Prolonged Field Care Podcast

In this episode of the PFC Podcast, Dennis speaks with Dr. Lee Cancio, a surgeon and director of the U.S. Army Institute of Surgical Research Burn Center. They discuss the complexities of managing white phosphorus burns, a serious concern in modern warfare. Dr. Cancio shares insights on the properties of white phosphorus, the mechanisms of injury, and the critical steps in initial care and management of such injuries. The conversation also covers the importance of fluid resuscitation, monitoring for complications like hypocalcemia, and the role of surgical interventions in treating burn patients. Dr. Cancio emphasizes the need for urgent care and the challenges faced in prolonged field care scenarios. Takeaways Dr. Cancio has extensive experience in treating burn injuries from combat. White phosphorus burns can cause both thermal and chemical injuries. Immediate immersion in water is crucial for managing phosphorus burns. Hypocalcemia is a significant risk in patients with phosphorus injuries. Surgical debridement is often necessary for effective treatment. Fluid resuscitation is essential, especially for deeper burns. Monitoring heart rate and EKG is critical for detecting complications. Whole blood can be used in burn shock if no other options are available. Ongoing assessment of wounds is necessary to prevent re-ignition. The relationship between burn size and mortality can be atypical in phosphorus injuries. 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

In this episode of the PFC Podcast, Dennis Price discusses the efforts of Heroes for Humanity in response to Hurricane Helene's devastation in Western North Carolina. He shares insights on the immediate activation of volunteers, the assessment of needs, and the challenges faced during search and rescue operations. The conversation highlights the importance of community knowledge, the integration of various organizations, and the human behavior observed during crises. As winter approaches, the focus shifts to recovery efforts and the ongoing need for support and resources. Takeaways Heroes for Humanity activated volunteers immediately after Hurricane Helene. Community knowledge is crucial in identifying vulnerable individuals. The initial response focused on delivering medical supplies and aid. Search and rescue operations were prioritized in the aftermath of the hurricane. Integration with government and other organizations improved coordination. Survival mode affects human behavior during crises, leading to security issues. The transition to recovery involves addressing winter preparedness. Hope and faith play a significant role in recovery efforts. Safety concerns, such as carbon monoxide poisoning, are critical during winter. Support can be provided through donations and volunteering efforts. Donations Needed: https://www.zeffy.com/en-US/fundraising/a5925aa7-6994-4247-9271-527face51842 Find Heroes for Humanity @ https://theheroesforhumanity.org/ 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 the secrets to launching a podcast, from conquering your fears to embracing authentic conversations. Learn why audio quality trumps video and how investing in good equipment pays off. Hear tips on post-production and the vital role of media hosting for reaching audiences. Explore the balance between structured content and spontaneity for engaging dialogue, and understand how maintaining passion can prevent burnout. Authenticity is key—your genuine voice will resonate with listeners and foster deeper connections.

In this episode, Dennis discusses the role of sodium bicarbonate in medical protocols, particularly in the context of rhabdomyolysis and hyperkalemia. He emphasizes the importance of fluid management and the potential over-hyping of bicarbonate as a treatment. The conversation explores the risks associated with rhabdomyolysis, the mechanisms of potassium management, and the clinical considerations for bicarbonate use in critical care settings. Takeaways Sodium bicarbonate is often over-hyped in medical treatments. Rhabdomyolysis can lead to serious kidney damage. Immediate fluid administration is crucial in suspected rhabdo cases. Bicarbonate has not shown clinical benefits in trials. Managing potassium levels is essential in rhabdomyolysis treatment. Insulin can help drive potassium back into cells. Urine output is a key indicator in treatment effectiveness. Alkalizing urine may not significantly prevent kidney injury. Correcting pH can be important in severe shock situations. Bicarbonate should be used judiciously in critical 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

Dive into the essentials of managing hypothermia in patient care. Explore the mechanisms of heat loss and innovative strategies to prevent it in challenging environments. Discover the importance of teamwork to maintain patient warmth, especially during blood resuscitation. Learn about the vital role of temperature monitoring and the effectiveness of different warming techniques, including the use of inflatable tents. This insightful discussion is a must-listen for anyone involved in trauma care and patient management!

In this conversation, Dennis and Aubrick discuss the critical importance of improvised medicine in austere environments, particularly focusing on the MARCH algorithm for trauma care. They delve into various techniques for managing massive hemorrhage, including improvised tourniquets and pelvic binders, as well as airway management strategies. The discussion emphasizes the need for practical skills and improvisation in emergency situations, highlighting the significance of training and practice in using improvised medical devices effectively. Takeaways Improvised medicine is essential in emergency situations. The MARCH algorithm is a vital framework for trauma care. Improvised tourniquets can significantly reduce mortality in massive hemorrhage cases. Pelvic binders must be applied correctly to be effective. Airway management requires controlling the tongue and using appropriate devices. Improvised suction devices can be created from available materials. Practicing with improvised devices is crucial for effective emergency response. Finger thoracotomies may be more effective than needle decompressions. Using gravity can aid in suctioning during emergencies. Improvised traction splints can help stabilize femur fractures. 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

In this episode of the PFC Podcast, Dennis interviews Mark Little, a recently retired Navy medic with extensive maritime experience. They discuss the unique challenges faced in maritime operations, including planning for casualties, the importance of waterproof gear, and the need for thorough preparation. Mark emphasizes the significance of mastering basic skills and being an asset to the team, while also navigating the complexities of medical facilities at sea. The conversation provides valuable insights for medics operating in maritime environments. Takeaways Planning is crucial in maritime operations due to unique environmental challenges. Waterproofing gear is essential for effective medical care at sea. Basic medical skills should never be neglected, even in advanced training. Understanding the maritime environment can significantly impact casualty management. Coordination with air and sea assets is vital for patient evacuation. Medics should be proactive in seeking knowledge and mentorship. Communication is key in ensuring effective patient care and logistics. Pre-planning for contingencies can save lives in critical situations. Being an asset to the team requires both technical and tactical proficiency. The environment dictates the approach to medical care, whether on land or at sea. 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

In this episode of the PFC Podcast, Dennis and Burjor Langdana delve into the intricacies of maxillofacial surgery, particularly in austere environments. They discuss critical aspects of managing facial trauma, including hemorrhage control, airway management, and techniques for treating various injuries. The conversation highlights the importance of understanding the anatomy and physiology of facial structures to effectively address complications arising from trauma. Additionally, they touch on the humanitarian efforts of Team Five Medical Foundation, which provides medical care and training in remote areas. Takeaways Hemorrhage control is crucial in facial injuries. Facial injuries can complicate airway management. Understanding the vascular nature of facial structures is essential. Techniques for managing scalp lacerations include direct and indirect pressure. Bone bleeds can often be managed by approximating fractured segments. Mid-face injuries require careful assessment to prevent airway compromise. Visual acuity tests are vital in assessing eye injuries. Nasal packing is important for managing septal hematomas. Team Five Medical Foundation focuses on providing care in remote areas. Experience and comfort level influence treatment approaches 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

In this episode, Dennis interviews Justin, a second-year medical student and co-founder of Special Operations Forces to School of Medicine (SOFTSOM), a nonprofit organization that helps Special Operations Forces service members and veterans in their journey to become physicians. Justin explains that SOFTSOM provides mentorship, guidance, and support to individuals from the SOF community who are interested in pursuing a career in medicine. The organization helps with the application process, offers scholarships for MCAT prep, conducts research on veterans in medicine, and partners with universities to increase soft representation in medical school classes. Justin also emphasizes the importance of tailoring application essays and preparing for interviews to highlight the unique experiences and skills of SOF applicants. Takeaways SOFTSOM is a nonprofit organization that helps Special Operations Forces service members and veterans in their journey to become physicians. The organization provides mentorship, guidance, and support throughout the application process for medical school. SOFTSOM offers scholarships for MCAT prep and conducts research on veterans in medicine. The organization partners with universities to increase soft representation in medical school classes. Applicants from the SOF community should tailor their application essays and prepare for interviews to highlight their unique experiences and skills. 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

Dr. Burjor Langdana discusses dental care in austere environments and provides tips for handling dental emergencies. He emphasizes the importance of preventive care, such as dental check-ups and good oral hygiene, before embarking on a trip. He advises carrying a dental kit with essential materials like temporary filling material and an intra-oral bandage. Dr. Langdana also shares strategies for managing dental emergencies, including broken fillings, infections, and impacted wisdom teeth. He highlights the need for a team approach and training local providers in dental care. The conversation concludes with advice for preparing for a deployment and information about Dr. Langdana's website, which offers free resources on wilderness expedition dentistry. Takeaways Preventive care, such as dental check-ups and good oral hygiene, is crucial before embarking on a trip to an austere environment. Carry a dental kit with essential materials like temporary filling material and an intra-oral bandage. Manage dental emergencies like broken fillings, infections, and impacted wisdom teeth with appropriate techniques and materials. Adopt a team approach and train local providers in dental care to improve access and outcomes. Prepare for a deployment by motivating participants to prioritize dental care and ensuring the availability of necessary materials. Dr. Burjor Langdana's website, Wilderness Expedition Dentistry, offers free resources on handling dental emergencies and basic facial injuries in austere environments. 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