

Prolonged Field Care Podcast
Dennis
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This podcast and website is dedicated to the healthcare professional who needs to provide high quality care in a very austere location.
For more content: www.prolongedfieldcare.org
Consider supporting us on: patreon.com/ProlongedFieldCareCollective
This podcast and website is dedicated to the healthcare professional who needs to provide high quality care in a very austere location.
For more content: www.prolongedfieldcare.org
Consider supporting us on: patreon.com/ProlongedFieldCareCollective
Episodes
Mentioned books

Oct 30, 2025 • 46min
PFC Podcast: Surviving the Freeze: Mastering Cold Weather injuries in PFC
In this episode of the PFC Podcast, the discussion revolves around cold-weather injuries, particularly frostbite and trench foot. Ian shares his extensive experience in wilderness medicine and military operations, highlighting the historical significance of these injuries in military conflicts. The conversation covers prevention strategies, treatment protocols, and the importance of rapid rewarming for frostbite. Additionally, the episode delves into the differences between frostbite and non-freezing cold injuries, emphasizing the need for proper care and evacuation plans in cold environments.TakeawaysFrostbite and trench foot have significant historical military implications.Prevention is crucial in avoiding cold-weather injuries.Rapid rewarming in warm water is the best treatment for frostbite.Buddy checks can help prevent cold-weather injuries.Non-freezing cold injuries require different treatment protocols than frostbite.TPA can be beneficial in reducing tissue loss from frostbite.Proper insulation and hydration are key to preventing cold injuries.Frostbite injuries can lead to long recovery times and potential loss of digits.Awareness of symptoms and timely evacuation are critical in cold environments.Maintaining dry and warm conditions is essential to prevent trench foot.Chapters00:00 Introduction to Cold Weather Injuries00:59 Historical Context of Cold Weather Injuries05:04 Understanding Frostbite and Non-Freezing Cold Injuries10:11 Prevention Strategies for Cold Weather Injuries13:31 Treatment Protocols for Frostbite19:49 Evacuation and Recovery Considerations37:45 Non-Freezing Cold Injuries: Trench Foot43:40 Conclusion and Key TakeawaysFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Oct 27, 2025 • 35min
PFC Podcast 252: Prolonged Tourniquet Conversion
In this episode of the PFC Podcast, Dennis and Dr. John Holcomb discuss a study on ischemia reperfusion injury related to prolonged tourniquet use in combat settings. They explore the rationale behind the study, the criteria for patient inclusion, and the assessment of limb viability. The conversation delves into the implications of compartment syndrome, the management of reperfusion injury, and the importance of training medics in tourniquet conversion and replacement. The episode emphasizes the need for continuous learning from wartime experiences to improve combat medicine practices.TakeawaysThe study focuses on ischemia-reperfusion injury after prolonged tourniquet use.A significant number of tourniquets applied in combat were unnecessary.Assessing limb viability involves the four C's: color, consistency, contractility, and capillary refill.Compartment syndrome can occur even with effective tourniquet application.Reperfusion injury management is critical to prevent acute kidney injury.Dialysis needs vary based on tourniquet duration and injury severity.Training for tourniquet conversion and replacement is essential for medics.Seasonal variations may affect injury patterns on the battlefield.Continuous reassessment is vital in trauma care.Effective pressure dressings are crucial for managing bleeding post-tourniquet.Chapters00:00 Introduction to the Study on Ischemia Reperfusion Injury02:52 Understanding the Cohort and Inclusion Criteria05:48 Assessing Limb Viability and the Four C's08:47 Compartment Syndrome and Its Implications11:46 Reperfusion Injury: Assessment and Treatment14:47 Managing Potassium Load and Tourniquet Release17:50 Dialysis Needs and Outcomes20:31 Training for Tourniquet Conversion and Replacement23:46 Seasonal Variations in Injury Patterns26:31 Future Training Recommendations for Medics29:39 Pressure Dressings vs. TourniquetsFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Oct 23, 2025 • 32min
PFC Podcast: Walking Blood Bank - Mastering ROLO Transfusions in Combat
A seasoned medic shares a gripping story from a night raid in Afghanistan, highlighting the intense challenges of casualty management under fire. The conversation emphasizes the critical importance of having a blood supply readily available and the necessity for rigorous training and preparation. Common mistakes, such as inadequate medical supplies, are discussed alongside the need for effective communication and teamwork in high-pressure situations. Brad stresses that repetition in training can lead to flawless execution during emergencies.

Oct 20, 2025 • 1h 40min
Prolonged Field Care Podcast 251: Hemorrhagic Shock Progression - Classes, Compensation, and Resuscitation Strategies
Dive into the world of hemorrhagic shock as Dennis and Max break down its classifications and the critical differences between compensated and uncompensated states. Learn how vital signs play a key role in assessing patient conditions and why special populations like children, pregnant women, and the elderly require unique care considerations. Discover essential resuscitation strategies and the importance of continuous patient reassessment, ensuring that trauma care is both effective and informed.

Oct 16, 2025 • 26min
Prolonged Field Care Podcast: Training Non-Medics - Boosting Tactical Team Medical Skills
In this episode of the PFC podcast, Dennis and Bryce discuss the challenges and strategies of training non-medics in medical skills. Bryce shares his experiences as an 18 Delta Special Forces medic, emphasizing the importance of engaging team members in medical training to enhance patient care and operational effectiveness. The conversation covers the benefits of mentorship, fostering curiosity among team members, and the significance of cross-training. They also delve into the progression of medical training, the importance of understanding vital signs, and offer advice for new medics entering the field.TakeawaysTraining non-medics is essential for effective patient care.Engagement through competition can motivate team members.Proficiency in medical skills enhances team reputation.Mentorship plays a crucial role in developing skills.Curiosity among team members leads to better learning.Cross-training improves overall team performance.Understanding vital signs is critical for decision-making.Progressive training helps in skill retention and application.Effective communication with medical providers is vital.New medics should focus on building confidence and competence.Chapters00:00 Introduction to Medical Training for Non-Medics02:52 Engaging Non-Medics in Medical Training05:43 Operational Benefits of Training Non-Medics09:04 The Role of Mentorship in Medical Training11:58 Encouraging Curiosity and Learning14:52 Cross-Training and Its Importance17:46 Progression in Medical Training20:55 Vital Signs and Patient Assessment23:53 Advice for New MedicsFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Oct 13, 2025 • 1h 44min
Prolonged Field Care Podcast 250: Combat Stress Management - SABER Technique for Tactical Medics
In this episode of the PFC Podcast, Dennis speaks with Justin Ball, a licensed clinical social worker and former Green Beret, about the complexities of combat stress and mental health. They discuss the importance of recognizing maladaptive stress responses, the concept of limbic hijack, and the significance of co-regulation techniques in high-stress situations. Justin introduces the SABRE method for managing stress and emphasizes the impact of home life on mental health. They also explore the challenges of dealing with failure, imposter syndrome, and the importance of daily calm practices, especially during the transition out of military service. The conversation concludes with resources for mental health support within the military community.TakeawaysCombat stress can lead to maladaptive behaviors.Limbic hijack can impair decision-making in emergencies.Co-regulation is essential for managing stress in others.The SABRE method provides a structured approach to calming techniques.Daily practices of calm can help maintain mental health.Retirement can be a challenging transition for veterans.Understanding personal limits is crucial for mental well-being.Imposter syndrome affects many in the military community.Home life stress can significantly impact mental health.Resources like Soft Network can aid in finding mental health support.Chapters00:00 Introduction to Combat Stress and Mental Health01:21 Justin's Background and Experience04:50 Recognizing Maladaptive Stress Responses11:10 Understanding Limbic Hijack and Emotional Responses17:46 Co-Regulation Techniques in High-Stress Situations21:50 The SABRE Method for Managing Stress34:38 Identifying Signs of Emotional Distress41:31 The Impact of Home Life on Mental Health49:15 Dealing with Failure and Imposter Syndrome01:00:59 The Importance of Daily Calm Practices01:07:10 Navigating Retirement and Transitioning Out01:38:02 Resources for Mental Health SupportFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Oct 9, 2025 • 59min
Prolonged Field Care Podcast: Mastering Triage
In this episode of the PFC podcast, Dennis, Andrew, and Rick delve into the complexities of triage in emergency medicine, particularly in mass casualty situations. They discuss the importance of understanding triage categories, share real-life experiences, and emphasize the role of leadership and resource management in effective triage. The conversation also highlights the need for integrated training that encompasses security and command aspects, as well as the necessity of adapting training scenarios to prepare for the realities of mass casualty events. The episode concludes with reflections on how to improve triage processes and training methodologies.TakeawaysTriage is chaotic and unpredictable, requiring intuitive methods.In mass casualty situations, focus on immediate life threats first.Leadership is crucial in managing triage and patient movement.Dynamic triage requires continuous reassessment of patient conditions.Training should include realistic scenarios where not all patients survive.Effective communication and coordination are essential in triage.Incorporate security measures in triage training.Training should align with both medical and non-medical goals.Utilize available resources efficiently during triage.Commanders must be involved in triage decision-making processes.Chapters00:00 Introduction to Triage and Its Importance02:27 Understanding Triage Categories07:11 Real-Life Triage Experiences09:43 The Role of Leadership in Triage19:32 Dynamic Triage and Resource Management29:04 Integrating Security and Command in Triage38:40 Training for Mass Casualty Scenarios50:40 Final Thoughts on Triage and TrainingFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Oct 5, 2025 • 41min
MSIW Podcast - A Strategist's View of the Pacific
This podcast episode delves into the complexities of irregular warfare in the Indo-Pacific region, featuring insights from Dr. Andrew Maher, a subject matter expert. The discussion covers the definitions and implications of irregular warfare, the rise of proxy warfare, and the challenges faced by allies in understanding and engaging in these conflicts. Medical support and casualty management in tropical regions and urban environments are also explored, alongside lessons learned from recent conflicts like Ukraine. The episode emphasizes the need for preparedness and resilience in the face of potential conflicts.Andrew Maher | Australian Army Research Centre (AARC)https://share.google/bs9gh7nLFkJNVGBGWTakeawaysIrregular warfare is the predominant form of conflict today.Proxy warfare is on the rise and is a key strategy.Allies may have different doctrines and approaches to irregular warfare.Preparedness for unconventional warfare is crucial for allies.Medical support in tropical regions presents unique challenges.Urban warfare requires understanding of local healthcare systems.Lessons from Ukraine highlight the targeting of medical resources.Humanitarian assistance can enhance resilience and understanding.Dispersion of forces is necessary in modern conflict.Understanding local grievances is vital for unconventional warfare.Chapters00:00 Introduction to Irregular Warfare in the Pacific02:48 Understanding Irregular Warfare Concepts06:10 The Rise of Proxy Warfare09:07 Allies and Partners in Irregular Warfare11:50 Unconventional Warfare Preparedness14:49 Challenges of Medical Support in Irregular Warfare17:54 Casualty Management in Tropical Regions20:49 Urban Warfare and Mega Cities24:08 Lessons from Ukraine and Targeting Medical Resources27:05 Key Takeaways on Irregular Warfare and Medical PlanningFor more content, go to www.prolongedfieldcare.orgConsider joining the Special Operations Medical Association, go to: https://specialoperationsmedicine.org/Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Oct 5, 2025 • 32min
MSIW Podcast - Intro to MSIW
Explore the evolving role of medical support in irregular warfare, focusing on the need for decentralized care. Discover how urban and drone warfare is reshaping injury patterns and casualty management. The discussion emphasizes training for survival in contested environments and integrating lessons from past conflicts into current practices. Learn about the implications of technology on battlefield medical care and the importance of building resilient trauma systems to prepare for future crises and resource limitations.

Oct 3, 2025 • 42min
Prolonged Field Care Podcast: Calcium and Trauma
In this episode of the PFC Podcast, host Dennis speaks with Steve Schauer, a lieutenant colonel in the US Army and a critical care fellow, about his research on calcium levels in trauma patients. They discuss the importance of understanding calcium derangements, the challenges of correlating civilian and military trauma, and the impact of pre-hospital care on calcium levels. Steve shares insights from his study, including data collection methods, patient enrollment, and the physiological implications of calcium in trauma care. The conversation also covers the prioritization of interventions in trauma management, the role of TXA, and the need for ongoing research in this critical area of medicine.TakeawaysCalcium derangements are common in trauma patients.Pre-hospital care can significantly affect calcium levels.Understanding the correlation between civilian and military trauma is challenging.Data collection in trauma studies is complex and requires careful planning.TXA is crucial for preventing the breakdown of clots in trauma patients.Calcium administration must be approached cautiously in trauma care.Blood products are the top priority in trauma management.The physiological role of calcium in coagulation is critical.Future research is needed to clarify the role of calcium in trauma care.Medicine is constantly evolving, and practitioners must stay updated.Chapters00:00 Introduction to Calcium Study in Trauma02:48 Understanding Calcium Derangements in Trauma Patients05:47 Challenges in Correlating Civilian and Military Trauma08:32 Pre-Hospital Factors Affecting Calcium Levels11:31 Data Collection and Patient Enrollment14:29 Retrospective Data Insights on Calcium Levels17:04 Calcium Administration in Trauma Care20:16 Prioritizing Interventions in Trauma Management23:25 The Role of TXA in Trauma Care26:19 Physiological Implications of Calcium in Trauma29:17 Final Thoughts and Future Research DirectionsFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care


