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Unpack the unique and demanding world of Special Forces medical operations with our guest, Sergeant First Class Mo Bogert, an Army 18 Delta Special Forces medic. This episode promises an enlightening journey through predictive medicine, the vital skill set for prolonged casualty care, and the transformative role of telemedicine in combat scenarios. Mo shares his personal story of resilience and adaptability, offering invaluable advice for new medics stepping into this challenging field, and paints a vivid picture of the complexities and decisions that define the life of a Special Forces medic. Our conversation ventures into the heart of field medic training and the integration of telemedicine in austere environments, especially during prolonged field care situations. Discover how early and consistent vitals tracking can become a lifeline in identifying life-threatening conditions and making difficult resource allocation decisions. We explore the synergy of telemedicine and traditional methods, showcasing how this blend enables medics to perform better under pressure and prioritize patient care effectively in some of the toughest military environments. Explore with us the dynamic nature of military medical training and operations. Mo shares insights from organizing a medical symposium at the National Training Center, detailing the need for medics to think beyond conventional protocols. From navigating "care under fire" scenarios to understanding the significance of collaboration among Special Operations medics, this episode underscores the importance of resilience, training, and strategic adaptability. As we wrap up, we extend our gratitude to listeners and invite them to support War Docs, a nonprofit dedicated to sharing gripping stories from the intersection of war and medicine. Chapters: (00:03) Special Forces Medic Challenges and Training (10:39) Field Medic Training and Telemedicine Integration (16:03) Integrating Medical Training in Special Operations (28:23) Medic Training and Evacuation Scenarios (39:52) Combat Medic Training and Priorities (45:42) Resilience and Realism in Medic Training (54:32) Building Resilience and Adaptability in Medics (01:00:52) Military Medic Training and Career Journey Chapter Summaries: (00:03) Special Forces Medic Challenges and Training An Army 18 Delta Special Forces medic, SFC Bogert shares insights on predictive medicine, prolonged casualty care, and the importance of realistic training. (10:39) Field Medic Training and Telemedicine Integration Discusses challenges and strategies in prolonged field care, including early vitals tracking and the role of telemedicine. (16:03) Integrating Medical Training in Special Operations Telemedicine supports Special Forces medics in challenging scenarios, aids in objective assessment, and highlights the need for better coordination and understanding of medical protocols. (28:23) Medic Training and Evacuation Scenarios Nature's adaptability in military medical training and operations, emphasizing critical decision-making and unconventional methods for success. (39:52) Combat Medic Training and Priorities Prioritizing fire superiority and self-care, TCCC training, clear roles, and advance planning are crucial for effective care under fire. (45:42) Resilience and Realism in Medic Training Training military medics in conventional forces faces challenges and limitations, but efforts are made to simulate realistic combat scenarios. (54:32) Building Resilience and Adaptability in Medics Resilience, flexibility, and foresight are crucial in medical and military contexts, along with adaptability and continuous planning. (01:00:52) Military Medic Training and Career Journey Military medicine in Special Forces requires flexibility, adaptability, and personal growth, with a focus on embracing discomfort for professional development. Take Home Messages: Resilience and Adaptability: The episode emphasizes the critical importance of resilience and adaptability for military medics, especially those operating in Special Forces. The ability to navigate unpredictable environments and adjust to changing conditions is crucial for both personal and professional growth in high-stakes scenarios. Predictive and Telemedicine: The integration of predictive medicine and telemedicine in combat situations is highlighted as a game-changer. These technologies enhance decision-making and patient care, allowing medics to anticipate future medical needs and provide support over prolonged periods, which can be lifesaving in austere environments. Comprehensive Training: The podcast delves into the depth and intensity of training required for Special Forces medics, underscoring the necessity of mastering both basic and advanced medical skills. This comprehensive training prepares medics to handle complex scenarios, from trauma management to prolonged field care, effectively transforming them into versatile medical managers. Collaboration and Innovation: The episode discusses the importance of fostering collaboration and innovative thinking among military medics. Symposiums and joint training exercises are vital for sharing knowledge, integrating different medical protocols, and enhancing overall medical support in demanding environments. Role of Non-Medics: The podcast highlights the essential role of non-medically trained personnel in combat care. Effective cross-training ensures that team members can perform basic medical interventions, thereby supporting medics in managing casualties and maintaining optimal patient care during critical situations. Episode Keywords: Special Forces Medic, Army 18 Delta, Military Medicine, Telemedicine in Combat, Predictive Medicine, Combat Care, Prolonged Field Care, Battlefield Medicine, Military Training, Resilience and Innovation, Mo Bogert, National Training Center, Care Under Fire, Military Medics, Combat Medic Challenges, Military Podcast, War Docs Podcast, Military Medical Symposiums, Medic Resilience, Tactical Medicine, Evacuation Scenarios Hashtags: #MilitaryMedicine #SpecialForces #Telemedicine #PredictiveMedicine #CombatCare #Resilience #InnovationInMedicine #ProlongedFieldCare #MilitaryTraining #WarDocsPodcast 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
CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.
This week, we have another Medicine in the Mediterranean conference presentation. We will hear from Tactical Medicine North, a volunteer medical unit operating in Ukraine. The discussion covers their formation, mission, and challenges in training combat medics on the frontlines. Key topics include injury patterns, trauma management, blood logistics, and improved training in prolonged casualty care. The presenters emphasise the importance of adapting medical practices to the unique challenges of combat situations in Ukraine.TakeawaysTactical Medicine North was formed out of necessity due to the war in Ukraine.Training combat medics is crucial for effective frontline care.Injury patterns in Ukraine reveal a high incidence of non-combat injuries.TCCC is essential but needs adaptation to local conditions.Blood management logistics are a significant challenge in combat zones.Tourniquet use and wound management require more comprehensive training.Prolonged casualty care is often neglected in training programs.Collaboration with international organisations enhances training effectiveness.Understanding the unique challenges of Russian casualties is important for medical personnel.Future training must focus on nursing skills and prolonged care techniques.Chapters00:00 Introduction to Tactical Medicine in Ukraine02:49 The Formation and Mission of Tactical Medicine North05:12 Training and Challenges on the Frontline09:51 Understanding Injury Patterns and Casualty Statistics13:00 Trauma Challenges: TBI and Pre-Hospital Care20:28 Blood Management and Logistics in Combat23:43 Tourniquet Use and Wound Management26:58 Challenges with Russian Casualties and Evacuation30:23 Prolonged Casualty Care and Training Needs34:41 Conclusion and Future Directions
This podcast episode delves into the roles and responsibilities of various special operations medics, including Ranger medics, SOIDCs, and SEAL medics. The discussion highlights the unique training, skills, and challenges these medics face in the field, emphasizing the importance of trust, communication, and continuous learning in military healthcare. The speakers share their experiences and insights on the evolution of medic training and the critical nature of their roles in combat situations. This conversation delves into the intricate dynamics between medics and PAs within military teams, highlighting the importance of intimate relationships, expectations from new medical personnel, and the necessity of building trust and rapport. The discussion emphasizes the value of field experience for medical providers and the critical role of advocacy and support for medics to enhance their effectiveness in the field. The speakers share insights on how to foster better communication and collaboration within medical teams to ultimately improve patient care and outcomes.TakeawaysRanger medics focus on TCCC and basic skills.SOIDCs have unique provider roles within the Navy.SEAL medics are expanding their capabilities in various environments.Trust and communication are vital for effective medical care.New providers must understand the diverse experiences of medics.Medic training is evolving to include prolonged field care.Relationships between medics and providers shape career paths.Continuous learning is essential for maintaining clinical skills.The operational environment influences medic training and practice.Team dynamics play a crucial role in medical effectiveness. The relationship between medics and IDCs is crucial for effective teamwork.PAs play a significant role in supporting medics during operations.Building rapport is essential for successful medical practice in military settings.Field experience is vital for medical providers to understand operational challenges.Trust between medics and doctors enhances patient care and team effectiveness.Advocacy for medics' needs is necessary for optimal performance.Medical personnel should be proactive in seeking knowledge and training.Understanding the unique challenges faced by medics is key for providers.Effective communication can bridge gaps between different roles in medical teams.Support from leadership can significantly impact the morale and performance of medics.Chapters00:00 Introduction to Special Operations Medics02:59 Roles and Responsibilities of Ranger Medics05:47 Understanding the SOIDC and Navy Medics08:56 The Role of SEAL Medics11:48 Comparative Analysis of SOF Medics15:01 The Importance of Trust and Communication18:04 Challenges Faced by New Providers20:57 The Evolution of Medic Training24:14 Conclusion and Final Thoughts39:33 The Role of Medics and PAs in Team Dynamics42:24 Expectations from New Medical Personnel49:17 Building Rapport and Trust in Medical Teams51:55 The Importance of Field Experience for Providers52:28 Advocacy and Support for Medics01:01:19 Final Thoughts on Enhancing Medical SupportThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
'Tis the season for trauma. (If there truly is a season.) Chest trauma, specifically, can vary in subtlety and severity, primarily due to the presence of multiple vital organs and vessels. In this podcast, we discuss these potentials while focusing on those injuries that are associated with the highest mortality rate. We also discuss why you should think twice before intervening. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates. -------------------------------------------- Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com
The Joint Readiness Training Center is pleased to present the ninety-fifth episode to air on ‘The Crucible - The JRTC Experience.' Hosted by the Task Force Senior for the TF Sustainment (BSB / CSSB), LTC Bruce Roett on behalf of the Commander of Ops Group (COG). Today's guests are two seasoned medical professionals with TF Sustainment (BSB / CSSB), CPT Victor Velez and SFC Jason Kohne. CPT Velez is the Senior Medical Operations Officer OCT and SFC Kohne is the Medical Operations NCO OCT. In this episode, we examine the critical role of medical operations during large-scale combat operations (LSCO), emphasizing the complex realities faced by medics in high-intensity environments. The conversation underscores the physical, emotional, and tactical demands placed on Army medical personnel who must operate with minimal rest, high casualty volumes, and limited evacuation windows. The discussion highlights the need for rigorous, realistic pre-deployment training—such as TCCC, paramedic certification, and stress-inducing field exercises like “Gator Top Dog”—to prepare medics for the brutal realities of sustained combat. A key theme is the importance of leader involvement, particularly from NCOs, in building emotional resilience, monitoring burnout, and creating a culture of trust where medics can ask for help and remain mission-effective throughout the fight. The episode also delves into key best practices for organizing and supporting medical operations across echelons. Notable lessons include the effective use of FLA (field litter ambulance) staging forward with infantry battalions, use of Class VIII speedballs during casualty evacuation, and the importance of a synchronized and well-communicated medical concept of support. The team discussed common points of friction such as overuse or underuse of medical transport assets, breakdowns in communications between various medical nodes, and lack of rehearsals between sustainers and combat leaders. Additionally, the discussion covers medical evacuation planning and the importance of maintaining a well-structured casualty evacuation (CASEVAC) process to support prolonged combat engagements. The episode closed with emphasis on integrating joint and partner forces, refining base cluster security measures, and the need for a return to basic soldier skills and medical readiness. Part of S05 “Beans, Bullets, Band-Aids, Batteries, Water, & Fuel” series. For additional information and insights from this episode, please check-out our Instagram page @the_jrtc_crucible_podcast Be sure to follow us on social media to keep up with the latest warfighting TTPs learned through the crucible that is the Joint Readiness Training Center. Follow us by going to: https://linktr.ee/jrtc and then selecting your preferred podcast format. Again, we'd like to thank our guests for participating. Don't forget to like, subscribe, and review us wherever you listen or watch your podcasts — and be sure to stay tuned for more in the near future. “The Crucible – The JRTC Experience” is a product of the Joint Readiness Training Center.
What if the lessons learned from a conflict zone could transform military medicine worldwide? Join us as we promise to reveal groundbreaking insights into combat casualty care with John Quinn, MD, MPH, PhD, EMT-P, a leading voice in Emergency Medicine and Combat Casualty Care. Dr. Quinn shares his experiences and pivotal lessons from the war in Ukraine, providing an in-depth look at how military medical operations have evolved in response to the challenges faced in high-stakes environments. Gain valuable knowledge on damage control, resuscitation, and the strategic decisions made from the point of injury to more advanced medical roles. The complexities of combat medicine are not for the faint-hearted. In this compelling episode, we confront the realities of triage and care under fire, with medical personnel often working without senior guidance amidst the chaos of large-scale combat. Our discussion sheds light on the critical importance of Tactical Combat Casualty Care and the intricate decisions around tourniquet use when resources are stretched thin. Dr. Quinn emphasizes the skills required to manage such intense scenarios, ensuring listeners understand the vital balance between operational readiness and effective medical intervention. Handling pain management and blood supply logistics in conflict zones is no small feat. We explore the intricate challenges of ensuring adequate supplies and effective pain medication, particularly in the context of Ukraine's ongoing conflict. Dr. Quinn delves into the necessity of a robust supply of universal donor blood and the pressing need for improved clinical governance to support pre-hospital blood transfusion capabilities. The episode addresses the pressing issue of antimicrobial resistance and antibiotics' critical role in these settings, highlighting the need for structured guidance and oversight to navigate the complexities of treating diverse patient populations. Chapter Timestamps 00:02 Military Medicine and Operational Readiness 09:30 Combat Medicine and Triage Challenges 14:08 Challenges in Pre-Hospital Pain Management 17:43 Combat Medic Challenges and Solutions Chapters with Summaries (00:02) Military Medicine and Operational Readiness This chapter explores the insights and experiences shared by Dr. John Quinn, the lead author of a pivotal article on pre-hospital lessons from the war in Ukraine, focusing on damage control, resuscitation, and surgery from point of injury to role two. Dr. Quinn, with a background as a paramedic and emergency medicine physician, recounts his involvement in Ukraine since 2014, highlighting the evolution of military medical operations up to the large-scale invasion by Russia. We discuss the collaborative effort behind the article, featuring a diverse team of experts, including traumatology surgeons, paramedics, and academic figures, all working to enhance combat casualty care. Dr. Quinn emphasizes the importance of incorporating Ukrainian academics' insights and using NATO's terminology for lessons learned, providing a comprehensive look at the on-the-ground experiences and challenges faced in providing timely and effective medical care in conflict zones. (09:30) Combat Medicine and Triage Challenges This chapter addresses the complex challenges faced by medical personnel in large-scale combat operations, particularly in the context of the ongoing conflict involving Russian forces. We explore how medical workers, including international volunteers, are specifically targeted, necessitating unique approaches to operational security, communication, and personal protective equipment. The discussion emphasizes the importance of tactical combat casualty care, especially in making critical triage decisions without the guidance of senior clinical decision-makers. With an overwhelming number of patients and limited evacuation capabilities, medical personnel must navigate the intricacies of tourniquet use, balancing between preventative application and conversion to pressure dressings as per TCCC protocols. The chapter highlights the essential skills required to manage care under fire and the need for timely assessment by qualified providers to reduce morbidity and enhance force effectiveness in the battlefield. (14:08) Challenges in Pre-Hospital Pain Management This chapter addresses the challenges and intricacies of pain management and blood supply logistics in conflict zones, particularly focusing on the context of Ukraine. We explore the inadequacies of certain medications like Nalbuphine, which can complicate effective pain management when transitioning patients to higher levels of care. The importance of having access to more effective drugs such as ketamine and fentanyl is emphasized, although logistical challenges in their distribution are acknowledged. Additionally, we highlight the critical need for an ample supply of universal donor blood and low-titer O blood products during large-scale combat operations. The chapter underscores the logistical hurdles in ensuring these supplies are available before they spoil and discusses the inadequacy of traditional walking blood banks in high-casualty scenarios, advocating for improved clinical governance to enable broader pre-hospital blood transfusion capabilities. (17:43) Combat Medic Challenges and Solutions This chapter highlights the critical importance of antibiotics in deployed medical settings, emphasizing the challenges of antimicrobial resistance, particularly in Ukraine. We explore the need for a structured antimicrobial guidance system, informed by biogram data, to prevent inappropriate dosing and resistance. The discussion extends to the complexities of treating diverse age groups, including elderly and pediatric patients, who may have additional medical conditions or require specialized care. Additionally, we stress the significance of clinical governance in ensuring that medical personnel, whether affiliated with NGOs or the military, operate under proper oversight and standards. Finally, we identify the top three priorities for improvement: ensuring an unlimited supply of low-titer universal donor blood, enhancing training and clinical decision-making, and leveraging data for effective medical logistics and planning. Take Home Messages: Evolving Military Medical Practices: The podcast delves into the evolution of military medical operations in Ukraine, highlighting the lessons learned from the ongoing conflict. It emphasizes the importance of adapting medical practices to the realities of modern warfare, particularly in large-scale conflicts where traditional medical procedures may not suffice. Challenges in Battlefield Medicine: Listeners are exposed to the myriad challenges faced by medical personnel in combat zones, including the complexities of tactical combat casualty care and the necessity for rapid, autonomous decision-making under fire. The episode underscores the need for enhanced training and preparation to handle these high-pressure situations effectively. Pain Management and Medical Logistics: The discussion reveals significant hurdles in managing pain and logistics in conflict zones, with specific reference to Ukraine's current crisis. It stresses the need for reliable access to effective medications and blood supplies, highlighting the logistical challenges that can impact patient outcomes. Antimicrobial Resistance and Clinical Governance: The episode sheds light on the critical role of antibiotics in deployed medical settings and the growing concern of antimicrobial resistance. It advocates for structured guidance systems and emphasizes the importance of clinical governance to ensure high standards of care are maintained, especially when relying on NGOs and international volunteers. Data-Driven Medical Improvements: The conversation calls for the collection and analysis of medical data to enhance military medical practices. It stresses the importance of leveraging lessons learned from current conflicts to refine medical logistics, decision-making processes, and training, ensuring better preparedness for future challenges. Episode Keywords: Military Medicine, Operational Readiness, Combat Medicine, Triage, Ukraine Conflict, Russian Invasion, Damage Control, Resuscitation, Surgery, Battlefield, Tactical Combat Casualty Care, Tourniquets, Pressure Dressings, Pain Management, Logistical Hurdles, Antimicrobial Resistance, Clinical Governance, Medical Logistics, Training, Data Analysis Hashtags: #CombatMedicine #UkraineConflict #BattlefieldHealthcare #MilitaryMedicine #EmergencyCare #TacticalCombatCasualtyCare #FrontlineMedicine #WarfareInnovations #ConflictZoneMedicine #DrJohnQuinn Article Citation: Quinn J et al. Prehospital Lessons From the War in Ukraine: Damage Control Resuscitation and Surgery Experiences From Point of Injury to Role 2. Mil Med. 2024 Jan 23;189(1-2):17-29. doi: 10.1093/milmed/usad253. PMID: 37647607. 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
A successful MASCAL depends on your ability to Triage effectively. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-214-TCCC-Updates-e2to67f 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
Major changes coming soon to TCCC. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-214-TCCC-Updates-e2to67f 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
Why are they changing MARCH to Resus before managing the Chest? Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-214-TCCC-Updates-e2to67f 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
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
Posting tomorrow...John gives us a behind the curtain look at upcoming TCCC updates. 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
Today we have Dr. Frank Butler, a retired Navy Undersea Medical Officer and an ophthalmologist who served as a Navy SEAL platoon commander prior to attending medical school. Just a few weeks after our interview, President Joe Biden awarded Frank a Presidential Citizens Medal during a White House ceremony. The medal is one of the highest honors a civilian can receive and recognized Frank's many contributions to civilian and military trauma care. Frank is credited with founding Tactical Combat Causality Care, also known as TC Three, which has transformed battlefield medical care and saved thousands of lives. TCCC is now used throughout the U.S. military and much of the world. In today's interview, we talk to Frank about his recent book, “Tell Them Yourself: It's Not Your Day to Die,” which describes the challenges and improvements TCCC has experienced over the past three decades. Frank spent most of his 26-year career in Navy Medicine supporting the Special Operations community. He served a five-year stint as a Diving Medical Research officer at the Navy Experimental Diving Unit in Panama City, Fla., where he helped develop many of the diving techniques and procedures used by Navy SEALs today. Show notes: [00:03:31] Dawn opens the interview asking Frank what it was like growing up in Savannah, Ga., in the 50s and 60s. [00:04:40] Dawn asks Frank about his father, who was an industrial engineer, and who became director of urban housing in Savannah during a time when the city was developing public housing. [00:05:47] Ken asks Frank if it's true that most of his family went into the medical field. [00:06:33] Ken asks Frank about his experience attending a Navy SEALs demonstration during his sophomore year of college. [00:08:09] Dawn asks Frank about his experience going through Navy SEAL training, particularly the Basic Underwater Demolition SEALs School. [00:09:29] Dawn asks if it's true that five people in Frank's family have become Navy SEALs. [00:10:08] Ken explains that after Frank left the SEALs in 1975, he had to figure out what to do next with his life. Frank talks about what led to his decision to go to medical school. [00:11:14] Ken asks Frank how he ended up at Jacksonville Naval Hospital to do an internship in family medicine. [00:11:46] Dawn explains that after Frank's internship, he was assigned to the Navy Experimental Dive Unit. She asks him to talk about this experience. [00:12:25] Frank talks about some of the projects he worked on during this period. [00:14:43] Ken asks Frank how he decided on ophthalmology as his surgical specialization. [00:15:47] Dawn asks Frank what his experience as a resident at Bethesda Naval Hospital was like. [00:16:52] Dawn explains that after Frank completed his residency, he was assigned to Pensacola Naval Hospital. Dawn asks Frank how he ended up becoming the biomedical research director for the Navy SEALs. [00:18:48] Ken mentions that Frank worked on several important projects as research director for the SEALs, including battlefield trauma care, a tactical athlete program, improved treatment of decompression sickness, and the Navy SEAL nutrition guide. Ken begins by asking Frank to talk about his work on the tactical athlete program. [00:20:33] Dawn explains that another one of Frank's projects as research director for the SEALs was the design of the Navy special warfare decompression computer. Dawn asks Frank to explain what a decompression computer does for a diver. [00:21:35] Dawn asks Frank to elaborate on the process of designing this decompression computer and the algorithm as well as the process of getting it approved for the Navy. [00:23:31] Ken asks Frank to talk about a program he worked on to promote refractive surgery. While this program was initially designed to improve combat vision for SEALs, the program has expanded to all active-duty service members, including aviators.
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
GOD Provides / JESUS SavesPatreon https://bit.ly/3jcLDuZServant MilitoBecome a supporter of this podcast: https://www.spreaker.com/podcast/gunfighter-life-survival-guns--4187306/support.
This show Aaron and Eric talk about the recent victory for Donald Trump winning a landslide election to become the 47th President Nov 5th 2024. They talk about the true impact of him winning vs if Harris had won the election; how would both scenarios affect liberty and the second amendment. Eric also hits on a recent TCCC medical class he attended, and talks about more evidence of why Ham radio and even basic FM/AM radio is crucial for emergencies. HamStudy.org: Cutting edge amateur radio study tools I used an app on my ipad and phone, since I could easily study on the road. Ham Test Prep: Technician (Not Lite version), I believe they have same app on Android HAM Test Prep: Technician on the App Store (apple.com) HF is limited but you will have a section of the 10M band which is in the 28 MHz Basic Emergency Prep FEMAs Basic Preparedness pdf untitled (fema.gov) Prepared by Mike Glover Prepared: A Manual for Surviving Worst-Case Scenarios: Glover, Mike, Carr, Jack: 9780593538142: Amazon.com: Books WE ARE PUMPED TO HAVE A NEW AFFILIATE LINK FOR ORIGIN AND JOCKO FUEL!!! Help support this show by purchasing any of your JiuJitsu gear, Jocko Supplements, books clothing and more... link below. Origin/Jocko Fuel – Bringing back American manufacturing, producing the best Jiu-Jitsu Gis on the market, Jeans, rash guards, and world class supplements to help you on the path. Use EvoSec10 at checkout for 10% off, this helps us greatly. EVOSEC Originusa.com AFFILIATE LINK Tenicor – www.tenicor.com they are educators, and innovators in the holster market. They are firearms instructors themselves, pressure testing their gear in multiple force on force events every year. We support those who do the work. Please visit our new sponsor Training Ground at https://thetrainingground.life Training Ground offers top notch trianing in Jiu Jitsu, Judo, Tang Soo Do and Firearms. An environment where learning is paramount for both students and instructors. Again, patronizing our sponsors helps us greatly.
Anyone familiar with tactical medicine knows the name Dr. Frank Butler—Navy SEAL, captain, ophthalmologist, former director of the SEAL biomedical research program, and one of the founders of tactical combat casualty care (TCCC). Butler's new book Tell Them Yourself: It's Not Your Day to Die is the extraordinary account of how a small group of world-class trauma experts joined forces with America's best combat medics to rewrite the rule book in battlefield medicine—and then to sell these revolutionary new concepts to a disbelieving medical world. Mike McCabe gets some time with one of the most distinguished, decorated and influential medical minds in TCCC to discuss challenges and innovations in battlefield medicine and what those lessons can bring to civilian EMS.
GOD Provides / JESUS SavesPatreon https://bit.ly/3jcLDuZServant MilitoBecome a supporter of this podcast: https://www.spreaker.com/podcast/gunfighter-life-survival-guns--4187306/support.
In this episode we sat with the education coordinator Mrs Woeser Lhamo and student Kunga Palden and Namdol Kunga Palden from the Tibetan Canadian Cultural Centre who are in Dharamshala for a month long Education Tour. Mrs Woeser talks about the centre and its programs while the students talk about their learning experiences in Dharamshala visiting CTA and Non-governmental organisations.
Wieczorne powroty ciemnymi ulicami miasta nie należą do najprzyjemniejszych… dobrze to rozumiemy. Wiążą się z dużą niepewnością, strachem, unikaniem wzroku przechodniów - tak na wszelki wypadek...To nie musi być tak wyglądać.Dziś zapytaliśmy Diego w jaki sposób możesz przygotować się na takie powroty z pracy, czy po prostu z miasta i jak możesz się ochronić przed napastnikiem bez użycia gazu pieprzowego.W tym odcinku dowiesz się:czy można było zapobiec sytuacji, która miała miejsce w Centrum Warszawy?nietypowy sposób na samoobronę,o co zadbać przy wieczornym powrocie do domu,bezpieczeństwo w bloku - dobre praktyki.Kim są nasi Eksperci?Mateusz Kalbarczyk jest przedsiębiorcą, dziennikarzem, wykładowcą akademickim i konsultantem ds. bezpieczeństwa. W biznesie działa na styku mediów, wojska i służb specjalnych.“Diego” jest Żołnierzem Sił Specjalnych, ratownikiem medycznym i specjalistą ratownictwa taktycznego (TCCC) - w Cytadeli jest niekwestionowanym ekspertem od adaptacji działań medycznych do warunków życia cywilnego.-----Po więcej treści zasubskrybuj nasz kanał na YouTube: https://www.youtube.com/@cytadela_proDołącz do naszej społeczności na ccFound:https://ccfound.com/pl/groups/cytadela/1eeb7a4d-7338-6b5e-a48a-312644d9cdc8Odbierz bezpłatny raport "Światu grozi III Wojna?", napisany specjalnie dla nas przez historyka Jurija Felsztyńskiego, który, jak mało kto, zna prawdziwą Rosję, Władimira Putina i Federalną Służbę Bezpieczeństwa, która de facto rządzi na Kremlu: https://www.cytadela.pro/Sprawdź, dlaczego podczas wypadku zgadywanie zabija:https://ccfound.com/pl/marketplace/courses/2807/zdrowie/podczas-wypadku-zgadywanie-zabija
Jest piątek wieczór. To ten jeden, jedyny dzień, w którym nie musisz sprawdzać kalendarza i prześcigać się z listą todo. Wychodzisz z kolegami. Śmiejecie się jak za dawnych lat, gdy tego czasu było więcej, a telefon nie straszył nieodczytanymi wiadomościami z pracy.Idziesz po kolejnego drinka i nagle słyszysz… przerażony krzyk swoich kumpli.Biegniesz do stolika i widzisz jednego z kolegów leżącego na ziemi.Nie oddycha.Tysiące myśli przychodzi Ci do głowy, w końcu jedna przebija się mocniej niż inne: “RKO”!, ”Ale co jeśli połamię mu żebra?”.Każda upływająca sekunda jest na wagę złota. Bo właśnie teraz możesz dać koledze coś, co naprawdę ma znaczenie. Szansę na przeżycie.Pocisz się. Nie pamiętasz kiedy ostatni raz to robiłeś. Nie jesteś gotowy iść na żywioł, chcesz to najpierw przećwiczyć. Niestety, wybór jest zero-jedynkowy: działasz albo czekasz.Dlatego poprosiliśmy Diego - medyka Sił Specjalnych - aby zdradził nam swój algorytm bezpieczeństwa: Co i jak robić - tak abyśmy nigdy nie musieli się wahać, gdy życie bliskiej osoby jest na szali.W tym odcinku dowiesz się:jaka jest procedura udzielania pomocy,o piosence, której rytm ułatwia masowanie serca,co warto wiedzieć o AED,jak najlepiej zachować się na drodze, gdy zbliża się karetka na sygnale,czym jest algorytm MARCH (wojskowy) i CABC (cywilny) i czym się różnią.Kim są nasi Eksperci?Mateusz Kalbarczyk jest przedsiębiorcą, dziennikarzem, wykładowcą akademickim i konsultantem ds. bezpieczeństwa. W biznesie działa na styku mediów, wojska i służb specjalnych.“Diego” jest Żołnierzem Sił Specjalnych, ratownikiem medycznym i specjalistą ratownictwa taktycznego (TCCC) - w Cytadeli jest niekwestionowanym ekspertem od adaptacji działań medycznych do warunków życia cywilnego.-----Po więcej treści zasubskrybuj nasz kanał na YouTube:https://www.youtube.com/@cytadela_proDołącz do naszej społeczności na ccFound:https://ccfound.com/pl/groups/cytadela/1eeb7a4d-7338-6b5e-a48a-312644d9cdc8Odbierz bezpłatny raport "Światu grozi III Wojna?", napisany specjalnie dla nas przez historyka Jurija Felsztyńskiego, który, jak mało kto, zna prawdziwą Rosję, Władimira Putina i Federalną Służbę Bezpieczeństwa, która de facto rządzi na Kremlu:https://www.cytadela.pro/Sprawdź, dlaczego podczas wypadku zgadywanie zabija:https://ccfound.com/pl/marketplace/courses/2807/zdrowie/podczas-wypadku-zgadywanie-zabija
Is Training Arena the next Big Tech innovation for training & education? Is this a more focused versions of Youtube or MasterClass for the tactical & medical(TCCC) world? April created the Training Arena in response to a need she saw in her own life and she is now offering advanced online learning for those who want high level medical & combat training online. Is this Viable? or like many tech start-ups, is it doomed to fail. Lets find out https://armedatlas.locals.com/ trainingarena.com Join us for a members only final segment of the show here(code free24 when you sign up): https://armedatlas.locals.com/post/5432171/big-tech-is-helping-gun-nuts-ep-95 Join our members 24/7 chat on discord 100% Free! https://discord.gg/ERznmkXM4p 00:00 Welcome to Costly Conversations: The Next Elon Musk of 2A? 01:28 the future of medical & Tactical training 02:18 Training Arena: Masterclass for Tactical World? 09:41 Data Privacy for gun owners 18:12 I froze: Near death experience changed my life 38:22 Building a Safer 2A Community: Vetted Training 41:59 your marketing sucks 43:57 using tech to empower teachers/ instructors 47:16 Will this business fail? 47:52 Education and Support 01:13:23 The Importance of Mental Health and Support Networks #Tactical #Veteran #SecondAmendment #Gun Safety and Education #Self-Defense #StrategicMarketing #TechStartup #Startup #Innovations #Technology #FirearmsEducation #ResponsibleGunOwnership --- Support this podcast: https://podcasters.spotify.com/pod/show/costlypod/support
In this conversation, Dennis and John discuss chest trauma management, specifically the use of chest seals and the sequence of interventions. They explore the overuse of chest seals and the potential complications they can cause. They also discuss the importance of assessing the patient and determining if a chest seal is necessary. John shares his insights on the use of finger thoracostomy and the technique for performing it. They also touch on the revision of the TCCC algorithm and the need to prioritize hemorrhage control. The conversation explores the challenges and approaches in operational medicine, emphasizing the need to align policy and guidelines with the experiences of field practitioners. It highlights the importance of preserving the rich experience and lessons learned by experienced personnel. The discussion also delves into the management of chest trauma, specifically focusing on emergent situations and the challenges in current practices. The conversation concludes with the anticipation of future discussions and the potential for further exploration of the topics. Takeaways Chest seals should be used specifically for sucking chest wounds or open pneumothorax. Chest seals can cause tension pneumothorax if used inappropriately. The decision to use a chest seal should be based on the patient's breathing status and the nature of the injury. Negative suction can be beneficial in re-inflating the lung and improving oxygenation in patients with chest trauma. The TCCC algorithm may need revision to prioritize hemorrhage control. Operational medicine requires a balance between algorithmic approaches and the practical experiences of field practitioners. Preserving the experience and lessons learned by experienced personnel is crucial for the development of effective policies and guidelines. Chest trauma management involves various emergent situations, including tension pneumothorax, hemothorax, and pneumothorax. Challenges in chest trauma management include the use of occlusive dressings and the need for surgical interventions. 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
In this conversation, Dennis and John discuss chest trauma management, specifically the use of chest seals and the sequence of interventions. They explore the overuse of chest seals and the potential complications they can cause. They also discuss the importance of assessing the patient and determining if a chest seal is necessary. John shares his insights on the use of finger thoracostomy and the technique for performing it. They also touch on the revision of the TCCC algorithm and the need to prioritize hemorrhage control. The conversation explores the challenges and approaches in operational medicine, emphasizing the need to align policy and guidelines with the experiences of field practitioners. It highlights the importance of preserving the rich experience and lessons learned by experienced personnel. The discussion also delves into the management of chest trauma, specifically focusing on emergent situations and the challenges in current practices. The conversation concludes with the anticipation of future discussions and the potential for further exploration of the topics. Takeaways Chest seals should be used specifically for sucking chest wounds or open pneumothorax. Chest seals can cause tension pneumothorax if used inappropriately. The decision to use a chest seal should be based on the patient's breathing status and the nature of the injury. Negative suction can be beneficial in re-inflating the lung and improving oxygenation in patients with chest trauma. The TCCC algorithm may need revision to prioritize hemorrhage control. Operational medicine requires a balance between algorithmic approaches and the practical experiences of field practitioners. Preserving the experience and lessons learned by experienced personnel is crucial for the development of effective policies and guidelines. Chest trauma management involves various emergent situations, including tension pneumothorax, hemothorax, and pneumothorax. Challenges in chest trauma management include the use of occlusive dressings and the need for surgical interventions. 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
In a recent earnings report call, James Quincey, the CEO of The Coca-Cola Company, outlined the company's financial performance. He noted, "During the quarter, we benefited from strong performance across many of our markets. However, some were impacted by elevated inflation and others by geopolitical tensions and conflict." Despite these challenges, the company disclosed a 12% organic revenue growth. This increase included a 2-point rise in volume, underscoring the firm's ongoing positive annual volume trend. Quincey attributed these results to effective navigation through the markets' fluctuating conditions and the company's unrelenting effort to provide an extensive portfolio of brands and packages to satisfy and engage more consumers. The Coca-Cola Company demonstrated steady financial performance through the fiscal year, marked by 12% organic revenue growth and consistent volume growth. All these occurred amidst adversities such as inflation and geopolitical turmoil. Integral to Coca-Cola's success is the company's strategic investment in marketing transformation, which aligns with its innovative brand campaign, "Create Real Magic." The embodiment of this investment in their operations has amplified consumer engagement and enabled the company to adapt innovatively to changing consumer needs. To drive progress and meet consumer demands, Coca-Cola introduced various strategic initiatives. These include innovative enhancements across the entire beverage portfolio, refining revenue growth management strategies, prioritizing operational agility and efficiency, and expanding packaging options and affordability. These strategic measures have facilitated the company's ability to cater to evolving consumer requirements while simultaneously boosting brand value. The earnings call transcript provided invaluable insights into regional consumer behavior. While consumer expenditure in North America remained stable, a noticeable thrift consciousness was observed among European consumers. Meanwhile, substantial consumer demand emerged from Australia, India, Latin America, Japan, and South Korea. Conversely, macro uncertainties persist in Africa and China, with Middle Eastern consumer behavior influenced by geopolitical tensions. Exhibiting a forward-thinking perspective, CEO James Quincey shared, "During 2023, we achieved our near-term goals while also positioning our business for the long-term. Our all-weather strategy delivered 8% comparable earnings per share growth despite greater than expected 7% currency headwinds. Today, we are leveraging our scale globally and winning locally, which gives us confidence that we can deliver on our 2024 guidance." The Coca-Cola Company plans to carry on implementing its 'all-weather' strategy with focus centers on driving volume growth, addressing inflationary challenges, maintaining their marketing transformation momentum, optimizing revenue growth management execution capabilities, and investing in capacity building for specific brands. The company also expressed its intention to augment dividends while retaining a flexible posture on share repurchases. In conclusion, recent indicators from The Coca-Cola Company's earnings call reveal a competent entity adept at steering through market challenges and adapting suitably to meet changing consumer needs. Taking into account the company's track record and strategy, they are on track toward meeting consumer expectations. However, as with any business, fulfilling future projections will largely depend on adapting to evolving market conditions and successfully managing unforeseen challenges. KO Company info: https://finance.yahoo.com/quote/KO/profile For more PSFK research : www.psfk.com This email has been published and shared for the purpose of business research and is not intended as investment advice.
CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.
This week, Aebhric talks with Brian Foy, former Marine Recon, who became a paramedic and is currently working in Kenya teaching TCCC and Remote Medicine to the military and for civilians.
Dennis is interviewing Dr. John Quinn who's on the ground working Role 1 medical operations for an NGO somewhere in Ukraine. The lessons being learned by John and others during the early days of this conflict and the past 8 years can be used to help those on the ground now and into the future. This is an amazing opportunity to stay informed of current events and prepare ourselves by narrowing expectations and tweaking training. During the interview John stated that anything that can be done to further enable FWB availability and knowledge would be greatly appreciated. In particular, when asked what we could translate, he asked for: Damage Control Resuscitation guidelines to be translated, Prehospital Blood guidelines, anything on Damage Control Surgery for non-surgeons (they have a lot of OB/GYNs and others like OMFS functioning as DCS surgeons at Role 2s). He also stated that they're seeing a TON of TBI "walking wounded" and anything on mild to moderate TBI management would be great. When asked about a trauma registry, John stated that the Ministry of Health is attempting to catalogue all civilian casualty numbers. The Ministry of Defense is VERY close-hold with any info and it would be very hard to elicit the ground-truth there for the time being. John stated that many organizations are using the TCCC cards and all documentation is trying to be written in BOTH Ukranian and English, due to the large number of non-native providers helping in country. They LOVE the DeployedMedicine app, the translation of TCCC and Emergency War Surgery and absolutely look to US and NATO standards of care. 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
Dr. Givens talks about dealing with CBRNE patients in the field. They discuss the need for standardized approaches and clinical guidelines. I'm all about simplifying things and making them user-friendly. The hot zone requires quick thinking and auto injectors for CBRNE agents. They emphasize the importance of TCCC and teamwork. Dr. Givens covers various agents like nerve agents, cyanide, chlorine, and more, offering practical insights for handling them. 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
Get ready to embark on a captivating journey through the pages of military medicine history as we speak with retired Army Colonel Dr. Evan Renz on WarDocs. Dr. Renz, a seasoned General/Trauma Surgeon and Burn Specialist with a rich trove of experience unfolds the evolution of military wound care from the era of World War II to the present day. As we trace the progression from hemorrhage control and debridement to advancements in medications, Damage Control concepts, and the use of innovative wound care technologies, Dr. Renz champions the importance of learning from our past and integrating these lessons into future military medical training. Drawing from his first-hand experience, Dr. Renz guides us through the intricate landscape of wound management in damage control resuscitation and surgery scenarios. We speak about the world of negative pressure wound therapy, starting from his initial use of a Wound Vac in 1997 to its evolution over the years. Experience the crux of Army Medicine as we venture into the crucial considerations surgeons must take when evaluating wounds where a tourniquet is applied to control bleeding and preserve the patient's hemodynamic stability. Our exploration takes a detour to the US Institute of Surgical Research Burn Center in San Antonio, where Dr. Renz shares his valuable insights on complex burns and wound care management. The discussion reveals intriguing practices such as avoiding prophylaxis antibiotics for isolated burn injuries and the strategic use of negative pressure wound treatment. Learn more about the fine balance of initiating and adjusting fluid for patients, the crucial decision-making process involved in combat wound closure, and the pressing need to pass on knowledge and training in the advances of technology. We guarantee that this episode will leave you with a newfound respect for Military Medicine and those who dedicate their lives to its advancement. So, join us for an eye-opening journey into the world of military medicine with Dr. Renz! Chapters: (0:00:00) - Military Wound Care Evolution (0:13:59) - Wound Management in Damage Control (0:28:44) - Burn Center and Wound Care Management (0:46:13) - Decisions in Combat Wound Closure Chapter Summaries: (0:00:00) - Military Wound Care Evolution (14 Minutes) Retired Army Colonel Dr Evan Renz, a General/Trauma Surgeon with extensive experience in training and working at the US Institute of Surgical Research's Burn Unit in San Antonio, provides insights into the evaluation and treatment of complex wounds. He emphasizes the critical importance of documenting and learning from our past to help prepare us for future conflicts and to make sure that these lessons are included in military medical training opportunities. We discuss the changes in wound management from World War II to today, from the importance of hemorrhage control and debridement to advancements in medications and technologies improving wound care. (0:13:59) - Wound Management in Damage Control (15 Minutes) Dr. Evan Renz discusses the importance of wound management in damage control resuscitation. He shares his experience with his first use of a Wound Vac in 1997 and how the use of negative pressure wound therapy evolved over time. We explore the special considerations surgeons must take when evaluating a wound where a tourniquet is in place and how these decisions can help preserve the patient's hemodynamic stability. (0:28:44) - Burn Center and Wound Care Management (17 Minutes) Dr. Renz explains that isolated burn injuries do not require prophylactic antibiotics; however, traumatic combat wounds should be treated with an initial dose of antibiotics in addition to a Tetanus booster. Dr. Renz shares his experience with the use of the Wound Vac in the Burn Center and the key questions that he would ask when taking calls for burn management care. He also explains the importance of avoiding over-resuscitation and how to initiate and adjust fluid for the patient. Finally, he outlines the care that the patient would receive in regard to their wounds once they reach Role 4 or 5 facilities. (0:46:13) - Decisions in Combat Wound Closure (7 Minutes) Dr. Evan Renz shares his experience with the Emergency War Surgery manuals and the use of Wound Vacs in the field. We also discuss the importance of repeating a primary and secondary survey with each transfer of care and how to identify when a wound can or should be closed primarily or covered by a flap or graft. Finally, Dr. Renz speaks to the importance of passing on knowledge and training in the advances of technology so that it is not forgotten. Take Home Messages: Military medicine has evolved significantly from the World War II era to the present day, highlighting the importance of learning from the past to enhance future medical training. Advances in medications and wound management techniques, such as leaving more wounds open and exteriorizing the bowel for abdominal injuries, have marked significant milestones in military medicine. Negative pressure wound therapy has seen remarkable evolution over the years and plays a crucial role in wound management in damage control resuscitation. Surgeons need to make critical considerations when evaluating a wound downstream from a tourniquet in order to preserve the patient's hemodynamic stability. Burn centers play a crucial role in wound care management, with innovative practices like avoiding prophylaxis antibiotics for isolated burn injuries and the strategic use of wound vac. Adjusting and initiating fluid for patients and making critical decisions on combat wound closure are part of the complex process in wound care management. Knowledge and training in technological advances in wound care need to be passed on to future generations to ensure continuous improvement. Initial wound care at the point of injury prioritizes hemorrhage control, as highlighted by the TCCC guidelines. Wound management in damage control resuscitation involves the careful evaluation and treatment of wounds and extensive documentation of each treatment process to guide subsequent care. Wound care management, especially in a resource-limited setting, requires a practical approach, including bedside care, ensuring proper lighting and pain control. Episode Keywords: Military Medicine, Wound Care, Damage Control, Burn Center, Wound Management, Negative Pressure Wound Therapy, Tourniquet, Hemodynamic Stability, Prophylaxis Antibiotics, Image Control, Debridement, Fluid Management, Combat Wound Closure, War Surgery, Wound Vac, Technology Training Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #CombatWoundCare #DrEvanRenz #WarDogsPodcast #MedicalEvolution #MilitaryTraining #BurnInjuries #DamageControlResuscitation #WoundVacTherapy #BattlefieldMedicine 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
Dennis interviews Thomas Trust Have, a former Danish Special Forces operative turned doctor, discussing the challenges of providing medical care in Arctic environments. Thomas emphasizes the extreme conditions, highlighting a hypothetical scenario involving a special operations team enduring frigid temperatures and harsh winds. He underscores the importance of preparation, teamwork, and proper gear in these situations. Thomas also addresses medical considerations such as tourniquet use, fluid warming, and the complexity of providing care in cold conditions. The episode sheds light on the unique challenges faced by healthcare providers in remote, freezing environments. 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
We speak to some of the most extreme medics in some of the world's most remote locations, due to this there can sometimes be an issue with sound quality, so there are a few quality dips in this episode, but we felt it was an important conversation to share. Welcome back to the podcast that explores the exhilarating world of extreme medicine. In today's episode, we delve into the impact of PTSD and PTSI on individuals in high-stress professions like the military. Boxxy shares personal experiences and insights, emphasising the importance of acknowledging emotional trauma and fatigue and the need for early intervention and open communication about mental health. Join us as we uncover the evolving landscape of military medicine, survival training in extreme environments, and the rewarding nature of saving lives. Stay tuned for an adventurous journey into the world of extreme medicine.
This is episode 31 and we give an AAR on the Rifleman Camp training that I helped teach for training Northwest. We taught some basic introduction to TCCC and had a great time incorporating that into a "live fire" stress course on the final day. We also talk about leadership in a small group environment, and discuss the place of religion in a preparedness group or mutual assistance group. Enjoy the show!
Empiric vs deliberate TQ TQ conversion vs. replacement Conversion of TQ to pressure dressing and pressure dressing to non-pressure dressing TQ risks- amputation, compartment syndrome, neurologic or muscle injury, renal failure and more
Picture this - you're in the middle of a war zone, your resources are limited, and lives hang in the balance. Now you're starting to grasp the reality of retired Air Force Chief Master Sergeant Steve Cum's three-decade-long career in the Air Force. In this episode, Steve recounts his remarkable journey, sharing insights on how medical training has evolved over the years, his time in special ops, and his firsthand experiences during the 9-11 deployments, all while highlighting the crucial role of medical personnel in the world's most challenging environments. As Steve takes us through his time as an aeromedical specialist, the challenges he faced in the demanding Independent Duty Technician Course, and his experiences in the Special Operations community, we can't help but marvel at his resilience and dedication to the cause. When he talks about his experience in Afghanistan, his tales of patient care under extreme conditions, and the complex logistics of patient evacuation, you'll feel the tension of life on the frontlines, the adrenaline rush, and the immense responsibility that comes with it. Steve shares valuable leadership lessons that he's picked up from his deployments, his passion for training medical personnel, and the invaluable experiences he gained from his time deployed around the globe. He offers valuable advice to young Air Force airmen looking to make a career in military medicine while reminiscing over the changes he has seen in Air Force Medicine during his illustrious career and contemplating the legacy he hopes to leave in military medicine. Join us as we navigate the highs and lows of a military medic's life with retired Chief Master Sergeant Steve Cum. Chapters: (0:00:00) - Air Force Medic Training and Journey (0:05:20) - Aeromedical Specialist and Independent Duty Medical Technician (0:12:10) - Medical Response to 9-11 Deployments (0:18:52) - Medical Response in War Zone (0:23:38) - Special Operations Medical Training Lessons Learned (0:36:30) - Leadership Lessons and Memorable Deployments (0:40:17) - Success in Military Medicine Chapter Summaries: (0:00:00) - Air Force Medic Training and Journey (5 Minutes) Retired Chief Master Sergeant Steve Cum shares his story of joining the Air Force, as well as the unique opportunities and experiences he encountered throughout his 30 years of Active Duty service. We discuss how the training of Air Force medics has changed from the 1990s to now and the clinical skills they must have to be successful. Steve also shares valuable leadership advice from his distinguished career in Special Operations and at the top strategic echelons of military medicine. (0:05:20) - Aeromedical Specialist and Independent Duty Medical Technician (7 Minutes) Steve describes his first assignment as an Aeromedical Specialist, the challenges of the Independent Duty Technician Course, and his experiences in the Special Operations community. He talks about the various schools he attended in the pre-911 era and explains what motivated him to pursue each one. (0:12:10) - Medical Response to 9-11 Deployments (7 Minutes) We discuss the real-world patient experiences and 9-11 story of Chief Master Sergeant Steve Cum. We explore the planning process for missions and trips, the activation of medical personnel after 9-11, and the priority of establishing medical care at an abandoned Russian airfield. Steve shares his experience coordinating a forklift and setting up a small clinic with limited resources. We learn how the Air Force secured the airfield and how they managed patient movement without vehicles. (0:18:52) - Medical Response in War Zone (5 Minutes) Chief Master Sergeant Steve Cum shares his experience as a medic in Afghanistan. He tells the story of a patient who went into the OR with severe internal bleeding and the process of collecting blood from fellow Soldiers and Airmen. He explains how the team managed to get the patient evacuated for further treatment and shares his story of responding to a JDAM mass casualty. He also discusses the evacuation process for patients and the different types of missions the team flew on. (0:23:38) - Special Operations Medical Training Lessons Learned (13 Minutes) We hear from Chief Master Sergeant Steve Cum about the lessons learned during his deployments, the value of TCCC and Prolonged Field Care in the Special Operations community, and his experience in medical exercises and deployments. We also hear about Steve's passion for training medical personnel and his mission as the Chief of the Medical Enlisted Force for the Air Force Special Operations Command. (0:36:30) - Leadership Lessons and Memorable Deployments (4 Minutes) Chief Master Sergeant Steve Cum recounts his most memorable deployment story from Haiti. He shares the experience of working with the media in the wake of the Haiti earthquake, as well as the process of transporting a patient who had jumped out of a two-story hotel window. We hear about the challenges of getting the man to an appropriate medical facility and how medics play a critical role in en-route care. We also consider the value of this experience in terms of learning about leadership and growing up. (0:40:17) - Success in Military Medicine (6 Minutes) Chief Master Sergeant Steve Cum shares the advice he provides to young Air Force airmen looking to make a career in Military Medicine, the most essential leadership lesson he learned, and the remarkable changes he noticed in Air Force Medicine over his 30-plus year career. He also shares his thoughts on the remarkable young medics coming into the service, as well as the legacy he hopes to leave in Military Medicine. Episode Keywords: Air Force, Medical Training, Special Ops, 9-11 Deployments, War Zone, Aeromedical Specialist, Independent Duty Medical Technician, Patient Care, Logistics, Patient Evacuation, Leadership Lessons, Haiti Earthquake, Military Medicine, Young Medics, Air Force Airmen, TCCC, Prolonged Field Care, Media, JDAM Mass Casualty Hashtags: #MilitaryMedicine #AirForceJourney #MedicOnFrontlines #WarZoneExperiences #SpecialOpsMedics #LeadershipLessons #MilitaryService #AirForceMedic #AirForceTraining 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
Apologies for the hiatus! On this week's episode of the Tiger Bloc Podcast, we feature a good friend and one of the best medical trainers in the business, Dan Bernal of Grizzly Medical! Dan is a former US Army combat medic, having directly saved lives in missions as well as having taught Iraqi and Kurdish medics in joint combat operations. He also served as an on-site TCCC and EMT trainer. Recognizing a severe lack of knowledge for practical first aid training in the civilian world, Dan created Grizzly Medical. The company's mission is to provide the latest in TCCC doctrine and combine this with live simulations in order to bring the most grounded, truth-to-life first-aid training possible to non-professionals. Together, Soju Operator and Dan discuss the insufficiency of current Stop the Bleed training, why you should always be carrying a medical kit, medical misconceptions, first-hand experience in saving a man's life, the tourniquet market, the value of live simulation training, and what his classes offer. Host: Soju Operator Guests: Dan Bernal Shownotes: Soju Operator Follow us on Instagram: https://www.instagram.com/yellow_peril_tactical Follow us on Twitter: https://twitter.com/yptactual Subscribe to our Patreon: https://www.patreon.com/yellow_peril_tactical Follow Grizzly Medical on Instagram: https://www.instagram.com/grizzlymedical/ Follow Grizzly Medica on Facebook: https://www.facebook.com/grizzlymedical/ Visit Grizzly Medica's website and organize host a class: https://grizzlymedical.org/ Music credit: Palm Tree Jam by Ronin Saedi Listen to more: https://viennaundergroundtraxx.bandcamp.com/album/cosmic-conscious https://open.spotify.com/artist/1BxaGq5S5A6Bck2DquttJM
Dennis introduces the Prolonged Field Care (PFC) Podcast 130, welcoming Alex as his guest speaker. Alex, Dan, and Rick are working on a project for the upcoming SOMSA, where they will present the idea of defining the different phases of care in PFC, just like TCCC. They believes that the medics should think about March for taking care of their patients, where they would continue to think about March irrespective of the setting, but maybe through a different lens when they're in PFC. Alex talks about the phases of care in prolonged field care, which are preparation, stabilization, normalization, observation, and transportation, (PSNOT) and compares them to the thought process of doctors in damage control surgery. Dennis and Alex discuss the importance of SOF medics finding time to be good at SOF medicine, and how they need to understand their true capabilities and reach out to others for help when needed. Thank you to Delta Development Team for sponsoring this podcast in part. deltadevteam.com For more content go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective
On today's episode we have with us, Lou & Mike from ZERT to talk about the medical training that we provide and encourage people to seek out. We had a TCCC and Stop the bleed class recently held here at the HQ and members and non members got to learn a bit about why medical training might be the most important tool in their tool box. On the show in the past we have discussed the most realistic scenario you will face and the mindset and gear you need to come out alive and we recently had the chance to put that to the test. Enjoy this weeks episode with long time members of ZERT and what ZERT means to them. The post ZERT Coffee & Chaos 007 – Medical Training Might Be The Most Important Tool In Your Tool Box appeared first on Firearms Radio Network.
We're continuing the regular podcast episodes. This week is a bit random and we discuss a lot of different topics ranging from dumb 2LT purchases to law school/med school. We should have James back for the next episode. 3:00 - preworkout 8:00 - San Antonio, TCCC, BAMC 15:00 - dumb 2LT purchases 27:00 - lawyers/law school, med school 46:00 - good things to buy as a 2LT 1:02:00 - food talk
If you sit on a patient long enough, infection has a greater chance of taking hold and progressing to sepsis, or you may receive a patient who has already been sick for days. Doc Jabon Ellis walks us through the full spectrum from infection and SIRS to sepsis, shock and death. Despite firm CoTCCC and ICRC recommendations for early antibiotics, in the past we may have foregone that luxury because of lighting fast evacuation times, maybe even thinking, ‘they'll take care of it at the next echelon.' A great medic should not only treat their patient but set them up for success at the next echelon, as sepsis is a testament to how poor care during the TCCC phases of care can cost our patients days and weeks in a hospital later. But what if you are your own next echelon? Point of injury to Role 1+ could be your own team house or single litter aid station. Go down the checklist on the right side of the PFC trending chart and make sure you are taking care of anything that could result in an infection. Have you given those antibiotics? How is your airway and respiratory care? Did you replace any dirty IV or IO sites you placed in the field? Are you doing all your procedures an as aseptic manner as much as possible? When will you debride? Are you doing everything you can to prevent pressure ulcers? When will you call for a telemedical consult? When your patient develops a fever? Blood pressure falling? Altered mental status? Do you know how to dilute your 1:1000 epinephrine to use as a push dose pressor? (It's in the Tactical Medical Emergency Protocols) Is an Epi drip appropriate, why or why not? How much fluid will you give to help prop up that BP? All questions that the medic prepared for PFC should be looking to answer. For more content, visit www.prolongedfieldcare.org
Zak Manhire is the Co-Founder & Chief Revenue Officer at Fr0ntier X. Zak is a true partnership expert and led Costa Coffee's commercial strategy and was Commercial Director for EMEA at Monster Energy closely working alongside TCCC. Most recently, he was Chief Commercial Officer for a portfolio company within The Foresight Group. Zak has experience with an endless list of major brands such as Adidas, Coca-Cola, Red Bull, Starbucks, and Uber. In this conversation, we discuss:- Starbucks x Polygon partnership- Knowing your customer- Peter Principle- The drink industry- Pivoting in business- Partnership with LG electronics- Digital mirroring- Making people feel like a shareholder- Music related industries- Fractionalizing subscriptionsFr0ntierXWebsite: fr0ntierx.comTwitter: @Fr0ntierX Discord: discord.gg/fr0ntierxZak ManhireLinkedIn: Zak Manhire --------------------------------------------------------------------------------- This episode is brought to you by PrimeXBT. PrimeXBT offers a robust trading system for both beginners and professional traders that demand highly reliable market data and performance. Traders of all experience levels can easily design and customize layouts and widgets to best fit their trading style. PrimeXBT is always offering innovative products and professional trading conditions to all customers. PrimeXBT is running an exclusive promotion for listeners of the podcast. After making your first deposit, 50% of that first deposit will be credited to your account as a bonus that can be used as additional collateral to open positions. Code: CRYPTONEWS50 This promotion is available for a month after activation. Click the link below: PrimeXBT x CRYPTONEWS50
Description My guest today is Dana Vilander. Dana spent 32 years with the Los Angeles County Sheriff's Department with 26 of those years spent with the elite Special Enforcement Bureau (SEB). In his time at SEB, Dana worked as a K-9, a SWAT operator, and spent 18 years as a tactical paramedic, diver, crew chief, and hoist operator with the Emergency Services Detail. Because of his extensive and unique experience, Dana has taught TEMS/TCCC/tactical medicine, vertical access, ropes, and rural operations to elite tactical units all over the world. Timestamps 1:31 – Dana's Career Path 5:25 – LASD SEB - Emergency Services Detail 10:35 – The History of TEMS/TCCC 13:20 – The Military Research That Gave Rise to TCCC 18:12 – The Origins of Tourniquet Use 22:01 – Law Enforcement's Beginnings with TCCC 24:20 – How to Build and Maintain a TCCC Capability 29:00 – IFAK Configuration 32:06 – Controlling Massive Hemorrhaging 37:34 – Team Based Medical Supplies & Mass Casualty Bags 41:00 – Making TCCC Training Realistic 44:35 – The Beginnings of Tactical Ropes Work 47:50 – Using Cadres to Maintain Domains of Knowledge 49:05 – Why Teams Need a Tactical Ropes Program 52:00 – Dana's Gear Recommendations for Teams Books Recommended Leadership and Training for the Fight – Paul R Howe – ISBN 978-1420889505 About Face: The Odyssey of an American Warrior - Colonel David H. Hackworth and Julie Sherman – ISBN 978-0671695347 Ranger Dawn: The American Ranger from the Colonial Era to the Mexican War – Robert W. Black – ISBN 9780811736008 Contact Info Dana Vilander - dana@vtctraining.com www.vtctraining.com 562-896-6884
How do you make positive change in the world? Coca-Cola VP Sue Lam shares her leadership insights on curating lasting impact for good. Sue is the VP, Global Head of People Insights, Strategy & Culture at the Coca-Cola Company (TCCC). Reporting to the CHRO, she is responsible for leading the center of excellence and shaping the future of TCCC's workforce by developing and executing the company's long-term people, analytics and engagement strategy. Sue works closely with the leadership team to develop and lead global culture and change management efforts on the company's journey to emerge stronger as a networked, agile organization. Additionally, Sue drives the creation and implementation of the people analytics vision and strategy. She is developing HR's capabilities in using data and evidence to support more effective decision making to ensure the business delivers on its promises to shareholders and the communities in which it operates. MAIN TAKEAWAYS FROM THE EPISODE: As a leader your delivery is the delivery of your team Balancing impact with personal needs Ways to deliver on your purpose Hardest lessons in your career When to know when to stay or 'tough it out' with a company Networking recommendations
The Third Coast Chamber Collective is hosting a number of events this summer including summer camps for kids and adults. The TCCC also hosts a Festival which begins on August 12th at locations across northern Minnesota. Cellist and Co-founder of the TCCC, Magdalena Sas and Managing Director of the Itasca Orchestra and Strings Program, Buffy Dege, joined KAXE producer Max Philbrook for a conversation about these events and the importance of unexpected chamber music to northern Minnesota. Click the "Listen" player above to hear the full conversation.
The boy's first medical episode!6 and 7 explain what TCCC (Tactical Combat Casualty Care) is, why it is used by our military, and then dive into the first phase of TCCC; Care Under Fire.Medical training is a severely underappreciated skill in society today, and we hope to change that. As with any concept that we introduce, we're starting with baby steps... Don't let your buddy bleed to death.(We cannot give you medical advice, but we can point you to doctrine. Check our references).References:TC 4-02.1 First AidJoint Trauma System – TCCC Guidelines 2021https://www.deployedmedicine.com/Tourniquets: North American Rescuehttps://www.narescue.com/combat-application-tourniquet-c-a-t.htmlhttp://linktr.ee/hardtimesstrongmenDark Angel Medicalhttps://darkangelmedical.com/sof-t-gen-5/
Mech Medic discusses his experiences as a medic in the military, IFAKs, MARCH, TCCC, and gives insight to what partisans will need to do differently to successfully treat casualties in a combat zone. He runs Stuck Pig Medical, where you can buy IFAKS, bleeder kits, get medical training, and more. Visit his website: https://stuckpigmedical.com/ and follow him on Instagram @stuckpigmedical --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
On today's Coffee with Rich, we will be joined by Dr. Sherman House of Civilian Defender. Dr. Sherman A. House is currently in his third decade as a healthcare provider, and is a Hospital Dentist and Assistant Professor of Oral and Maxillofacial Surgery at the Meharry Medical College in Nashville TN. He is also a Reserve Peace Officer in a busy Middle Tennessee Department. Prior to his career in dentistry, Dr. House was a Fireman and Emergency Medical Technician in Washington State. Concurrently, he was a Shotgun Messenger for several West Coast Armored Truck companies. He participated in security operations at the 1999 WTO Riots in Seattle WA. He holds undergraduate degrees in Law Enforcement, Cell Biology and Philosophy from Gonzaga University. He completed his Doctorate of Dental Surgery at the Meharry Medical College with Honors in Nashville TN. He earned a Hospital Dentistry Certificate as the Chief Resident from the Metro General Hospital also in Nashville. Dr. House is the originator of the CIVILIAN DEFENDER training concept. He has personally saved lives using CPR, Rescue Breathing, AED, TCCC, ACLS, PHTLS and Heimlich Manuever techniques. He has studied extensively in the defensive arts, both armed and unarmed, as well as self-defense law, emergency medicine, criminal psychology, tactical driving and other survival skills, and has certificates from Tom and Lynn Givens (Dr. House is a Rangemaster-Certified Pistol AND Shotgun Instructor), Paul Gomez (Fighting Shotgun), James Yeager (Inaugural Tactical Response Instructor Class Graduate), Gabe White (Light Pin Winner), John Farnam (DTI Instructor), Greg Sullivan (AR Armorer), Rob Edwards (Fighting Pistol), John Chapman (Fighting Rifle), Aaron Little (Fighting Rifle), Dr. William Aprill, Massad Ayoob (MAG20), Larry Vickers (AK Operator), Lee Weems (Pistol and Shotgun), Dave Spaulding (Combative Pistol), Andrew Branca (LOSD TN/KY). Civilian Defender: https://civiliandefender.com/about/ SWAG: https://shop.americanwarriorsociety.com/ American Warrior Society please visit: https://americanwarriorsociety.com/
Dennis had the honor of interviewing Dr. John Quinn who's on the ground working Role 1 medical operations for an NGO somewhere in Ukraine. The lessons being learned by John and others during the early days of this conflict and the past 8 years can be used to help those on the ground now and into the future. This is an amazing opportunity to stay informed of current events and prepare ourselves by narrowing expectations and tweaking training. During the interview John stated that anything that can be done to further enable FWB availability and knowledge would be greatly appreciated. In particular, when asked what we could translate, he asked for: Damage Control Resuscitation guidelines to be translated, Prehospital Blood guidelines, anything on Damage Control Surgery for non-surgeons (they have a lot of OB/GYNs and others like OMFS functioning as DCS surgeons at Role 2s). He also stated that they're seeing a TON of TBI "walking wounded" and anything on mild to moderate TBI management would be great. When asked about a trauma registry, John stated that the Ministry of Health is attempting to catalogue all civilian casualty numbers. The Ministry of Defense is VERY close-hold with any info and it would be very hard to elicit the ground-truth there for the time being. John stated that many organizations are using the TCCC cards and all documentation is trying to be written in BOTH Ukranian and English, due to the large number of non-native providers helping in country. They LOVE the DeployedMedicine app, the translation of TCCC and Emergency War Surgery and absolutely look to US and NATO standards of care.
Law Enforcement Life Coach / Sometimes Heroes Need Help Podcast
I had the pleasure of sitting down with David Berez to discuss his first hand experiences with loosing his best friend from suicide. David discusses the things he realized he should have done and shares with me some simple yet highly effective ways to be part of the solution for a brother in need. It all starts with asking the difficult question. We also discuss his efforts as a resiliency trainer and his work with various non-profits like "Resilient Minds On the Front Lines"Davids Bio:After retiring as a Police Officer on January 1, 2020, I formed Six 4 Consultants LLC as a DUI/DRE Expert and Public Safety Consulting company. I have worked with Lawyers, Media, Businesses, Houses of Worship and Government Agencies to maintain the integrity of the DRE Program and the safety and resiliency of Police Officers. My work expands from New Jersey to Massachusetts and Maryland to Las Vegas. I am an active and published writer, available for public speaking engagements, participate in panel discussions and serve on a volunteer Board of Trustees. I also currently serve as a member of the Hopewell Township Citizens Equity Advisory Committee as the Vice-Chair and as a member of the Juvenile Justice Commission.My Training and Specialties Include: Drug Recognition Expert, DARE/School Resource Officer, Critical 'Infrastructure Specialist, MOI Certified, Narcotics Investigations, Fraud Investigations, DUI, Evidence Technician and Crime Scene Photography, Crash Investigation I, Criminal Investigations, Street Crimes, National Incident Management Systems, Bike Patrol Certified, CPR Instructor, Bleeding Control and TCCC instructor and Risk management.http://www.six4consultants.com/David@SIX4Consultants.comhttps://www.linkedin.com/in/david-berez?lipi=urn%3Ali%3Apage%3Ad_flagship3_profile_view_base_contact_details%3BPh8kLR3dTVK0ij4S5HK%2B%2FA%3D%3D
Mike is a retired Special Agent from Homeland Security Investigations who also worked as a local cop back in the day. Now Mike hosts the ASP Podcast where he deep-dives critical self-defense encounters from both the civilian and public safety worlds. We compare and contrast federal and local law enforcement, and then we talk about some of the aggregate trends and lessons from the interviews he's done since he started the podcast for Active Self Protection. Like what we're doing? Head over to Patreon and give us a buck for each new episode. You can also make a one-time contribution at GoFundMe. Intro music credit Bensound.com
There's a new Training Circular 8-800, Medical Education & Demonstration of Individual Competence (MEDIC), and it is a major change from the last version. This episode is a deep dive into the new TC with the primary enlisted authors, MSG Kaleb Twilligear and MSG Hunter Black. Listen up as they talk about returning the responsibility for a ready medical force to the NCO level. Much of the conversation involves focusing on basic skills, from TCCC at deployedmedicine.com, to the 8-Step Training Model, to Troop Leading Procedures, the 68W STP, and even the Warrior Tasks and Battle Drills in STP 21-1-SMCT. F2s are the most highly trained medics in the conventional force, and we have a responsibility both as medics and NCOs to be familiar with these documents and ensure that we are meeting the standards they set forth. The conversation also includes some strategies on how to work with your leadership on improving medical training at your unit, with a mention of a study linking a provider's familiarity with TCCC to the proficiency of the medics they supervise. There's also a discussion of a study from the Government Accountability Office detailing shortcomings in military medical training.Have a listen and let us know what you think!
We are in the process of finalizing the sTBI protocol for TCCC. This podcast reviews some of the controversies in the use of 23.4% NaCl in the field, and how the discussions evolve. In the meantime it is a great review of sTBI and increased ICP(intracranial pressure). Remember to distinguish between sTBI, increased ICP and herniation. In truama they are on a contiuum of catastrophic injury. THAT OTHERS MAY LIVE
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