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Saint Lucia has taken a major step in strengthening its emergency response capabilities with the successful completion of Tactical Combat Casualty Care (TCCC) training for medical personnel and first responders. Facilitated by the Cross Functional Team from the U.S. Embassy in Guyana, this specialized training conducted under LAMAT-25 equips healthcare professionals and emergency responders with advanced trauma care skills applicable in both high-pressure tactical environments and everyday medical emergencies. Participants received hands-on experience in prehospital trauma management, learning life-saving techniques that can make the difference between survival and loss in critical situations.
In this episode of the PFC Podcast, Dennis and John discuss the ongoing updates and changes within the Tactical Combat Casualty Care (TCCC) guidelines. They delve into the role of the TTC Committee, the importance of literature reviews in developing algorithms for trauma care, and the proposed changes to the March algorithm, emphasizing the need for resuscitation before decompression. The conversation also covers the overhaul of the analgesic section, the recommendations for antibiotics, and the role of TXA in treating hemorrhagic shock. Additionally, they touch on the significance of triage in mass casualty situations and the future directions of the committee's work. Takeaways TCCC is continuously updated to reflect new research. Resuscitation should be prioritized over decompression in trauma care. The March algorithm may undergo significant changes to improve outcomes. Analgesic options are being re-evaluated due to supply issues. Rocephin is being recommended as a primary antibiotic. TXA is crucial for managing hemorrhagic shock in trauma patients. Triage protocols are essential for effective mass casualty management. The committee is open to innovative ideas and solutions. Training and education are vital for implementing new guidelines. Future meetings will focus on finalizing and voting on proposed changes. Chapters 00:00 Introduction to the PFC Podcast 02:46 Understanding the TTC Committee and Its Role 06:06 Literature Review and Algorithm Development 09:00 Resuscitation vs. Decompression in Trauma Care 12:07 Proposed Changes to the March Algorithm 15:06 Analgesic Section Overhaul and Alternatives 18:09 Antibiotic Recommendations and Changes 20:54 TXA and Its Role in Hemorrhagic Shock 23:51 Triage in Mass Casualty Situations 26:45 Future Directions and Upcoming Votes 30:06 Conclusion and Final Thoughts Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
What if the training that saves lives on a battlefield could be applied to your everyday world? Retired Navy CAPT Dr. Frank Butler joins us on War Docs to unravel how the rigorous life of a Navy SEAL shaped his journey into pioneering military medicine. Hear firsthand how Dr. Butler transitioned from the relentless demands of SEAL training to medical school, contributing to the development and implementation of Tactical Combat Casualty Care (TCCC). He offers a unique perspective on the historical evolution of military medical practices and their profound impact on survival rates in combat situations Dr. Butler takes us through the history, challenges, and triumphs of TCCC, shedding light on its rocky beginnings and eventual adoption post-9/11. With stories ranging from the life-saving use of tourniquets during D-Day to modern-day practices in Afghanistan and Iraq, this episode highlights the need for evidence-based practices and the importance of learning from historical medical knowledge. Moreover, Dr. Butler emphasizes how TCCC's success has transcended military lines, influencing tactical law enforcement and first responders nationwide. As we dive into the practical applications of TCCC, we explore the importance of balancing medical care with tactical advantage in combat, illustrated by real-world examples and personal anecdotes from military leaders and medics. The episode closes with a call to action to sustain these medical advances and ensure that the lessons learned are not lost in peacetime. Join us for this engaging conversation with Dr. Frank Butler and discover how the lessons from the battlefield continue to shape and save lives, both in military and civilian contexts. Chapters Military Medicine Evolution and Impact (00:04) Retired Navy SEAL Dr. Frank Butler discusses TCCC, combat medics, Stop the Bleed, Hartford Consensus, and refractive surgery in military medicine. Medical Innovations Impacting Battlefield Medicine (18:30) Tourniquets and whole blood's historical evolution and usage in military medicine, emphasizing the importance of time and evidence-based practices. TCCC Evolution and Preventable Death Analysis (26:02) TCCC faced resistance but was adopted after 9/11, highlighting the need for improved trauma care. Tactical Combat Casualty Care Expansion (33:10) TCCC principles have been adopted by law enforcement and first responders, saving lives beyond the battlefield. Improving Medical Care in Combat (38:24) TCCC prioritizes threats over immediate medical intervention, using field experiences to improve guidelines for better outcomes. Sustaining Tactical Combat Casualty Care (54:19) TCCC's role in military and civilian medical practices, ownership by combat commanders, and learning from past conflicts. Take Home Messages: Advancements in Tactical Combat Casualty Care (TCCC): The podcast highlights the significant evolution of TCCC, emphasizing the importance of evidence-based practices in saving lives on the battlefield. The development and widespread adoption of TCCC principles have been crucial in reducing preventable deaths during military operations. Integration Beyond the Military: The principles of TCCC have transcended military applications and are now integral to tactical law enforcement and first responder protocols. Initiatives like Stop the Bleed have demonstrated the impact of military medical advancements on community safety and emergency response, illustrating the broader influence of these practices on civilian medical care. The Role of Combat Medics: The episode underscores the unique position of combat medics as both healers and warriors. Their critical role in providing immediate care in combat scenarios and the trust and respect they command within their units are highlighted. Learning from Past Conflicts: A key takeaway is the necessity of learning from past combat experiences to continually improve medical care practices. The importance of understanding each combat fatality and integrating those lessons into future strategies is emphasized to ensure ongoing advancements in military medicine. Balancing Medical Care and Tactical Advantage: The podcast discusses the challenges of providing medical care in high-pressure combat situations while maintaining tactical advantage. It stresses the importance of prioritizing threats over immediate medical intervention to ensure the safety and effectiveness of operations. Episode Keywords: Military Medicine, Navy SEAL, Medical Innovation, Tactical Combat Casualty Care, TCCC, Combat Medics, Evidence-based Practices, Stop the Bleed, Hartford Consensus, Specialized Training, Trauma Care, Preventable Deaths, Committee on Tactical Combat Casualty Care, Chicago Police Department, Law Enforcement, Emergency Response, Tactical Advantage, Combat Commanders, Combat Fatality, Podcast Support Hashtags: #BattlefieldMedicine #MilitaryInnovation #TCCC #FrankButler #WarDocsPodcast #CombatCare #StopTheBleed #HartfordConsensus #NavySEAL #TraumaCare Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast
Embark on a journey to the front lines of military medicine with our esteemed guest, retired Army Lieutenant Colonel Dr. Randi Schaefer. With her wealth of experience, Dr. Schaefer takes us through the intense world of emergency trauma care and her personal evolution from a college student to an accomplished military nurse and emergency medicine expert. We explore the educational paths and specialization opportunities within the military nursing field and the life-saving innovations in pre-hospital blood administration that have triumphed on the battlefield and transformed civilian emergency care. Dr. Schaefer pulls back the curtain on the progressive tactics and challenges that have shaped blood transfusion practices over the years. From the early days of relying on hospital staff donors to the current state-of-the-art application of whole blood in the thick of combat, we discuss the critical observations and strategic collaborations that have driven these practices forward. The role of STRAC in revolutionizing pre-hospital care and the crucial impact of timely blood transfusions in saving lives take center stage in this compelling narrative that intertwines military precision with medical breakthroughs. Our final moments with Dr. Schaefer reveal the innovative solutions combat medics deploy to save lives under the most extreme conditions, including providing blood transfusions amidst the chaos of active fire. We also shine a light on the advancements that continue to elevate the field, like the Vampire Program and the Tactical Combat Casualty Care training. Dr. Schaefer's ongoing consulting work and vision for emergency medicine not only reflect her unwavering dedication but also promise to guide the future of trauma care to even greater heights. Join us for this captivating episode where valor meets the rigor of medical science, and discover the incredible impact of one woman's journey on the world of emergency medicine. Chapters: (00:00) Addressing Hemorrhage in Trauma (07:22) Early Blood Transfusion in Emergency Settings (15:49) Pre-Hospital Blood Transfusion and Innovations (27:57) Enhancing Pre-Hospital Blood Transfusion Rates (37:26) Consulting on Pre-Hospital Blood Administration Chapter Summaries: (00:00) Addressing Hemorrhage in Trauma Army nurse Randi Schaefer discusses pre-hospital hemorrhage control and the potential for future improvements in military and civilian sectors. (07:22) Early Blood Transfusion in Emergency Settings Nature's role in trauma care: reliance on hospital staff, evolution of transfusion practices, and efforts to improve pre-hospital capabilities. (15:49) Pre-Hospital Blood Transfusion and Innovations Nature's emergency blood transfusion process in pre-hospital settings, including training, logistics, and clinical guidelines for improved trauma care outcomes. (27:57) Enhancing Pre-Hospital Blood Transfusion Rates TCCC training, missed transfusion opportunities, and improvements in pre-hospital blood programs for combat medics. (37:26) Consulting on Pre-Hospital Blood Administration Practical aspects of pre-hospital blood product administration, logistics, military background, and legacy of service. Take Home Messages: Military medicine has played a critical role in innovating trauma and emergency care, specifically in the field of pre-hospital blood administration, due to the need for immediate life-saving measures in combat scenarios. Career progression within the Army can lead to educational opportunities and specializations in emergency medicine and trauma care, as evidenced by the journey of a retired Army Lieutenant Colonel and military nurse. The shift in blood transfusion practices, such as the transition from crystalloids and component therapy to the use of whole blood, has been influenced by clinical observations and the necessity for timely interventions to reduce mortality rates. The Southwest Texas Regional Advisory Council (STRAC) has been instrumental in connecting military and civilian trauma care practices, especially in pre-hospital blood administration. Training and protocols developed for combat medics, such as Tactical Combat Casualty Care (TCCC), have resulted in innovations that guarantee timely and safe blood transfusions even in active combat situations. The logistical challenges of storing and transporting blood products in combat situations have spurred innovative solutions, like the use of drones and advancements in non-liquid blood products such as spray-dried plasma. Clinical guidelines, such as using the shock index, assist medics in making decisions about when blood transfusions are necessary, leading to improved patient outcomes in pre-hospital trauma care. Doctoral research focused on increasing pre-hospital blood transfusion rates highlighted the significance of training, refining dispatch operations, and managing distractions during emergencies to prevent missed opportunities for life-saving transfusions. The practical implementation of pre-hospital blood product administration involves navigating logistical challenges, adhering to blood bank and FDA requirements, and ensuring the proper storage and temperature maintenance of blood products. The episode underscores the significance of continuous innovation and adaptation in emergency medicine, using lessons learned from military experiences to enhance civilian trauma care and ultimately save more lives. Episode Keywords: Military Medicine Innovation, Trauma Care Advancements, Blood Transfusion Practices, Pre-Hospital Care Strategies, Emergency Medicine Podcast, Combat Medics Training, Dr. Randi Schaefer, Tactical Combat Casualty Care (TCCC), Whole Blood Transfusion, Medical Frontiers in Trauma, Battlefield Medicine Developments, Civilian Emergency Care Techniques, Military Nurse Education, Southwest Texas Regional Advisory Council (STRAC), Vampire Program Army, Pre-Hospital Hemorrhage Control, Trauma Care Lessons from Military, Blood Product Administration, Paramedic Blood Transfusion Training, Innovation in Military Healthcare. Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #TraumaCareInnovation #DrRandiSchaefer #EmergencyMedicine #BloodTransfusion #CombatMedics #PreHospitalCare #MedicalFrontiers #TCCC #VampireProgram #MilitaryNurse #LifesavingInnovations #WholeBloodAdvancement #EmergencyCarePodcast #MilitaryHealthcare 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 Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast
In this episode of the Nonprofit Architect Podcast Travis speaks with Sara LeCarno; a first responder. Hearing her experience will remind you why you are serving your mission. Reminder To find out more about the Nonprofit Board Summit visit: https://www.nonprofitboardsummit.org/summit Conversation Highlights: [02:23] Getting involved in the VeteransForLife! [06:41] How going through this type of program changes your perspective Memorable Quotes: 1. Shifting your perspective gives you a better outcome 2. Asking for help doesn't mean you're helpless 3. You can take any class but until you look in yourself it won't click 4. Self evaluate and begin the healing process 5. If you absorb someone's bad day then you have a bad day Bio: Sara was born and raised in Portland, OR. She left home at 18 to live on the east coast for a few years before moving to Amarillo, TX for 8 years. She was nationally certified as an EMT out of Amarillo College. She was hired on shortly after with Amarillo Medical Services before American Medical Response came to the area. It was then that AMS would transition over to AMR. She transitioned to Springfield, MO for the last 8 years. She is training as a Wilderness EMT certification through NOLS in hopes of becoming part of a Search and Rescue team at a state park. She is certified in Tactical Combat Casualty Care (TCCC) and a member of FEMA's Disaster Response Team. She has also been an FTO lead for 4 years. Sara LeCarno (417) 849-8566 saralecarno@yahoo.com Nonprofit Architect Podcast Links Website: https://nonprofitarchitect.org Community: https://www.facebook.com/groups/NonprofitArchitect
In this episode of the Nonprofit Architect Podcast Travis speaks with Sara LeCarno; a first responder. Hearing her experience will remind you why you are serving your mission. Reminder To find out more about the Nonprofit Board Summit visit: https://www.nonprofitboardsummit.org/summit Conversation Highlights: [02:23] Getting involved in the VeteransForLife! [06:41] How going through this type of program changes your perspective Memorable Quotes: 1. Shifting your perspective gives you a better outcome 2. Asking for help doesn't mean you're helpless 3. You can take any class but until you look in yourself it won't click 4. Self evaluate and begin the healing process 5. If you absorb someone's bad day then you have a bad day Bio: Sara was born and raised in Portland, OR. She left home at 18 to live on the east coast for a few years before moving to Amarillo, TX for 8 years. She was nationally certified as an EMT out of Amarillo College. She was hired on shortly after with Amarillo Medical Services before American Medical Response came to the area. It was then that AMS would transition over to AMR. She transitioned to Springfield, MO for the last 8 years. She is training as a Wilderness EMT certification through NOLS in hopes of becoming part of a Search and Rescue team at a state park. She is certified in Tactical Combat Casualty Care (TCCC) and a member of FEMA’s Disaster Response Team. She has also been an FTO lead for 4 years. Sara LeCarno (417) 849-8566 saralecarno@yahoo.com Nonprofit Architect Podcast Links Website: https://nonprofitarchitect.org Community: https://www.facebook.com/groups/NonprofitArchitect
I recently completed training in Tactical Combat Casualty Care (TCCC). During this episode I talk about TCCC and some of the great outcomes from it. However, saving lives is not the end of the journey. I am very interested in the journey to recover. I do not have the answers about the journey, I hope to learn more about that. This podcast was a collection of thoughts about this journey and also things we need to think about in our typical patients even if they did not suffer a combat wound. For more information about TCCC see: https://www.naemt.org/education/naemt-tccc https://deployedmedicine.com --- Send in a voice message: https://anchor.fm/musculoskeletalminute/message
Coco Tang has traveled the world as a Nationally Registered Paramedic and a DOD-trained Tactical Combat Casualty Care (TCCC) instructor, and she is currently on contract working the night shift in New York City treating COVID-19 patients. She joins Jason and Emily for episode 011 to talk about the similarities and differences in her medical mission work from Africa to Afghanistan to here at home. Their conversation covers her ground truth at the epicenter of the current pandemic, her unique perspective as a Chinese American in the time of COVID, tales from her trips abroad, and what drives her to serve and help others in some of the most challenging spots around the globe. Coco was born in Fushun, China - not far from the North Korean border - and moved to the US when she was 12. She is a naturalized US citizen who speaks fluent Mandarin Chinese and has a working proficiency of Arabic, German, Russian, and Japanese. In 2013, she moved to Jordan as a Fulbright Scholar to conduct academic research on ISIS and Syrian refugees. During that time, she began volunteering medically at the refugee camps. Since then, she has worked all around the world including: community outreach initiatives in Sierra Leone during the height of the Ebola crisis in 2014; the Nepal earthquake response in 2015; and Syrian refugee camps in Greece and Iraq. Last year, she led humanitarian and medical assessment trips to the remote mountainous regions of northern Ethiopia and to the Democratic Republic of Congo due to another Ebola outbreak in South Kivu. She most recently returned from a medical deployment in Kandahar, Afghanistan. Links: Coco Tang GORUCK Events Learn more about GORUCK Glorious Professionals podcast website
Airway Expertise and Anesthesia Clinical With Anesthetist Jesson Bateman - Part 1 Medic 101 sat down with Anesthetist, Jesson Bateman, to share some of his experiences with paramedic students in the OR and what it takes to become an airway expert. Jesson explains what it takes to excell in your OR clinical rotation and gives some tips on how to continue to grow your airway skills after initial training. Jesson is a PA-Anesthetist in North Georgia as well as an instructor in Tactical Combat Casualty Care (TCCC) and Tactical Emergency Casualty Care (TECC) through Emergency Industries, LLC. Jesson can be found on Instagram @angry.canadian.
GRP 88-We’re back! We took a short break for the end of the summer to get some travel time in. On for this week’s podcast is United States Air Force (Ret) Chief Master Sergeant “N.G.”. He served in the Air Force for a total of 26 years, with 21 of those years as a Pararescuemen, or Para Jumper (PJ). The United States Air Force Special Operations Command (AFSOC) and Air Combat Command (ACC) operators tasked with recovery and medical treatment of personnel in humanitarian and combat environments. These special operations units are also used to support NASA missions and have been used to recover astronauts after water landings. They are attached to other SOF teams from all branches to conduct other operations as appropriate. “N.G” is the owner of S.E.I. Green Feet, a company which provides a multitude of highly specialized training modules for the special operations, first responders, and business communities. You can find out more about the company here: http://sei-nh.com We talked about some of “N.G”s career, the unique mission and capabilities of the PJ’s, as well as tactical medicine, leadership, and exiting the military. • 0:00-Introduction audio on Medal of Honor recipient Airforce PJ William H. Pitsenbarger “Pitts”. • 7:47-Air Force Pararescue is the only unit whose primary job is to rescue. Joining the Air Force, and then Pararescue. • 12:50-Pararescue selection, advice on how to properly prepare. • 22:10-What makes Pararescue a unique unit and mission set. Jumping, diving, insertion and exfiltration capabilities. • 30:07-Combat deployments as a Pararescuemen. • 38:05-NG was a part of the team that rescued the Stealth F-117A pilot who was shot down in Serbia in 1999. • 45:45-The development of tactics, techniques, and procedures of combat medicine. The innovation of Tactical Combat Casualty Care (TCCC), and its implementation by the U.S. Army Rangers. • 58:00-Leadership. • 1:05:14- “There are no atheist in the foxholes” • 1:15:02-S.E.I. Green Feet • 1:21:06-Exiting the military. The Pararescue Foundation. This episode is sponsored by Abes Baumann, a law firm that provides legal services and fights for the rights of disabled veterans. To learn about what they can offer you visit http://www.abesbaumann.com/vets The Pararescue Foundation: http://www.pararescuefoundation.org Global Recon: www.Globalrecon.net https://www.instagram.com/igrecon https://www.instagram.com/blackopsmatter www.twitter.com/igrecon https://www.facebook.com/GlobalReconPodcast/ Chantel Taylor: https://www.instagram.com/mission_critical https://www.instagram.com/altern8rv Music provided by Caspian: www.caspianmusic.net
GRP 76-We have a special guest on for this week's podcast. Former Australian SAS trooper Jason Falla who is also the owner of a tactical training company called "Redback One" came on to talk about his journey in the Australian Special Forces world. He spent the first 6 years of his career with the 1st Commando Regiment before then going to SAS selection and finishing out the remaining 6 years of his military service as an SAS an assault team member and patrol medic of a water operations troop in 1 Squadron, 1st SAS Regiment. Jason shared a deployment story with us, and we discussed his post-military career where he worked as an instructor for what was at the time known as Blackwater. He now runs a successful tactical training company which employs former Tier 1 special ops guys working in several facets. We also covered some Tactical Combat Casualty Care (TCCC) as both Chantelle and Jason were Combat Medics respectively. Below is an excerpt from the podcast: Jason Falla: The Australian Special Operations Task Group rolled out after 9/11 into Afghanistan. We were primarily tasked with reconnaissance and surveillance. We had a large area of responsibility. We had an incident where one of our vehicles struck an anti-tank mine. Our patrol commander was in a bad way. It turned into a situation of being in a minefield. SGT Andy Russell lost a lot of blood. We called a MEDEVAC with American PJ's jumping in. Unfortunately, Andy died on the way to the hospital. We re-postured and made sure we dished back what we got there. Our next major operation over there was during Operation Anaconda we were the SAS patrol up there. We got a call that a U.S. helo had been shot down. A special operations component was in a break contact situation. We had to reposition ourselves and get eyes on the crash site and provide situational awareness and interdiction of enemy forces. It was a long arduous march in full kit up to an OP. We had an American Combat Controller attached to us. He started bringing in aircraft. We had B-52's coming in fast air, we were calling in predators hot with AC-130's going Winchester. We asked for a Bomb Damage Assessment (BDA) and an American voice came back " Well, I’m following a trail of cold dead bodies" Jason Falla: Web: www.redbackone.com Instagram: Redbackone Facebook: Redback One Twitter: @RedbackOne Global Recon: www.globalrecon.net IgRecon – Instagram BlackOpsMatter- Instagram Mission_Critical – Instagram IgRecon- Twitter Chantel Taylor: Instagram: Mission_Critical Facebook: Battleworn Music provided by Caspian: www.caspianmusic.net
Today's episode will cover Tactical Combat Casualty Care (TCCC), aka Care Under Fire, aka Care in the Immediately Unsafe Environment. Dr. Andy Bohn, a residency colleague, recorded today's episode to talk about the basics of taking care of any patient in an unsafe environment. While the military connotations of this may make you uncomfortable, the techniques and protocols he discusses can be directly translated into any civilian mass casualty scenario such as the Boston Marathon bombing or the fertilizer plant explosion in West, Texas. Andy will discuss how to stay safe in these hostile environments, how to perform the right interventions that will save lives while elimintating the useless interventions that won't (I'm looking at you- c-collars...), and how to get the casualty to the next level of care safely.