

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

Jul 21, 2025 • 1h 9min
Prolonged Field Care Podcast 239: End of Life Care
The conversation delves into the complexities of end of life care in combat settings, emphasizing the need for palliative care discussions among military medical personnel. It highlights the challenges faced in recognizing non-survivable injuries, the decision-making process in resuscitation efforts, and the importance of compassionate care for both patients and their loved ones. The discussion also touches on the role of opioids in managing pain and anxiety during end of life care, advocating for a shift in focus from aggressive treatment to comfort and dignity for the patient.TakeawaysEnd of life care is a critical conversation in military medicine.Palliative care is often overlooked in combat settings.Recognizing non-survivable injuries is essential for effective care.Decision-making in resuscitation requires courage and leadership.Compassionate care benefits both the patient and their loved ones.Opioids play a significant role in managing pain in palliative care.Transitioning to palliative care is a necessary step in certain cases.Medical providers must educate themselves on end of life care.Patient autonomy should be respected in decision-making.Compassionate care can alleviate the emotional burden on medical providers.Chapters00:00 Introduction to End of Life Care in Combat02:34 The Challenges of Palliative Care in Military Settings09:57 Recognizing Non-Survivable Injuries19:08 Decision-Making in Resuscitation Efforts35:49 Transitioning to Palliative Care43:03 The Role of Opioids in Palliative Care53:18 Compassionate Care and Patient AutonomyThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Jul 18, 2025 • 33min
SOMSA '25 - TCCC Update and Beyond
This podcast episode discusses the evolution and current state of battlefield medicine, focusing on the Tactical Combat Casualty Care (TCCC) guidelines, training tiers, and the importance of evidence-based practices. The conversation highlights the challenges faced in implementing these guidelines and the ongoing efforts to improve trauma care in combat situations. Key updates to the TCCC curriculum and the logistics of providing medical care in the field are also addressed, emphasizing the need for continuous improvement and adaptation in military medicine.Listen ad-free with a premium membership on Spotify, Apple Podcast, or Patreon.TakeawaysThe majority of casualties occur in the pre-MTF environment due to hemorrhage.Improvements in battlefield trauma care have led to increased survival rates.Evidence-based medicine is crucial for developing TCCC guidelines.The TCCC curriculum consists of four training tiers for different levels of medical personnel.Recent updates to TCCC guidelines focus on airway management and TBI care.Logistics remain a significant challenge in providing timely medical care in combat.The committee emphasizes the importance of adapting guidelines based on new evidence.Training for combat medics must prioritize effective interventions for hemorrhagic shock.There is a need for consensus on triage methods in mass casualty situations.Continuous updates and training resources are essential for maintaining high standards in military medicine.Chapters00:00 Introduction to Battlefield Medicine02:40 Guidelines and Evidence-Based Practices04:55 TCCC Curriculum and Training Tiers07:47 Updates and Changes in TCCC Guidelines10:21 Current Challenges and Future Directions13:05 TCCC and Evidence Grading15:42 Logistics and Implementation Challenges17:58 Conclusion and ResourcesThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Jul 16, 2025 • 11min
SOMSA '25 - PFC for the Layperson
In this episode of the PFC Podcast, Dr. Givens discusses the importance of civilian involvement in medical emergencies, particularly in conflict and disaster situations. He shares the origin of a new medical initiative aimed at training laypeople to respond effectively to trauma care. The conversation highlights the need for accessible medical resources and the development of a user-friendly guide designed for non-medical individuals. Dr. Givens emphasizes the significance of empowering communities to take action in medical emergencies and the collaborative efforts behind creating this resource.TakeawaysThe initiative was inspired by a trip to Lithuania.Civilians play a crucial role in medical emergencies.Training laypeople can significantly improve trauma outcomes.Current medical infrastructure is vulnerable in crises.Historical examples show the need for civilian preparedness.Bystander training is feasible and impactful.The new book is designed for a civilian audience.The guide is written in simple language for easy understanding.Open access publication aims to reach those in need.Community involvement is essential for effective emergency response.Chapters00:00 Introduction to the Podcast and Its Purpose00:54 The Origin of the Medical Initiative03:23 The Role of Civilians in Medical Emergencies05:43 Training Laypeople for Medical Response08:33 Developing Accessible Medical Resources10:57 Conclusion and Call to ActionThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Jul 14, 2025 • 35min
Prolonged Field Care Podcast 238: Bad Day in Ukraine
In this episode of the PFC Podcast, Dennis and Kateryna discuss the complexities of trauma care in Ukraine, focusing on a specific case study involving a soldier injured by a drone explosion. They explore the challenges faced in medical response, including the importance of training, communication, and the need for standardized procedures. The conversation highlights the lessons learned from past mistakes and emphasizes the necessity for ongoing education and adaptation in combat medicine.TakeawaysThe importance of learning from mistakes in medical response.Training should be proactive, not reactive to emergencies.Communication is critical in medical evacuations.Standard Operating Procedures (SOPs) are essential for effective care.Medical competence varies widely among personnel in conflict zones.Telemedicine can enhance communication and decision-making in emergencies.Equipment must be accessible and understood by all medical personnel.The need for continuous education and training in trauma care.Understanding the difference between civilian and combat medical practices is crucial.Lessons learned from current conflicts should inform future medical training. Chapters00:00 Introduction and Overview of the Workshop02:53 Case Study: Injury Patterns and Medical Response06:00 Challenges in Medical Competence and Training09:06 Communication and Coordination in Medical Evacuations11:53 The Importance of Standard Operating Procedures15:02 Lessons Learned and Future Improvements17:58 Conclusion and Final ThoughtsThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Jul 11, 2025 • 38min
Prolonged Field Care Podcast: CBRNE for Dummies
In this podcast episode, Dr. Givens discusses the complexities of dealing with CBRNE patients in the field, emphasizing the need for a methodical approach to treatment. He introduces the March concept, which integrates CBRNE protocols into tactical care, and outlines the importance of agent identification and treatment protocols. The conversation covers the management of CBRNE patients across different zones, the specific challenges posed by nerve agents and cyanide, and the necessity of supportive care for chemical exposures. Dr. Givens concludes with key takeaways for medical professionals working in high-stress environments.TakeawaysCBRNE is a significant concern in military medicine.A methodical approach is essential for managing CBRNE patients.The March concept can be adapted for CBRNE scenarios.Agent identification is crucial for effective treatment.Understanding the hot, warm, and cold zones is key to patient management.Nerve agents and cyanide require specific treatment protocols.Supportive care is vital for patients exposed to chemicals.Training and practice are necessary for effective response.Communication and teamwork are critical in high-stress situations.Basic skills in chemical exposure management are essential for all medical personnel.Chapters00:00 Introduction to CBRNE and Its Challenges02:53 Understanding CBRNE: A Methodical Approach05:38 The March Concept: Integrating CBRNE into Tactical Care08:47 Agent Identification and Treatment Protocols11:35 Managing CBRNEPatients: Hot, Warm, and Cold Zones14:48 Specific Agents: Nerve Agents and Cyanide17:30 Supportive Care for Chemical Exposures20:28 Key Takeaways and Final ThoughtsThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Jul 9, 2025 • 29min
SOMSA '25 - SOF Medic to Flight Paramedic
In this episode of the PFC Podcast, Brock shares his journey into critical care medicine, emphasizing the importance of mentorship, essential knowledge for paramedics, and the challenges faced in the field. He discusses the rigorous training and experiences required to excel in flight medicine, the significance of the FPC certification, and the learning curve associated with transitioning from military to civilian roles. Brock also highlights the value of community involvement and the lessons learned throughout his career, providing insights for aspiring medics.TakeawaysThis presentation is for guys on active duty.I want to impart on y'all, this is giving me a very good opportunity to be a mentor.The FPC is a foundation for your practice.You have to have three years experience as a paramedic.The big thing in critical care medicine, they're very heavy on airway management.Every interview I have done, they've all been different.There is no shortcuts to the three-year requirement or patient contacts.I wanted a very diverse resume.We are side of these patients that are extremely sick with sepsis.I would absolutely go to a college and take the class.Chapters00:00 Introduction to Critical Care Medicine02:31 Pathway to Becoming a Critical Care Medic05:09 Essential Knowledge for Critical Care07:48 Flight Interview Process and Expectations10:50 Post-Hire Experiences and Learning Curve13:27 Challenges in Critical Care and Patient Management15:51 Mentorship and Community Involvement18:32 Lessons Learned and Future DirectionsThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Jul 7, 2025 • 38min
Prolonged Field Care Podcast 237: Finger Thoracostomy
In this episode of the PFC Podcast, Dennis and Ethan discuss the complexities of managing chest trauma in pre-hospital settings, focusing on the controversial topic of finger thoracostomy versus needle decompression. They explore the challenges of existing protocols, the importance of training and diagnostics, and the need for better data collection to improve outcomes in trauma care. The conversation emphasizes the significance of context in decision-making and the balance between equipment and training in emergency medical situations.Listen to this podcast AD-Free with premium membership on Spotify or Apple Podcast.TakeawaysThe conversation around chest trauma protocols is ongoing and complex.Finger thoracostomy is not universally applicable; context matters.Training and assessment are crucial in pre-hospital care.Infection risks must be considered with invasive procedures.Data collection in trauma care is often inadequate.Diagnostic techniques like ultrasound can improve decision-making.The effectiveness of procedures can vary based on patient condition.Equipment should complement, not replace, proper training.Understanding the nuances of trauma can lead to better outcomes.Protocols should be adaptable to different scenarios and providers.Chapters00:00 Introduction and Controversial Post02:04 Understanding Chest Trauma Protocols04:59 Exploring the IDF Trauma Registry Study09:54 Infection Risks and Protocol Considerations12:34 Training and Assessment in Pre-Hospital Care15:06 Diagnostic Techniques and Their Importance19:36 Evaluating the Effectiveness of Procedures23:29 The Role of Equipment vs. Training29:22 Data Collection for Better Outcomes35:29 Conclusion and Future ConsiderationsThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Jul 4, 2025 • 47min
Prolonged Field Care Podcast: Telemedicine
This podcast discusses the evolution and importance of telemedicine in operational environments, particularly in military settings. It highlights case studies that demonstrate the need for telemedical support during prolonged field care, the challenges faced by medical teams, and the current solutions available. The conversation emphasizes the significance of training, effective communication, and the integration of technology to enhance patient care in remote and challenging environments.Listen to this podcast AD FREE with premium Membership on Spotify, Apple Podcast, and PatreonTakeawaysTelemedicine is rapidly evolving to support operational environments.Case studies illustrate the critical need for telemedical support.Challenges exist in current medical support systems, particularly in remote areas.Prolonged field care requires innovative solutions like telemedicine.Telemedicine is defined as remote evaluation and consultation using technology.Current telemedical solutions have limitations that need addressing.Future innovations in telemedicine may include AI and robotics.Training is essential for effective telemedical consultations.Asking for help through telemedicine is a sign of strength, not weakness.Technology must be reliable, convenient, and adaptable to various situations.Chapters00:00 Introduction to Telemedicine in Operational Environments02:43 Case Studies Highlighting Telemedical Support05:56 Challenges in Current Medical Support Systems08:35 The Need for Telemedicine in Prolonged Field Care11:53 Defining Telemedicine and Its Importance14:45 Current Telemedical Solutions and Their Limitations17:44 Future Directions and Innovations in Telemedicine20:35 Operational Telemedicine: Best Practices and Recommendations23:24 Q&A Session: Addressing Concerns and Future Growth26:35 Conclusion and Final Thoughts on TelemedicineThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Jul 2, 2025 • 27min
SOMSA '25 - Expeditionary Crisis Standards of Care
In this episode of the PFC Podcast, Ramey Wilson discusses the evolving landscape of Global Health Engagement (GHE) and its critical role in military medicine. He emphasizes the importance of interoperability in crisis standards of care, sharing real-world examples of medical collaboration in operational settings. The conversation highlights the need for a framework that addresses crisis capability gaps and the psychological protection of medical personnel in challenging situations. Ramey also explores future directions for medical engagement and the importance of preparing for various operational contexts.TakeawaysGlobal Health Engagement is evolving and critical for military operations.Interoperability is essential for effective crisis response.Crisis standards of care must be established for operational readiness.Understanding partner capabilities is vital for effective medical support.Real-world examples illustrate the importance of collaboration in medical care.Psychological protection for medical personnel is crucial in crisis situations.Future medical engagement should focus on sustainable practices.Risk assessment is a key component of medical decision-making.Training must align with the operational context and partner capabilities.Crisis standards of care can enhance the effectiveness of medical operations.Chapters00:00 Introduction to Global Health Engagement02:38 Interoperability in Crisis Standards of Care05:42 The Role of Global Health Engagement09:02 Crisis Capability Gap and Medical Support11:51 Real-World Examples of Medical Collaboration14:41 Crisis Standards of Care and Ethical Considerations17:57 Framework for Crisis Standards of Care20:46 Future Directions in Global Health EngagementThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care

Jun 30, 2025 • 39min
Prolonged Field Care Podcast 236: Hemostatic Agents
Michael Weissman, a clinical education manager at Celox Medical and former Navy corpsman, brings a wealth of experience in austere medicine. He discusses the criticality of hemostatic agents in controlling severe bleeding and shares insights on the importance of applying pressure and understanding anatomy. They explore various hemostatic products, their activation times, and the impact of coagulopathy on effectiveness. The conversation emphasizes continuous education, practical training, and advancements in technology for effective trauma care.