Doug and Dennis talk austere management of COVID19 patients with an emphasis on strategies for oxygenation and ventilatory support. The remainder of the post is an massive amalgamation of resources I have been collecting for over a year for my own respiratory refresher.
Recommendations
Podcast Episode 61: TBI Update with Dr. VanWyck
Traumatic Brain Injuries coupled with other injuries can be one of the most difficult wound patterns to manage in the field. Learn to manage TBI on its own and when other complications arrive you will be in better condition to handle an even more difficult situation.
Podcast Eposode 60: Ian Wedmore on Frostbite and Cold Weather Injuries
Dennis and Paul talk with Dr. Ian Wedmore and discuss some interesting updates to the management of frostbite injury in the field and what to do when you get back to a hard stand shelter.
Podcast Episode 57: Snake Envenomation in Austere Environments
Dangerous snakes can be found both while training at home and far away while deployed. It may be a rare occurrence, but a catastrophic event when it does happen. Some austere providers may be aware of outdated treatments, and don't know where to start when it comes to identification and management of a snake bite. … Continue reading Podcast Episode 57: Snake Envenomation in Austere Environments
INCIDENT REPORT and Example of Remedial Plan of Action
https://www.nytimes.com/2019/10/11/world/africa/soldier-death-somalia.html Why does it take the NY Times to identify and disseminate our medical lessons learned?! How was this not immediately circulated to all medics internally the way parachute failure incidents and military vehicle accidents are?! Why is there not an immediate safety stand down and retraining required?! Don't let Dunning-Kruger fool you. Any one … Continue reading INCIDENT REPORT and Example of Remedial Plan of Action
Podcast Episode 55: JJ and Dennis on HROs. Part 1
The principles of High Reliability Organizations are necessary in those professions where mistakes can cost lives. The airline industry is the classic example and referenced many times in the articles below. Others included are those that could result in massive loss of life such as power plants, refineries, and many industrial chemical plants. Ideally, health … Continue reading Podcast Episode 55: JJ and Dennis on HROs. Part 1
Podcast Episode 54: SOP for the Ideal SF Clinic?
While no single clinic setup will work for every situation, a common baseline and checklist can make it far easier in customizing a clinic in similar circumstances. This is not professed to be THE way but it is A way in which ONE experienced team has created, tested, revised and rehearsed a clinic with different … Continue reading Podcast Episode 54: SOP for the Ideal SF Clinic?
Podcast Episode 53: Ventilating in the Prone?!
What happens when your patient has been given a cric or intubated but continues to decline... SpO2 continues to slowly drop despite taking control of the airway. You have placed your patient on a ventilator and slowly adjusted the PEEP up to 20cmH20... which quickly leads to hypotension. Do you go lower? Higher? Change volume … Continue reading Podcast Episode 53: Ventilating in the Prone?!
Podcast Episode 52: Walking the Fence of Evidence, Environment and Experience with a word on Proning
After a few discussions with JJ who has also appeared in several Element Rescue podcasts, Doug and Dennis talk about using evidence based medicine whenever possible and what to do when no prospective randomized controlled trials exist for a specific problem you face. What do you do when no evidence exists for a specific problem … Continue reading Podcast Episode 52: Walking the Fence of Evidence, Environment and Experience with a word on Proning
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.