Podcast Episode 43: 5 years of Prolonged Field Care


According to the Office of the Under Secretary of Defense for Personnel and Readiness and DOD INSTRUCTION 1322.24 MEDICAL READINESS TRAINING (MRT) it is instructed that “the Director of the DHA develops a standardized TCCC and prolonged field care curriculum.”
This is a short but powerful document in justifying TCCC and PFC training on your training schedule. Read the short 16 pages and keep it at the ready.

ADVISSOR Telemedicine Info:
If you are a Medic, PA or Physician, you are encouraged to email the program manager at dod.advissor_office@mail.mil in order to get the 1-833 number. E-Mails must be sent from an official military (i.e. “.mil”) account in order to recive a reply with the numbers.
The ADVISOR Physicians on the other line can only provide consults to deployed US Military Medics and providers but CAN be used for training purposes like we have been doing for over 2 years now with various prolonged field care exercises. If it will be a high call volume for multiple calls and lanes it is asked that coordinate prior. Onesies and twosies are fine.
This is a direct result of the work of the Special Operations Medical Association’s Prolonged Field Care Working Group and efforts of those of concerned physicians in San Antonio, Madigan and TATRC.
They are great people who know our capabilities, limitations and concerns. They have even been out to our austere medical exercises as proctors to see first-hand what us guys on the ground have to deal with.

PFC Content
Continued support by SOMA Board and new SOMA President HR Montgomery in funding/hosting the podcast and www.Prolongedfieldcare.org website

COL Keenan PFC SOMSA18 Update livestreamed and still accessible on Prolonged Field Care Facebook Page with additional unique content available on Instagram and Facebook pages

-Updates on Clinical Practice GuidelineDocumentation PublishedNursing Care CPG PublishedTelemedicine Position Paper PublishedPFC RDCR CPG Published New JTS CPG link:

Needs and wants from the force:

  • Airway CPG
  • Sepsis CPG
  • Palliative Care CPG
  • Thoracic Injury Management CPG
  • Abdominal and Pelvic Injury CPG
  • Accurate training scenarios
  • What else should do we need?
  • What podcasts and blog posts are recommended?
  • What other videos are needed?

-Continued call for all for AAR‘s, Case Reports and data submission! They don’t have to be new. These can be cases that you had in the past but never reported including cases involving host nation personnel and can include disease and non-trauma. These resulted in a data review and YouTube video that can be seen here: https://youtu.be/Y2XYTeu7YLA Submitt AARs:https://prolongedfieldcare.org/2017/09/22/new-jtspfc-aar-submission-form/

PFC: Reorienting The Force


PFC is doing the best you can to treat a sicker patient than you are prepared to handle for longer than you should be. It’s not a skillset, part of a plan or planned event, it is a bad situation that in which you find yourself due to extenuating circumstances.

Continue reading “Podcast Episode 43: 5 years of Prolonged Field Care”

RAVINES Mnemonic: A Practical Approach to Care after SMARCH-E-PAWS-B

The RAVINES Mnemonic was created to help the medical provider on the ground in an austere environment with a very sick patient. Most medics will do a decent TCCC SMARCH survey and when they get to the end of that, get vital signs to begin trending and repeat the MARCH sequence while adding E-PAWS-B

  • E for Eyes
  • P for Pain
  • A for Antibiotics
  • W for Wounds
  • S for Splinting
  • B for Burns round out the MARCH-E-PAWS-B mnemonic.

Continue reading “RAVINES Mnemonic: A Practical Approach to Care after SMARCH-E-PAWS-B”

Prolonged Field Care at MHSRS 2018

The essence of prolonged field care is now infused into many aspects of the austere and military medical lexicon. The response by the medical community to come together to help solve problems faced by medics and the warfighters they accompany has been nothing short of amazing.

Continue reading “Prolonged Field Care at MHSRS 2018”

Episode 41: The Death of the Golden Hour: SOMSA 2018 Talk, by COL (Ret.) Rocky Farr, MD

Colonel Warner “Rocky” Farr has made an important contribution to the body of SOF knowledge with this well-researched monograph. He advances the understanding of the many challenges and accomplishments related to guerrilla warfare medicine Continue reading “Episode 41: The Death of the Golden Hour: SOMSA 2018 Talk, by COL (Ret.) Rocky Farr, MD”

Podcast Episode 40: Medic Team Dynamics with Dennis and Doug

Whether working on a casualty with a small team of medics or as a single medic with the help of other non-medic team members as helpers, someone has to be in charge of the situation in order to maintain a global view of priorities.  Continue reading “Podcast Episode 40: Medic Team Dynamics with Dennis and Doug”

Episode 39: End Tidal CO2 Application and Limitations in Prolonged Field Care

Upgrading your airway kit with a portable end tidal CO2 monitor can help in a couple situations. While it has its limitations, it is essential for

Continue reading “Episode 39: End Tidal CO2 Application and Limitations in Prolonged Field Care”