Podcast Episode 36: ROLO to SOLO: The Logistics of Fresh Whole Blood Transfusion

A Special Operations Battalion Surgeon explains how to easily navigate the logistics of setting up a battalion wide blood transfusion program.

The Trauma Hemostasis and Oxygenation Research (THOR) Network including the 75th Ranger Regiment, NORNAVSOF, and others have led the way in re-implementing type-O, low titer fresh whole blood far forward with the Ranger type-O Low titer(ROLO) program. Continue reading “Podcast Episode 36: ROLO to SOLO: The Logistics of Fresh Whole Blood Transfusion”

Podcast Episode 33: TIVA: Another Look at Pre-Hospital Analgesia and Sedation

Rick Hines has spent the last 20+ years in service to his country much of it deployed to combat zones and other unstable, austere environments and is dedicated to improving SOF Medicine.  He made it a point to spend a fair amount of time with surgical teams when possible and has gained quite a bit of real world knowledge that we hope to pass on to a wider audience here. Continue reading “Podcast Episode 33: TIVA: Another Look at Pre-Hospital Analgesia and Sedation”

Podcast Episode 31: CBRN for Dummies By COL Missy Givens

In this live recording, guest lecturer COL Missy Givens shares the CBRNe knowledge she has learned while working as a clinical toxicologist, among many other positions, around the world including as the SOCAFRICA Command Surgeon where she personally helped prepare members of 10th SFG(A) to deal with some of the most venomous snakes in the world.

TCCC+MARCHE(2) for CBRNe

  • Mask
  • Antidote
  • Rapid Spot Decon
  • Counter Measures
  • Head Injury and Hypothermia
  • Evacuation

CRESS for chemical agent identification

  • level of Consciousness
  • Respirations
  • Eyes (miosis)
  • Secretions
  • Skin (blisters)

We will also post the PPT slides as soon as we can.

Download Here


Additional Reading

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

Death of the Golden Hour and the Return of the Guerilla Hospital

Hardcover version available free to anyone with a .mil email address!

If you have a .mil or .gov email address, you may contact the JSOU Press editors to request print copies of JSOU Press publications.

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

New JTS AAR Submission Forms for Data Collection Trauma Registry

These singular stories are called anecdotes and while powerful and personal do not represent similar patient outcomes even in similar situations.  They are not science.  They do not take into account the vast number of variables that were present in that particular situation.  Often these stories can mislead and misinform medical practice by inexperienced medics and practitioners due to that powerful personal experience clouding that person’s own judgment. Experienced providers will take the sum of their experiences and add the most current and applicable science to make the most informed decision possible.

Stories and experiences can sometimes bring relevancy to a situation you are in or to a point you are trying to make while instructing. These singular stories are called anecdotes and while powerful and personal do not represent similar patient outcomes even in similar situations. They are not science. They do not take into account the vast number of variables that were present in that particular situation. Often these stories can mislead and misinform medical practice by inexperienced medics and practitioners due to that powerful personal experience clouding that person’s own judgment.

Continue reading “New JTS AAR Submission Forms for Data Collection Trauma Registry”

Podcast Episode 28: Critical Skills for Prolonged Field Care Providers

Training materials were the number 1 most requested item from our SOMSA AAR.  We have put out other training recommendations in the past but wanted to also highlight some important skills that will help you identify gaps in your PFC training program, plan future training and measure progress.

Training materials were the number 1 most requested item from our SOMSA AAR.  We have put out other training recommendations in the past but wanted to also highlight some important skills that will help you identify gaps in your PFC training program, plan future training and measure progress.  We will get more into this cycle in the future however, this should be a good place to start.  Many thanks go out to Andrew who labored over many versions of the list over the past few months.  One last thing, be sure that you are already at 100% T for Trained on your TCCC task list.  There is no use in getting into PFC training prior to mastering TCCC.  If you see something we may have overlooked and would like to see it on future versions, please comment below and let us know.

Prolonged Field Care Critical Task List Final

Teaching and Training Recommendations from March 2014

 

Podcast Episode 26: ICRC Style Wound Care and the NEW Acute Wound Care Management Clinical Practice Guideline

This Clinical Practice Guideline was written by a fellow 18D with input from around the surgical community.  It reconciles the differences between wound care done in a role 2 or 3 facility, such as serial debridements, with what is taught in the 18D Special Forces Medical Sergeant Course with regards to delayed primary closure.  One way is not “right” while the other wrong, it has more to do with Continue reading “Podcast Episode 26: ICRC Style Wound Care and the NEW Acute Wound Care Management Clinical Practice Guideline”