Prolonged Field Care Podcast

In this episode of the PFC podcast, Dennis and Doug delve into the practical aspects of lab values in trauma care. They discuss when to draw labs, the significance of pH, the role of bicarbonate and calcium in resuscitation, and the interpretation of blood gas values. The conversation also covers the limitations of hemoglobin measurements, the management of potassium levels in crush injuries, and the use of hypertonic saline in head injury cases. The episode emphasizes the importance of understanding lab values in the context of patient care and the need for timely interventions. Takeaways The pH level is crucial for assessing trauma patients. Resuscitation strategies should be based on lab values. Calcium and bicarbonate play significant roles in trauma care. Blood gas values are essential for ventilator management. Hemoglobin levels may not accurately reflect bleeding severity. Lactate levels can be misleading in trauma situations. Frequent lab draws are not always necessary in stable patients. Hypertonic saline can be beneficial in head injuries. Potassium management is critical in crush injuries. Understanding lab values helps in making informed clinical decisions. Chapters 00:00 Introduction to Trauma Labs 03:02 Understanding pH and Its Importance 06:06 Resuscitation Strategies in Trauma 08:58 The Role of Calcium and Bicarbonate 11:53 Interpreting Blood Gas Values 15:04 The Limitations of Hemoglobin Measurements 18:00 Ventilator Management and Blood Gases 20:47 Frequency of Lab Draws in Trauma 23:55 Managing Potassium Levels in Crush Injuries 26:48 Head Injury Management and Hypertonic Saline 30:08 Lactate Levels and Their Significance 33:13 Conclusion and Key Takeaways 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

Link to the full podcast: https://spotifycreators-web.app.link/e/GKNRqK0tYOb

What's actually happening? Why do I have to convert this TQ? Link to full podcast: https://spotifycreators-web.app.link/e/GKNRqK0tYOb

In this episode of the PFC Podcast, Dennis and Jamie discuss the critical topic of tourniquet conversion versus replacement in trauma care. They explore the guidelines for when and how to convert a tourniquet, the implications of prolonged tourniquet use, and the importance of assessing limb salvageability. The conversation also covers the management of reperfusion injury and the use of calcium and bicarbonate in resuscitation. Jamie emphasizes the need for medics to be prepared and confident in their decision-making to ensure the best outcomes for their patients. Takeaways Tourniquet conversion is crucial for effective hemorrhage control. Understanding the difference between conversion and replacement is essential. Guidelines for conversion depend on the tactical situation. The two-hour mark for tourniquet application is significant for patient outcomes. Resuscitation goals should guide the timing of tourniquet conversion. Be prepared for potential reperfusion injuries after conversion. Assess the viability of the limb before making decisions. Calcium administration can help stabilize the heart during resuscitation. Medics should be confident in their ability to convert tourniquets. Always prioritize patient resuscitation over limb preservation. Chapters 00:00 Understanding Tourniquet Conversion vs. Replacement 03:14 Guidelines for Tourniquet Conversion 08:59 The Two-Hour Rule and Its Implications 12:55 Techniques for Tourniquet Conversion 18:11 Challenges of Prolonged Tourniquet Use 23:48 Assessing Limb Salvageability 29:36 Managing Reperfusion Injury 35:30 Calcium and Bicarbonate in Resuscitation 46:40 Final Advice for Medics on Tourniquet Conversion 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

You need to be honest with yourself about the accuracy of the information you're using to diagnose or disposition your patient. Link to the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-209-Crashing-Transfer-Patient-e2rlspj

Does this patient need surgery or not? Use imagery to help determine if that patient really needs that evacuation. What if you don't have imagery? Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-209-Crashing-Transfer-Patient-e2rlspj

This week Alex and I dive into the data through a recent research paper on crashing trauma patients. Link to the full episode: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-209-Crashing-Transfer-Patient-e2rlspj

In this episode of the PFC Podcast, Dennis and Alex delve into a recent study on hemodynamic deterioration in trauma patients during inter-hospital transfers. They discuss the implications of the study's findings, the challenges posed by the tyranny of distance in trauma care, and the importance of effective communication in medical transfers. The conversation also covers the study's methodology, the significance of injury severity scores, and the need for stringent monitoring parameters in trauma patient management. In this conversation, Dennis and Alex delve into the complexities of trauma data, particularly focusing on civilian versus military contexts. They discuss the prevalence of ground-level falls in geriatric patients, the challenges of translating civilian trauma data to military settings, and the importance of diagnostic imaging and clinical experience in making informed decisions about patient transfers. The conversation emphasizes the need for better methodologies in trauma research to identify reversible outcomes and improve patient care. Takeaways The tyranny of distance significantly impacts trauma care delivery. Retrospective studies have limitations that can affect their reliability. Effective communication is crucial in medical transfers between facilities. Monitoring parameters like heart rate and blood pressure may not always indicate true patient stability. Understanding injury severity scores is essential for assessing trauma patients. The shock index can be a valuable tool in trauma assessment. There is a need for more stringent criteria in determining patient deterioration. The study's findings highlight the importance of optimizing pre-hospital care. Collaboration between military and civilian medical communities is vital for improving outcomes. Evidence-based practice should guide trauma care protocols. The most common injury mechanism in civilian trauma is ground-level falls. Geriatric patients are particularly vulnerable to lethal injuries from falls. Civilian trauma data may not apply to military settings due to different injury patterns. Diagnostic imaging plays a crucial role in assessing trauma patients. Clinical experience is essential for making transfer decisions. Understanding the limitations of diagnostic tools is vital for accurate assessments. Identifying reversible outcomes can improve trauma care. There is a need for better trauma research methodologies. Noise in data can obscure meaningful insights in trauma studies. Engaging with recent articles can enhance the quality of trauma discussions. Chapters 00:00 Introduction and Overview of the Podcast 02:57 Exploring the Hemodynamic Deterioration Study 05:55 Understanding the Tyranny of Distance in Trauma Care 09:10 Analyzing the Study's Methodology and Outcomes 11:51 Evaluating the Evidence Level and Its Implications 14:45 Discussion on Monitoring Parameters in Trauma Patients 18:01 The Importance of Communication in Medical Transfers 20:46 Diving Deeper into the Study's Findings 23:55 The Role of Injury Severity Scores in Trauma Care 27:11 Concluding Thoughts on Trauma Patient Management 38:01 Understanding Civilian Trauma Data 41:18 Injury Patterns in Geriatric Patients 43:21 Comparing Civilian and Military Trauma 46:37 The Role of Diagnostic Imaging in Trauma 49:17 Decision-Making in Patient Transfers 52:11 The Importance of Clinical Experience 56:30 Limitations of Diagnostic Tools 01:01:30 Identifying Reversible Outcomes in Trauma 01:05:12 Improving Trauma Research Methodologies 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

The conversation delves into the critical aspects of blood storage and resupply in military settings. It highlights the importance of maintaining temperature logs for blood storage, the challenges of resupplying blood to forward troops, and innovative solutions such as using drones for blood delivery. The discussion emphasizes the need for proper management and logistics to ensure that blood products are available and safe for use in chaotic environments. Takeaways Temperature logs are essential for blood storage compliance. Blood must be resupplied regularly due to expiration. Innovative blood refrigerators can support forward troops. Drones could be a solution for blood resupply. Proper storage is crucial for drone delivery of blood. Managing blood types reduces mismatch risks in emergencies. Walking blood banks are vital for immediate needs. SOPs should include blood type verification. Logistics play a key role in military medical operations. Planning for blood resupply is a complex challenge. Link to full podcast: https://spotifycreators-web.app.link/e/O2eOrCcvNOb 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

Discover innovative solutions in blood storage tailored for tactical operations, including a cutting-edge battery-powered refrigerator. The conversation dives into the challenges of blood transportation in military scenarios, emphasizing the need for effective management and strict temperature control. Learn how these advancements are essential for immediate blood access in the field, especially when evacuation options are limited. The insights from special operations forces enrich the discussion, highlighting practical challenges and innovative responses.