197: Nursing Care with Kevin
Kevin, an experienced nurse anesthetist, provides insights into when PFC nursing care begins and the importance of gathering data and assessing patients. He emphasizes the role of nurses in providing interventions such as pulmonary toileting, turning patients, skincare, dressing changes, medication infusions, and more. Kevin also discusses the challenges of training for PFC and the need to have a standard of care before entering the field. He shares practical tips for cleaning patients and changing interventions in a resource-limited environment. In this part of the conversation, Kevin and Dennis discuss the importance of getting to know the patient and recognizing when interventions are not working. They also talk about the need for clear guidelines and parameters for nursing care, as well as the challenges of providing nursing care in a prolonged field care setting.
195: Innovating SOF with Monti
In this conversation, Dennis and Monti discuss the process of product development. They cover topics such as generating ideas, validating ideas with potential customers, protecting intellectual property, and deciding whether to build a business or collaborate with another company. Monti shares his experience with developing the APRU and Delta Ice products, highlighting the importance of customer feedback and iteration. They also touch on the challenges and time commitment involved in bringing a product to market. The conversation explores the challenges and lessons learned in developing and bringing a medical device to market. The guest, Monti, shares his experience in creating a portable blood storage device for military use. He discusses the regulatory hurdles, the importance of listening to end-users, and the need for patience and perseverance in the business world. Monti emphasizes the significance of timing and market demand, as well as the need to continually innovate and expand product offerings. He also highlights the role of technology in improving medical care on the battlefield.
194: Prolonged Field Care Training with Rick and Paul
In this podcast episode, Dennis, Rick, and Paul discuss the challenges of training in the field of prolonged field care (PFC) and advanced medical training. They address the common problems of miscommunication and unrealistic expectations when it comes to training requests. The conversation covers topics such as setting realistic goals, creating effective scenarios, and the importance of having flexible and experienced instructors. They also discuss the value of worst-case scenario training and the need for integration of medical training into combat training. Overall, the episode emphasizes the importance of effective communication, realistic planning, and collaboration in training scenarios. The conversation focuses on the challenges of training and leading medical teams in high-stress situations. The speakers discuss the importance of team leadership and decision-making, as well as the need for continuous training and learning. They emphasize the value of starting with the basics and building a strong foundation before tackling more advanced skills. The conversation also touches on the importance of understanding the purpose behind medical procedures and equipment, as well as the need for real-world experience and clinical decision-making. Overall, the speakers highlight the need for realistic and practical training that prepares medics for the unpredictable nature of their work.
186: Personnel Recovery with Dennis Price
Dennis Price discusses his experiences in organizing rescues in Afghanistan and Ukraine. He attributes his success to the blessings of God and his strong faith. In Afghanistan, he formed a company called Polaris to legally protect himself and …
185: Airway Decisions with Jim DuCanto
In this podcast episode, Dennis interviews Dr. Jim DuCanto, an anesthesiologist with a special interest in airway management. They discuss the decision-making process in emergency airway management, particularly in challenging situations such as facial trauma. Dr. DuCanto emphasizes the importance of assessing the patient’s neurologic status and respiratory efforts, as well as considering the safety of the scene. He also highlights the need for clear communication with the patient and the use of appropriate techniques and tools for airway management.
182: When to Press-Vasopressors with Doug
In this episode, Doug and Dennis discuss the appropriate use of vasopressors, specifically epinephrine and norepinephrine, in the management of shock. They highlight the importance of fluids in sepsis resuscitation and the potential dangers of using high concentrations of epinephrine. They also discuss the different effects of epinephrine and norepinephrine on heart rate and blood pressure, and the potential side effects of epinephrine, such as arrhythmias and lactic acidosis. The conversation concludes with a discussion on the use of epinephrine in anaphylaxis and the importance of individualizing treatment based on the patient’s response.