176-Nutrition in Prolonged Field Care from the JTS CPG

This week, Aebhric O’Kelly, Bill Vasios, and Rhod Jordan lead an open discussion examining the critical role of nutrition in prolonged field care. The conversation explores enteral and parenteral feeding modalities, outlining their respective indications, benefits, and practical limitations in austere and resource-constrained environments. Particular emphasis is placed on the value of early nutritional intervention in supporting physiological recovery, including practical techniques for nasogastric tube placement and for identifying and managing feeding-related complications. The discussion further considers the challenges of maintaining nutritional support during patient transport. It highlights the importance of interdisciplinary collaboration, including consultation with nutrition specialists, to develop safe and effective nutritional care plans.

Takeaways

Nutrition is crucial in prolonged field care.

Enteral nutrition is less invasive and safer.

Early feeding improves healing and recovery.

Consult a nutritionist for feeding plans.

NG tubes can reduce complications in feeding.

Monitor for complications during feeding.

Parenteral nutrition may be necessary in some cases.

Feeding techniques can vary based on patient condition.

Understanding nutritional needs is essential for care.

Future discussions will focus on advanced topics.

Chapters

00:00 Introduction to Prolonged Field Care and Nutrition

02:40 Understanding Enteral and Parenteral Nutrition

04:53 Benefits of Early Nutritional Support

07:47 Indications and Contraindications for Feeding

09:32 Practical Considerations for Feeding in Austere Environments

11:51 Calculating Nutritional Requirements

14:30 Challenges in Nutritional Support During Transport

17:16 Techniques for NG Tube Placement

20:00 Monitoring and Managing Feeding Complications

22:19 Discussion on Parenteral Nutrition

24:41 Conclusion and Future Topics