This post has been a long time coming. This is where it began and may be the most important tool we have to offer. This is the 10 Capabilities Position Paper revisited with the grid made easily available. If you have read the position paper you know that everything we recommend is in the “Minimum, Better and Best” format. Continue reading “Position Paper – 10 Essential Core Capabilities for Prolonged Field Care”
I hate not knowing an acronym. In my line of work acronyms are language and the ignorance of one normally results in the ignorance of entire programs or departments. FOAMed is Free Open Access Meducation a term growing in popularity mostly in part due to the SMACC committee and it’s world wide network of Critical Care, Emergency Medicine and Prehospital care Cadre. SMACC stands for Social Media And Critical Care. There are now a plethora of podcasters known as “providers” who attempt to tackle the pressing problems of the aforementioned specialties while striving to educate, for free, the hungry Paramedics, Interns, residents and colleagues at large. They are succeeding beyond what they thought possible and it is spreading to all facets of medical education. The first SMACC conference was held in 2013 with the worlds most famous podcasters lecturing and fielding questions from the audience and twitter simultaneously. It was hailed as the most inspiring and interactive medical conference and if you listen to the podcasts you will see why. The second was held on the Gold Coast of Australia with even better results.
The Joint Trauma System (JTTS)Clinical Practice Guidelines(CPGs) are the standard of care for all US Military
Medcal Providers. They are backed by evidence and represent the current expectations of care. Continue reading “Joint Trauma Service Clinical Practice Guidelines: The Standard of Deployed Medicine”
After many, many hours of work collaborating, recording, editing and coding, Prolonged Field Care is live to be downloaded and especially subscribed-to from iTunes! This is another huge leap forward for us in reaching medics with the information they will need. With a long drive to work I normally listen to SMACC, EMCrit, or other critical care or emergency medicine podcasts. As a medic many of them are good to hear and have great info but often don’t apply to my scope of practice or environment I operate in. These podcasts are hosted by an 18D Medic, interviewing Doctors and nurses of all specialties with the unique challenges we face when taking care of our buddies and partner forces in the worst circumstances with little or no help.
This is exactly what I need as an independent medic in an austere environment.
Who should medics call for help while managing a critical patient for prolonged periods of time? Different aspects of this have been discussed via different forums such as the SOMSA lunchtime working sessions and email chain. We are posting it here in order to reach a wider knowledge base including those who it affects directly such as the medics on the ground.
What research would help Medics on the ground provide better care to sick patients in an austere, environment today? Has anyone ever told you any dogma that you hear but question and can’t find studies for such as; less than 8 intubate, trendelenberg position for hypovolemic patients, etc.? We have the opportunity to make some of this research happen and use real science to find the best practice for our patients. We simply need ideas and suggestions for research to be conducted.
What measurement or technology, knowing BP measures aren’t always best, and mental status and peripheral pulses aren’t reliable, would be reasonable to field medics as a measure of resuscitation? Would a cost-efficient field lactate monitor be worthwhile?