The Joint Trauma System (JTTS)Clinical Practice Guidelines(CPGs) are the standard of care for all US Military
Medcal Providers. They are backed by evidence and represent the current expectations of care.
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.
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.
One of the original papers written in Feb of 2014 remains extremely pertinent and one that I have gone back to reference time and time again.
Download it now or read it in it’s entirety
PFC WG analgesia and sedation comments (Feb, 14)