After many, many hours of work collaborating, recording, editing and coding, Prolonged Field Care is live to be downloaded and especially subscribed-to from iTunes! This is another huge leap forward for us in reaching medics with the information they will need. With a long drive to work I normally listen to SMACC, EMCrit, or other critical care or emergency medicine podcasts. As a medic many of them are good to hear and have great info but often don’t apply to my scope of practice or environment I operate in. These podcasts are hosted by an 18D Medic, interviewing Doctors and nurses of all specialties with the unique challenges we face when taking care of our buddies and partner forces in the worst circumstances with little or no help.
This is exactly what I need as an independent medic in an austere environment.
Who should medics call for help while managing a critical patient for prolonged periods of time? Different aspects of this have been discussed via different forums such as the SOMSA lunchtime working sessions and email chain. We are posting it here in order to reach a wider knowledge base including those who it affects directly such as the medics on the ground.
What research would help Medics on the ground provide better care to sick patients in an austere, environment today? Has anyone ever told you any dogma that you hear but question and can’t find studies for such as; less than 8 intubate, trendelenberg position for hypovolemic patients, etc.? We have the opportunity to make some of this research happen and use real science to find the best practice for our patients. We simply need ideas and suggestions for research to be conducted.
What measurement or technology, knowing BP measures aren’t always best, and mental status and peripheral pulses aren’t reliable, would be reasonable to field medics as a measure of resuscitation? Would a cost-efficient field lactate monitor be worthwhile?
Due Outs are issues that we have identified without complete or perfect answers. This is our attempt to crowd source ideas and solutions from as many different perspectives as possible. If you are a medic, this is your opportunity to speak up and let your surgeons or director know what could work for you. If you are a provider and have had success with something, please let us know. Our medics are Continue reading Sustainment Training and Continuing Education→
The following was originally recorded on the white board at the warehouse during the SOMSA training scenario with input from the entire group. If anything was left out be sure to add it in the comments. As always, you can read it in full here or download it now and read/reference it later.
Eye emergencies are one of the big 3 concerns; life, limb or eye sight. This will be the first of many installments on PFC specific eye recommendations, Open Globe Injuries. It is presented in a Power Point presentation for easy down load and printing for future reference. This was submitted out of the blue while we were at SOMSA 2014 by a PFCWG partner and a welcomed addition to our reference material.
Here is a message from one of our brothers serving in Germany. I copy and pasted verbatim so that you don’t miss any nuances. My thoughts will be pasted as a new comment after the post to get some discussion going. Please speak up and let us know what we forgot!
During a break from the lectures at the last SOMSA one of the first issues identified was the lack of knowledge of PEEP and the absence of PEEP valves on BVMs. Within a few weeks the paper Why we need PEEP valves on BVMs was written, edited and posted for distribution. Our unit ordered the extremely inexpensive valves and they were distributed down to the medics. It is now standard to be using PEEP valves and considered less-than-best practice without.