Prolonged Field Care Podcast

Can TXA cause seizures and hypotension...Always read the insert. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-212-TXA-e2sss55 Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Bleeding patient outside the 3 hr window...Can I redose TXA? Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-212-TXA-e2sss55 Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Does TXA cause hypotension or is it just correlated due to the types of trauma patients it's indicated for? Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-212-TXA-e2sss55

In this episode of the PFC Podcast, Dennis speaks with John McClellan, a military trauma surgeon, about the use of Tranexamic Acid (TXA) in trauma care. They discuss the mechanism of TXA, its applications in pre-hospital settings, potential complications, and evolving dosing strategies. John emphasizes the importance of TXA in managing hemorrhage and the need for standardized protocols in trauma care, especially for medics in the field. Takeaways TXA is a lysine analog that helps stabilize clots. The ideal patient for TXA is anyone suspected of needing massive transfusion. TXA is considered a low-risk drug for trauma patients. Pre-hospital administration of TXA is crucial for patient outcomes. Complications from TXA are not increasing significantly. Current dosing strategies for TXA are evolving towards higher initial doses. Preloading TXA can save time in emergency situations. TXA has solidified its role in trauma care over the years. Understanding the pharmacokinetics of TXA is essential for effective use. Standardized protocols are vital for medics in the field. Chapters 00:00 Introduction to TXA and Trauma Care 03:12 Understanding TXA: Mechanism and Applications 05:53 Pre-Hospital Administration of TXA 08:48 Complications and Concerns with TXA 12:06 Dosing Strategies and Evolving Guidelines 15:02 Practical Considerations for Medics 17:57 The Future of TXA in Trauma Care Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Posting tomorrow...Down and dirty chat with John on TXA and Trauma. Link to full episode: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-212-TXA-e2sss55

Controlling chaos both the environment we're working...and ourselves. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-MASCAL-Lessons-Learned-e2t1hd7

A MASCAL will humble anyone. It's always better to learn from other mistakes. Link to the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-MASCAL-Lessons-Learned-e2t1hd7

Considering recent events, I thought it would be a good time to push this info back out. In this episode of the PFC Podcast, Dennis and Rick discuss critical lessons learned from military operations, particularly focusing on mass casualty situations. Rick shares his extensive experience as a senior medic in the Special Forces, detailing the complexities of managing casualties in combat, the importance of realistic training, and the challenges of communication and coordination during crises. The conversation emphasizes the need for adaptability, accountability, and principle-driven medicine in the field, as well as the resilience of soldiers in the face of adversity. In this conversation, Dennis shares his experiences and insights as a combat medic during a mass casualty event. He discusses the challenges of managing equipment and space, the importance of airway management, and the emotional toll of making critical medical decisions. Dennis emphasizes the need for effective communication, leadership, and the ability to manage chaos in high-pressure situations. He reflects on the lessons learned from his experiences and the importance of advocating for team members' health and well-being. Takeaways Mass casualty situations require a different mindset and approach. Understanding the tactical implications of casualties is crucial. Realistic training scenarios prepare medics for actual combat situations. Communication and coordination are vital during crises. Documenting patient information is essential for effective care. Survival in combat can depend on factors beyond medical intervention. Principle-driven medicine is necessary in unpredictable environments. Adaptability is key when plans change unexpectedly. Accountability in casualty management is critical for success. Resilience among soldiers can lead to unexpected recoveries. Managing equipment effectively is crucial in crisis situations. Airway management can be severely impacted by equipment damage. Quick release systems are essential for efficient casualty management. Senior medics must focus on managing the scene rather than individual patients. Emotional detachment can aid in making difficult medical decisions. Advocating for expectant patients is a challenging but necessary task. Creative solutions are often required for successful evacuations. Post-mission reflections can lead to valuable lessons learned. Communication is key in managing chaos during medical emergencies. Understanding the mission and appropriate equipment is vital for medics. Chapters 00:00 Introduction to Lessons Learned 03:02 Understanding Mass Casualty Situations 05:54 Planning and Execution of Operations 09:01 Adapting to Changing Situations 11:59 The Impact of Explosions and Casualties 14:54 Managing Casualties in Combat 17:48 Training Realism and Preparedness 21:09 Communication and Coordination in Crisis 24:04 Lessons on Accountability and Documentation 27:00 Survival and Resilience in Combat 29:46 Principle-Driven Medicine in the Field 32:57 Navigating Medevac Challenges 35:58 Final Thoughts and Reflections 44:42 Managing Equipment and Space in Crisis 45:39 Airway Management Challenges 46:06 The Importance of Quick Release Systems 47:31 Lessons from Casualty Management 48:46 The Emotional Toll of Medical Decisions 50:51 The Role of Senior Medics in Crisis 52:11 Expectant Patients and Difficult Decisions 54:35 Creative Solutions for Evacuation 56:33 Post-Mission Reflections and Lessons Learned 01:00:03 Advocating for Team Members' Health 01:02:14 The Aftermath of Combat and Team Dynamics 01:04:17 Managing Chaos in Medical Situations 01:06:14 Communication and Leadership in Crisis 01:09:09 Final Thoughts on Mass Casualty Events Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠

Explore essential strategies for managing personnel, gear, and communication during high-pressure medical emergencies. Discover how pre-planning can mitigate feelings of being overwhelmed. Emphasis is placed on systematic organization, the importance of cross-training, and effective triage to enhance patient care in tactical scenarios. These insights can significantly improve responses in chaotic situations.

Dive into the fascinating world of skill transfer in training! Discover how structured programs can enhance learning and prevent skill atrophy. Learn about 'sim zones' that allow for progressive development while providing immediate feedback. The discussion highlights the significance of avoiding bad habits and optimizing training methods. This insightful exploration unveils how to walk, crawl, and run effectively in the realm of skills.