (conducting both Investigations & Inquests), Dr. Mainville has been involved full time in multiple aspects of the cannabis industry since early 2016. She is a member of the Special Operations Medical Association, and one of only two Canadian members of the Western Trauma Association. She has a particular interest in the applications of medical cannabis in physical and psychological trauma, both long term and acutely. And she particularly enjoys seeing patients with fibromyalgia smile. It is an educational episode with Dr. Barbara Mainville!!!

We are honored to sit with Dr. Russ Kotwal, President of the Special Operations Medical Association. In this interview, Dr. Kotwal talks about the Association and the upcoming SOMSA symposium, to be held in Charlotte, North Carolina from June 28 - July 2, 2021. This year's scientific assembly will be held in-person, following current CDC and state of North Carolina health guidelines. Visit our Social Media @jsomonline https://jsom.us/Podcast

Dr. Gordon Pedersen is highly acclaimed for multiple scientific and medical discoveries.He holds five doctor's degrees including a Doctorate of Naturopathic Medicine. He has a Ph.D. from the Toxicology program at Utah State University, where he also has Ph.D. degrees in Immunology and Biology. He is Board Certified in Anti-Aging and Regenerative Medicine and also holds a Masters Degree in Cardiac Rehabilitation and Wellness.Gordon is a best selling author many times over in the fields of health and wellness.He has conducted studies in Africa and has published what is quite possibly the cure to Malaria. Seeing first hand children close to death returning to school within 5 days, Gordon has an ambition to return to Africa in 2020 and continue the healing of more villages. Gordon has spent countless hours reviewing silver information and is frequently called upon as the world's leading authority on silver as a health tool. He is a Distinguished Speaker for the Special Operations Medical Association and has worked with several National and International governmental organizations on the topic of silver. Dr Gordon has developed his own line of alkaline silver, and he's joining us today to discuss the multiple ways in which it can be used.https://mydoctorsuggests.com/On Facebook @silverdoctorOnTwitter @mydoctorsuggestsOn Instagram @pedersongordonOn YouTube https://www.youtube.com/channel/UC3HsAl1yI1WjCrLc4ARGArQ

Dr. Gordon Pedersen is highly acclaimed for multiple scientific and medical discoveries and his contribution to Chicken Soup for the Enriching Soul as one of the original co-authors. Dr. Gordon Pedersen holds five doctor’s degrees including a Doctorate of Naturopathic Medicine. He has a Ph.D. from the Toxicology program at Utah State University, where he also has Ph.D. degrees in Immunology and Biology. He is Board Certified in Anti-Aging and Regenerative Medicine and also holds a Masters degree in Cardiac Rehabilitation and Wellness. Gordon has formulated over 150 products. After breaking his back, which left him immobile. Gordon was able to recover through a system that he created, which led him to win a Bronze medal in the 2003 Utah Winter Games at the age of 43 becoming the oldest medalist. Gordon is a best selling author many times over in the fields of health and wellness. In his time as Chief Research Scientist at Weider Nutrition, Gordon and his team conducted the first formulations and studies of protein powders as they worked with Arnold Schwarzenegger and many other premier athletes. Gordon has spent countless hours reviewing silver information and is frequently called upon as the world’s leading authority on silver as a health tool. He is a Distinguished Speaker for Special Operations Medical Association (SOMA) and has worked with several National and International governmental organizations on the topic of silver. Gordon has conducted studies in Africa and has published the cure to Malaria. Seeing first-hand children close to death returning to school within 5 days. Gordon has the ambition to return to Africa in 2020 and continue the healing of more villages. While providing healing to these villages, Gordon will develop safe zones so that the mosquitoes can not return and reinfect. He has completed extensive research to help as many people as possible enjoy improved personal health. He hopes to be helpful for people around the world, raising awareness of how silver provides new answers to age-old health questions. Dr. Pedersen has a personal talent for simplifying medical and scientific concepts that have led to numerous invitational speaking engagements:   Russian Academy of Science   American Association for the Advancement of Science   Intra-American Society of Chemotherapy   Stanford School of Pharmacy   University of North Carolina School of Pharmacy   Expert Witness before the USA Environmental Protection Agency (EPA) and Health Canada   American Academy of Anti-Aging Medicine   SOMA, Special Operations Medical Association, awarded “Distinguished Speaker.” and many more...   Dr. Gordon Pedersen understands the Health and Wellness industry and has a broad understanding of the science of anti-aging, anions, alkalinity, nutrition and the impact of these on the human body. So much so that when combined with his engaging personal style, he not only educates but simplifies. www.LifestyleLocker.com/GordonPederson FREE BOOKS:https://mydoctorsuggests.com/books/ Facebook: https://www.facebook.com/silverdoctor/ YouTube: https://www.youtube.com/channel/UC3HsAl1yI1WjCrLc4ARGArQ?view_as=subscriber Website: https://mydoctorsuggests.com/   www.LifestyleLocker.com www.instagram.com/drjoshhandt www.linkedin/drjoshhandt www.facebook.com/lifestylelocker www.twitter.com/drjoshhandt      

The physical therapy industry is evolving and it starts with the physical therapist. Change is hard, it needs to be systemized. To know where we are going we have to know where we came from. In order for growth to occur we have to sustain multiple failures. Failure in real-time, while in the act of change, is not easy. It's messy. Even more so, change is hard when dealing with people. That's people within the physical therapy industry and people outside. Let's go over it on episode 4this episode of Therapy Insiders Podcast with guests Dr. Kelly Starrett and Dr. John Rusin. About Kelly: From: https://www.mobilitywod.com  Kelly Starrett is a coach, physical therapist, author, speaker, and creator of this blog, which has revolutionized how athletes think about human movement and athletic performance. His 2013 release, Becoming a Supple Leopard has become a New York Times and Wall Street Journal bestseller. This blog was voted #4 in Outside Magazine’s Top 10 Fitness Blogs of 2011, Breaking Muscle’s Top 10 Fitness Blogs of 2011, and Health Line’s Top 100 Health Blogs of 2011. Kelly and his work have been featured in Tim Ferris’ Four Hour Body, Competitor Magazine, Inside Triathlon, Outside Magazine, Details Magazine, Power Magazine, and the Crossfit Journal. He teaches the wildly popular Crossfit Movement & Mobility Trainer course and has been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide. Coach Kelly Starrett received his Doctor of Physical Therapy in 2007 from Samuel Merritt College in Oakland, California. Before starting his own physical therapy practice at San Francisco CrossFit, one of the first 30 CrossFit affiliates, he practiced performance-based physical therapy at the world-renowned Stone Clinic. In his current practice, Kelly continues to focus on performance-based Orthopedic Sports Medicine with an emphasis on returning athletes to elite level sport and performance. Kelly’s clients have included Olympic gold-medalists, Tour de France cyclists, world and national record holding Olympic Lifting and Power athletes, Crossfit Games medalists, ballet dancers, military personnel, and competitive age-division athletes. Kelly’s background as an athlete and coach includes paddling whitewater slalom canoe on the US Canoe and Kayak Teams, and leading the Men’s Whitewater Rafting Team to two national titles and competition in two World Championships. In his free time Kelly enjoys spending time with his wife Juliet and two daughters, Georgia and Caroline, surfing, paddling, Olympic lifting, hot-tubbing, and so-you-think-you-can-dancing. About John From: https://drjohnrusin.com/  Dr. John Rusin is one of the fitness and sports performance industry’s leading experts in the pain-free performance training model that blends the world of strength and conditioning with clinical movement based diagnostic medicine to provide the ultimate results based methods, programming and practice for an impressively diverse demographic of elite athletes and general fitness clients. His innovative vision for the future of elite level sports performance physical therapy and injury prevention based training protocols are highlighted by the synergy of high-performance strength and hypertrophy programming with a cutting-edge, pain-free training methodologies, are revolutionizing the way his athletes and clients look, feel, function and perform. With more than a decade of elite-level training experience and advanced degrees in both exercise science and physical therapy, Dr. Rusin has developed performance, regeneration, and aesthetics programs for some of the world’s best strength, power, and endurance athletes. Dr. Rusin’s present and past client list include MLB All-Stars, NFL All-Pros, Olympic Gold, Bronze and Silver Medalists, World-Record-Holding Powerlifters, Elite Bodybuilders and Figure Competitors, All-World IronMan Triathletes, and top professional athletes from eight of the major American professional sports leagues. Dr. Rusin is an internationally recognized strength coach, speaker, and writer, whose work has been popularized throughout the sports performance and fitness industries in some of the most prestigious media outlets in our industry such as Men’s Fitness, Men’s Health, Testosterone Nation, Bodybuilding.com, Stack Magazine, and Muscle & Strength, to name a few. His innovative pain-free performance training systems have been taught to thousands of personal trainers, strength coaches and rehabilitation professionals from across the world. Dr. Rusin is the owner of John Rusin Fitness Systems, an online fitness platform geared toward synergizing the best of high-performance training and intelligently designed pain-free training programming to elite level athletes and general fitness clients across the world. Dr. Rusin’s website, DrJohnRusin.com, continues to grow and gain the reputation across the fitness industry as a go-to resource for strength coaches, personal trainers, and rehabilitation professionals with it’s science backed and gym tested articles, videos and programming. In addition to Dr. Rusin’s work in sports performance and physical training, he is also is the owner of Dr. John Rusin Consulting, an in-person and remote based advanced coaching and consulting service that has been used with some of the most polarizing names in fitness, along with the top brands and facilities in the industry. Dr. Rusin’s systems, methods and techniques have been battle tested with impressively diverse athletic population whose focus is training and performing at a world class level while minimizing risks of injuries and creating career longevity to any sport or activity. For more about Dr. John Rusin and his work, stay current with his social media: Facebook Page, YouTube, and Instagram

Dr. Kelly Starrett discusses preventing injuries, improving performance, and the best way to treat an injury. He is one of the founders of Mobility| WOD along with his wife, Juliet. He is also the author of both New York Times and Wall Street Journal bestseller, Becoming a Supple Leopard. He has also written Ready to Run and has an upcoming release of his latest book, Deskbound. Click here for the original show notes! Please leave us a review at http://openskyfitness.com/review Join our Open Sky Fitness Podcast Facebook Group! Early sign up for our next 7 Day Paleo Reset EASY WAYS TO PREVENT INJURIES AND IMPROVE PERFORMANCE Rob, Devon, and Kelly start of the show by discussing the natural occurrences of “normal accidents” in every day life such as lacking the right vitamins, nutrition, or technique when working out. By paying close attention,  we can take advantage of these “normal accident” patterns to learn about how to improve our individual athletic performance. The conversation delves deeper into specific areas of nutrition, evaluation, and different cycles to help us be conscience of what we do everyday and how to apply little life changes to overcome any problem areas. IS ICING A GOOD WAY TO TREAT AN INJURY? Later on they discuss the idea of whether or not icing is a good way to treat an injury or swelling and what  methods are available to better treat and prevent either pf them. The podcast closes off on why we should all be sitting less and standing more and what can do to change it. ABOUT DR. KELLY STARRETT When he´s not teaching us a thing or two about human performance and mobility, Kelly is also a coach and physical therapist and leads a Crossfit Movement & Mobility Trainer course. He has also been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide. Kelly received his Doctor of Physical Therapy in 2007 from Samuel Merritt College in Oakland, California. He currently  continues to focus on performance-based Orthopedic Sports Medicine with an emphasis on returning athletes to elite level sport and performance along with managing his own physical therapy practice at San Francisco CrossFit. Kelly and his wife, Juliet, are also the creators of StandUpKids.org to educate teachers, parents, and donors about the importance of children spending more time standing up and being active rather sitting down during class hours. The organization raises money to bring standing desks to all public school children. WHAT YOU WILL HEAR IN THIS EPISODE: 00:00 Open Sky Fitness Introduction 01:12  Introduction to Dr. Kelly Starrett 05:25  Where does a start working with top athletes? 07:40  The Normal Accidents theory by Dr. Charles Perrow 08:20  The importance of Vitamin D. 09:00 Assuming natural errors every day and noticing patterns. 09:55  How to take advantage of data and patterns to improve your workout. 11:11 Applying noticed changes and patterns to the health of younger generations. The importance of standing vs. sitting for children. 12:00  What is best for human function? What is recommended for recovering and preventing pain while optimizing athletic performance? 13:45  The importance of precision nutrition. 14:10  The gateways to top performance. 15:12  Evaluating physical practice and limitations. 16:50  The problem of wanting to fix all of your health problems in one day. 17:45  The Adaptation Cycle and how to apply it to yourself. 19:15  How to incorporate non-exercise activity such as breathing practice, meditation, walking and standing during your day and before formal exercise. 22:40  Why daily physical activity includes training, but isn´t exclusive to only training. 24:00  Learning to be conscience about what you do during the day. 26:00  How can we easily identify our different health benchmarks? 26:45  Pulling back to take a look at our current health status. 27:27  Is there a difference between the average and the top athletes that you work with? 28:25  Should we always be in pain when working out? 29:45  How to be more conscience of what you are doing during a workout for better athletic performance 33:38  How do we create a workout lifestyle to prevent injuries and improve performance? 36:28  Can people be more conscience about what they are doing for their health on their own or do they need a coach? 39:00  Is icing the best remedy for injuries? 41:49  Systematic Cold Immersion vs. Icing an injury 43:00  What can you do in place of icing to help an injuring or swelling? 47:09  What can athletes do to help swelling if they spend a lot of time sitting during the day? 48:20  Why humans are not designed for sitting in chairs. 51:00  Where to go for more help similar to M| WOD? 55:19  Closing Remarks by Rob 57:24  Open Sky Fitness Closing LINKS AND RESOURCES MENTIONED IN THIS EPISODE: If you want to learn more about Dr. Kelly Starrett and Mobility WOD, go to: MobilityWOD.com To learn more about how to order Dr. Kelly Starrett´s books and products mentioned on the show, go to:  MobilityWOD.com/Shop/  To learn more about the theory and book, Normal Accidents by Dr. Charles Perrow, go to: https://en.wikipedia.org/wiki/Normal_Accidents  To learn more about the organization, Stand Up Kids, go to:                    http://standupkids.org/our-story/ TO DOWNLOAD ROB’S FREE WORKOUT TEMPLATES CLICK BELOW DOWNLOAD TEMPLATES Ask Rob a Question or tell him what is working for you: Email Rob@OpenSkyFitness.com To leave a Review for Rob and the Open Sky Fitness Podcast CLICK NOW! Contact our amazing sound engineer Ryan? Send him an e-mail here: info@stellarsoundsstudio.com Thanks for Listening! Thanks so much for joining us again this week. Have some feedback you’d like to share? Leave a note in the comment section below! If you enjoyed this episode, please share it using the social media buttons you see at the bottom of the post. Also if you are interested in getting some free Naked Infusions Salsa, T-shirts or tote bags please leave an honest review for The Open Sky Fitness Podcast on iTunes! Ratings and reviews are extremely helpful and greatly appreciated! They do matter in the rankings of the show, and I read each and every one of them. If you have any questions (and would like to hear yourself on the Open Sky Fitness Podcast), click on the link on the right side of any page on our website that says “Send Voicemail.” And finally, don’t forget to subscribe to the show on iTunes to get automatic updates. It’s free! Thanks for listening/reading Episode 87: How to Prevent Injuries and Improve Performance.  We hope you have gained more knowledge on how to be a healthier you!    

Kelly Starrett is a coach, physical therapist, author, speaker, and creator of this blog, which has revolutionized how athletes think about human movement and athletic performance. His 2013 release, Becoming a Supple Leopard has become a New York Times and Wall Street Journal bestseller. This blog was voted #4 in Outside Magazine's Top 10 Fitness Blogs of 2011, Breaking Muscle's Top 10 Fitness Blogs of 2011, and Health Line's Top 100 Health Blogs of 2011. Kelly and his work have been featured in Tim Ferris' Four Hour Body, Competitor Magazine, Inside Triathlon, Outside Magazine, Details Magazine, Power Magazine, and the Crossfit Journal. He teaches the wildly popular Crossfit Movement & Mobility Trainer course and has been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide. Coach Kelly Starrett received his Doctor of Physical Therapy in 2007 from Samuel Merritt College in Oakland, California. Before starting his own physical therapy practice at San Francisco CrossFit, one of the first 30 CrossFit affiliates, he practiced performance-based physical therapy at the world-renowned Stone Clinic. In his current practice, Kelly continues to focus on performance-based Orthopedic Sports Medicine with an emphasis on returning athletes to elite level sport and performance. Kelly's background as an athlete and coach includes paddling whitewater slalom canoe on the US Canoe and Kayak Teams, and leading the Men's Whitewater Rafting Team to two national titles and competition in two World Championships.   Kelly's Favorite Quote: "The sleeper must awaken." — Dune   Kelly's Favorite Book: Deep Survival: Who Lives, Who Dies, and Why   Link's From Today's Show: @mobilityWOD Becoming a Supple Leopard 2nd Edition: The Ultimate Guide to Resolving Pain, Preventing Injury, and Optimizing Athletic Performance http://www.mobilitywod.com

Kelly Starrett is a coach, physical therapist, author, speaker, and creator of this blog, which has revolutionized how athletes think about human movement and athletic performance. His 2013 release, Becoming a Supple Leopard has become a New York Times and Wall Street Journal bestseller. This blog was voted #4 in Outside Magazine's Top 10 Fitness Blogs of 2011, Breaking Muscle's Top 10 Fitness Blogs of 2011, and Health Line's Top 100 Health Blogs of 2011. Kelly and his work have been featured in Tim Ferris' Four Hour Body, Competitor Magazine, Inside Triathlon, Outside Magazine, Details Magazine, Power Magazine, and the Crossfit Journal. He teaches the wildly popular Crossfit Movement & Mobility Trainer course and has been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide. Coach Kelly Starrett received his Doctor of Physical Therapy in 2007 from Samuel Merritt College in Oakland, California. Before starting his own physical therapy practice at San Francisco CrossFit, one of the first 30 CrossFit affiliates, he practiced performance-based physical therapy at the world-renowned Stone Clinic. In his current practice, Kelly continues to focus on performance-based Orthopedic Sports Medicine with an emphasis on returning athletes to elite level sport and performance. Kelly's background as an athlete and coach includes paddling whitewater slalom canoe on the US Canoe and Kayak Teams, and leading the Men's Whitewater Rafting Team to two national titles and competition in two World Championships.   Kelly's Favorite Quote: "The sleeper must awaken." — Dune   Kelly's Favorite Book: Deep Survival: Who Lives, Who Dies, and Why   Link's From Today's Show: @mobilityWOD Becoming a Supple Leopard 2nd Edition: The Ultimate Guide to Resolving Pain, Preventing Injury, and Optimizing Athletic Performance http://www.mobilitywod.com

Jimmy talked with Kelly Starrett of Mobility WOD about what is on the horizon in fitness and Physical Therapy. Kelly's Bio: Kelly Starrett is a coach, physical therapist, author, speaker, and creator of this blog, which has revolutionized how athletes think about human movement and athletic performance. His 2013 release, Becoming a Supple Leopard has become a New York Times and Wall Street Journal bestseller. This blog was voted #4 in Outside Magazine’s Top 10 Fitness Blogs of 2011, Breaking Muscle’s Top 10 Fitness Blogs of 2011, and Health Line’s Top 100 Health Blogs of 2011. Kelly and his work have been featured in Tim Ferris’ Four Hour Body, Competitor Magazine, Inside Triathlon, Outside Magazine, Details Magazine, Power Magazine, and the Crossfit Journal. He teaches the wildly popular Crossfit Movement & Mobility Trainer course and has been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide. Coach Kelly Starrett received his Doctor of Physical Therapy in 2007 from Samuel Merritt College in Oakland, California. Before starting his own physical therapy practice at San Francisco CrossFit, one of the first 30 CrossFit affiliates, he practiced performance-based physical therapy at the world-renowned Stone Clinic. In his current practice, Kelly continues to focus on performance-based Orthopedic Sports Medicine with an emphasis on returning athletes to elite level sport and performance. Kelly’s clients have included Olympic gold-medalists, Tour de France cyclists, world and national record holding Olympic Lifting and Power athletes, Crossfit Games medalists, ballet dancers, military personnel, and competitive age-division athletes. Kelly’s background as an athlete and coach includes paddling whitewater slalom canoe on the US Canoe and Kayak Teams, and leading the Men’s Whitewater Rafting Team to two national titles and competed in two World Championships. In his free time, Kelly enjoys spending time with his wife Juliet and two daughters, Georgia and Caroline, surfing, paddling, Olympic lifting, hot-tubbing, and so-you-think-you-can-dancing. https://www.ptpintcast.com/2017/07/31/216-jason-craig-creator-morphopedics-com/ https://www.ptpintcast.com/2016/06/15/stephania-bell-espn-physical-therapist/ https://www.ptpintcast.com/2017/11/02/244-gary-austin-physical-therapy-revolution/    

Kelly Starrett is a coach, physical therapist, author, speaker, and creator of Mobility WOD, which has revolutionized how athletes think about human movement and athletic performance.  Kelly’s clients have included Olympic gold-medalists, Tour de France cyclists, world and national record holding Olympic Lifting and Power athletes, Crossfit Games medalists, ballet dancers, military personnel, and competitive age-division athletes. Kelly’s background as an athlete and coach includes paddling whitewater slalom canoe on the US Canoe and Kayak Teams, and leading the Men’s Whitewater Rafting Team to two national titles and competition in two World Championships. His 2013 release, "Becoming a Supple Leopard" has become a New York Times and Wall Street Journal bestseller. This blog was voted #4 in Outside Magazine’s Top 10 Fitness Blogs of 2011, Breaking Muscle’s Top 10 Fitness Blogs of 2011, and Health Line’s Top 100 Health Blogs of 2011. Kelly and his work have been featured in Tim Ferris’ Four Hour Body, Competitor Magazine, Inside Triathlon, Outside Magazine, Details Magazine, Power Magazine, and the Crossfit Journal. He teaches a series of movement and mobility courses and has been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide. Kelly received his Doctor of Physical Therapy in 2007 from Samuel Merritt College in Oakland, California. Topics Covered Include: The impetus for creating Mobility WOD Empowering the end user and creating self-efficacy Learning from different professions Why position and movement shapes matter The importance of a movement practice Effective communication and speaking the language that resonates with people Balancing nuance and context with the need to convey usable information  

"We have the opportunity to be the premier health gateway" "Now is an interesting time to be in physio. It's not doom and gloom." "Reciting information is not a knowledge skill." "Sometimes it's not about strength. It's about skill." "If you don't have a movement practice then everything looks scary." What did you think of the episode? Tweet at us @Therapyinsiders @updocmedia @mobilitywod About Kelly from https://www.mobilitywod.com/about/founders/ Kelly Starrett is a coach, physical therapist, author, speaker, and creator of this blog, which has revolutionized how athletes think about human movement and athletic performance. His 2013 release, Becoming a Supple Leopard has become a New York Times and Wall Street Journal bestseller. This blog was voted #4 in Outside Magazine’s Top 10 Fitness Blogs of 2011, Breaking Muscle’s Top 10 Fitness Blogs of 2011, and Health Line’s Top 100 Health Blogs of 2011. Kelly and his work have been featured in Tim Ferris’ Four Hour Body, Competitor Magazine, Inside Triathlon, Outside Magazine, Details Magazine, Power Magazine, and the Crossfit Journal. He teaches the wildly popular Crossfit Movement & Mobility Trainer course and has been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide. Coach Kelly Starrett received his Doctor of Physical Therapy in 2007 from Samuel Merritt College in Oakland, California. Before starting his own physical therapy practice at San Francisco CrossFit, one of the first 30 CrossFit affiliates, he practiced performance-based physical therapy at the world-renowned Stone Clinic. In his current practice, Kelly continues to focus on performance-based Orthopedic Sports Medicine with an emphasis on returning athletes to elite level sport and performance. Kelly’s clients have included Olympic gold-medalists, Tour de France cyclists, world and national record holding Olympic Lifting and Power athletes, Crossfit Games medalists, ballet dancers, military personnel, and competitive age-division athletes. Kelly’s background as an athlete and coach includes paddling whitewater slalom canoe on the US Canoe and Kayak Teams, and leading the Men’s Whitewater Rafting Team to two national titles and competition in two World Championships. In his free time Kelly enjoys spending time with his wife Juliet and two daughters, Georgia and Caroline, surfing, paddling, Olympic lifting, hot-tubbing, and so-you-think-you-can-dancing.

Today’s show is with Dr. Kelly Starrett where he answers audience questions concerning how he optimizes human performance. Kelly is a coach, physical therapist, author, speaker, and creator of the blog Mobility WOD. Kelly’s work across these mediums has reached large audiences and revolutionized how athletes think about human movement and athletic performance.   In this episode, we discuss: -Allied relationships between physical therapists and strength and conditioning coaches -Do anatomical variations impact ideal posture and movement? -Why we should be taking a 30,000 foot view in our culture -How Kelly reconciles pain science and biomechanics in his physical therapy practice -How to build a large platform with the use of social media -And so much more!   Kelly advocates that every human should be incorporating a mobility regime into their day to day lives. He states, “What does it mean foundationally to be a human being, what are the things we should be able to do? We remain agnostic about the way you want to train, but you better have a movement practice or at least express full range of motion if you plan on moving fast, lifting heavy, going up and down stairs, or picking up your kid.”   Kelly stresses that enhancing movement is a continual process and every day is a movement screen. “We don't expect movement competence to happen overnight. This is a process but eventually we should all be moving better and better and better because that is what it means to acquire skills as a human. It takes 10,000 repetitions as a baby to integrate a movement pattern. That means we have some tolerance in the system to buffer some less than ideal biomechanics. Overtime we should be refining that.”   Kelly challenges the physical therapy profession to focus more attention on educating the public on preventative care. He stresses, “When you have a fever, you take some Tylenol. If you have a cold, you don’t go see your doctor. If you have a cut, we teach people basic first aid. [Physical therapists] are not doing a good job teaching basic first aid around the body to everyone.”   We also discuss Kelly’s widely successful online fitness platform and the best ways to target and gain influence in your own local community. He states, “People are looking for advocates, they are looking for help… if you set out to influence a bunch of people, you influence no one. It’s not authentic, it’s not real. Solve a set of problems and be of use to your community and people will find you.”   For more about Kelly: Kelly Starrett is a coach, physical therapist, author, speaker, and creator of [mobilitywod.com], which has revolutionized how athletes think about human movement and athletic performance.   His 2013 release, Becoming a Supple Leopard has become a New York Times and Wall Street Journal bestseller. [His] blog was voted #4 in Outside Magazine’s Top 10 Fitness Blogs of 2011, Breaking Muscle’s Top 10 Fitness Blogs of 2011, and Health Line’s Top 100 Health Blogs of 2011. Kelly and his work have been featured in Tim Ferris’ Four Hour Body, Competitor Magazine, Inside Triathlon, Outside Magazine, Details Magazine, Power Magazine, and the Crossfit Journal.   He teaches the wildly popular Crossfit Movement & Mobility Trainer course and has been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide.   Coach Kelly Starrett received his Doctor of Physical Therapy in 2007 from Samuel Merritt College in Oakland, California.   Before starting his own physical therapy practice at San Francisco CrossFit, one of the first 30 CrossFit affiliates, he practiced performance-based physical therapy at the world-renowned Stone Clinic. In his current practice, Kelly continues to focus on performance-based Orthopedic Sports Medicine with an emphasis on returning athletes to elite level sport and performance.   Kelly’s clients have included Olympic gold-medalists, Tour de France cyclists, world and national record holding Olympic Lifting and Power athletes, Crossfit Games medalists, ballet dancers, military personnel, and competitive age-division athletes.   Kelly’s background as an athlete and coach includes paddling whitewater slalom canoe on the US Canoe and Kayak Teams, and leading the Men’s Whitewater Rafting Team to two national titles and competition in two World Championships. In his free time Kelly enjoys spending time with his wife Juliet and two daughters, Georgia and Caroline, surfing, paddling, Olympic lifting, hot-tubbing, and so-you-think-you-can-dancing.   Resources discussed on this show: Stand Up Kids Chris Powers Dan Pfaff Functional Movement Screen Lorimer Moseley David Butler Greg Lehman International Spine and Pain Institute PTPintcast   Kelly welcomes you to stop by his clinic in San Francisco, California and see what he’s all about. You can find more from him at Mobility WOD and follow him on twitter!   Join me and other professionals for PT Day of Service this October 15th and give back to your local community!   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and as always stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my latest blog post on Managing Expectations: It Shouldn't be That Difficult!      

Leave a review: http://openskyfitness.com/review Coming to you this week on Open Sky Fitness, you´ll learn about how to prevent injuries and improve performance with our guest, Dr. Kelly Starrett, who is one of the founders of Mobility| WOD along with his wife, Juliet. He is also the author of both New York Times and Wall Street Journal bestseller, Becoming a Supple Leopard. He has also written Ready to Run and has an upcoming relase of his latest book, Deskbound. Rob, Devon, and Kelly start of the show by discussing the natural occurances of "normal accidents" in every day life such as lacking the right vitamins, nutrition, or technique when working out. By paying close attention,  we can take advantage of these "normal accident" patterns to learn about how to improve our indiviual athletic performance. The conversation delves deeper into specific areas of nutriton, evaluation, and different cycles to help us be conscience of what we do everyday and how to apply little life changes to overcome any problem areas. Later on they discuss the idea of whether or not icing is a good way to treat an injury or swelling and what  methods are available to better treat and prevent either pf them. The podcast closes off on why we should all be sitting less and standing more and what can do to change it. When he´s not teaching us a thing or two about human performance and mobility, Kelly is also a coach and physical therapist and leads a Crossfit Movement & Mobility Trainer course. He has also been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide. Kelly received his Doctor of Physical Therapy in 2007 from Samuel Merritt College in Oakland, California. He currently  continues to focus on performance-based Orthopedic Sports Medicine with an emphasis on returning athletes to elite level sport and performance along with managing his own physical therapy practice at San Francisco CrossFit. Kelly and Juliet are also the creators of StandUpKids.org to educate teachers, parents, and donors about the importance of children spending more time standing up and being active rather sitting down during class hours. The organization raises money to bring standing desks to all public school children. What you will hear in this episode: 00:00 Open Sky Fitness Introduction 01:12  Introduction to Dr. Kelly Starrett 05:25  Where does a start working with top athletes? 07:40  The Normal Accidents theory by Dr. Charles Perrow 08:20  The importance of Vitamin D. 09:00 Assuming natural errors every day and noticing patterns. 09:55  How to take advantage of data and patterns to improve your workout. 11:11 Applying noticed changes and patterns to the health of younger generations. The importance of standing vs. sitting for children. 12:00  What is best for human function? What is recommended for recovering and preventing pain while optimizing athletic performance? 13:45  The importance of precision nutrition. 14:10  The gateways to top performance. 15:12  Evaluating physical practice and limitations. 16:50  The problem of wanting to fix all of your health problems in one day. 17:45  The Adaptation Cycle and how to apply it to yourself. 19:15  How to incorporate non-exercise activity such as breathing practice, meditation, walking and standing during your day and before formal exercise. 22:40  Why daily physical activity includes training, but isn´t exclusive to only training. 24:00  Learning to be conscience about what you do during the day. 26:00  How can we easily identify our different health benchmarks? 26:45  Pulling back to take a look at our current health status. 27:27  Is there a difference between the average and the top athletes that you work with? 28:25  Should we always be in pain when working out? 29:45  How to be more conscience of what you are doing during a workout for better athletic performance 33:38  How do we create a workout lifestyle to prevent injuries and improve performance? 36:28  Can people be more conscience about what they are doing for their health on their own or do they need a coach? 39:00  Is icing the best remedy for injuries? 41:49  Systematic Cold Immersion vs. Icing an injury 43:00  What can you do in place of icing to help an injuring or swelling? 47:09  What can athletes do to help swelling if they spend a lot of time sitting during the day? 48:20  Why humans are not designed for sitting in chairs. 51:00  Where to go for more help similar to M| WOD? 55:19  Closing Remarks by Rob 57:24  Open Sky Fitness Closing LINKS AND RESOURCES MENTIONED IN THIS EPISODE: If you want to learn more about Dr. Kelly Starrett and Mobility WOD, go to:MobilityWOD.com To learn more about how to order Dr. Kelly Starrett´s books and products mentioned on the show, go to: MobilityWOD.com/Shop/  To learn more about the theory and book, Normal Accidents by Dr. Charles Perrow, go to: https://en.wikipedia.org/wiki/Normal_Accidents  To learn more about the organization, Stand Up Kids, go to:                    http://standupkids.org/our-story/ To Download Rob’s FREE workout templates click belowDownload Templates Ask Rob a Question or tell him what is working for you: Email Rob@OpenSkyFitness.com To leave a Review for Rob and the Open Sky Fitness Podcast CLICK NOW! Contact our amazing sound engineer Ryan? Send him an e-mail here: info@stellarsoundsstudio.com Thanks for Listening!Thanks so much for joining us again this week. Have some feedback you’d like to share? Leave a note in the comment section below! If you enjoyed this episode, please share it using the social media buttons you see at the bottom of the post. Also if you are interested in getting some free Naked Infusions Salsa, T-shirts or tote bags please leave an honest review for The Open Sky Fitness Podcast on iTunes! Ratings and reviews are extremely helpful and greatly appreciated! They do matter in the rankings of the show, and I read each and every one of them. If you have any questions (and would like to hear yourself on the Open Sky Fitness Podcast), click on the link on the right side of any page on our website that says “Send Voicemail.” And finally, don’t forget to subscribe to the show on iTunes to get automatic updates. It’s free!  

Kelly Starrett is a coach, physical therapist, author, speaker, and creator of this blog, which has revolutionized how athletes think about human movement and athletic performance. His 2013 release, Becoming a Supple Leopard has become a New York Times and Wall Street Journal bestseller. This blog was voted #4 in Outside Magazine's Top 10 Fitness Blogs of 2011, Breaking Muscle's Top 10 Fitness Blogs of 2011, and Health Line's Top 100 Health Blogs of 2011. Kelly and his work have been featured in Tim Ferris' Four Hour Body, Competitor Magazine, Inside Triathlon, Outside Magazine, Details Magazine, Power Magazine, and the Crossfit Journal. He teaches the wildly popular Crossfit Movement & Mobility Trainer course and has been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide. Coach Kelly Starrett received his Doctor of Physical Therapy in 2007 from Samuel Merritt College in Oakland, California. Before starting his own physical therapy practice at San Francisco CrossFit, one of the first 30 CrossFit affiliates, he practiced performance-based physical therapy at the world-renowned Stone Clinic. In his current practice, Kelly continues to focus on performance-based Orthopedic Sports Medicine with an emphasis on returning athletes to elite level sport and performance. Kelly's background as an athlete and coach includes paddling whitewater slalom canoe on the US Canoe and Kayak Teams, and leading the Men's Whitewater Rafting Team to two national titles and competition in two World Championships.   Kelly's Favorite Quote: "The sleeper must awaken." — Dune   Kelly's Favorite Book: Deep Survival: Who Lives, Who Dies, and Why   Link's From Today's Show: @mobilityWOD Becoming a Supple Leopard 2nd Edition: The Ultimate Guide to Resolving Pain, Preventing Injury, and Optimizing Athletic Performance http://www.mobilitywod.com

Kelly Starrett is a coach, physical therapist, author, speaker, and creator of this blog, which has revolutionized how athletes think about human movement and athletic performance. His 2013 release, Becoming a Supple Leopard has become a New York Times and Wall Street Journal bestseller. This blog was voted #4 in Outside Magazine's Top 10 Fitness Blogs of 2011, Breaking Muscle's Top 10 Fitness Blogs of 2011, and Health Line's Top 100 Health Blogs of 2011. Kelly and his work have been featured in Tim Ferris' Four Hour Body, Competitor Magazine, Inside Triathlon, Outside Magazine, Details Magazine, Power Magazine, and the Crossfit Journal. He teaches the wildly popular Crossfit Movement & Mobility Trainer course and has been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide. Coach Kelly Starrett received his Doctor of Physical Therapy in 2007 from Samuel Merritt College in Oakland, California. Before starting his own physical therapy practice at San Francisco CrossFit, one of the first 30 CrossFit affiliates, he practiced performance-based physical therapy at the world-renowned Stone Clinic. In his current practice, Kelly continues to focus on performance-based Orthopedic Sports Medicine with an emphasis on returning athletes to elite level sport and performance. Kelly's background as an athlete and coach includes paddling whitewater slalom canoe on the US Canoe and Kayak Teams, and leading the Men's Whitewater Rafting Team to two national titles and competition in two World Championships.   Kelly's Favorite Quote: "The sleeper must awaken." — Dune   Kelly's Favorite Book: Deep Survival: Who Lives, Who Dies, and Why   Link's From Today's Show: @mobilityWOD Becoming a Supple Leopard 2nd Edition: The Ultimate Guide to Resolving Pain, Preventing Injury, and Optimizing Athletic Performance http://www.mobilitywod.com

Kelly Starrett is a coach, physical therapist, author, speaker, and creator of this blog, which has revolutionized how athletes think about human movement and athletic performance. His 2013 release, Becoming a Supple Leopard has become a New York Times and Wall Street Journal bestseller. This blog was voted #4 in Outside Magazine’s Top 10 Fitness Blogs of 2011, Breaking Muscle’s Top 10 Fitness Blogs of 2011, and Health Line’s Top 100 Health Blogs of 2011. Kelly and his work have been featured in Tim Ferris’ Four Hour Body, Competitor Magazine, Inside Triathlon, Outside Magazine, Details Magazine, Power Magazine, and the Crossfit Journal. He teaches the wildly popular Crossfit Movement & Mobility Trainer course and has been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide. Coach Kelly Starrett received his Doctor of Physical Therapy in 2007 from Samuel Merritt College in Oakland, California. Before starting his own physical therapy practice at San Francisco CrossFit, one of the first 30 CrossFit affiliates, he practiced performance-based physical therapy at the world-renowned Stone Clinic. In his current practice, Kelly continues to focus on performance-based Orthopedic Sports Medicine with an emphasis on returning athletes to elite level sport and performance. Kelly’s background as an athlete and coach includes paddling whitewater slalom canoe on the US Canoe and Kayak Teams, and leading the Men’s Whitewater Rafting Team to two national titles and competition in two World Championships.   Kelly's Favorite Quote: "The sleeper must awaken." — Dune   Kelly's Favorite Book: Deep Survival: Who Lives, Who Dies, and Why   Link's From Today's Show: @mobilityWOD Becoming a Supple Leopard 2nd Edition: The Ultimate Guide to Resolving Pain, Preventing Injury, and Optimizing Athletic Performance http://www.mobilitywod.com

Find all resources mentioned - and some really cool videos - at www.onairwithella.com What does it mean to "Become a Supple Leopard"? JULIA: I have a desk job and my husband is police officer. What are we supposed to do? What tips do you have for people who get up, drive to work, work, drive home and sit? PHILIP: I have a full time office job and I am a distance runner. Isn’t my activity level enough to balance out the sitting? JAKE: We now hear that “sitting is the new smoking.” Are we supposed to stand all day? SARAH: I hear mixed reviews on barefoot shoes. What’s your take on minimalist or barefoot shows for every day use and/or running? ELLA: What functional movements should every BODY at every age be able to do? JAMES: I fly a lot – at least 8x a month, and I’m not a superfit guy. I am not at all flexible. What tips do you have for me before, during and after plane travel? ELLA: What can people do to “perform basic maintenance” on themselves? Kelly Starrett is a coach, physical therapist, author, speaker, and creator of the Mobility WOD blog, which has revolutionized how athletes think about human movement and athletic performance. His blog is featured in Tim Ferris’ The 4-Hour Body, Inside Triathlon, Outside Magazine, Details Magazine, Power Magazine, and the Crossfit Journal. He teaches the wildly popular Crossfit Movement & Mobility Trainer course and has been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide. In his current practice, Kelly works with Olympic gold-medalists, Tour de France cyclists, NFL players, world and national record holding Olympic Lifting and Power athletes, Crossfit Games medalists, ballet dancers, military personnel, and competitive age-division athletes.