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 of real world knowledge that we hope to pass on to a wider audience here. Continue reading Podcast Episode 33: TIVA: Another Look at Pre-Hospital Analgesia and Sedation
Category Archives: Case Discussion
PFC Grand Rounds Talk at UC Davis Health
Here is a great video on PFC and the cases we helped collect from Air Force MAJ Eric DeSoucy, DO doing a Grand Rounds talk for the Department of Surgery at UC Davis.
Here is the study he referenced in the video which he also happened to head up for our working group and the Joint Trauma System.
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. 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.
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 the road by a
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
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
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
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, Continue reading Podcast Episode 12: Crush Syndrome From a Prolonged Field Care Perspective
Burn with Airway Involvement: PFC Case Discussion 5
A U.S. service member sustains deep partial thickness burns to both arms and the chest while burning the trash…
Continue reading Burn with Airway Involvement: PFC Case Discussion 5
Video AAR of the Jan 2016 Marjah Firefight and PFC MEDEVAC
A small team surrounded in a compound, active firefight, helicopter attempting MEDEVAC inside the walls but blades strike the building, TCCC, Prolonged Field Care, blood transfusions, 6 attempts at converting a tourniquet over 17 hours…
Continue reading Video AAR of the Jan 2016 Marjah Firefight and PFC MEDEVAC
Case Discussion #3: Fall With Lung injury
Carl sustains a Blunt LUNG injury from a fall from height. He complains of rib pain, but no obvious fractures. Other than tachycardia, his initial vital signs are within normal parameters. Four hours into the situation, he has an obvious decrease in his pulmonary status (i.e. increasing RR, decreasing SpO2, increase work of breathing, etc.). Continue reading Case Discussion #3: Fall With Lung injury
Case Discussion #1: GSW w/TQ
Just as a rehearsal of a tactical operation will prepare the operator to better deal with contingencies, discussing and talking through realistic, hypothetical, medical scenarios will give the medic a good idea to how he might respond should a similar situation arise in real life. We encourage participation in the discussion by all levels of medic, nurse and provider. Constructively thinking through worst-case illness and injuries, through multiple perspectives, will open the eyes of those on the other side of the wire, no matter which side that may be. If you Continue reading Case Discussion #1: GSW w/TQ