Podcast 129: Combat Medic Arctic Trauma Course

In this episode Dennis talks with Brett and Sean about the Combat Medic Arctic Course based in Alaska, the Siberia Drill and other lessons learned from working in extremely low

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Podcast 128: Traumatic Cardiac Arrest With Doug

In this podcast, the Dennis and Doug discuss the challenges of treating traumatic cardiac arrest in the field…

and the importance of early intervention to improve outcomes. They also cover various topics such as identifying reversible causes, utilizing resuscitative thoracotomy, and managing hypovolemia. They also get into a great discussion on roles and responsibilities and the importance of having a plan for the team.




Doug and Dennis talking about teamwork in traumatic cardiac arrest.

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A Grassroots Approach to Building National Resilience for Comprehensive Defense, Deterrence and Crisis Response

The foundation of comprehensive defense and deterrence is a trained populace who are willing and able to respond during times of crisis.

Efforts by external, intervening entities should initially focus on enabling and empowering the people of the partner nation to support themselves.

External intervention without strategy is medical tourism at best and may be detrimental to defined initiatives.

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PFC vs PCC?

Let’s jump right in. No one wants to be in a prolonged care situation. It is a contingency like a MASCAL. Maybe even a subset of a MASCAL: Being overwhelmed with the complexity and severity of a single, critically ill or injured patient vs being overwhelmed by many patients. As discussed in yesterday’s post,

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PFC and The Surgical Team Deficit

The vast majority of SOF deployments occur outside combat zones where the SOF Medic is expected to care for the entire team without a credentialed provider.  

Faced with a low level of risk, SOF Commanders opt to accept it.

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Prolonged Care and Technology: A PFC Op-Ed

If trained sufficiently, integrated responsibly, and not relied upon, some technology may enhance the awareness of a task-saturated medic dealing with a critically ill patient. However, much of it may be a waste of money, space, and weight without

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Haven’t we always done PFC?

No.

Medics and Corpsmen have not always done Prolonged Field Care or Prolonged Casualty Care.

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Improvised Field Medicine Shopping List for the Austere Clinician

From tourniquets to chest seals, our community has been at the forefront of innovating, problem solving and improvising when not able to get a commercially tested and manufactured medical device. A purpose-made, evidence-based solution should always be primary

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Prolonged Casualty Care for All

The Role 1 Prolonged Casualty Care Guidelines for the entire DoD are now available here and on the Joint Trauma System website!

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RAVINES: A Practical Approach to PFC

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.

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