Prolonged Field Care Podcast

Hey there, it's Dennis from the Prolonged Field Care Podcast, episode 144. Today, Winston and I dive into pain pathways. You know, those definitions of pain like visceral or psychogenic, they've never helped me treat pain practically. So, understanding the nervous system might just boost my pain management skills. The pain pathway consists of transduction, where energy turns into nerve impulses, ascending pathways, spinal cord travel, brain processing, and descending pathways. Remember, understanding the whole system aids better pain management. 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

Today, I'm joined by Brad, a former special operations medic and instructor, to talk about a harrowing experience during a night raid in Afghanistan. They faced a barricade shooter situation and multiple casualties. Despite the danger, their medical training and preparedness shone through. Brad emphasizes the importance of casualty training and incorporating it into every mission. They stress the need for repetition and selecting the right equipment for efficient treatment. The podcast covers various medical aspects, and Brad commends the use of 16-gauge catheters and pressure infuser pumps for better blood flow and control. Remember, be prepared, train well, and stay on the bleeding edge of combat medicine! 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

Welcome back to the PFC Podcast. Today, we've got Regan on the show discussing her thesis on unconventional medical networks. She's an emergency medicine physician with extensive experience in special operations and unconventional warfare scenarios. Her thesis delves into the difficulties in the establishment and operation of medical networks in challenging environments. They explore historical examples like the Yugoslavian resistance, highlighting the importance of proximity to the frontline and adaptability. Regan emphasizes the need for cognitive agility and understanding local resources when providing medical aid. Cooperation with allies and partners is vital for interoperability and empowering them to effectively respond to conflicts. 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

Hey there, folks! Welcome to the Prolonged Field Care Podcast. Today's episode is all about Crush Syndrome and how to handle tourniquet conversion. Our speaker, Doc Jamie Riesberg, is a pro in this field, so listen up! Crush Syndrome happens when muscle tissue leaks into the bloodstream, causing trouble. We're entering a new era of war with limited evacuation and medical supplies, so we gotta be prepared. Field care providers need to know the best practices to manage this challenging condition. We'll cover some controversies too. Stay tuned for more discussions on this crucial topic.

Hey, welcome back to the PFC podcast! This is Dennis, and I'm here with Aaron, an emergency medicine physician and medical toxicologist. We discuss carfentanil, a synthetic opioid used in the 2002 Moscow hostage rescue. Carfentanil can cause CNS depression, pinpoint pupils, respiratory depression, and decreased gut motility. Reversing its effects may require higher doses of naloxone. However, its potency and unknown modifications make it challenging to combat. We're still waiting for better treatments and auto-injectors. In the field, it's crucial to differentiate opioid overdoses from other injuries, considering opioids' widespread use and potential for weaponization. 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

Hey there, folks! Welcome back to the PFC podcast! Today, we're diving into some operational medicine stuff, and let me tell you, it's a gem. We'll be talking about the often overlooked, underestimated, and dirt-cheap way of monitoring patients in prolonged field care - measuring urine output. Now, this might not sound exciting, but trust me, it's essential! You can get crucial hemodynamic info using just a BP cuff, stethoscope, pulse ox, and a Foley catheter kit. It's all about keeping things simple and effective. Remember, sterility is vital, and we need to consider hypotensive resuscitation too. So, keep those fluids flowing and keep listening! 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

Welcome back to the PFC Podcast. This is Dennis, and today I'm joined by my friend Burjor. We discuss facial trauma and the importance of hemorrhage control in austere environments. Burjor shares his expertise in maxillofacial surgery and emphasizes the need to address bleeding and fluid loss in patients with scalp lacerations. He also provides insights on managing injuries in different areas of the face, such as the cheek, lip, and jaw, including techniques like counter pressure and balloon tamponade. We touch on the significance of proper airway management and the challenges of diagnosing and treating mid-face fractures. Overall, it's an informative conversation aimed at helping medical practitioners deal with facial trauma in challenging settings. 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

Hey there, folks! Welcome back to the PFC Podcast. Today's episode is a special one, recorded live at the JSOMTC during the joint trauma system teleconference. Dr. Doug Powell, a battalion surgeon in a special forces group, joins us to talk about providing critical care in austere environments. With the increasing trend of sending smaller teams to more places, it's crucial for SOF medics to be prepared for initial critical care and stabilization. Dr. Powell emphasizes the importance of conferences like this in training our special operations medics. The podcast covers topics such as prolonged field care stages, vital signs trending, checklists, teleconsultation, improvisation techniques, and nursing care. Remember to visit ProlongedFieldCare.org for free downloads. 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

Welcome back to the PFC Podcast with Dennis and guest JR, discussing their work on the border. Dr. JR Pickett, the Chief Deputy Medical Director for Austin, Texas, describes the rugged, rural regions they cover, far from major cities. The area experiences scorching temperatures, and many migrants pass through, making it crucial to provide medical assistance. They encounter accidents, venomous snakes, and challenging terrain. The team uses various vehicles and equipment, including ATVs and a walking blood donor program, to navigate and provide care. Training and collaboration are essential since most agents aren't dedicated medics. BLS skills and effective planning play a vital role in delivering 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

This Clinical Practice Guideline was written by a fellow 18D with input from around the surgical community. It reconciles the differences between wound care done in a role 2 or 3 facility, such as serial debridements, with what is taught in the 18D Special Forces Medical Sergeant Course with regards to delayed primary closure. One way is not "right" while the other wrong, it has more to do with the amount of time and resources available to the medic or other provider. The remainder of the blog post and podcast is meant to be a refresher for those who have already been taught these procedures. It is also meant to be informational for those medical directors who may not be exactly certain of what has been taught as far as wound care and surgery. If you haven't been trained to do these procedures before going ahead with them, it is very likely that you may do more harm to the patient than good. 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