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.
Prep for flight is the 10th Core PFC Capability. Our working group had always deferred to subject matter experts
It has been our experience that high quality prolonged field care training takes time, resources and expertise by dedicated trainers well versed and experienced in critical care concepts. That being said we also believe that there are fundamental principles which can help
All of us are smarter than one of us.
This project is an opportunity to collaborate and will attempt to use the wider working group audience to identify a standard list of drugs every Independant Duty Medic or Corpsman should have with him on every austere deployment. If put into practice properly across the force and coordinated with MEDLOGs, this will be one less chore for a medic and another place where we can help reduce mistakes and oversight. The following Continue reading Crowdsourcing a Standard PFC Deployment Med Box
A Re-Introduction to Prolonged Field Care After 5 Years of Work
PFC is doing the best you can to treat a sicker patient than you are prepared to handle for longer than you should be. It’s not a skillset, part of a plan or planned event, it is a bad situation that in which you find yourself due to extenuating circumstances.
In this episode Dennis talks to PFC Wound Care CPG author Justin along with Surgery Instructors Jon and Rick about their experiences with austere wound care.
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.
The essence of prolonged field care is now infused into many aspects of the austere and military medical lexicon. The response by the medical community to come together to help solve problems faced by medics and the warfighters they accompany has been nothing short of amazing.
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 Continue reading Episode 41: The Death of the Golden Hour: SOMSA 2018 Talk, by COL (Ret.) Rocky Farr, MD
Whether working on a casualty with a small team of medics or as a single medic with the help of other non-medic team members as helpers, someone has to be in charge of the situation in order to maintain a global view of priorities. Continue reading Podcast Episode 40: Medic Team Dynamics with Dennis and Doug