After extensive cooperation and collaboration with operational medics and Docs at home and abroad, we continue to see that there is a clear…
Autotransfusion in the Austere Prehospital Setting
This is not a novel procedure. The first successful autotransfusion on record was conducted in 1818 by James Blundell on a patient suffering from postpartum hemorrhage. Through the end of the 1800s and into the early 1900s, surgeons utilized this technique with surprising success
Podcast Episode 69: Hot Weather Injury
Hot weather injuries are an issue medics have to account for even when not deployed. Proper planning, recognition and treatment…
Podcast Episode 63: Oxygenation, Ventilation and COVID19
Doug and Dennis talk austere management of COVID19 patients with an emphasis on strategies for oxygenation and ventilatory support. The remainder of the post is an massive amalgamation of resources I have been collecting for over a year for my own respiratory refresher.
Podcast Episode 61: TBI Update with Dr. VanWyck
Traumatic Brain Injuries coupled with other injuries can be one of the most difficult wound patterns to manage in the field. Learn to manage TBI on its own and when other complications arrive you will be in better condition to handle an even more difficult situation.
Podcast Eposode 60: Ian Wedmore on Frostbite and Cold Weather Injuries
Dennis and Paul talk with Dr. Ian Wedmore and discuss some interesting updates to the management of frostbite injury in the field and what to do when you get back to a hard stand shelter.
Podcast Episode 57: Snake Envenomation in Austere Environments
Dangerous snakes can be found both while training at home and far away while deployed. It may be a rare…
INCIDENT REPORT and Example of Remedial Plan of Action
https://www.nytimes.com/2019/10/11/world/africa/soldier-death-somalia.html Why does it take the NY Times to identify and disseminate our medical lessons learned?! How was this not…
Podcast Episode 55: JJ and Dennis on HROs. Part 1
The principles of High Reliability Organizations are necessary in those professions where mistakes can cost lives. The airline industry is…
Podcast Episode 54: SOP for the Ideal SF Clinic?
While no single clinic setup will work for every situation, a common baseline and checklist can make it far easier…
Podcast Episode 53: Ventilating in the Prone?!
What happens when your patient has been given a cric or intubated but continues to decline… SpO2 continues to slowly…