Podcast 146: Versed and Procedural Sedation with Kevin and Paul

This episode, is all about “Versed.” We’ve got Kevin and Paul here, chatting about patient positioning and the intricacies of using Versed, a benzodiazepine, for sedation. They touch on how different patients react to the drug, emphasizing the art of medicine over strict calculations, especially in challenging scenarios. The podcast delves into dosing strategies, dealing with hemodynamically unstable patients, and the complexities of maintaining sedation during procedures. Remember, every patient is unique, so adapt the approach accordingly.

Podcast 143: UW Hospitals with Regan Lyon

Welcome back to the PFC Podcast. Today, we’ve got Regan on the show discussing her thesis on unconventional medical networks. She’s an emergency medicine physician with extensive experience in special operations and unconventional warfare scenarios. Her thesis delves into the difficulties in the establishment and operation of medical networks in challenging environments. They explore historical examples like the Yugoslavian resistance, highlighting the importance of proximity to the frontline and adaptability. Regan emphasizes the need for cognitive agility and understanding local resources when providing medical aid. Cooperation with allies and partners is vital for interoperability and empowering them to effectively respond to conflicts.

Podcast 141: Facial Trauma with Burjor

In this episode Dennis is joined by Burjor to discuss facial trauma and the importance of hemorrhage control in austere environments. Burjor shares his expertise in maxillofacial surgery and emphasizes the need to address bleeding and fluid loss in patients with scalp lacerations.

Podcast 26: Beyond Basic Wound Care-The ICRC Way

This Clinical Practice Guideline was written by a fellow 18D with input from around the surgical community. ┬áIt reconciles the differences between wound care done in a role 2 or 3 facility, such as serial debridement, with what is taught in the 18D Special…

PFC Basics: Documentation-Chart then Trend

The primary reason for the development of the PFC documentation is to enable the medic to more effectively and more efficiently take care of a patient beyond anticipated timelines. When we designed the PFC flowsheet, we wanted a single document that a medic could laminate and stick in the back of their aidbag, hopefully, without ever having to pull it out except for in training. Ideally, every patient would receive a quick evacuation and the medic would only have to do good TCCC. Since we know that this is not the case, the PFC documentation was custom built to enable anyone, regardless of level of training and proficiency, to help improve what they were already doing. Non-Medics, Resuscitation teams, Medics, it doesn’t matter. When technology fails, and it will, we think that having a dedicated, analog record of treatment can help reduce the cognitive burden faced by a small team who is most likely tired, and overwhelmed. The integrated checklists and visual reminders should act as cues to action.

Podcast Episode 137: ANOTHER Great Medical Update from Ukraine from a CASEVAC Paramedic and 2 EM Physicians

Don’t miss another great update from Ukraine. This time Dennis talked to Kasia, Kyle and Denys who volunteered (or are currently volunteering) in Ukraine. Kasia, an emergency pre-hospital critical care expert, spent several months there, while Denys, a physician and medical course director, has…

Podcast 134: Blood Storage with Monti

How can we get cold stored O-Low Titer blood farther forward on deployments?
Monti is a former army medic who has multiple rotations in Afghanistan and Iraq. He is now part of Delta development, which created a battery-powered blood refrigerator that can store blood between 1 and 6 degrees Celsius, which is vital for prolonged field care. The device can keep blood for up to 10 days on battery power and has a temperature log for easy record-keeping. The goal is to push blood forward to the front lines and eventually back to role three to ensure that blood is available when needed.

Podcast 133: PFC Update Recorded live from SOMSA 2023

If you were not able to make it, or had to leave early and missed the last talk of SOMSA 2023 here is your chance to catch our own presentation of SOMSA 2023 before SOMA posts it and others in the coming months…

The title of this presentation is Prolonged Field Care Across the Spectrum of Irregular War. First a quick review of PFC vs PCC and then on to an opinion on simplifying the complexities of building capacity for IW med support.

Podcast 131: Dr. Ethan Miles on The Simple Thing That No One Does

COL (Ret) Ethan Miles MD joins Dennis to discuss the nuances of…

Podcast 129: Combat Medic Arctic Trauma Course

In this episode Dennis talks with Brett and Sean about the Combat Medic Arctic Course based in Alaska, the Siberia Drill and other lessons learned from working in extremely low temps. They also discuss the unique challenges and considerations involved in providing medical care in extreme cold weather conditions. They cover topics such as hypothermia, fr

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