Category Archives: Uncategorized

A Practical Approach to Care after SMARCH-E-PAWS-B: RAVINES

The RAVINES Mnemonic was created to help the medical provider on the ground in an austere environment with a very sick patient. Most medics will do a decent TCCC SMARCH survey and when they get to the end of that, get vital signs to begin trending and repeat the MARCH sequence while adding E-PAWS-B

  • E for Eyes
  • P for Pain
  • A for Antibiotics
  • W for Wounds
  • S for Splinting
  • B for Burns round out the MARCH-E-PAWS-B mnemonic.

Continue reading A Practical Approach to Care after SMARCH-E-PAWS-B: RAVINES

Podcast Episode 61: TBI Update with Dr. VanWyck

 

Listen Now:

http://traffic.libsyn.com/specialoperationsmedicine/PFC_TBI_update_Final.mp3

Show Notes: Continue reading Podcast Episode 61: TBI Update with Dr. VanWyck

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. Continue reading Video Recap of a Civil War Field Hospital Reenactment and PFC Display at Bentonville Battlefield in NC

Podcast Episode 45: Regional Anesthesia as an adjunct to Analgesia

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. 

Principles Continue reading Podcast Episode 45: Regional Anesthesia as an adjunct to Analgesia

The White Powder You Should Bring on Every Deployment

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…

Continue reading The White Powder You Should Bring on Every Deployment

Episode 37: PFC from the NGO Perspective With Alex Potter of GRM

Non-Governmental Organizations, Non-Profits and Volunteers have been providing critical services on the battlefield for millennia. Historically the traditional view of medical care in conflict zones was that the military focused on victory Continue reading Episode 37: PFC from the NGO Perspective With Alex Potter of GRM

Podcast (video) Episode 34: Telemedicine to Reduce Medical Risk in Austere environments

Telemedicine is a crucial capability that must be planned and practiced. The base of knowledge that a SOF medic’s knowledge encompasses includes many areas of medicine but generally lacks

Continue reading Podcast (video) Episode 34: Telemedicine to Reduce Medical Risk in Austere environments

New CPG! Traumatic Brain Injury Management in PFC

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 Continue reading New CPG! Traumatic Brain Injury Management in PFC

Free JSOU Book: “The Death of the Golden hour and the Return of the Guerilla Hospital” COL (RET) Warner D. “Rocky” Farr M.D.

From the Back Cover:

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—care provided by predominantly indigenous medical personnel under austere conditions with limited evacuation capability— by providing a survey of the historical record in UW literature. Colonel Farr relates many historical experiences in the field, assesses their effectiveness, and lays a foundation for further in-depth study of the subject. The Joint Special Operations University is pleased to offer this monograph as a means of providing those scholars and operators, as well as policymakers and military leaders, a greater understanding of the complex and complicated field of guerrilla warfare medicine.

Download the PDF: The Death of the Golden Hour and the Return of the Guerilla Hospital -COL (RET) Warner D. Rocky Farr MD


http://jsou.libguides.com/jsoupublications/2017


COL (RET) Warner D. “Rocky” Farr Bio

PFC Grand Rounds Talk at UC Davis Health

Here is a great video on PFC and the cases we helped collect from Air Force MAJ Eric DeSoucy, DO doing a Grand Rounds talk for the Department of Surgery at UC Davis.

Here is the study he referenced in the video which he also happened to head up for our working group and the Joint Trauma System.

54 pfc cases 20171121DeSoucy

Podcast Episode 30: REBOA?! with Joe DuBose

You are in your Team House or BAS. You have given FDP, Whole blood, TXA calcium and don’t have much left despite the few units from the walking blood bank. Your patient continues to bleed internally. Nothing in the chest or upper abdomen. Probably pelvic. Damn. MEDEVAC is en route. They will have some blood too. You just need your patient to hold on for another hour before he gets to surgery… Continue reading Podcast Episode 30: REBOA?! with Joe DuBose

SOMSA ’17 Poster Presentations

There were some truly interesting ideas, research and products showcased on the exhibition floor. If you missed the 2017 Special Operations Medicine Scientific Assembly this year in Charlotte or never made it all the way back to the poster boards, here are the posters from the 2017 assembly.
Continue reading SOMSA ’17 Poster Presentations

2015 Year in Review

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The following is a letter from Sean sent out on our big email list.  If you’re not on the list don’t worry because it is posted here in it’s entirety.  The letter  highlights what we have done over the last year and, more importantly, what we have planned for the year to come, specifically  a whole day of Prolonged Field Care specific training

Continue reading 2015 Year in Review

10 Ultrasound-Guided PFC Essentials

Ultrasound: The most powerful diagnostic tool available to SOF Medics […]. It should be a top procedural skill goal for all SOF providers to become subject matter experts in point-of-care ultrasonography.

I’ve been thinking about this post for a while…  searching for the right format. And then it finally hit me! Why on earth would I re-invent the wheel, if I can channel this message through the paths you are quite familiar with!? Especially after Doug Powell gifted me such a brilliant introduction in a previous post!

Continue reading 10 Ultrasound-Guided PFC Essentials

Lessons Learned from a 2015 PFC Medical Exercise

ICU Doc, Doug Powell, was on staff for the recent Prolonged Field Care train-the-trainer exercise in June, and he observed Medics running through multiple scenarios, each 24 hours in length.

Continue reading Lessons Learned from a 2015 PFC Medical Exercise

PFC Meeting Handouts

If you were one of the lucky guys packed into a small classroom yesterday, then I don’t have to tell you how great that talk was.  Mike and his guys have been tackling the issues associated with prolonged field care for a few years now and had quite a bit to tell us including his butcher block presentation on

Continue reading PFC Meeting Handouts

Medics, Where’s the Data? Improve Your Knowledge with Journals, Articles and Studies

      Protocols and algorithms likely drive the majority of decisions a medic will ever make.  Past that you may have unit or service SOPs.  If you find yourself in a situation, such as a prolonged field care situation, that outlasts all of those you should know Continue reading Medics, Where’s the Data? Improve Your Knowledge with Journals, Articles and Studies

Podcast Episode 3: Nutrition in Prolonged Field Care

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Need for “Nutrition” has been hotly debated and somewhat blindly held up as a critical need according to the mnemonic “HITMAN.”  This should not be the case!  Though important in some less injured patients, feeding a patient, especially one who requires feeding by NG tube, can be fraught Continue reading Podcast Episode 3: Nutrition in Prolonged Field Care

Create a Prioritized Care Plan

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Building prioritized care plans has completely changed and revolutionized the way I think about medicine and treating casualties. Before this my thoughts were rather chaotic, attempting to “put out fires,” handling emergencies as they occurred. This is an unorganized and stressful way to handle a crisis.

Continue reading Create a Prioritized Care Plan

PFC Video Series Ep 2: PFC Airway Management

Special Operations and Prolonged Field CareTactical Airway Algorithm

It’s been a while since we have posted anything but I feel the wait was worth it.  Many of us have been deployed, traveling and busy spreading the word.  Thanks to everyone who helped contribute and add advice to this lecture.  I wanted to create this lecture to simply share some information I recently became aware of Continue reading PFC Video Series Ep 2: PFC Airway Management

Sustainment Training and Continuing Education

Due Outs are issues that we have identified without complete or perfect answers. This is our attempt to crowd source ideas and solutions from as many different perspectives as possible.  If you are a medic, this is your opportunity to speak up and let your surgeons or director know what could work for you.  If you are a provider and have had success with something, please let us know.  Our medics are Continue reading Sustainment Training and Continuing Education

AAR Comments From SOMSA 2014 and other PFC Training events

The following was originally recorded on the white board at the warehouse during the SOMSA training scenario with input from the entire group.  If anything was left out be sure to add it in the comments.  As always, you can read it in full here or download it now and read/reference it later.

Continue reading AAR Comments From SOMSA 2014 and other PFC Training events

Closed Head Injury From ATV Crash: Prolonged Field Care Case Discussion 2

I usually start any PFC lecture I give with a common case such as this in order to drive home the realities of the operational context; a small team operating in the middle of nowhere dealing with a critically ill patient with little to no support.

Remember the “Rules”

Continue reading Closed Head Injury From ATV Crash: Prolonged Field Care Case Discussion 2