Category Archives: Recommendations

Podcast Episode 48: Maximizing Hospital Rotations and Medical Proficiency Training

Hospital rotations for medical proficiency training give medics who operate in the field the opportunity to see what “right” looks like. Knowing this and understanding treatment principles can allow a flexible medic to adapt to unique situations in the absence of protocols, guidelines and evidence. If properly coordinated and supported, MPTs can be an invaluable and eye opening experience. When thrown together with a naive or indifferent staff or unmotivated medic, it can be a huge waste of time and money for everyone involved. In this episode Dennis and Dr. Mark Shapiro talk about several MPT programs, and strategies to maximize the effectiveness of an MPT.


Here are several elements necessary for a positive MPT experience:

  • An approved MOU
  • A motivated lead clinician
  • An administrative coordinator
  • A limited amount of competition with residents and fellows
  • Multiple capabilities and scope of practice briefs and videos to catch staff in all departments and shifts in which a medic will be working (Share this episode)
  • A synopsis of your scope of practice and goals emailed to the specific departments in the days prior
  • A list of procedures or experiences the medic is trying to complete may help the staff understand goals
  • If an MPT is meant to prep for prolonged field care the medic should strive to respond to the trauma bay and accompany the patient through the continuum of care including prep, surgery, post op and ICU

One last thing before the podcast;

Please dont show up to your first day to work at a world class level 1 trauma center and medical school wearing pink ranger panties when everyone else is in suit and tie. I wouldn’t say it if it hadn’t happened…

Here are some links from current and past Academis partners who have participated in Military/civilian MPT partnerships:

https://www.ajc.com/news/local/special-forces-trains-combat-medics-grady-hospital/rz58YOzyotj6L7N8ydc8lL


https://www.military.com/daily-news/2015/11/24/green-beret-medics-train-duke.html


https://www.army.mil/article-amp/133219/special_operations_combat_medic_students_take_lead_in_emergency_department_rotation


https://news.vcu.edu/article/VCU_Medical_Center_Trains_its_1000th_Special_Operations_Combat


https://www.military.com/military-fitness/general-fitness/who-attends-the-special-operations-combat-medics-socm-course




Podcast Episode 47: Andy Fisher and his Damage Control Resuscitation for Prolonged Field Care CPG

So what is different than what we already have in the THOR recommendations, the JTS DCR clinical Practice Guideline and the Ranger Regiment TDCR? No hextend?! Calcium with the 1st unit of blood?! TXA slow push?! What if the patient is not responding to resuscitation efforts? This is a guideline truly written for the Medic working despite lack of help or resources in an austere environment…

Continue reading Podcast Episode 47: Andy Fisher and his Damage Control Resuscitation for Prolonged Field Care CPG

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. This was a perfect opportunity in which to see the advents of modern combat medicine

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Standard Prolonged Field Care Training Curriculum Crowdsource Project

It has been our experience that high quality prolonged field care training takes time, resources and expertise by dedicated trainers well versed and experienced in critical care concepts. That being said we also believe that there are fundamental principles which can help

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Crowdsourcing a Standard PFC Deployment Med Box

All of us are smarter than one of us.

This project is an opportunity to collaborate and will attempt to use the wider working group audience to identify a standard list of drugs every Independant Duty Medic or Corpsman should have with him on every austere deployment. If put into practice properly  across the force and coordinated with MEDLOGs, this will be one less chore for a medic and another place where we can help reduce mistakes and oversight. The following Continue reading Crowdsourcing a Standard PFC Deployment Med Box

Podcast Episode 43: 5 years of Prolonged Field Care

A Re-Introduction to Prolonged Field Care After 5 Years of Work

PFC is doing the best you can to treat a sicker patient than you are prepared to handle for longer than you should be. It’s not a skillset, part of a plan or planned event, it is a bad situation that in which you find yourself due to extenuating circumstances.

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Prolonged Field Care at MHSRS 2018

The essence of prolonged field care is now infused into many aspects of the austere and military medical lexicon. The response by the medical community to come together to help solve problems faced by medics and the warfighters they accompany has been nothing short of amazing.

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Episode 41: The Death of the Golden Hour: SOMSA 2018 Talk, by COL (Ret.) Rocky Farr, MD

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 Continue reading Episode 41: The Death of the Golden Hour: SOMSA 2018 Talk, by COL (Ret.) Rocky Farr, MD