
Prolonged Field Care Podcast Prolonged Field Care Podcast: Remote Damage Control Resuscitation
Sep 19, 2025
Andrew Fisher, a medical student and former PA in the 75th Ranger Regiment, shares insights on remote medical care challenges. He emphasizes the importance of adapting hospital protocols for trauma in isolated settings. Key topics include the MARCH algorithm for managing hemorrhagic shock and the critical need for early blood transfusions. Andrew discusses the RAPTOR course and innovative tools for non-compressible torso hemorrhage. He also highlights the significance of team training and communication in emergency situations, optimizing survival rates in the field.
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Remote DCR Is Defined By Constraints
- Remote DCR differs mainly by location and resource limitations rather than concept.
- You must adapt hospital DCR practices to what is feasible in the remote environment.
Prioritize TCCC Then Early Blood
- Master Tactical Combat Casualty Care (TCCC) fundamentals before DCR.
- Prioritize hemorrhage control, follow MARCH, and start blood transfusion early when indicated.
Teach REBOA As A Team Skill
- Train pre-hospital teams on REBOA only after establishing safe whole blood resuscitation.
- Teach REBOA as a team skill with clear planning, risks, and donor/whole-blood use emphasized.
