So what is different than what we already have in the THOR recommendations, the JTS DCR clinical Practice Guideline and the Ranger Regiment TDCR? No hextend?! Calcium with the 1st unit of blood?! TXA slow push?! What if the patient is not responding to resuscitation efforts? This is a guideline truly written for the Medic working despite lack of help or resources in an austere environment…
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Podcast Episode 46: Bleeding in the Box: Non-Compressible Torso Hemorrhage with Dr. Mark Shapiro
Many efforts in the pre-hospital combat environment had been aimed at prolonging the viability of a patient until they are able to make it to a surgeon. The goal of military triage and evacuation is to have urgent surgical patients to a waiting surgical team within 2 hours. Despite our best efforts, this is not always possible. When it is not possible, Continue reading Podcast Episode 46: Bleeding in the Box: Non-Compressible Torso Hemorrhage with Dr. Mark Shapiro
Video Recap of a Civil War Field Hospital Reenactment and PFC Display at Bentonville Battlefield in NC
The Battle of Bentonville was fought 154 years ago just a short distance from Fort Bragg, NC. Each year the North Carolina Historic Site Staff and reenactors commemorate the battle with different types of reenactments. This year the focus is on Civil War Medicine and the originally preserved Union XIV Corps Field Hospital at the Harper house. This Event was called, “A Fighting Chance For Life.” It is important for us to look deep into the past and hold close the lessons learned which now benefit all mankind. This was a perfect opportunity in which to see the advents of modern combat medicine
Podcast Episode 45: Regional Anesthesia as an adjunct to Analgesia
When properly and safely administered regional anesthesia can augment your limited supply of narcotics and ketamine in resource poor environments. It can also preserve your patient’s mental status while providing targeted pain relief. This can be accomplished using a nerve stimulator and the techniques found in the Military Advanced Regional Anesthesia and Analgesia Handbook as taught in the Special Forces Medical Sergeant course. If you have a portable ultrasound machine and a little practice you can also use the safe techniques found in the videos made available in by the New York School of Regional Anesthesia at NYSORA.com.
Principles Continue reading Podcast Episode 45: Regional Anesthesia as an adjunct to Analgesia
Podcast Episode 44: Prep For Flight and En Route Care: The 10th Core PFC Capability
Prep for flight is the 10th Core PFC Capability. Our working group had always deferred to subject matter experts
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Standard Prolonged Field Care Training Curriculum Crowdsource Project
It has been our experience that high quality prolonged field care training takes time, resources and expertise by dedicated trainers well versed and experienced in critical care concepts. That being said we also believe that there are fundamental principles which can help
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Crowdsourcing a Standard PFC Deployment Med Box
All of us are smarter than one of us.
This project is an opportunity to collaborate and will attempt to use the wider working group audience to identify a standard list of drugs every Independant Duty Medic or Corpsman should have with him on every austere deployment. If put into practice properly across the force and coordinated with MEDLOGs, this will be one less chore for a medic and another place where we can help reduce mistakes and oversight. The following
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Podcast Episode 43: 5 years of Prolonged Field Care
A Re-Introduction to Prolonged Field Care After 5 Years of Work
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.
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Podcast Episode 42: Wound Care Basics and Beyond
In this episode Dennis talks to PFC Wound Care CPG author Justin along with Surgery Instructors Jon and Rick about their experiences with austere wound care.
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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