PJ Medcast

Doc Mitchell, a trailblazing GA, ST, and SOST EM Doc known for performing the first pre-hospital combat REBOA, dives into the intricate pathophysiology of trauma care. He unpacks the transition from the lethal triad to the diamond of death, focusing on how hypocalcemia jeopardizes myocardial function and clotting. The discussion highlights the critical role of calcium in trauma resuscitation and debates the merits of calcium chloride versus calcium gluconate, essential for effective emergency treatment.

Steve's storry on the pile on 9-11.   In memory of the New Yorkers we lost 21 years ago THAT OTHERS MAY LIVE

Dr. Kamler, an emergency medicine physician at Cornell Medical College, discusses vital insights into mass casualty incidents and triage systems. He highlights the surprising differences between training exercises and real situations, emphasizing the need for realistic protocols. The conversation dives into civilian response metrics and lessons from prior events like the Boston Marathon bombing. Kamler also addresses the chaos of triage in urban settings and the importance of timely interventions, advocating for flexible, adaptable emergency responses in unpredictable scenarios.

Dr. Jon Kamler, an emergency medicine resident at Columbia University, dives into the complex world of mass casualty incident (MCI) response. He discusses the need for simplified training to improve triage accuracy and real-world application in chaotic environments. Kamler also examines historical evolutions in triage algorithms and the importance of adaptability in patient care among medics and physicians. Delving into global response systems, he highlights the unique challenges of coordination and decision-making in emergencies, pushing for critical changes in training and protocols.

COL Miles discusses the background of one of the leading edge SOF resuscitation meetings, new thoughts on needle decompression and tension pneumothorax, and TXA. TOML meets RLTW

Retired Chief discusses setting yourelf up for success during your career to land on your feet when you separate or retire. Wisdom from an experienced Chief. THAT OTHERS MAY LIVE

This is the final installment of AC CC Dave Ruvola discussing open ocean, nightitme survival in 70 foot seas during the Perfect Storm. All while rallying the aircrew scattered in the Atlantic, and being rescued by our Brothers and Sisters in the USCG. An exercise in consumate leadership and professionalism. THAT OTHERS MAY LIVE

Continuing with a description of the misssion and attempts at aerial refueling. THAT OTHERS MAY LIVE

Oct 30, 1991, this is the story of the real Mission of the NY AIr Guard Rescue Team that went out into the storm, later immortalized in the book and movie, The Perfect Storm. Dave Ruvola, prior PJ and aircraft commander on the mission recounts the story of the rescue attempt, ditching the helo, the  ocean survival scenario, and the tragic loss of PJ Rick Smith who we remember and honor. This is a dramatic and riveting real world story of professionalism, excellence and leadership. THAT OTHERS MAY LIVE In memory of Rick Smith.

New paper will be coming out discussing new thoughts on MASCAL incorpoarting new ideas on Time and Triage to be published in the Journal of Trauma and Acute Care Surgery. Also look for our upcoming discussion on the PFC podcast with Dennis. THAT OTHERS MAY LIVE