Prolonged Field Care Podcast 184: Expectant Care Discussion

The podcast episode discusses the controversial topics of expectant care and end-of-life care in a role one setting. The panel of experienced medics and docs share their personal experiences and concerns regarding training and implementation of these types of care. They highlight the need for clear guidance and training for medics and corpsmen to make difficult decisions in the field. The panel also discusses the potential obstacles and unintended consequences of implementing clinical practice guidelines for expectant and end-of-life care. The conversation focuses on the need for guidance and training in making difficult medical decisions on the battlefield, particularly in the context of end-of-life care. The speakers discuss the importance of identifying patients who would most benefit from direct care and the potential moral injury that can occur when undertrained individuals are put in positions of medical directorship. They also explore the challenges of decision-making in mass casualty situations and the need for clear guidelines and policies. The conversation emphasizes the importance of having conversations about death and dying early in training and the need for realistic expectations and shared decision-making.

Takeaways

Expectant care and end-of-life care are important topics that need to be discussed and addressed in the role one setting.

Training for medics and corpsmen in expectant and end-of-life care is currently inadequate and needs improvement.

Clear guidance and clinical practice guidelines are necessary to help medics and corpsmen make difficult decisions in the field.

Implementing expectant and end-of-life care guidelines may have unintended consequences and require careful consideration.

Empowering medical directors to make decisions based on their unit's needs and training is important for effective implementation. The need for guidance and training in making difficult medical decisions on the battlefield, particularly in the context of end-of-life care

The potential moral injury that can occur when undertrained individuals are put in positions of medical directorship

The challenges of decision-making in mass casualty situations and the need for clear guidelines and policies

The importance of having conversations about death and dying early in training and the need for realistic expectations and shared decision-making

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