Tag Archives: USASOC

Podcast Episode 48: Maximizing Hospital Rotations and Medical Proficiency Training

Hospital rotations for medical proficiency training give medics who operate in the field the opportunity to see what “right” looks like. Knowing this and understanding treatment principles can allow a flexible medic to adapt to unique situations in the absence of protocols, guidelines and evidence. If properly coordinated and supported, MPTs can be an invaluable and eye opening experience. When thrown together with a naive or indifferent staff or unmotivated medic, it can be a huge waste of time and money for everyone involved. In this episode Dennis and Dr. Mark Shapiro talk about several MPT programs, and strategies to maximize the effectiveness of an MPT.


Here are several elements necessary for a positive MPT experience:

  • An approved MOU
  • A motivated lead clinician
  • An administrative coordinator
  • A limited amount of competition with residents and fellows
  • Multiple capabilities and scope of practice briefs and videos to catch staff in all departments and shifts in which a medic will be working (Share this episode)
  • A synopsis of your scope of practice and goals emailed to the specific departments in the days prior
  • A list of procedures or experiences the medic is trying to complete may help the staff understand goals
  • If an MPT is meant to prep for prolonged field care the medic should strive to respond to the trauma bay and accompany the patient through the continuum of care including prep, surgery, post op and ICU

One last thing before the podcast;

Please dont show up to your first day to work at a world class level 1 trauma center and medical school wearing pink ranger panties when everyone else is in suit and tie. I wouldn’t say it if it hadn’t happened…

Here are some links from current and past Academis partners who have participated in Military/civilian MPT partnerships:

https://www.ajc.com/news/local/special-forces-trains-combat-medics-grady-hospital/rz58YOzyotj6L7N8ydc8lL


https://www.military.com/daily-news/2015/11/24/green-beret-medics-train-duke.html


https://www.army.mil/article-amp/133219/special_operations_combat_medic_students_take_lead_in_emergency_department_rotation


https://news.vcu.edu/article/VCU_Medical_Center_Trains_its_1000th_Special_Operations_Combat


https://www.military.com/military-fitness/general-fitness/who-attends-the-special-operations-combat-medics-socm-course




Podcast Episode 47: Andy Fisher and his Damage Control Resuscitation for Prolonged Field Care CPG

So what is different than what we already have in the THOR recommendations, the JTS DCR clinical Practice Guideline and the Ranger Regiment TDCR? No hextend?! Calcium with the 1st unit of blood?! TXA slow push?! What if the patient is not responding to resuscitation efforts? This is a guideline truly written for the Medic working despite lack of help or resources in an austere environment…

Continue reading Podcast Episode 47: Andy Fisher and his Damage Control Resuscitation for Prolonged Field Care CPG

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

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