Podcast 168: Austere Surgery with Surgeon, Dave Hardin

In this podcast episode, Dennis interviews David Hardin, a general surgeon with experience in austere environments. They discuss the differences between surgeons in first-world and austere environments, the importance of improvisation, training and manpower considerations, supplies and procedures in austere surgery, moving patients in austere environments, preparing for austere surgery, making decisions in austere environments, logistics and equipment, dealing with loss, preparing for unknowns, coping with emotional stress, and finding joy in austere surgery.

From Dave:

Here is a brief list of books that have had an impact on me as a military and volunteer surgeon in austere environments:

(Neither he nor us receive and contributions from Amazon. Some of these books may be found in municipal libraries.)

Primary Surgery. Vol 1: Non-Trauma – Global HELP (global-help.org)

Wounded: A New History of the Western Front in World War I: 9780190454449: Medicine & Health Science Books @ Amazon.com

Top Knife: The Art and Craft of Trauma Surgery: 9781903378229: Medicine & Health Science Books @ Amazon.com

Amazon.com: The Dressing Station: A Surgeon’s Chronicle of War and Medicine eBook : Kaplan, Jonathan: Kindle Store

The Parachute Ward: Street, Brian Jeffrey Jeffrey: 9781411653603: Amazon.com: Books

Amazon.com: Guerrilla Surgeon eBook : Rogers, Dr. Lindsay: Kindle Store

Burma Surgeon [ 1943 ] Gordon S. Seagrave (Lieut. Colonel, M.C. United States Army Forces in China, Burma, India): Gordon S. Seagrave: Amazon.com: Books

Desperate Surgery in the Pacific War: Doctors and Damage Control for American Wounded, 1941-1945: 9781476664217: Medicine & Health Science Books @ Amazon.com

Surgeon on Iwo: Up Front With the 27th Marines: Vedder, James S.: 9780891411994: Amazon.com: Books

Combat Surgeon: On Iwa Jima with the 27th Marines: James S. Vedder: 9781568658865: Amazon.com: Books

Here is another article that demonstrates “that you can always find a way to do something.”

-Dave

Other Takeaways From the Episode:
Austere surgery requires improvisation and resourcefulness due to limited supplies and equipment.
Training and teamwork are crucial in austere surgery, and having a resilient and adaptable team is important.
In austere environments, decisions must be made based on available resources and the best interest of the patient.
Preparing for austere surgery involves pre-planning, understanding the environment, and being mentally and physically prepared.
Coping with loss and emotional stress is a challenge in austere surgery, and supporting and insulating team members is important.
Finding joy in the work and being grateful for the opportunity to help others can sustain surgeons in austere environments.


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