The wait is over... The Role 1 Prolonged Casualty Care Guidelines for the entire DoD are now available here and on the Joint Trauma System website! This was a monumental undertaking from the beginning
Medical Support to Resistance: Special Warfare Article
This article first appeared in the Jul-Sep 2019 Special Warfare Magazine which can be found open-source at soc.mil. SURVIVABILITY MEDICAL SUPPORT TO RESISTANCE BY SERGEANT FIRST CLASS JAKE HICKMAN, U.S. ARMY; COLONEL JAY BAKER, U.S. ARMY; AND LIEUTENANT COLONEL ELIZABETH ERICKSON, U.S. AIR FORCE Hope is a primary driver of resistance movements, and the best … Continue reading Medical Support to Resistance: Special Warfare Article
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 … Continue reading A Practical Approach to Care after SMARCH-E-PAWS-B: RAVINES
Autotransfusion in the Austere Prehospital Setting
This is not a novel procedure. The first successful autotransfusion on record was conducted in 1818 by James Blundell on a patient suffering from postpartum hemorrhage. Through the end of the 1800s and into the early 1900s, surgeons utilized this technique with surprising success
Podcast Episode 69: Hot Weather Injury
Hot weather injuries are an issue medics have to account for even when not deployed. ￼Proper planning, recognition and treatment can greatly reduce frequency and severity of these patients and their outcomes. Before you listen to podcasts, let's go over some talking points as a little pop quiz or a refresher to stay humble and … Continue reading Podcast Episode 69: Hot Weather Injury
Podcast Episode 63: Oxygenation, Ventilation and COVID19
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.
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