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Category: Podcasts

Podcast Episode 51: Tropical Medicine Considerations with CAPT Ryan Maves

Not all PFC is trauma.  Malaria, Dengue, Chikungunya and others will take you out of the fight if given the chance.  In this episode CAPT Ryan Maves talks about some of the more concerning and prevalent diseases encountered by deployed military personnel and partner forces and what you can do about it before an infection becomes debilitating or life threatening.

Podcast Episode 46: Bleeding in the Box: Non-Compressible Torso Hemorrhage with Dr. Mark Shapiro

Many efforts in the pre-hospital combat environment had been aimed at prolonging the viability of a patient until they are able to make it to a surgeon. The goal of military triage and evacuation is to have urgent surgical patients to a waiting surgical team within 2 hours. Despite our best efforts, this is not always possible. When it is not, it is important to do the simple interventions which we know make a difference for combat casualties such as tourniquets, wound packing, needle decompression and airway adjuncts. Wounds causing non-compressible hemorrhage to the torso need additional strategies to bridge the time and space gap to definitive treatment. A non-surgical adjunct which has shown the most promise to this point has been the early transfusion of whole blood and blood products. Our newest Clinical Practice Guideline on Remote Damage Control Resuscitation details what should be done and why. There is an entirely separate working group, The Tactical Hemostasis, Oxygenation and Resuscitation (THOR) group dedicated to exactly those principles. Despite all that effort and brain power however, blood remains a finite resource in the austere environment and Medics have faced terrible situations where even blood administration is not enough and surgery is too far away. It is in these times of worst-case desperation that we want to do more for our patients. Some of the adjuncts discussed in this episode are abdominal tourniquets, REBOA and open surgical procedures. We don't take any of this lightly and realize that for the vast majority of our pre-hospital audience, many of the procedures discussed are far outside the current scope of practice. What is possible? What is responsible? What is sustainable? Enjoy the talk.

Podcast Episode 45: Regional Anesthesia as an adjunct to Analgesia

When properly and safely administered regional anesthesia can augment your limited supply of narcotics and ketamine in resource poor environments. It can also preserve your patient's mental status while providing targeted pain relief. This can be accomplished using a nerve stimulator and the techniques found in the Military Advanced Regional Anesthesia and Analgesia Handbook as taught in the Special Forces Medical Sergeant course. If you have a portable ultrasound machine and a little practice you can also use the safe techniques found in the videos made available in by the New York School of Regional Anesthesia at NYSORA.com.

Podcast Episode 28: Critical Skills for Prolonged Field Care Providers

Training materials were the number 1 most requested item from our SOMSA AAR.  We have put out other training recommendations in the past but wanted to also highlight some important skills that will help you identify gaps in your PFC training program, plan future training and measure progress.

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 21: Optimizing Ventilation

The Special Operations Medical Association Podcast on Prolonged Field Care is back with a new episode on a long awaited topic, traumatic ventilation.  We were finally able to corner a real, […]

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 […]

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 […]

Podcast Episode 16: Sedation

Being able to calm and sedate patient in operational or prolonged field care situations may be a valuable skill.  Here are our thoughts on sedating your patients when patient comfort […]

Deployment Downloads

Pre-deployment checklists, cheat sheets and other resources now updated!  Everything I am posting below could help anyone who finds themselves in over their heads

SOLCUS @ JTS Tele-Conference #500

As 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 […]

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 […]

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 […]

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