Posted on September 1, 2020 by Paul
RAVINES: A Practical Approach top PFC
Category: Blog, slider, Uncategorized Tags: blog
Posted on March 6, 2020 by Paul
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.
Category: Announcements, CPGs, Podcasts, Recommendations, Training, Uncategorized Tags: Analgesia, Analgesia Sedation, Clinical Practice Guidelines, CPG, Critical Skills Task List, field care, Fort Bragg, Journal, PFC, Podcast, Quality care, Research, TBI, Traumatic Brain Injury, USASFC, USASOC, vent, ventilator
Posted on March 15, 2019 by Paul
ATTENTION FORT BRAGG! TOMORROW! Modern SF PFC Medical Exhibition to Contrast a Civil War Field Hospital Reenactment THIS WEEKEND 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 is 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. I thought that this would be the perfect opportunity in which to display the advents of modern combat medicine in order to compare and contrast the care received by those who sacrificed so much on our own home soil under such terrible circumstances.
While Chloroform and ether anesthesia were gaining acceptance and being used in the United , antiseptic technique and germ theory were just emerging from Joseph Lister and Louis Pasteur across the Atlantic. This important discovery could have saved tens of thousands but would not be widely adopted in the US for decades. Amputations were common place without the more conservative debridement strategy instituted by Dr. Theodore-Marin Tuffier in 1915. Penicillin wasn’t discovered the first time until over 30 years after the war in 1897 by 23 year old Ernest Duchesne and not used to treat a human until 1942 after rediscovery by Alexander Fleming in 1928.
The Ambulance Corps was arguably one if the greatest contributions to modern combat medicine to come out of the war from the Surgeon to the Army of the Potomac, MAJ Jonathan Letterman. He is widely recognized as, “The Father of Modern Battlefield Medicine.” His evacuation chain included tiered levels of care starting with stretcher bearers and far forward dressing stations which led back to field hospitals and larger hospitals beyond that. These levels of care which paved the way for the current roles of care allowed the Union Army to truly preserve the fighting strength by keeping fighting men in the fight and returning as many as possible to the front lines. Prior to that men would either lay dying on the field of battle for days or their squad mates would stop fighting and carry them far to the rear. You can now walk through an original Union Field Hospital, The Harper House, at the Bentonville Battlefield in Four Oaks, NC complete with original blood stains on the hardwood floor where over 600 soldiers were treated.
We will have a tent set up with a modern demo of prolonged field care to include some of the latest high tech gadgets such as the SAVE2, TempusPro and many others on the grounds a few feet from the Civil War Field Hospital and reenactors. Once the sun goes down and we are packed up there will be additional professional role players reenacting multiple surgical procedures including some of the following from historic records. The night time tours are $15.00 if tickets are still available but the exhibition during the day is free until 1600.
You can hear more about Dr. Letterman and see more of the exhibits available in the visitors center on Saturday at 1500 and Sunday at 1400 by Civil War Historian Chris Grimes. If you can’t make it check back and I’ll update this post with more of my own pics from the weekend. For more information or tickets to the night tour, check out the links on the post at http://www.prolongedfieldcare.com
See you there!
Category: Announcements, Recommendations, Uncategorized Tags: Amputation, Analgesia, Analgesia Sedation, Anesthesia, austere medicine, civil war medicine, Debridement, Discussion, field care, Field Hygiene, Field Sanitation, field surgery, Fort Bragg, MEDEVAC, Nursing care, PFC, primitive medicine, Research, Resuscitation, Sedation, Sepsis, Sterilization, Surgery, war surgery
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.
Category: Podcasts, Uncategorized Tags: Analgesia, Anesthesia, Podcast
Posted on April 20, 2018 by Paul
Powdered High Strength Calcium Hypochlorite (Ca(ClO)₂) is essential for a medic to keep in the team house or aid station in an austere environment. It can easily be bought, transported and reconstituted for many purposes…
Category: Recommendations, Uncategorized Tags: Amputation, Clinical Practice Guidelines, CPG, Debridement, Dentistry, Disinfection, DPC, Field Hygiene, Field Sanitation, Infection, Instruments, medic, Nursing care, Sepsis, Sterilization, Surgery, USASFC, Wound Care
Posted on March 29, 2018 by Paul
Alex Potter and Global Response Management positioned themselves far forward on the front lines of the battles for Mosul when times were tough and the International military and humanitarian response to the ISIS was in its infancy.
Category: Podcasts, Uncategorized Tags: Discussion, evacuation, field care, Medicine, Meds, NGO, PFC, Podcast
Telemedical consult is one of the most important core capabilities in a prolonged field care situation.
Category: Podcasts, Position Papers, Recommendations, Uncategorized, Vidcasts Tags: Podcast
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.
Posted on November 22, 2017 by Paul
The Death of the Golden hour and the Return of the Guerilla Hospital
Category: Announcements, Blog, slider, Uncategorized Tags: Articles, blog, Discussion, education, Medicine, Research, Slider
Posted on November 2, 2017 by Paul
Here is a great video on PFC and the cases we helped collect from Airforce MAJ Eric DeSoucy, DO doing a Grand Rounds talk for the Department of Surgery at UC Davis.
Category: Case Discussion, Recommendations, Uncategorized, Vidcasts, YouTube Channel Tags: Articles, Discussion, Journal, Medicine, Research, Training