Podcast Episode 33: TIVA: Another Look at Pre-Hospital Analgesia and Sedation

Rick Hines has spent the last 20+ years in service to his country much of it deployed to combat zones and other unstable, austere environments and is dedicated to improving SOF Medicine.  He made it a point to spend a fair amount of time with surgical teams when possible and has gained quite a bit … Continue reading Podcast Episode 33: TIVA: Another Look at Pre-Hospital Analgesia and Sedation

Podcast 24: Sepsis Roundtable Discussion

You have probably treated someone with an infection and likely even with someone with SIRS criteria at some point in your career. At what point does a simple infection become concerning to the point that you should call for a teleconsult? When does it become emergent or life threatening, demanding intervention and treatment?

Podcast Episode 20: TBI Round Table and Case Discussion

This podcast is a follow up from our last post on managing traumatic brain injuries in austere environments.  We included a scenario discussion with David, Jamie, Daryl, Jay, Doug and I with much needed answers to some frequently asked questions. What are your priorities?  How do you assess in the field without labs and imagery?  Do you … Continue reading Podcast Episode 20: TBI Round Table and Case Discussion

Podcast Episode 19: Sepsis

If you sit on a patient long enough, infection has a greater chance of taking hold and progressing to sepsis, or you may receive a patient who has already been sick for days. Doc Jabon Ellis walks us through the full spectrum from infection and SIRS to sepsis, shock and death. Despite firm CoTCCC and … Continue reading Podcast Episode 19: Sepsis

Podcast Episode 18: Traumatic Brain Injury

"We were assigned to train the Colombian military in Reconnaissance operations. It was the rainy season, so travel was limited to trucks, ATVs, and good ol’ fashioned walking. We were about two days into our training mission/jungle slog, when we happened upon a vehicle at the base of the mountain that had been pushed off … Continue reading Podcast Episode 18: Traumatic Brain Injury

Podcast #15 Analgesia Case Discussion Follow Up and a Word on Emerging PTSD Research

Just snow your patient with ketamine and versed to prevent PTSD right?  Maybe not.  While talking through some more analgesia and sedation strategies, Doc Powell shares his thoughts on what he has read recently and it might blow your mind.  It did mine and I'll definitely have to dig in and do more research of … Continue reading Podcast #15 Analgesia Case Discussion Follow Up and a Word on Emerging PTSD Research

GSW to Lower Extremity: PFC Case Discussion 7

Our case discussions are provided to get you, the medic or provider, to think about treatment and logistical issues.  The following case is a 'simple' scenario constructed to get you thinking about long term pain control without the distractions of a more complex case.  Once you read through the scenario, please take the survey at … Continue reading GSW to Lower Extremity: PFC Case Discussion 7

Podcast Episode 14: Crush Injury Round Table PFC Case Discussion

  This podcast is a follow up from our last post on managing crush injuries in austere environments.  We included a scenario discussion with LTC Riesberg, Dennis, Eric and myself. To cap it all off we included a new quiz below which is similar yet slightly different from the poll in the earlier Crush post. You will get immediate … Continue reading Podcast Episode 14: Crush Injury Round Table PFC Case Discussion

Podcast Episode 12: Crush Syndrome From a Prolonged Field Care Perspective

Crush injuries are difficult to manage in the best of circumstances.  In an austere environment by a practitioner with little to no experience they can be overwhelming.  In deciding which problem to address in depth first, crush syndrome seemed to be a great choice.  The Clinical Practice Guideline is well on it's way to being … Continue reading Podcast Episode 12: Crush Syndrome From a Prolonged Field Care Perspective