Medical device
POPULARITY
Resources: Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure episode on AV access creation: https://www.audiblebleeding.com/vsite-hd-access/ The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access: https://www.jvascsurg.org/article/S0741-5214%2808%2901399-2/fulltext KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update: https://pubmed.ncbi.nlm.nih.gov/32778223/ Venous Hypertension Definition A functioning AV circuit delivers high volume arterial flow towards a stenotic venous segment, causing buildup in pressure and venous hypertension. If there are few or no branching veins between the access and stenosis, thrombosis could occur Etiology The most common etiology is venous stenosis caused by a history of vessel wall trauma by centrally-inserted venous devices such as tunneled and non-tunneled dialysis catheters, central lines, pacemakers, or defibrillator. In a study performed at a large academic medical center1, new hemodynamically significant central venous stenosis was associated with the duration of catheter dependence (26% in patients with CVCs for more than 6 months, versus 11% in patients with CVCs for less than 6 months). PICC lines can directly damage cephalic and basilic veins Venous stenosis can often go undetected until AV access creation occurs Patient Presentation Symptoms of venous insufficiency will be present– most commonly regional edema, in the area of venous stenosis. If there are patent venous branches between the AV anastomosis and the stenotic area, swelling can occur throughout the arm. Pigmentation, induration, dermatosclerosis, and ulceration may also be observed. An extensive collateral network of veins may be visible throughout anterior chest, shoulder, or flank SVC obstruction can result in swelling of the head, neck and shoulders, as well as a feeling of head and neck fullness, airway compromise, and visual problems Normal palpable thrill can be replaced by a strong pulse Dialysis can be complicated by difficulty with needle access, recirculation syndrome, and arm swelling after dialysis sessions. Workup Central vein thrombosis can be hard to detect on ultrasound because clavicle and sternum can block transmission Venography is essential to determine the presence and severity of venous stenosis or occlusion. Prevention The ideal scenario is to avoid central dialysis catheters completely, and this involves evaluating CKD patients and placing AVF or AVG before the need for dialysis arises. If a patient presents placement of an AVF/AVG, it is important to perform venography if a patient has a history of a central venous catheter or clinical signs of venous hypertension. A history of SVC obstruction from any cause can preclude permanent AV access creation in both upper extremities Treatment Endovascular approaches to venous outflow stenosis can be first-line treatment options, due to their minimal risk. They can also be performed at the same time as a diagnostic venogram. Angioplasty alone or with stenting are the endovascular options. In a study by Bakken et al2 that compared primary high-pressure balloon angioplasty versus stenting, primary patency was equivalent between groups, with 30-day rates of 76% for both groups and 12-month rates of 29% for angioplasty and 21% for stenting. Assisted primary patency was also equivalent with a 30-day patency rate of 81% and 12-month rate of 73% for the angioplasty group, 84% at 30 days, and 46% at 12 months for the stenting group. This study, along with others, shows that the major downside of endovascular interventions, whether angioplasty or stenting, often require repeat intervention and have poor long-term patency. For subclavian vein stenosis, angioplasty alone is appropriate due to its anatomical location that can put a stent at risk for extrinsic compression from the first rib and clavicle. Surgical bypass can be performed Possible bypasses include axillary-axillary, axillary-jugular, axillary-right atrial, and axillary-femoral. In these bypasses, the preferred conduits are autogenous saphenous or femoral veins. In cases where the proximal subclavian vein is obstructed, a jugular vein turndown can be performed. In this procedure the distal jugular vein is transected, sewed end-to-side at the distal subclavian vein, effectively acting as a bypass route for that obstructed segment. The Hemoaccess Reliable Outflow (HeRO) Vascular Access Device can be used as a hybrid approach, combining endovascular and open surgical techniques to bypass a central venous occlusion and provide a reliable outflow for dialysis. This device has a PTFE inflow limb that is sewn end-to-side onto the brachial artery. This limb is tunneled subcutaneously and connected to a silicone-coated nitinol outflow catheter that is inserted into a central vein and tracked directly into the right atrium. This effectively bypasses central venous stenoses. In the largest study to date on HeRO access grafts placed in 167 patients,3 HeRO primary and secondary patency was 48.8% and 90.8%, respectively, at 12 months. Interventions to maintain or re-establish patency were required in 71.3% of patients resulting in an intervention rate of 1.5/year. Access-related infections were reported in 4.3% patients. The authors concluded that HeRO device had performed comparably to standard AVGs and had proven superior to tunneled dialysis catheters in terms of patency, intervention, and infection rates. If no treatment options for venous hypertension or outflow obstruction are available, an alternate AV access site can be created, either in the contralateral arm if the SVC is uninvolved, or through placement of femoral AV access or a peritoneal dialysis catheter. Bleeding Access Site Etiology and Risk Factors Bleeding can be caused by high venous pressure after dialysis, pseudoaneurysm rupture, or trauma. Patients with end stage renal disease (ESRD) have a baseline elevated risk of bleeding due to uremia-induced platelet dysfunction and use of systemic anticoagulation within the hemodialysis circuit. Additional risk factors include dialysis through an AV graft, hypertension, longer duration of access use, and compromised integrity of the vascular access due to complications (clotting, infection) or invasive procedures. Dual antiplatelet therapy is also associated with overall bleeding events in ESRD patients. Dialysis patients could be on antiplatelet therapy for management of comorbid cardiovascular risk and/or patency of AV graft Patients with bleeding fistulas often present from their dialysis unit when standard digital pressure at the cannulation site fails to stop the bleeding. This is a very serious condition since most mature fistulas have high blood flow and the patients are at risk for hemorrhagic shock and death. Initial Management The first step of management is to obtain hemostasis. Elevate the limb above the level of the heart and apply firm and directed pressure at the site of bleeding using gauze for at least 30-40 minutes Milosevic et al4 reviewed non-operative management of bleeding fistulas and grafts and found that compared to standard dressings, the use of specialized hemostatic dressings decreased bleeding time at arterial and venous cannulation sites. These hemostatic materials included the IRIS compression bandage and cellulose-based, chitosan-based, poly-N-acetyl glucosamine-based, and thrombin-soaked dressings. There has been a “bottlecap method” described where the hollow side of a bottlecap is pressed on top of the puncture site. Maintaining pressure on the cap will cause the cap to fill with blood and clot, which tamponades the bleeding. The provider can also place a shallow figure-of-8 or purse string stitch just below the skin surface to aid in hemostasis. It is important to avoid placing the suture too deep as this can cause inadvertent fistula ligation. During this process, an assistant applies pressure just proximal and distal to the bleeding site to stop blood flow so the sutures can be placed. If these methods fail to achieve hemostasis, apply a tourniquet proximal to the fistula and tighten it until bleeding stops and the radial pulse is lost. This signifies complete occlusion of arterial inflow to the fistula. Tourniquet use should be limited to 3 hours or less, since limb ischemia beyond this timepoint is associated with permanent neuromuscular damage. Regardless of the method used for initial hemostasis, the patient is at risk for repeat hemorrhage, hematoma formation, vessel stenosis, and thrombosis. They should be evaluated by a vascular surgeon as soon as possible. Definitive Management Definitive management depends on etiology of each case, and there are a variety of interventions that can be pursued (i.e. aneurysmorrhaphy for aneurysmal bleeding) If skin erosion over the conduit is present, it should be assumed that the AV access is infected and emergency intervention should be pursued. A jump graft can be placed through with healthy tissue. A covered stent could be introduced through a separate percutaneous puncture site Finally, coagulopathy can be addressed by administering cryoprecipitate, DDAVP, erythropoietin, estrogen, tranexamic acid. Aneurysms and Pseudoaneurysms Definition and Etiology Aneurysms involve all three layers of the vessel wall and they develop due to hemodynamic changes causing remodeling of the vein wall in an AV fistula. This is necessary for vein maturation, but becomes problematic if the post-anastomotic vein continues to dilate and becomes aneurysmal. Aneurysms can also occur at anastomosis sites due to technical aspects of the surgery. Pseudoaneurysms only involve some layers of the vessel wall caused by repeated puncture for hemodialysis. Both aneurysms and pseudoaneurysms can enlarge due to venous outflow stenosis causing increased intraluminal pressures. Both true aneurysms and pseudoaneurysms can lead to overlying skin erosion and subsequent hemorrhage, pain, AV access dysfunction, and cannulation difficulties. Dialysis cannulation should be avoided at the aneurysmal sites to prevent bleeding complications. Diagnosis They can be diagnosed on ultrasound, which also provide information on flow rates, presence inflow/outflow/stenoses, and vessel diameters. Indications for Treatment Treatment is indicated for aneurysms that are rapidly expanding or ulcerating through the skin surface. These are at high risk for rupture and hemorrhage, which is life-threatening. Treatment is also indicated when the aneurysm occurs at the anastomotic site of the AV fistula, the patient has a cosmetic concern, cannulation becomes difficult, there is concern for infection, or the patient has high-output heart failure that could be exacerbated by high flow through the fistula. Treatment is not indicated in asymptomatic aneurysms, regardless of their size. True aneurysms and pseudoaneurysms are not prone to spontaneous rupture. Treatment Options Aneurysmorrhaphy is the most common treatment. It involves the resection of the aneurysmal vein wall to restore a normal diameter and removal of excess skin. Anastomosis is performed along the lateral wall to prevent issues with cannulation along the suture line. Aneurysm resection with interposition grafting is also possible. If multiple aneurysmal segments require treatment, staging their repairs can allow for continuation of dialysis without needing to place a temporary dialysis catheter. AV access ligation is an appropriate alternative to AV access salvage in certain situations but usually requires excision of the aneurysm/pseudoaneurysm due to the potential to develop thrombophlebitis and the cosmetic appearance of the thrombosed segment. If there is concern for an infected pseudoaneurysm or aneurysm, surgery should include removal of all infected material. References 1. Al-Balas A, Almehmi A, Varma R, Al-Balas H, Allon M. De Novo Central Vein Stenosis in Hemodialysis Patients Following Initial Tunneled Central Vein Catheter Placement. Kidney360. 2022;3(1):99-102. doi:10.34067/KID.0005202021 2. Bakken AM, Protack CD, Saad WE, Lee DE, Waldman DL, Davies MG. Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients. J Vasc Surg. 2007;45(4):776-783. doi:10.1016/j.jvs.2006.12.046 3. Gage SM, Katzman HE, Ross JR, et al. Multi-center Experience of 164 Consecutive Hemodialysis Reliable Outflow [HeRO] Graft Implants for Hemodialysis Treatment. Eur J Vasc Endovasc Surg. 2012;44(1):93-99. doi:10.1016/j.ejvs.2012.04.011 4. Milosevic E, Forster A, Moist L, Rehman F, Thomson B. Non-surgical interventions to control bleeding from arteriovenous fistulas and grafts inside and outside the hemodialysis unit: a scoping review. Clin Kidney J. 2024;17(5):sfae089. doi:10.1093/ckj/sfae089
Wednesday August 13, 2025
Retterview - Gedanken, Wissen und Spaß aus dem Pflasterlaster
Was für eine Woche! Sieben Dienste, Nachtschichten, Leitstellendienst und jede Menge Blaulicht – Samy und Mike sind mit einer geballten Ladung Einsatzstories zurück im Podcaststudio. Und die haben es in sich: Von dramatischen Badeunfällen, missverständlichen Symptomen, einem Hähnchen-Bolus im Pflegeheim bis hin zur kontroversen Tourniquet-Diskussion – diese Folge ist vollgepackt mit echten Geschichten aus dem Rettungsdienst.Du willst wissen, wie sich ein „klassischer Schlaganfall“ am Ende als Hitzschlag entpuppt? Warum ein Tourniquet mal wieder für Gesprächsstoff sorgt? Und was passiert, wenn zwei Notfälle gleichzeitig auf dem Wasser stattfinden? Dann ist diese Folge Pflichtprogramm.Triggerwarnung: In dieser Folge sprechen wir explizit über schwere Verletzungen, blutige Einsatzsituationen, Badeunfälle mit Todesfolge sowie lebensbedrohliche Zustände wie Aspiration und Bolusgeschehen. Wenn dich solche Themen emotional belasten, höre diese Episode bitte nur, wenn du dich dazu in der Lage fühlst. Hosted on Acast. See acast.com/privacy for more information.
"ASRA Answers: Does an Intercostobrachial Nerve Block Alleviate Tourniquet Pain During Upper Extremity Surgery?" From ASRA Pain Medicine News, May 2025. See the original article at www.asra.com/may25news for figures and references. This material is copyrighted. Support the show
When it comes to safety on the farm, a little bit of preparation goes a long way. In this episode of The Dirt, we sit down with Dr. Thomas Bowden, a practicing ER doctor with firsthand insight into the health and safety risks faced by farmers every day. From the basics of first aid to the most life-saving measures on the farm, Dr. Bowden shares what every farmer should know about caring for yourself and others in the field. Discover what to do – and what not to do – during common farm incidents, why every farm needs a well-stocked first aid kit, how to respond to a broken bone, how to respond while waiting for EMS to arrive, what to do in the event of a snake bite, how to recognize and address heat stress and more on this exciting episode. Looking for the latest in crop nutrition research? Visit nutrien-ekonomics.com Subscribe to our YouTube channel: https://www.youtube.com/@NutrieneKonomics
In dieser Live-Ausgabe werfen wir einen intensiven Blick auf den russischen Angriffskrieg gegen die Ukraine. Hosts Stefan Niemann und Philipp Abresch diskutieren mit der ARD-Korrespondentin für die Ukraine, Rebecca Barth, in der Hamburger Zentralbibliothek. Rebecca berichtet seit vielen Jahren aus dem Land. Den Beginn des russischen Angriffs vor über drei Jahren hat sie direkt an der Front miterlebt. Seither beobachtet sie täglich, wie die Menschen versuchen, den Bomben, Raketen und Drohnen zu trotzen. In Kiew schläft sie immer mit offenem Fenster: "Wenn ballistische Raketen kommen, dann weißt du, das geht schnell und dann knallt es wirklich sehr, sehr heftig. Drohnenangriffe dauern dagegen Stunden." Wie viel Rückhalt in der Bevölkerung hat der ukrainische Präsident Selenskyj im vierten Jahr des russischen Angriffskriegs? Russlands Machthaber Putin nennt ihn einen Nazi. US-Präsident Trump hat ihn öffentlich gedemütigt. Auch darüber spricht Rebecca Barth im Live-Podcast. Vor allem aber erzählt Rebecca eindrücklich vom Alltag im Krieg: Wie sieht es an der Front aus und was passiert, wenn nachts die Sirenen heulen? Dann verlässt sie schnell die Wohnung mit Zigaretten und Handy. "Ich habe griffbereit lange Hose, Pulli und irgendwie eine Jacke und Schuhe, wo man schnell rein hüpfen kann." Aus ihrer Handtasche holt Rebecca ein "Tourniquet" und zeigt dem Publikum, wie man den Gurt mit Klettverschluss um einen verletzten Arm bindet und damit eine Wunde abbindet und Leben retten kann. Ein besonderer Abend – Podcast-Premiere mit Publikum. Danke an alle, die live dabei waren – und jetzt auch an euch, die unser Gespräch mit Rebecca hier auf alle Podcast-Plattformen verfolgen. ----- Moderation: Philipp Abresch und Stefan Niemann Korrespondentin: Rebecca Barth Redaktion: Anna Leier, Philipp Abresch, Udo Schmidt, Stefan Niemann, Astrid Corall Mitarbeit: Caroline Mennerich, Nils Kinkel, Anna Stosch Redaktionsschluss: 12.06.2025 ----- Diese und alle weiteren Folgen vom Weltspiegel Podcast findest du in der ARD Audiothek: https://www.ardaudiothek.de/sendung/weltspiegel-podcast/61593768/ ----- Alle Folgen des NDR Info Podcast Streitkräfte und Strategien findet ihr hier: https://www.ardaudiothek.de/sendung/streitkraefte-und-strategien/7852196/ ----- Fragen, Anregungen und Kritik gerne an weltspiegel.podcast@ard.de.
In dieser Live-Ausgabe werfen wir einen intensiven Blick auf den russischen Angriffskrieg gegen die Ukraine. Hosts Stefan Niemann und Philipp Abresch diskutieren mit der ARD-Korrespondentin für die Ukraine, Rebecca Barth, in der Hamburger Zentralbibliothek. Rebecca berichtet seit vielen Jahren aus dem Land. Den Beginn des russischen Angriffs vor über drei Jahren hat sie direkt an der Front miterlebt. Seither beobachtet sie täglich, wie die Menschen versuchen, den Bomben, Raketen und Drohnen zu trotzen. In Kiew schläft sie immer mit offenem Fenster: "Wenn ballistische Raketen kommen, dann weißt du, das geht schnell und dann knallt es wirklich sehr, sehr heftig. Drohnenangriffe dauern dagegen Stunden." Wie viel Rückhalt in der Bevölkerung hat der ukrainische Präsident Selenskyj im vierten Jahr des russischen Angriffskriegs? Russlands Machthaber Putin nennt ihn einen Nazi. US-Präsident Trump hat ihn öffentlich gedemütigt. Auch darüber spricht Rebecca Barth im Live-Podcast. Vor allem aber erzählt Rebecca eindrücklich vom Alltag im Krieg: Wie sieht es an der Front aus und was passiert, wenn nachts die Sirenen heulen? Dann verlässt sie schnell die Wohnung mit Zigaretten und Handy. "Ich habe griffbereit lange Hose, Pulli und irgendwie eine Jacke und Schuhe, wo man schnell rein hüpfen kann." Aus ihrer Handtasche holt Rebecca ein "Tourniquet" und zeigt dem Publikum, wie man den Gurt mit Klettverschluss um einen verletzten Arm bindet und damit eine Wunde abbindet und Leben retten kann. Ein besonderer Abend – Podcast-Premiere mit Publikum. Danke an alle, die live dabei waren – und jetzt auch an euch, die unser Gespräch mit Rebecca hier auf alle Podcast-Plattformen verfolgen. ----- Moderation: Philipp Abresch und Stefan Niemann Korrespondentin: Rebecca Barth Redaktion: Anna Leier, Philipp Abresch, Udo Schmidt, Stefan Niemann, Astrid Corall Mitarbeit: Caroline Mennerich, Nils Kinkel, Anna Stosch Redaktionsschluss: 12.06.2025 ----- Diese und alle weiteren Folgen vom Weltspiegel Podcast findest du in der ARD Audiothek: https://www.ardaudiothek.de/sendung/weltspiegel-podcast/61593768/ ----- Alle Folgen des NDR Info Podcast Streitkräfte und Strategien findet ihr hier: https://www.ardaudiothek.de/sendung/streitkraefte-und-strategien/7852196/ ----- Fragen, Anregungen und Kritik gerne an weltspiegel.podcast@ard.de.
In dieser Live-Ausgabe werfen wir einen intensiven Blick auf den russischen Angriffskrieg gegen die Ukraine. Die Hosts Stefan Niemann und Philipp Abresch diskutieren mit der ARD-Korrespondentin für die Ukraine, Rebecca Barth, in der Hamburger Zentralbibliothek. Rebecca berichtet seit vielen Jahren aus dem Land. Den Beginn des russischen Angriffs vor über drei Jahren hat sie direkt an der Front miterlebt. Seither beobachtet sie täglich, wie die Menschen versuchen, den Bomben, Raketen und Drohnen zu trotzen. In Kiew schläft sie immer mit offenem Fenster: "Wenn ballistische Raketen kommen, dann weißt du, das geht schnell und dann knallt es wirklich sehr, sehr heftig. Drohnenangriffe dauern dagegen Stunden." Wie viel Rückhalt in der Bevölkerung hat der ukrainische Präsident Selenskyj im vierten Jahr des russischen Angriffskriegs? Russlands Machthaber Putin nennt ihn einen Nazi. US-Präsident Trump hat ihn öffentlich gedemütigt. Auch darüber spricht Rebecca Barth im Live-Podcast. Vor allem aber erzählt Rebecca eindrücklich vom Alltag im Krieg: Wie sieht es an der Front aus und was passiert, wenn nachts die Sirenen heulen? Dann verlässt sie schnell die Wohnung mit Zigaretten und Handy. "Ich habe griffbereit lange Hose, Pulli und irgendwie eine Jacke und Schuhe, wo man schnell rein hüpfen kann." Aus ihrer Handtasche holt Rebecca ein "Tourniquet" und zeigt dem Publikum, wie man den Gurt mit Klettverschluss um einen verletzten Arm bindet und damit eine Wunde abbindet und Leben retten kann. Ein besonderer Abend – Podcast-Premiere mit Publikum. Danke an alle, die live dabei waren – und jetzt auch an euch, die unser Gespräch mit Rebecca hier auf alle Podcast-Plattformen verfolgen. Lob und Kritik an streitkraefte@ndr.de So berichtet Rebecca Barth für die ARD aus Kiew: https://www.tagesschau.de/korrespondenten/rebecca-barth-101.html Alle Folgen von "Streitkräfte und Strategien" zum Nachhören https://www.ndr.de/nachrichten/info/podcast2998.html Alle Folgen des "Weltspiegel Podcasts" https://www.ardaudiothek.de/sendung/weltspiegel-podcast/61593768/
We're chatting to Captain Kerry from 'Below Deck' tomorrow but Nikki would likely fare A LOT better than Luttsy on the high seasSee omnystudio.com/listener for privacy information.
An SOTGU alumnus recently saved a life by using his training and a Rapid Tourniquet. We bring the gentleman on to discuss the incident and consider how his training made a difference. There are many lessons to be learned. During our SOTG Homeroom we will examine the recent terror attack in Boulder, Colorado. A missionary from the Religion of Peace and Brotherhood decided to spread the message of love and tolerance by throwing fire bombs at a crowd of people. What could have been done to stop him? Also, during our Tech Talk from EOTech Inc., Professor Paul will consider the importance of testing gear and accessories. Tune in and listen louder. TOPICS COVERED THIS EPISODE Huge thanks to our Partners: EOTech | Spike's Tactical [0:02:25] EOTech Talk - EOTechInc.com TOPIC: It is always important to test your gear - The C93, or That Other 5.56mm Rifle www.shootingnewsweekly.com [0:13:52] SOTG Homeroom - SOTG University TOPIC: Man attacks Colorado crowd with firebombs, 8 people injured www.reuters.com [0:31:04] SOTGU Alumnus Saves Life with Rapid Tourniquet - ShopSOTG.com
CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.
This week, we have another MiM25 presentation from Dr John Quinn discussing Damage Control Resuscitation in large-scale combat operations, particularly in Ukraine. He shares insights from his extensive experience in emergency medicine and highlights the unique challenges faced in combat medicine, including medical logistics, terminology, and telemedicine. Dr. Quinn emphasises the importance of training, clinical governance, and the need for effective blood supply management in austere environments. The conversation also touches on the evolving practices in casualty care and the impact of modern warfare on medical operations.TakeawaysUkraine has surpassed NATO in counterinsurgency experience.Effective medical planning is crucial for combat operations.Telemedicine enhances clinical decision-making in remote areas.Logistical challenges significantly impact casualty evacuation.Understanding the terminology is essential for interoperability.Innovations like RBOA are being utilised in combat medicine.Training and capacity building are vital for partner forces.Blood supply issues are critical in combat settings.Tourniquet management is a significant concern in Ukraine.Plasma is being used due to a lack of blood supply.Chapters00:00 Introduction to the CoROM Podcast00:45 Dr. John Quinn's Background and Experience02:13 Key Assumptions in Damage Control Resuscitation03:42 Medical Planning in Large-Scale Combat Operations05:11 Challenges in Medical Logistics and Command07:35 Understanding Terminology and Echelons of Care09:58 Tactical Combat Casualty Care and Innovations11:52 Telemedicine's Role in Combat Medicine13:47 Challenges in Casualty Evacuation15:40 Logistical Challenges in Blood Supply17:34 Wounding Patterns and Weapon Systems19:50 Medical Evacuation in Challenging Environments22:35 Training and Capacity Building in Ukraine24:59 Clinical Governance and Standards in Ukraine27:39 Transfusion Practices and Challenges30:54 Addressing Tourniquet Issues and Training33:39 Plasma Use and Blood Supply Challenges36:51 Conclusion and Future Directions
This conversation delves into the critical aspects of tourniquet management in trauma care, focusing on the distinction between tourniquet conversion and replacement, the importance of resuscitation, and the physiological implications of prolonged tourniquet use. The speakers discuss techniques for safe conversion, the challenges faced in the field, and the assessment of limb salvageability, emphasizing the need for preparedness and patient assessment in high-stress environments. This conversation delves into the complexities of patient care in trauma situations, focusing on the challenges faced by medics in making critical decisions about limb salvage, managing acidosis, and understanding reperfusion injury. The speakers emphasize the importance of resuscitation, the need for adequate resources, and the moral dilemmas that arise in emergency medical situations. They provide practical advice for medics on how to navigate these challenges effectively while ensuring patient safety and care quality.TakeawaysTourniquet conversion is essential in trauma care.Understanding the difference between conversion and replacement is crucial.Resuscitation is a key factor before converting a tourniquet.The two-hour mark for tourniquet use is based on physiological considerations.Prolonged tourniquet time can lead to significant metabolic issues.Be prepared for reperfusion injury when converting a tourniquet.Confidence in tourniquet conversion skills is often lacking among providers.Patient assessment is critical before converting a tourniquet.Limb salvageability can vary and should be assessed carefully.The decision to convert a tourniquet should prioritize patient stability. Imperfect situations require difficult decisions in patient care.Triage decisions are crucial when resources are limited.Resuscitation is the primary goal in trauma care.Understanding reperfusion injury is essential for medics.Managing acidosis can significantly impact patient outcomes.Blood transfusions are critical in trauma situations.Medics must be prepared for potential complications.Always monitor and assess the patient's condition continuously.Reading medication labels is vital for safe practice.Confidence in converting tourniquets is essential for medics.Chapters00:00 Introduction to Tourniquet Management02:56 Understanding Tourniquet Conversion vs. Replacement06:10 Resuscitation Goals and Tourniquet Timing08:58 Physiological Implications of Prolonged Tourniquet Use11:47 Techniques for Safe Tourniquet Conversion15:09 Challenges in Tourniquet Management17:53 Assessing Limb Salvageability and Patient Stability25:44 Navigating Imperfect Situations in Patient Care30:32 Triage Decisions: When to Save a Limb31:03 Understanding Reperfusion Injury and Its Challenges35:43 Managing Acidosis in Trauma Patients46:34 Advice for Medics: The Importance of ConversionThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
On this episode of The Rumors Are True, we're joined by none other than Luke Easter, best known as the longtime frontman of pioneering Christian metal band Tourniquet, and now stepping boldly into his own as a solo artist.Luke opens up about his time with Tourniquet—what it was like stepping into an already iconic band, helping shape its evolving sound, and carrying the torch as vocalist for over two decades. We talk about the highs, the creative process behind some of the band's most memorable records, and the eventual departure that led him down a new musical path.Now blazing his own trail as a solo artist, Luke shares how his music has shifted, what he's learned about himself creatively, and why this next chapter might be his most personal yet. From metal to melody, grit to grace—this conversation covers it all.Expect behind-the-scenes stories, laughs, candid moments, and thoughtful reflections from an artist who's seen a lot, grown even more, and is still finding new ways to connect through music.Whether you grew up on Pathogenic Ocular Dissonance or just discovered his solo work, there's something here for you.Produced by Wesley Hill @thebigwesArtwork by Jared Chase Bowser @jaredchasebowserMusic by Brian Jerin R.I.P.
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
When SWAT medic Casey Cheshier set out for a routine return trip from Catalina Island, he didn't expect to collide with a whale at 60 mph — or fight for his life in open ocean. In this raw and riveting episode, Scott sits down with the LA County Sheriff's Department's elite rescue paramedic to unpack a day that turned into a survival thriller. From near-fatal leg injuries to hypothermia, a malfunctioning boat, and sheer mental grit, Casey walks us through how training, mindset, and brotherhood saved his life. We also get an inside look at LA's elite tactical rescue teams — where jumping from helicopters, diving into bodies, and explosive breaching are just another Tuesday. This is not your average cop story. It's a blueprint in resilience, real-world leadership, and never giving up.Chapters:00:00:00 - Welcome to the Wildest Survival Story00:00:43 - From Sheriff's Deputy to SWAT Elite00:01:08 - Inside the Grueling Life of Tactical Lawmen00:03:09 - Earning the Badge: No Easy Road00:04:22 - Five Years in Hell: Jailhouse to Justice00:08:57 - Boats, Guns, and Deep-Water Missions00:14:03 - The Day a Whale Nearly Killed Me00:38:35 - Blood, Bones, and Life-or-Death Decisions00:39:06 - Floating and Fading: The Body Fights Back00:40:43 - When Training Becomes Your Only Lifeline00:41:59 - A Tourniquet, a T-Shirt, and Sheer Grit00:42:36 - The Rescue Helicopter That Found Me00:44:34 - Calling Home from a Hospital Gurney00:48:21 - Waking Up Broken, Not Beaten00:52:12 - The Painful Climb Back to Life00:54:59 - Am I Still the Same Man?01:20:11 - The Heel Bone You Can't Replace01:20:48 - Building a Foot with Science01:23:07 - Bureaucracy vs. Survival: The Compensation Battle01:33:44 - Physical Rehab and Mental Warfare01:42:06 - Back in Uniform, Scarred But Strong01:48:10 - What Comes After You Beat Death?Links and Resources:Casey on LinkedInCasey on InstagramTreading Water: Survival and Surviving the Recovery------------This podcast is paid for and brought to you by.... by me, Scott Groves :-) Because I think these kind of long form conversations are valuable, I pay for 100% of the production of this show out of my pocket. This channel is FAR from monetization and because of the subject matter, may never be monetized. I am a Mortgage Loan Officer & Loan Officer Coach in real life. It's the money that I earn, from helping home-buyers and home-owners obtain home-loans, that pays for this show. If you, your friends, or your family are looking for a home loan from an honest Loan Officer, please contact me at Scott@ScottGrovesTeam.com or find all my links to connect HERE: www.LinkTr.ee/ScottLGrovesI can do the loan for you (our team is licensed in 8 states) - OR - I can refer you to an amazing loan officer in the state where you're searching. ON WITH THE SHOW!!!New Full Episodes are released every THURSDAY at 10:00am and clips are released frequently throughout the week. SO MAKE SURE YOU SUBSCRIBE!!! -------------Thank you for checking out the Podcast. We're building our community AS WE SPEAK and would love it if you checked us out in one of our communities:On The Edge Podcast Community & Facebook Group on Facebook: https://www.facebook.com/groups/ontheedgepodcast/On The Edge Podcast Page on Facebook: https://www.facebook.com/MeetScottGrovesOn The Edge Podcast on Locals: https://reddotbluestate.locals.com/Instagram: www.Instagram.com/ScottLGroves------------www.OnTheEdgePodcast.com-----------Do YOU or SOMEBODY YOU KNOW want to be featured in the podcast? Questions, inquiries, booking a show? Any topics or people you'd like us to cover?Send us an email: scott@ontheedgepodcast.com-----------Spread the word and help us out! It doesn't cost a thing to hit that Like Button, Subscribe, and turn on the notification bell. Comments are appreciated and will be responded to! Doing any of these things tells the YouTube Algorithm that you like what you see and helps others find us as well!-----------
In today's episode of Ditch the Lab Coat, we dive into the raw, real-world chaos of trauma that unfolds beyond the controlled environment of a hospital. Dr. Mark Bonta is joined by Dr. Andrew Petrosoniak, a trauma director and emergency medicine expert who specializes in designing effective healthcare systems, to explore the unpredictable nature of street-level emergencies.Throughout the episode, the duo unpacks the reality of responding to accidents in real-world settings, where medical tools are limited and the stakes are high. From discussing the importance of overcoming the bystander effect to the critical role of tourniquets in stopping a traumatic bleed, Dr. Petrosoniak shares actionable insights that go beyond traditional medical scenarios.Dr. Petrosoniak reflects on his experience with high-stress situations, emphasizing the power of a calm presence and strategic communication to provide reassurance until professional help arrives. The conversation highlights how anyone, not just medical professionals, can make a significant difference during emergencies through basic actions like calling for help and offering reassurance.Listeners are encouraged to rethink what being prepared means, urging them to consider keeping essential items like a tourniquet, defibrillator, and first aid kit nearby. This episode serves as a poignant reminder that life-saving efforts often start not in the ER but at the scene of an accident, where immediacy, intuition, and courage can have the most profound impact.Join Dr. Bonta and Dr. Petrosoniak as they explore the instinctual side of emergency response, sharing both practical advice and engaging anecdotes from the frontline of trauma care.Episode HighlightsApplying Tourniquets Properly Apply a tourniquet tightly enough to stop bleeding below the site. This is crucial in emergencies to prevent excessive blood loss.Understanding Trauma's Reality Trauma doesn't happen in a controlled environment. Real-life situations require quick thinking and improvisation with limited resources.Importance of the Bystander Effect Overcome the bystander effect by taking charge in emergency situations. Your presence and action can make a significant difference.Street-Level Medical Preparedness Real-life medical emergencies demand an understanding of how to act without hospital tools – a phone call and support can be vital.Interpreting Blood Loss Know signs of severe blood loss—confusion and cold extremities—rather than estimating based on visible blood alone.Role of First Responders Sometimes non-medical professionals, like St. John Ambulance volunteers, are better prepared for emergencies due to their specific training.Communication in Crisis In emergencies, communicate clearly, outlining the plan to provide comfort, rather than giving false assurances of safety.Understanding Electrical Injuries High-voltage injuries are extremely dangerous. Never approach if there's a risk of being electrocuted. Safety should be our top priority.Value of Proper Equipment Keeping simple equipment like a tourniquet and blanket in your car can be life-saving during an unforeseen emergency.Preparedness Beyond Hospitals Being prepared for emergencies means more than medical skills. It's about readiness to act and show compassion, no matter where you are.Episode Timestamps04:44 — Thrill-seeking risks and physiological reactions08:12 — Managing stress and preparedness in emergencies11:54 — Immobilization advice after falls15:55 — Survival odds after high falls18:20 — Crisis communication in prehospital care22:35 — Ski injury first-aid and bystander concerns26:09 — Tourniquet use: prioritize stopping bleeding27:01 — Emergency situational awareness tips31:29 — Assessing blood loss in hospital settings33:31 — Understanding the impact of blood loss36:38 — Electrocution safety and response challenges39:56 — “Mark's Power Room Dilemma”43:58 — Simplifying trauma response protocols45:48 — Compassion in crisis: the human side of trauma careDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization a
Welcome to Episode 44 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 44 of “The 2 View” – The Pitt, Cardiac Arrest in Young People, and Influenza Associated Encephalopathy. Segment 1 – Fraud and Conspiracy and Schemes, Oh My! Florida Physician Assistant Pleads Guilty to a $7.3 Million Health Care Fraud Conspiracy. United States Attorney's Office: District of New Hampshire. United States Department of Justice. Justice.gov. December 3, 2024. https://www.justice.gov/usao-nh/pr/florida-physician-assistant-pleads-guilty-73-million-health-care-fraud-conspiracy Nurse Practitioner Sentenced To Five Years In Prison For $11.2 Million Disability Loan Fraud Scheme. United States Attorney's Office: Sothern District of New York. United States Department of Justice. Justice.gov. February 5, 2025. https://www.justice.gov/usao-sdny/pr/nurse-practitioner-sentenced-five-years-prison-112-million-disability-loan-fraud The Board of Certification for Emergency Nursing. BCEN. February 17, 2023. http://www.bcen.org Segment 2 – Prehospital Tourniquet Application Rittblat M, Gendler S, Tsur N, Radomislensky I, Ziv A, Bodas M. The cost of saving lives: Complications arising from prehospital tourniquet application. WILEY Online Library. Acad Emerg Med. December 16, 2024. https://onlinelibrary.wiley.com/doi/10.1111/acem.15070 The Center for Medical Education. 2 View: Emergency medicine PAs & NPs: 41 - RCVS and CVT, CPR Care Science, Prehospital Tourniquets, Blood Pressure. 2 View: Emergency Medicine PAs & NPs. January 22, 2025. https://2view.fireside.fm/41 Segment 3 – Cardiac Arrest in Young People Chia MYC, Lu QS, Rahman NH, et al. Characteristics and outcomes of young adults who suffered an out-of-hospital cardiac arrest (OHCA). NIH: National Library of Medicine – National Center for Biotechnology Information. PubMed. Resuscitation. February 2017. https://pubmed.ncbi.nlm.nih.gov/27923113/ Parekh S. Teen athlete saved after cardiac arrest speaks out: What to know about lifesaving role of CPR, AEDs in schools. GMA. ABC News. September 6, 2024. https://www.goodmorningamerica.com/wellness/story/teen-athlete-saved-after-cardiac-arrest-speaks-lifesaving-113460919 The Center for Medical Education. 2 View: Emergency medicine PAs & NPs: 42 - Pink Cocaine, Holiday Heart Syndrome, Pertussis, Research Updates, and More! 2 View: Emergency Medicine PAs & NPs. February 12, 2025. https://2view.fireside.fm/42 Tseng Z, Nakasuka K. Out-of-Hospital Cardiac Arrest in Apparently Healthy, Young Adults. JAMA Network. Jamanetwork.com. February 20, 2025. https://jamanetwork.com/journals/jama/article-abstract/2830678 Segment 4 – Influenza Associated Encephalopathy Fazal A, Reinhart K, Huang S, et al. Reports of Encephalopathy Among Children with Influenza-Associated Mortality - United States, 2010-11 Through 2024-25 Influenza Seasons. CDC: Morbidity and Mortality Weekly Report (MMWR) Morb Mortal Wkly Rep. February 27, 2025. https://www.cdc.gov/mmwr/volumes/74/wr/mm7406a3.htm Surtees R, DeSousa C. Influenza virus associated encephalopathy. NIH: National Library of Medicine – National Center for Biotechnology Information. PMC: PubMed Central. Arch Dis Child. June 2006. https://pmc.ncbi.nlm.nih.gov/articles/PMC2082798/ Segment 5 – The Pitt Max. The Pitt | official trailer | Max. Accessed March 27, 2025. https://www.youtube.com/watch?v=ufR_08V38sQ The Pitt. Max. Accessed March 27, 2025. https://www.max.com/shows/pitt-2024/e6e7bad9-d48d-4434-b334-7c651ffc4bdf Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!
On a mission, Polly Barrow finds an unexpected ally in the dead streets of Tourniquet.CW: Family strife, discussion of monster based kinks and the unnatural conception of a child, risk of harm by weather related motor accident.Written by Steve Shell and Cam CollinsNarrated by Steve ShellSound design by Steve ShellProduced and edited by Cam Collins and Steve ShellThe voice of Polly Barrow: Tracey Johnston CrumThe voice of Brother Bartholomew: Dr. Ray ChristianThe voice of Conrad Barrow: Cecil BaldwinThe voice of Benual Barrow: Brandon BentleyIntro music: “The Land Unknown (The Home is Nowhere Verses-Traditional)” written and performed by Landon BloodOutro music: “God's Dark Heaven” by Those Poor BastardsSpecial equipment consideration provided by Lauten Audio.LEARN MORE ABOUT OLD GODS OF APPALACHIA: www.oldgodsofappalachia.comCOMPLETE YOUR SOCIAL MEDIA RITUAL:FacebookInstagramBlueskySUPPORT THE SHOW:Join us over at THE HOLLER to enjoy ad-free episodes, access exclusive storylines and more.Find t-shirts, hoodies, mugs, and other Old Gods merch at oldgodsmerch.com.Transcripts available on our website at www.oldgodsofappalachia.com/episodes. Get Build Mama a Coffin, Black Mouthed Dog and other exclusive content on Patreon!Support this show http://supporter.acast.com/old-gods-of-appalachia. Hosted on Acast. See acast.com/privacy for more information.
One teen jumped into action and applied a tourniquet to his mom’s arm after she cut herself after a fall. AND The couple were high school sweethearts who spent 73 years apart and found each other once again. To see videos and photos referenced in this episode, visit GodUpdates! https://www.godtube.com/blog/applied-a-tourniquet-shoelaces.html https://www.godtube.com/blog/couple-spent-73-years-apart.html Discover more Christian podcasts at lifeaudio.com and inquire about advertising opportunities at lifeaudio.com/contact-us.
Noob Spearo Podcast | Spearfishing Talk with Shrek and Turbo
Interview with Josh Humbert Todays interview is with Josh Humbert, a returning guest and pearl farmer in Tahiti that recently suffered a shark attack. Hear Josh's story of the attack and get his takeaways on what caused the accident to happen + how you can avoid this happening to you. Josh runs an eco-friendly pearl farm an absolutely spectacular part of the world. As a result, he deals with sharks literally every single day. Find out what happened, what was different and his recommendations on keeping yourself safe. He is on the path to recovery but could sure use your help! If you know anything or have resources that can help his leg heal from what he mentions in the podcast, please reach out to Josh or to Shrek@NoobSpearo.com Important times 00:00 Intro 07:05 Welcome back Josh! 08:30 You had a shark attack! What happened?! 12:40 Here is what I did wrong: I didn't have a buddy. 16:30 If you have to spearfish alone, scan your surroundings when you ascend 19:05 Don't become complacent 20:05 Tourniquet essentials and breathwork to deal with the pain 25:45 34:25 Where to from here for diving and your pearl farm? 43:50 Living in Tahiti 48:10 Spearfishing in the Pacific North West and shooting 2 record Cabazon 54:40 Plans for the future 54:45 Outro Listen in and subscribe on iOS or Android Important Links Noob Spearo Partners and Discount Codes | Get Spear Ready and make the most of your next spearfishing trip! 50 days to better spearfishing! | Use the code NOOBSPEARO to get FREE SHIPPING . Use the code NOOBSPEARO save $20 on every purchase over $200 at checkout – Flat shipping rate, especially in AUS! – Use the code NOOB10 to save 10% off anything store-wide. Free Shipping on USA orders over $99 | Simple, Effective, Dependable Wooden Spearguns. Use the Code NOOB to save $30 on any speargun:) | 10% off for listeners with code: NOOBSPEARO | ‘Spearo Dad' | ‘Jobfish Tribute' | 99 Spearo Recipes 28-day Freediving Transformation | Equalization Masterclass – Roadmap to Frenzel | The 5 minute Freediver | Break the 10 Meter Barrier – Use the code NOOBSPEARO to save . Listen to 99 Tips to Get Better at Spearfishing | Wickedly tough and well thought out gear! Check out the legendary use the code NOOB15
Hosts Jim DeRogatis and Greg Kot share new music they're digging that flies under the mainstream radar, buried treasures! They also pay tribute to singer-songwriter Jerry Butler.Join our Facebook Group: https://bit.ly/3sivr9TBecome a member on Patreon: https://bit.ly/3slWZvcSign up for our newsletter: https://bit.ly/3eEvRnGMake a donation via PayPal: https://bit.ly/3dmt9lUSend us a Voice Memo: Desktop: bit.ly/2RyD5Ah Mobile: sayhi.chat/soundops Featured Songs:girlpuppy, "Champ," Single, Captured Tracks, 2024The Beatles, "With A Little Help From My Friends," Sgt. Pepper's Lonely Hearts Club Band, Parlophone, 1967Jerry Butler, "Only the Strong Survive," The Ice Man Cometh, Mercury, 1969Jerry Butler and The Impressions, "For Your Precious Love," Single, Vee-Jay, 1958Loveworms, "Heartbeat," Heartbeat, Antena Krzyku, 2025Jetstream Pony, "Captain Palisade," Single, Spinout Nuggets, 2024Meat Wave, "Dehydrated," Voicemail / Dehydrated, Self-Released, 2025Maruja, "Break The Tension," Single, Music for Nations, 2024Prism Shores, "Tourniquet!," Out From Underneath, Meritorio, 2025Denison Witmer, "Making Love," Anything At All, Asthmatic Kitty, 2025Psycho-O-Positive, "Mothra!," Single, Self Released, 2025The Penrose Web, "I Dreamt I Woke Up Dead," It's....The Penrose Web, Gare du Nord, 2025Middle Part, "Dial*," Disruptor, Little Planet, 2024The Sewerheads, "It Came as a Surprise," Despair is a Heaven, Tall Texan, 2024Wand, "The Leap," In A Capsule Wardrobe, Drag City, 2017L.A. WITCH, "777," 777 (Single), Suicide Squeeze, 2025Joveth, "Bubblegum," Bubblegum (Single), Voracious, 2024Sly and the Family Stone, "Everyday People," Stand!, Epic, 1968See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
http://www.mofpodcast.com/www.pbnfamily.comhttps://www.facebook.com/matteroffactspodcast/https://www.facebook.com/groups/mofpodcastgroup/https://rumble.com/user/Mofpodcastwww.youtube.com/user/philrabhttps://www.instagram.com/mofpodcasthttps://twitter.com/themofpodcasthttps://www.instagram.com/cypress_survivalist/https://www.facebook.com/CypressSurvivalistSupport the showMerch at: https://southerngalscrafts.myshopify.com/Shop at Amazon: http://amzn.to/2ora9riPatreon: https://www.patreon.com/mofpodcastPurchase American Insurgent by Phil Rabalais: https://amzn.to/2FvSLMLShop at MantisX: http://www.mantisx.com/ref?id=173*The views and opinions of guests do not reflect the opinions of Phil Rabalais, Andrew Bobo, Nic Emricson, or the Matter of Facts Podcast*A run in with a kitchen knife at the Rabalais house lead to an impromptu wound care clinic, and some review of the accumulated home medical preps. Tonight, Phil and Nic sit down to talk about what to do when the red stuff won't stay in the body, from the humble medicine cabinet to the multitude of Tac-Med kits that adorn many of our homes and vehicles.Matter of Facts is now live-streaming our podcast on our YouTube channel, Facebook page, and Rumble. See the links above, join in the live chat, and see the faces behind the voices. Intro and Outro Music by Phil Rabalais All rights reserved, no commercial or non-commercial use without permission of creator prepper, prep, preparedness, prepared, emergency, survival, survive, self defense, 2nd amendment, 2a, gun rights, constitution, individual rights, train like you fight, firearms training, medical training, matter of facts podcast, mof podcast, reloading, handloading, ammo, ammunition, bullets, magazines, ar-15, ak-47, cz 75, cz, cz scorpion, bugout, bugout bag, get home bag, military, tactical
http://www.mofpodcast.com/www.pbnfamily.comhttps://www.facebook.com/matteroffactspodcast/https://www.facebook.com/groups/mofpodcastgroup/https://rumble.com/user/Mofpodcastwww.youtube.com/user/philrabhttps://www.instagram.com/mofpodcasthttps://twitter.com/themofpodcasthttps://www.instagram.com/cypress_survivalist/https://www.facebook.com/CypressSurvivalistSupport the showMerch at: https://southerngalscrafts.myshopify.com/Shop at Amazon: http://amzn.to/2ora9riPatreon: https://www.patreon.com/mofpodcastPurchase American Insurgent by Phil Rabalais: https://amzn.to/2FvSLMLShop at MantisX: http://www.mantisx.com/ref?id=173*The views and opinions of guests do not reflect the opinions of Phil Rabalais, Andrew Bobo, Nic Emricson, or the Matter of Facts Podcast*A run in with a kitchen knife at the Rabalais house lead to an impromptu wound care clinic, and some review of the accumulated home medical preps. Tonight, Phil and Nic sit down to talk about what to do when the red stuff won't stay in the body, from the humble medicine cabinet to the multitude of Tac-Med kits that adorn many of our homes and vehicles.Matter of Facts is now live-streaming our podcast on our YouTube channel, Facebook page, and Rumble. See the links above, join in the live chat, and see the faces behind the voices. Intro and Outro Music by Phil Rabalais All rights reserved, no commercial or non-commercial use without permission of creator prepper, prep, preparedness, prepared, emergency, survival, survive, self defense, 2nd amendment, 2a, gun rights, constitution, individual rights, train like you fight, firearms training, medical training, matter of facts podcast, mof podcast, reloading, handloading, ammo, ammunition, bullets, magazines, ar-15, ak-47, cz 75, cz, cz scorpion, bugout, bugout bag, get home bag, military, tactical
Let's talk about that line from No Country and try to understand why it hits me where I live. Hosted on Acast. See acast.com/privacy for more information.
Let's talk about that line from No Country and try to understand why it hits me where I live. Hosted on Acast. See acast.com/privacy for more information.
On this month's EM Quick Hits podcast: Anand Swaminathan on optimizing RSI medication timing, Brittany Ellis on ED boarding challenges in older patients and solutions to ED crowding and flow, Dave Jerome on managing prolonged tourniquet application, Nour Khatib and Phil Gillick on a rural peer support case, Jesse McLaren on ECG reciprocal changes in acute coronary occlusion, and Melody Ng on practical nutrition tips for shift workers...
When we recorded this episode, Melanie was making cinnamon rolls, and I had just completed a grocery run full of vegetables and several different kinds of sugar. In other words: Christmas Day is upon us, and on this episode we talk about all of our last-minute preparations and even some plans that have gone awry. It's also my turn for Five Favorites. Merry Christmas, everyone - we are so grateful for you, and we hope your Christmas is full of time with the people you love the most! - Join Us on Patreon - Our Amazon Shop - Fayetteville Live Show Tickets Show Notes: - the cinnamon rolls Mel likes to make - the Chex Mix we both like to make (I use Dot's Pretzels and add the Gardetto rye chips) - Ouida Wednesday squash casserole - sweet potato casserole (I use half and half, not evaporated milk - and no cinnamon) - "Jesus Can Work It Out" with Dianne Williams - JazzTX in San Antonio - A&M (and Mississippi State) to be featured on SEC football show - "Tourniquet" by Zach Bryan - Libro.fm - a great way to listen to audiobooks - The Dutch House by Ann Patchett - Dinner with Vampires by Bethany Joy Lentz - James by Percival Everett - Black Doves on Netflix (not for the children) - Glazed Buttermilk Donut Cake - Aerie cozy long sleeve oversized boyfriend tee - Catrice Instant Awake under eye brightener - OneSkin peptide topical supplement and skin longevity age reversal eye cream - Mrs. Meyer's dish soap in peppermint Sponsors: - AG1 - use this link for a free welcome gift, a bottle of D3/K2, and 5 free travel packs for new subscribers - OSEA - use code BIGBOO for 10% off sitewide - Drink LMNT - use this link for your free sample pack with any order - Boll & Branch - use this link to get 25% off plus free shipping on your first order
“My Sack Is Heavy This Christmas” by Devin1. “Badlands” by Sorcerer2. “Small Organ” by Still in Love3. “The Sound of Triumph” by Rain of Salvation4. “Tourniquet” by Serenity5. “Unhousing Projects” by Love Letter Hosted on Acast. See acast.com/privacy for more information.
What should you do with all the gift cards you got for Christmas? KJ runs down a list of gear you should purchase with all that newly found plastic.Featured Gear:Sitka Gear Heavyweight Hoodie: https://alnk.to/ge76ZcKBlue Force Gear Micro Trauma Kit: https://alnk.to/90A2LMpC.A.T. Tourniquet: https://alnk.to/clYrpkbMDT Metal Magazines: https://alnk.to/aLJCzZLMDT CKYE-Pod Bipods: https://alnk.to/9T9PFW6Armageddon Gear Game Changer Bag: https://alnk.to/dAnKh5jKnives of Alaska: https://knivesofalaska.com/product/professional-boning-knife/Gerber Gear: https://alnk.to/8EKwOkCWarthog Sharpeners: https://warthogusa.com/Peak Backcountry Duo Headlamp: https://alnk.to/fws54fsSureFire Stiletto Pro 2: https://alnk.to/6IGc1v0KJ's Hat: https://www.guntalk.com/product/guns-snapback-flatbill-capNosler Whitetail Country 6.5 CM Ammo: https://alnk.to/cSIIm5dFix-It Sticks: https://alnk.to/hhBESy5Triggercam: https://www.triggercam.com/This Gun Talk Hunt is brought to you by Ruger, Range Ready Studios, Savage Arms, CZ-USA, Hodgdon Powder, Silencer Central, and RCBS.For more content, subscribe to Gun Talk at guntalktv.com, on Gun Talk's Roku, Apple TV, iOS app, Android app, or find Gun Talk on YouTube, Rumble, Facebook, Instagram, X and guntalk.com. Listen to all Gun Talk Podcasts with Spreaker, iHeart, Apple Podcasts, Spotify or wherever you find podcasts.Copyright ©2024 Freefire Media, LLCGun Talk Hunt 12.21.24
Link to the full podcast: https://spotifycreators-web.app.link/e/GKNRqK0tYOb
What's actually happening? Why do I have to convert this TQ? Link to full podcast: https://spotifycreators-web.app.link/e/GKNRqK0tYOb
In this episode of the PFC Podcast, Dennis and Jamie discuss the critical topic of tourniquet conversion versus replacement in trauma care. They explore the guidelines for when and how to convert a tourniquet, the implications of prolonged tourniquet use, and the importance of assessing limb salvageability. The conversation also covers the management of reperfusion injury and the use of calcium and bicarbonate in resuscitation. Jamie emphasizes the need for medics to be prepared and confident in their decision-making to ensure the best outcomes for their patients. Takeaways Tourniquet conversion is crucial for effective hemorrhage control. Understanding the difference between conversion and replacement is essential. Guidelines for conversion depend on the tactical situation. The two-hour mark for tourniquet application is significant for patient outcomes. Resuscitation goals should guide the timing of tourniquet conversion. Be prepared for potential reperfusion injuries after conversion. Assess the viability of the limb before making decisions. Calcium administration can help stabilize the heart during resuscitation. Medics should be confident in their ability to convert tourniquets. Always prioritize patient resuscitation over limb preservation. Chapters 00:00 Understanding Tourniquet Conversion vs. Replacement 03:14 Guidelines for Tourniquet Conversion 08:59 The Two-Hour Rule and Its Implications 12:55 Techniques for Tourniquet Conversion 18:11 Challenges of Prolonged Tourniquet Use 23:48 Assessing Limb Salvageability 29:36 Managing Reperfusion Injury 35:30 Calcium and Bicarbonate in Resuscitation 46:40 Final Advice for Medics on Tourniquet Conversion 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
Jonathan talks with Connor Ryan, Ryan McClure, and Isaiah Branch-Boyle about their powerful new film, Surviving Our Story. This film is a ‘must watch' for anyone who backcountry skis, splitboards, snowmobiles — or does any form of backcountry travel on snow.RELATED LINKSGet Yourself Covered: BLISTER+TOPICS & TIMES:Conditions That Day (4:45)1st Slide (10:34)2nd Slide (14:07)Making Contact with Ryan (23:03)Isaiah's Perspective (26:52)Ryan's Femur (28:49)Search and Rescue (32:32)‘Perfectly Bad' Tourniquet (37:38)Choosing The Focus of the Film (40:11)Rescue Logistics & Costs (44:10)The Importance of Story Telling (51:45)Update on Ryan (56:16)CHECK OUT OUR OTHER PODCASTS:Blister PodcastBikes & Big IdeasGEAR:30CRAFTED Hosted on Acast. See acast.com/privacy for more information.
Kerri covers the case of the Tourniquet Killer- Anthony Allen Shore. We learn of the abuse he inflicted on those around him and how he eventually turned to murder. Donna tells us about Van Meter visitor, a cryptid who taunts the citizens in Iowa. This episode is sponsored by Miracle Made. Upgrade your sleep with Miracle Made! Go to www.TryMiracle.com/creep and use the code CREEP to claim your FREE 3 PIECE TOWEL SET and SAVE over 40% OFF. This episode is sponsored by Lume Deodorant. Head to www.lumedeodorant.com and use promo code CREEP to get 15% ALL Lume products as a new customer. If you have any local true crime, local urban legend/lore, ghost stories.. we want them all!! We want to hear from YOU. Especially if you have any funny Ambien stories! Email us at aparanormalchicks@gmail.com Join The Creepinati @ www.patreon.com/theAPCpodcast
Kerri covers the case of the Tourniquet Killer- Anthony Allen Shore. We learn of the abuse he inflicted on those around him and how he eventually turned to murder. Donna tells us about Van Meter visitor, a cryptid who taunts the citizens in Iowa. This episode is sponsored by Miracle Made. Upgrade your sleep with Miracle Made! Go to www.TryMiracle.com/creep and use the code CREEP to claim your FREE 3 PIECE TOWEL SET and SAVE over 40% OFF. This episode is sponsored by Lume Deodorant. Head to www.lumedeodorant.com and use promo code CREEP to get 15% ALL Lume products as a new customer. If you have any local true crime, local urban legend/lore, ghost stories.. we want them all!! We want to hear from YOU. Especially if you have any funny Ambien stories! Email us at aparanormalchicks@gmail.com Join The Creepinati @ www.patreon.com/theAPCpodcast
We're combining education and relaxation in our final episode of Season 13! We're wrapping up our season with Zach Swartz, Perioperative Practice Specialist and Yoga Teacher. Tune in to learn more about how clinical guidelines are researched and developed, learn about the AORN Guideline for Tourniquet Safety, AND, learn more about incorporating yoga techniques into your day! Zach will even provide a short guided relaxation exercise for us, so don't miss it! #operatingroom #ornurse #scrubtech #surgicaltechnologist #perioperative #perioperativenurse #yoga #yogainnursing
Exsanguination before tourniquet use by AORNJournal
Why are children on this battlefield? Inquiring minds want to know. We talk about Belinda, Brando Sando Power Activate, Berelain's Herspital, Demandred's Balefire Gun, Shendla's Snipe List, Upgrading to a Lesbian Warder, and Artur Hawkwing as a Mean Bisexual.
We are back after a few weeks off to discuss the incredible debut from PFR, "Pray for Rain." (originally a self-titled album before band name change) We realize that going from Tourniquet to PFR might seem strange, but it's what makes us the GEEKS we are. Links: geeksrockcast.com IG: https://www.instagram.com/geeksrockcast FB: https://fb.com/christiangeeksrockcast geeksrockcast@gmail.com
On the Happy Hour, Tony and Fingers review Obtainium Master Collection Series Kentucky Whiskey. Other topics include -- You won't believe what Tony carries in his briefcase. The Fed slashed interest rates by a half point. How will this impact the economy? Instagram makes teen accounts private as pressure mounts on the app to protect children. All that and much more on this Happy Hour edition of Eat Drink Smoke. Follow Eat Drink Smoke on social media!X (Formerly Twitter): @GoEatDrinkSmokeFacebook: @eatdrinksmokeIG: @EatDrinkSmokePodcast The Podcast is Free! Click Below! Apple PodcastsAmazon MusicStitcher SpotifySee omnystudio.com/listener for privacy information.
The field of hemorrhage control is experiencing rapid advancements, particularly in the area of abdominal bleeding. And on this episode of the EMS World Podcasts, we'll be taking a look at one product in particular—the AAJT-S tourniquet. Live from the exhibit floor at EMS World Expo 2024, host Mike McCabe is joined by Dr. John Croushorn, an emergency medicine physician in Birmingham, Alabama, to explore this innovative abdominal tourniquet.
On this episode, we finally get to Tourniquet's 1990 debut album, Stop the Bleeding. Featuring Ted Kirkpatrick (drums), Gary Lenaire (guitar), and Guy Ritter (vocals), this release continued Intense Records' insane string of amazing, groundbreaking Christian metal bands. Russ Taff Kickstarter: http://kck.st/3M0g56 Galactic Cowboys Kickstarter: https://kck.st/4d2lLZl Harpazo: https://harpazomusic.com/ Christian Geeks website: geeksrockcast.com IG: https://www.instagram.com/geeksrockcast FB: https://fb.com/christiangeeksrockcast geeksrockcast@gmail.com
In this episode of the PFC Podcast, Dennis and Jamie discuss the importance of tourniquet conversion in the context of combat medicine. They explain the difference between tourniquet conversion and tourniquet replacement, emphasizing the need to control bleeding and save tissue. They discuss the timing of tourniquet conversion, highlighting the importance of resuscitation and patient stability. The conversation also covers the physiological effects of tourniquet conversion, including reperfusion injury and metabolic waste products. The hosts provide insights into the challenges and decision-making process involved in tourniquet conversion, as well as the use of calcium and bicarbonate to manage potential complications. They emphasize the need for medics to be prepared, assess the patient's condition, and make informed decisions based on the available resources and clinical guidelines. Takeaways Tourniquet conversion involves making positive efforts to control bleeding or determining that the tourniquet is no longer necessary. Tourniquet replacement is done when there is a need for a better or more proximal tourniquet to control bleeding. Tourniquet conversion should be considered after resuscitating the patient and ensuring they are warm and non-coagulopathic. The timing of tourniquet conversion depends on the tactical situation and the patient's resuscitation status. Calcium and bicarbonate can be used to manage potential complications during tourniquet conversion. Medics should be prepared, assess the patient's condition, and make informed decisions based on available resources and clinical guidelines. 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
Judy Hayamizu shares the harrowing story of her horse Sparky's week long walk about in the California wilderness. Erna Valdivia stops by to talk about entering the Tevis Cup with her Shagya Arabian mare, adopted from Love This Horse Rescue. Plus, Karen shares her new saddle bag emergency kit and the terrifying event that inspired the update.HORSES IN THE MORNING Episode 3471 – Show Notes and Links:The HORSES IN THE MORNING Crew: Coach Jenn and Karen ChatonImage Credit: Horses in the MorningGuest: Judy HayamizuGuest: Erna ValdiviaWatch the Tevis Cup Webcast Additional support for this podcast provided by: The Distance Depot, EquestrianPlus, and Listeners Like YouTime Stamps10:54 - Saddle Bag Emergency Kit21:18 - Erna Valdivia37:09 - Judy Hayamizu
Judy Hayamizu shares the harrowing story of her horse Sparky's week long walk about in the California wilderness. Erna Valdivia stops by to talk about entering the Tevis Cup with her Shagya Arabian mare, adopted from Love This Horse Rescue. Plus, Karen shares her new saddle bag emergency kit and the terrifying event that inspired the update.HORSES IN THE MORNING Episode 3471 – Show Notes and Links:The HORSES IN THE MORNING Crew: Coach Jenn and Karen ChatonImage Credit: Horses in the MorningGuest: Judy HayamizuGuest: Erna ValdiviaWatch the Tevis Cup Webcast Additional support for this podcast provided by: The Distance Depot, EquestrianPlus, and Listeners Like YouTime Stamps10:54 - Saddle Bag Emergency Kit21:18 - Erna Valdivia37:09 - Judy Hayamizu
Moderator: Kyle Peterson, DPM, FACFAS Panelists: Brian Burgess, DPM, FACFAS Jeffrey McAlister, DPM, FACFAS Michael Theodoulou, DPM, FACFAS Vincent Vacketta, DPM, AACFAS Run time: 29m 45s
Step into the world of military and civilian medical excellence as we share the stage with Dr. Peggy Knudsen, a leading trauma surgeon whose work bridges these two critical spheres. Her journey from a Minnesota mining town to the front lines of trauma surgery reveals the profound impact of military-civilian partnerships in healthcare. Through stories of her time in Iraq and Germany, Dr. Knudsen unravels the complexities of trauma care and the incredible strides made possible by the collaboration between military-civilian expertise and innovation. Imagine stepping off a plane and straight into an active war zone as a civilian surgeon. Our latest episode brings that reality to light, showcasing civilian surgeons who volunteered to serve in military hospitals during the Iraq and Afghanistan conflicts. Their integration into military teams and the skills honed in the heat of battle are not only harrowing tales of service but also invaluable learning experiences that have reshaped their professional and personal lives. Join us as we examine the rigorous process that prepared these civilians for the battlefield, and the indelible mark it left on their approach to surgery back home. These civilian heroes didn't just bring their expertise to the theater of war; they returned with invaluable insights that have since transformed the landscape of civilian trauma care. We address the evolving landscape of trauma medicine, where military innovations have found their place in our local hospitals. Dr. Knudsen sheds light on the importance of programs like Stop the Bleed and the pioneering strategies of damage control resuscitation, illustrating the profound influence of military protocols on saving lives in civilian emergencies. As we consider the future readiness of military medical professionals, she eloquently speaks to the importance of ongoing collaboration to maintain a high standard of combat casualty care, ensuring that, even in peacetime, our surgeons are prepared for the realities of war. Her experiences offer a unique lens on the Excelsior Surgical Society's role in nurturing military surgeons' professional development, painting a vivid picture of how these collaborations are pivotal in advancing modern trauma systems. As we face concerns over a potential decline in deployment experience among military medical personnel, Dr. Knudsen sheds light on collaborative efforts to ensure that the next generation of military surgeons retains the expertise necessary for future combat casualty care. It's an enlightening discussion that solidifies the critical nature of these ongoing partnerships in trauma care. Chapters: (00:04) Military-Civilian Partnerships in Trauma Care (11:56) Civilian Surgeons in War Zones (24:22) Improving Trauma Care Through Military-Civilian Partnerships (31:42) Military-Civilian Trauma Care Partnerships Chapter Summaries: (00:04) Military-Civilian Partnerships in Trauma Care Dr. Peggy Knudsen's journey in trauma surgery, her role in pediatric surgery, and the importance of military-civilian partnerships in advancing trauma care. (11:56) Civilian Surgeons in War Zones Civilian surgeons volunteered in military hospitals during Iraq and Afghanistan conflicts, learning from and working with military personnel. (24:22) Improving Trauma Care Through Military-Civilian Partnerships Military trauma care advancements, tourniquet use, damage control resuscitation, burn care improvements, and preserving surgical skills through partnerships. (31:42) Military-Civilian Trauma Care Partnerships Firsthand trauma experience, military-civilian partnerships, and readiness of trauma community to respond to large-scale operations. Take Home Messages: Civilian and military trauma care partnerships are critical for advancing modern trauma systems and ensuring readiness for future conflicts. Civilian surgeons gain transformative experiences and valuable insights from volunteering in war zones, which they bring back to improve civilian trauma care. Military innovations, such as the use of tourniquets and damage control resuscitation, have significantly influenced trauma care protocols in civilian medical practice. The integration of civilian medical expertise with military precision has led to life-saving advancements in trauma care and emergency response strategies. Collaborative efforts between professional medical societies and the Department of Defense are essential for maintaining and reinforcing combat casualty care knowledge among military medical professionals. The importance of programs like Stop the Bleed is highlighted, aiming to educate the public on life-saving techniques that stem from military medical practices. Trauma medicine is constantly evolving, with military medical protocols being adapted for use in civilian emergencies, underscoring the need for continuous learning and adaptation. Active-duty military surgeons benefit from being integrated into civilian trauma centers, helping them stay deployment-ready and enhancing their trauma care skills. The Mission Zero Act plays a role in funding military-civilian trauma care partnerships, aiming to improve preparedness and response capabilities in both military and civilian settings. The trauma community is committed to responding to large-scale military operations, showcasing the readiness and willingness of civilian surgeons to support military efforts when necessary. Episode Keywords: Trauma Care, Military-Civilian Partnerships, Medical Excellence, Military Precision, Civilian Practice, Senior Visiting Surgeon, Iraq, Germany, Military Surgeons, Professional Development, Excelsior Surgical Society, War Zones, Battlefield Medicine, Civilian Surgeons, Volunteer, Military Teams, Civilian Heroes, Battlefield Medicine, Military Innovations, Local Hospitals, Stop the Bleed, Damage Control Resuscitation, Combat Casualty Care, Military Protocols, Civilian Emergencies, Future Readiness, Military Medical Professionals, Peacetime, War, Trauma Surgery, Pediatric Surgery, Evolution of Trauma Systems, Excelsior Surgical Society, Professional Growth, American College of Surgeons, American Association for the Surgery of Trauma, Logistics, Deployment, Learning Opportunities, Collaborative Work, Military Personnel, Specialties, Trauma, General, Vascular, Orthopedic, Neurosurgery, Selection Process, Balad, Iraq, Military Healthcare System, Tourniquet, Stop the Bleed Program, Life-Saving Techniques, Damage Control Resuscitation, Whole Blood Resuscitation, Burn Care, Patient Resuscitation, Combat Casualty Care Knowledge, Curriculum, Skill Assessments, Mission Zero Act, Funding, Blue Book, Trauma 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
If you read most first aid guides, the last step in treating someone who's gotten injured or sick is always: get the victim to professional medical help.But what if you found yourself in a situation where hospitals were overcrowded, inaccessible, or non-functional? What if you found yourself in a grid-down, long-term disaster, and you were the highest medical resource available?Dr. Joe Alton is an expert in what would come after the step where most first aid guides leave off. He's a retired surgeon and the co-author of The Survival Medicine Handbook: The Essential Guide for When Help is NOT on the Way. Today on the show, Joe argues that every family should have a medical asset and how to prepare to be a civilian medic. We discuss the different levels of first aid kits to consider creating, from an individual kit all the way up to a community field hospital. And we talk about the health-related skills you might need in a long-term grid-down disaster, from burying a dead body, to closing a wound with super glue, to making an improvised dental filling, to even protecting yourself from the radiation of nuclear fallout.Resources Related to the PodcastAoM Article: How to Use a Tourniquet to Control Major BleedingAoM Article: The Complete Guide to Making a DIY First Aid KitAoM Article: How to Suture a WoundAoM Article: What Every Man Should Keep in His CarAoM Article: Improvised Ways to Close a WoundAoM Podcast #869: The Survival Myths That Can Get You Killed With Alone Winner Jim BairdConnect With Joe AltonDoom and Bloom websiteDoom and Bloom on YouTubeDoom and Bloom on FB
It's the late 90's in Houston, Texas and a serial killer is on the loose, having already strangled at least three women to death. His signature? A ligature tied around the neck, and tightened with a tourniquet. Sponsors: Angi: Download the free Angi mobile app today or visit Angi.com Progressive: Multitask right now. Quote your car insurance at Progressive.com to join the over 29 million drivers who trust Progressive. ZocDoc: Go to Zocdoc.com/CCF and download the Zocdoc app for FREE. Then find and book a top-rated doctor today. That's Zocdoc.com/CCF Apartments: Check out Apartments.com , the place to find your pet friendly place. Warner: Listen to Deadly Nightmares wherever you listen to your podcasts
When people think about survival and preparedness, they tend to think of dealing with an end-of-the-world kind of scenario. But lots of bad things can happen, and are more likely to happen, that fall short of the apocalypse. My guest can help you prepare for any worst case scenario, whether it's the worst thing to happen to mankind or just the worst thing to happen to you this year. His name is Mike Glover, and he's a former Green Beret, the founder of Fieldcraft Survival, and the author of Prepared.Today on the show, Mike and I first talk about the softer skills of preparedness. We discuss how to create plans using military concepts like war gaming and the PACE methodology, build your tolerance to stress, and develop your situational awareness so you don't freeze in a crisis or let one catch you by surprise. In the second half of our conversation, we discuss the harder skills of preparing for worst case scenarios. Mike outlines what capabilities every man should develop. He shares his own EDC and what he recommends you carry and wear on a day-to-day basis. We talk about how to stock your home and car for emergencies and more.Related Resources From AoM's Extensive Survival and Preparedness ArchivesPodcast #820: Escape the Safety TrapHow to Make a Bug Out Bag: Your 72-Hour Emergency Evacuation Survival KitHow to Bug-In: What You Need to Know to Survive a Grid-Down DisasterWhat Every Man Should Keep in His CarA Beginner's Guide to EDCHow to Use a Tourniquet to Control Major BleedingA Complete Guide to Home Fire Prevention and SafetyHow to Develop Situational AwarenessThe Complete Guide to Making a DIY First Aid KitPodcast #610: Who Lives in Survival Situations, Who Dies, and WhyA Complete Guide to Home SecurityConnect With Mike GloverMike on IGFieldcraft Survival WebsiteFieldcraft Survival YouTube ChannelFieldcraft Survival PodcastListen to the Podcast! (And don't forget to leave us a review!)Listen to the episode on a separate page.Download this episode.Subscribe to the podcast in the media player of your choice.Listen ad-free on Stitcher Premium; get a free month when you use code “manliness” at checkout.Podcast SponsorsClick here to see a full list of our podcast sponsors.Transcript Coming Soon