COL (Ret) Ethan Miles MD joins Dennis to discuss the nuances of…
patient positioning for different prolonged field care etiologies. Dr. Miles is a board-certified family medicine physician with extensive military experience, emphasizes that patient positioning is a forgotten aspect of medical training and that simple, low-cost interventions are often overlooked. Miles states that patient positioning is especially crucial in prolonged field care and can help in treating patients with traumatic brain injury, manage airways, and improve oxygenation. However, patient positioning can also have downsides, such as orthostatic hypotension, and should be reassessed regularly. Miles suggests that improvised things can also work well when pre-made solutions are unavailable.
Dr. Ethan Miles joins Dennis on the podcast to talk about patient positioning.
Tweet
Listen on Spotify:
Thank Our Sponsors:
MARCH-E-PAWS-B for TCCC algorithm
RAVINES for PFC priorities of work
PSNOT for the Chain of survival…
Dennis introduces the Prolonged Field Care (PFC) Podcast 130, welcoming Alex as his guest speaker. Alex, Dan, and Rick are working on a project for the upcoming SOMSA, where they will present the idea of defining the different phases of care in PFC,
just like TCCC. They believes that the medics should think about March for taking care of their patients, where they would continue to think about March irrespective of the setting, but maybe through a different lens when they’re in PFC. Alex talks about the phases of care in prolonged field care, which are preparation, stabilization, normalization, observation, and transportation, (PSNOT) and compares them to the thought process of doctors in damage control surgery. Dennis and Alex discuss the importance of SOF medics finding time to be good at SOF medicine, and how they need to understand their true capabilities and reach out to others for help when needed.
Preparation
Stabilization
Normalization
Optimization
Transportation
The Prolonged Field Care Chain of Survival Concept: Podcast #130
Tweet
Thank Our Sponsors:
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
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.
Tweet
All ProlongedFieldCare.org Content by The Prolonged Field Care Collective is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
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.
