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Prolonged Field Care Podcast

Latest episodes

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Dec 19, 2022 • 25min

Recycled Prolonged Fieldcare Podcast 54: SOP of the Ideal SOF Clinic

While no single clinic setup will work for every situation, a common  baseline and checklist can make it far easier in customizing a clinic in  similar circumstances. This is not professed to be THE way but it is A  way in which ONE experienced team has created, tested, revised and  rehearsed a clinic with different casualties. Their pictures and  diagrams are provided in the hopes that this audience will help refine  and finalize a common baseline which any medic can use in he future.  Please leave comments on your thoughts.   This builds upon clinic setups in SOCM, SFMS and other courses such as  SOFACC and combines all into a single, ergonomic clinic in which all  members of a team can easily assist the primary medic or in the worst  case, effectively treat the wounded medic. For more content, visit www.prolongedfieldcare.org
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Dec 12, 2022 • 29min

Prolonged Fieldcare Podcast 117: Shock Index

Sean and Dennis talk about the Shock Index, how it relates to our treatment decisions, and how it can guide our training. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4057268/
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Dec 5, 2022 • 31min

Recycled Prolonged Fieldcare Podcast 39: ETCO2 Applications and Limitations

Upgrading  your airway kit with a portable end tidal CO2 monitor can help  in a  couple situations. While it has its limitations, it is essential  for   quickly determining if your tube is in the trachea during an  intubation.  This can be accomplished most accurately via a device with a   quantitative waveform such as the Emma Capnograph. If you can’t get  your  hands on an Emma, the qualitative colormetric device that changes  color  when exposed to acid in the exhalations. False positives can  occur due  to other acids in the airway such as vomitus or even if the  patient has  recently had a carbonated beverage. While those are rare,  you should be  aware of the possibility. Having a visual indication of  tube placement  can be extremely helpful during loud transports such as  on aircraft. Another time that ETCO2 monitoring is very useful is during CPR.  There  will likely be a very low reading despite high quality CPR. If  the heart  begins to beat spontaneously, you should see an immediate  increase of  the numbers on the display of your device. ETCO2 can also  be used as a  prognostic indicator. If the ETCO2 remains below 10mmHg  for 20 mins of  CPR this may indicate that the patient has a very poor  prognosis. After  you listen to our podcast, Check out Scott Weingart’s  EMCrit podcast on  the subjects to hear his thoughts on this. ETCO2 is also useful the intubated TBI patient. Per our clinical   practice guideline, ETCO2 in a patient with moderate to severe TBI   should be kept between 35-40mmHg. In a patient with herniation, you can   temporarily increase ventilators rate in order to vasoconstrict the   blood vessels in the brain, thus reducing swelling. This can only be   done for a short time because hyperventilation worsens cerebral   ischemia. Also avoid hypoventilation (EtCO2 45mmHg or more) that will   increase ICP. For more content, visit www.prolongedfieldcare.org
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Nov 28, 2022 • 53min

Prolonged Fieldcare Podcast 116: Ketamine Deep Dive

Kevin schools me up on real world use of Ketamine.
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Nov 21, 2022 • 43min

Recycled Prolonged Fieldcare Podcast 42: Woundcare Basics and Beyond

Justin, JJ, and I go over the Woundcare CPG.
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Nov 14, 2022 • 41min

Prolonged Fieldcare Podcast 115: Surgery for Non-Surgeons part Deux

Well, maybe emergency laparotomies are not for field medics, but there are a lot of other interventions that are 100% in our court. Dennis and Sean discuss what can be done.
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Nov 7, 2022 • 47min

Recycled Prolonged Fieldcare Podcast 61: TBI update with Van Wyke

Dr. Van Wyke and Dennis go over what can be done when managing a severe TBI in an austere environment.
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Oct 31, 2022 • 49min

Prolonged FieldCare Podcast 114: Analgesia and PTSD

Can controlling pain alone have an effect on PTSD? If so, how much? We  deep dive into analgesia and sedation and it's effect on the body and  the mind.
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Oct 24, 2022 • 46min

Recycled Prolonged Fieldcare Podcast 60: Cold Weather Injury

It's getting to be that time of year again, Ian schools us treating cold weather injury.
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Oct 23, 2022 • 16min

Prolonged Fieldcare Podcast 113: Emergent Airway ALIBI

One more piece of advice.

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