Category Archives: Announcements

Podcast Episode 100 and SOMSA-22

In the 100th Episode of the Prolonged Field Care Podcast Dennis sits down with Jamie, Sean and Paul to talk about the last 100 episodes and how prolonged field care evolved over the past 7 years from when the working group was established at SOMA 2013 in Tampa, FL. Sean has since moved on and retired from the military and founded a non profit, Specialized Medical Standards, dedicated to developing, and distributing high quality education and training resources to the international medical community, much of it based on the lessons learned from his unique experiences and expertise.

Listen here on our Anchor FM page, YouTube Channel or on your favorite podcast app.

Come visit Sean and Dennis at the SMS booth in the SOMSA exhibition room and see the official Prolonged Field Care update from Paul on Friday morning on the main stage.

Podcast Episode 94: We are Back

The Prolonged Field Care Working Group is dead (actually, evolved…).

In its place, the new Prolonged Field Care Collective arises.


Be the first to get our newest episodes on our new Spotify Show by clicking here.

After some time to reorganize, restructure, and strategize, we will be continuing to update best practices, share ideas and raise the important questions faced by medics around the world. We have taken this step to lay the old prolonged field care working group construct to rest and form a new organization (with the same core people): the Prolonged Field Care Collective. Membership is based on participation and contribution. Dennis will continue to record podcasts, which will be posted on http://www.prolongedfieldcare.org, our new podcast feed (Search “Prolonged Fieldcare Podcast”) as well as the same old Special Operations Medical Association Libsyn feed. This will allow us to reach a wider audience, maintain complete control of our content, continue to “push the envelope,” nurture the unconventional Think Tank, and expand what we offer in the future.

Prolonged Casualty Care for all

The wait is over…

The Role 1 Prolonged Casualty Care Guidelines for the entire DoD are now available here and on the Joint Trauma System website!
This was a monumental undertaking from the beginning and required countless hours of research, writing, deliberations, and editing from subject matter experts, volunteering from each service and academia. The baseline for these guidelines were the previous clinical practice guidelines written by members of our legacy prolonged field care working group. Where those guidelines did not meet the requirements of one of the services, the members of this new Committee on Prolonged Casualty Care came together to ensure the verbiage met those unique needs while not taking away from the underlying principle. They ain’t perfect but fill a gap which has been hanging over our heads for years. They are version 1.0 with updates already being considered. In the future, concerned parties will be able to present evidence in the same change paper format used by the other official Defense Committees on Trauma such as CoTCCC and we can update it on the official JTS website quickly and efficiently. Aside from the work done by each of the listed authors an inordinate amount of work was done by MSG Mike Remley to edit and push them through the JTS process. It would have been another 6 months or more with him. COL Jamie Riesberg led this group from the beginning while juggling his day job which has almost nothing to do with the writing and editing of guidelines. He did this out of his never-satisfied sense of Service. They both certainly have my respect for embracing the challenge when I was much more skeptical. Another unsung hero stepped up in the final quarter was Dr. Dan Mosley. There is no question that all of us were spinning our wheels and hitting all the walls when he stepped up to do the hard, unenviable and tedious work, combing through each section and editing the minutia before handing it off to Mike and the JTS team for final approval and technical writing under COL Gurney and Col Shackleford.

Thank you to all involved in these guidelines and to those who paved the way from the beginning. Now back to work.

Click to access Prolonged_Casualty_Care_Guidelines_21_Dec_2021_ID91.pdf

The PCC guidelines are a consolidated list of casualty-centric knowledge, skills, abilities, and best practices intended to serve as the DoD baseline clinical practice guidance (CPG) to direct casualty management over a prolonged period of time in austere, remote, or expeditionary settings, and/or during long-distance movements. These PCC guidelines build upon the DoD standard of care for non- medical and medical first responders as established by the Committee on Tactical Combat Casualty Care (CoTCCC), outlined in the Tactical Combat Casualty Care (TCCC) guidelines,1 and in accordance with (IAW) DoDI 1322.24.
The guidelines were developed by the PCC Work Group (PCC WG). The PCC WG is chartered under the Defense Committee on Trauma (DCoT) to provide subject matter expertise supporting the Joint Trauma System (JTS) mission to improve trauma readiness and outcomes through evidence-driven performance improvement. The PCC WG is responsible for reviewing, assessing, and providing solutions forPCC-related shortfalls and requirements as outlined in DoD Instruction (DoDI) 1322.24, Medical Readiness Training, 16 Mar 2018, under the authority of the JTS as the DoD Center of Excellence pursuant to DoDI 6040.47, JTS, 05 Aug 2018.
Operational and medical planning should seek to avoid categorizing PCC as a primary medical support capability or control factor during deliberate risk assessment; however, an effective medical plan always
includes PCC as a contingency. Ideally, forward surgical and critical care should be provided as close to
casualties as possible to optimize survivability.
2 DoD units must be prepared for medical capacity to be overwhelmed, or for medical evacuation to be delayed or compromised. When contingencies arise, commanders’ casualty response plans during PCC situations are likely to be complex and challenging. Therefore, PCC planning, training, equipping, and sustainment strategies must be completed prior to a PCC event. The following evidence-driven PCC guidelines are designed to establish a systematic framework to synchronize critical medical decisions points into an executable PCC strategy, regardless of the nature of injury or illness, to effectively manage a complex patient and to advise commanders of associated risks. The guidelines build upon the accepted TCCC categories framed in the novel MARC2 H3-PAWS-L treatment algorithm, (Massive Hemorrhage/MASCAL, Airway, Respirations, Circulation,
Communications, Hypo/Hyperthermia and Head Injuries, Pain
Control, Antibiotics, Wounds (including Nursing and Burns),
Splinting, Logistics).
The PCC guidelines prepare the Service Member for “what to
consider next” after all TCCC interventions have been effectively
performed and should only be trained after having mastering the
principles and techniques of TCCC.
The guidelines are a consolidated list of casualty-centric knowledge, skills, abilities, and best practices are the proposed standard of care for developing and sustaining DoD programs required to enhance confidence, interoperability, and common trust among all PCC-adept personal across the Joint force. The JTS CPGs are foundational to the PCC guidelines and will be referenced throughout this document in an effort to keep these guidelines concise. General information on the Joint Trauma System is available

on the JTS website (https://jts.amedd.army.mil) and links to all of the CPGs are also available by usingthe following link: https://jts.amedd.army.mil/index.cfm/PI_CPGs/cpgs. The TCCC guidelines are included in these guidelines as an attachment because they are foundational AND prerequisite to effective PCC.

Remember, the primary goal in PCC is to get out of PCC!!!

Podcast Episode 61: TBI Update with Dr. VanWyck

 

Listen Now:

http://traffic.libsyn.com/specialoperationsmedicine/PFC_TBI_update_Final.mp3

Show Notes: Continue reading Podcast Episode 61: TBI Update with Dr. VanWyck

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. Continue reading Video Recap of a Civil War Field Hospital Reenactment and PFC Display at Bentonville Battlefield in NC

New CPG! Traumatic Brain Injury Management in PFC

Traumatic Brain Injuries coupled with other injuries can be one of the most difficult wound patterns to manage in the field. Learn to manage TBI Continue reading New CPG! Traumatic Brain Injury Management in PFC

Free JSOU Book: “The Death of the Golden hour and the Return of the Guerilla Hospital” COL (RET) Warner D. “Rocky” Farr M.D.

From the Back Cover:

Colonel Warner “Rocky” Farr has made an important contribution to the body of SOF knowledge with this well-researched monograph. He advances the understanding of the many challenges and accomplishments related to guerrilla warfare medicine—care provided by predominantly indigenous medical personnel under austere conditions with limited evacuation capability— by providing a survey of the historical record in UW literature. Colonel Farr relates many historical experiences in the field, assesses their effectiveness, and lays a foundation for further in-depth study of the subject. The Joint Special Operations University is pleased to offer this monograph as a means of providing those scholars and operators, as well as policymakers and military leaders, a greater understanding of the complex and complicated field of guerrilla warfare medicine.

Download the PDF: The Death of the Golden Hour and the Return of the Guerilla Hospital -COL (RET) Warner D. Rocky Farr MD


http://jsou.libguides.com/jsoupublications/2017


COL (RET) Warner D. “Rocky” Farr Bio

Podcast 23: Clinical Practice Guidelines for the SOF Medic

While at the 2017 Remote Damage Control Resuscitation(RDCR) conference put on by the Tactical Hemostasis, Oxygenation and Resuscitation(THOR) network in Norway, Sean took the time to corner Dr. Shackleford to get her thoughts on the Joint Trauma System Clinical Practice Guidelines. Continue reading Podcast 23: Clinical Practice Guidelines for the SOF Medic

SOMSA ’17 Poster Presentations

There were some truly interesting ideas, research and products showcased on the exhibition floor. If you missed the 2017 Special Operations Medicine Scientific Assembly this year in Charlotte or never made it all the way back to the poster boards, here are the posters from the 2017 assembly.
Continue reading SOMSA ’17 Poster Presentations

Analgesia and Sedation JTS/PFC Clinical Practice Guideline

Picture2

TheJoint Trauma System joined up with us and several of our working group members to bring you this, our third CPG, for PFC.As with every PFC CPG, this is the time that goes beyond TCCC. With this specific CPG you are expected to provide appropriate analgesia and/or sedation

Continue reading Analgesia and Sedation JTS/PFC Clinical Practice Guideline

SFMS / SOCM Prolonged Field Care Card

v19b19apic

This is the newest version (v22.2) of the single page Prolonged Field Care Card.  It is in use in both the Special Forces Medical Sergeant (SFMS) Course as well as the Special Operations Combat Medic Course (SOCM) at the Joint Special Operations Medical Training Center (JSOMTC) at Fort Bragg.  Print it out, laminate it and stick it in the back of your aid bag.  It takes up almost no space and weight and it’ll be there for you when you run out of space on your TCCC card.

Continue reading SFMS / SOCM Prolonged Field Care Card

PFC Sponsored by SOMA

The Special Operations Medical Association (SOMA) was founded in 1992.   It now consists of hundreds of members in pre-hospital, tactical, wilderness, austere, disaster and deployed medicine.  The primary goal of the association is to advance the art and science of special operations medical care through the education and professional development of special operations medical providers. This is where the Prolonged Field Care Working Group and our website come into play. Continue reading PFC Sponsored by SOMA

The Journal of Trauma and Acute Care Surgery on the Future of PFC

The following article was published in the Journal of Trauma and Acute Care Surgery.  If you haven’t read it, it’s a great look into the amount of time and effort being put into the research and solving of problems having to do with Prolonged Field Care based on our 10 Capabilities model.  This includes everything from improvement of enroute care to organ replacement and futuristic methods of targeted resupply.  Check out table 2 in the article linked below to get a better idea of what I’m talking about.

Journal of Trauma and Acute Care Surgery Ahead of the curve sustained innovation for future combat casualty care J TRAUMA OCT 2015

Authors: Todd E. Rasmussen, MD, David G. Baer, PhD, Andrew P. Cap, MD, PhD, and Brian C. Lein, MD, Fort Detrick, Maryland

SOMSA 2016 Academic Posters

This was my third time attending SOMSA and each time I seem to be more and more busy with my involvement in the working group, networking and just catching up with buddies I haven’t seen in a while.    In the past I would try and naively

Continue reading SOMSA 2016 Academic Posters

SOLCUS @ JTS Tele-Conference #500

Sono in SOF medAs promised, here it is – the SOLCUS talk on ultrasound education in special operations medicine. It was given at the Joint Trauma System Combat Casualty Tele-Conference # 500, on Feb 18th, 2016. Once again – many thanks to the JTS Team for their kind invitation!

Continue reading SOLCUS @ JTS Tele-Conference #500

JTS Combat Medic Teleconference

The 500th weekly  Joint Theater Trauma System Trauma Teleconference out of San Antonio featured our own SOLCUS Point of Injury Ultrasound curriculum.  It was specifically geared to the level of enlisted SOF medics and up.  This is a great way to earn CEUs CNEs or CMEs while hearing about recent cases and the latest and greatest in combat medicine.

Continue reading JTS Combat Medic Teleconference

2015 Year in Review

Picture1

The following is a letter from Sean sent out on our big email list.  If you’re not on the list don’t worry because it is posted here in it’s entirety.  The letter  highlights what we have done over the last year and, more importantly, what we have planned for the year to come, specifically  a whole day of Prolonged Field Care specific training

Continue reading 2015 Year in Review

CALL FOR CASES!

JTS_Operational_Cycle

The U.S. Institute Of Surgical Research Joint Trauma Service and PFC Working Group need your help:

The JTS is working to conduct a retrospective case review relating to PFC in order to conduct an aggregate analysis.

We are currently collecting as many cases as we can obtain relating to prolonged role 1 care (anything greater than 4 hours) both trauma and non-trauma. We are accepting unclassified AAR’s, medical records, powerpoint summaries from meeting presentations, or even just personal memory/war stories. If the medic is available, we would like to interview them if possible. As there is really no database of such cases, many of the cases will be identified by word of mouth, although we are also searching the trauma registry, SOMA and SOCMSSC databases.

The results of our analysis will include the epidemiology of PFC cases and aggregate lessons learned. The report will be returned to the PFC working group and  operational communities and published (likely in JSOM).

Thank you for any assistance you can provide to help identify these cases and the medics who provided such care. Cases may be submitted to usarmy.jbsa.medcom-aisr.list.jts-prehospital@mail.mil

Click here to download the AAR Form


Once you open the PDF, click
Once you open the PDF, click “Fill and Sign” then “Add Text” to fill out as much as you can.

PFC Video Lecture Series Ep 1: Documentation in PFC

V15 Side 1v 15 Back

I hate hearing about other guys who have had to reinvent the wheel when there is so much to draw from already.  I was initially going to record this as a podcast but quickly realized that there was far too much lost without showing the specific charts and checklists to which I was referring.  If there is anything I left out as far as downloads, let me know and Continue reading PFC Video Lecture Series Ep 1: Documentation in PFC

Position Paper – 10 Essential Core Capabilities for Prolonged Field Care

This post has been a long time coming.  This is where it began and may be the most important tool we have to offer.  This is the 10 Capabilities Position Paper revisited with the grid made easily available.  If you have read the position paper you know that everything we recommend is in the “Minimum, Better and Best” format. Continue reading Position Paper – 10 Essential Core Capabilities for Prolonged Field Care

FOAMed, SMACC and PFC

I hate not knowing an acronym.  In my line of work acronyms are language and the ignorance of one normally results in the ignorance of entire programs or departments.  FOAMed is Free Open Access Meducation a term growing in popularity mostly in part due to the SMACC committee and it’s world wide network of Critical Care, Emergency Medicine and Prehospital care Cadre.  SMACC stands for Social Media And Critical Care. There are now a plethora of  podcasters known as “providers” who attempt to tackle the pressing problems of the aforementioned specialties while striving to educate, for free, the hungry Paramedics, Interns, residents and colleagues at large.  They are succeeding beyond what they thought possible and it is spreading to all facets of medical education.  The first SMACC conference was held in 2013 with the worlds most famous podcasters lecturing and fielding questions from the audience and twitter simultaneously.  It was hailed as the most inspiring and interactive medical conference and if you listen to the podcasts you will see why.  The second was held on the Gold Coast of Australia with even better results.

Continue reading FOAMed, SMACC and PFC

Joint Trauma Service Clinical Practice Guidelines: The Standard of Deployed Medicine

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.  Continue reading Joint Trauma Service Clinical Practice Guidelines: The Standard of Deployed Medicine

WE ARE LIVE ON iTUNES!

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. 

Continue reading WE ARE LIVE ON iTUNES!