Prolonged Field Care Podcast

In this episode of the PFC Podcast, Dan McGraw discusses the critical need for gender-specific medical training in military settings, drawing from personal experiences and extensive research. He highlights the disparities in treatment outcomes between male and female patients, the physiological differences that affect trauma care, and the cultural challenges faced by medical personnel when treating patients of the opposite sex. Through case studies and real-life scenarios, Dan emphasizes the importance of understanding these differences to improve survival rates and ensure equitable treatment for all service members.TakeawaysDan shares a personal story about losing a friend due to medical negligence.The importance of gender-specific medical training is emphasized.Research shows that female casualties have different treatment needs.Physiological differences between genders affect trauma care.Cultural challenges hinder effective medical response to female patients.Case studies reveal biases in treatment during emergencies.Medical errors often occur due to gender biases in treatment protocols.Training must address the discomfort of treating opposite genders.The military must adapt to increasing numbers of female service members.Future training programs need to incorporate gender-specific considerations.Chapters00:00 Introduction and Personal Story02:57 The Importance of Gender-Specific Medical Training06:11 Research Findings on Female Casualties08:54 Physiological Differences in Trauma Treatment12:06 Cultural and Training Challenges in Medical Response15:08 Case Studies and Real-Life Scenarios18:07 Addressing Medical Errors and Gender Bias21:03 The Future of Gender-Inclusive Medical TrainingThank 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

In this conversation, Dennis and Ryan Maves delve into the complex world of hemorrhagic fevers, discussing various viral infections such as Ebola, Lassa fever, and dengue. They explore the symptoms, diagnosis, and treatment options available for these dangerous pathogens, emphasizing the importance of supportive care and proper waste management. The discussion also highlights the challenges faced in resource-limited settings and the need for medical intelligence and preparedness when dealing with potential outbreaks.TakeawaysViral hemorrhagic fevers are highly dangerous pathogens.Ebola is a prototype for understanding these diseases.Symptoms often start as nonspecific febrile illnesses.Diagnosis can be challenging due to overlapping symptoms.Supportive care is crucial for patient survival.Fluid management is a key aspect of treatment.Preventative measures are essential in endemic areas.Waste management is critical in handling infected materials.Medical intelligence plays a vital role in outbreak preparedness.Expertise and resources are available for managing these diseases.Chapters00:00 Introduction to Hemorrhagic Fevers03:07 Understanding Viral Hemorrhagic Fevers05:48 Symptoms and Diagnosis of Hemorrhagic Fevers14:46 Treatment and Supportive Care24:01 Preventative Measures and Waste Management32:00 Expertise and Resources for CareThank 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

In this episode of the PFC Podcast, hosts Dennis, John, and Paul delve into the development and application of the Abdominal Aortic Junctional Tourniquet (AAJT). John shares his background as an ER doctor and military medic, explaining the need for a device to control pelvic hemorrhage in trauma cases. Paul discusses the first applications of the AAJT in combat situations, highlighting successful case studies. The conversation also covers research findings on the device's efficacy, application techniques, and user experiences, emphasizing its importance in modern trauma care. This conversation delves into the application and implications of medical devices in emergency situations, particularly focusing on ventilation, prolonged application challenges, reperfusion injury, and the comparative effectiveness of RABOA and AJT. The discussion highlights the importance of rapid intervention in traumatic cardiac arrest and the need for ongoing research to improve outcomes in combat and emergency medicine.TakeawaysThe AAJT was developed to address junctional hemorrhage in trauma cases.John's experience in military medicine influenced the design of the AAJT.The device aims to control blood flow to the pelvis effectively.Initial applications of the AAJT have shown promising results in saving lives.Research indicates that the AAJT can be safely applied for up to two hours.Studies have shown that the AAJT is effective in controlling hemorrhage in combat situations.User experience suggests that the AAJT is less painful than traditional tourniquets.The device's design allows for easy application without extensive medical training.Ongoing research is exploring the potential for extended application times.The AAJT has been adopted by multiple military units and allied nations. Ventilation can be maintained even with device application.Prolonged application of medical devices can be challenging.Preparedness is crucial in emergency situations.Every minute of delay in hemorrhage control increases mortality.RABOA has shown to cause harm in some studies.The AJT device offers a promising alternative for hemorrhage control.Research is ongoing to validate the effectiveness of AJT.Traumatic cardiac arrest requires immediate and effective intervention.The future of emergency medicine must adapt to new challenges.Understanding the risks and benefits of interventions is essential.Chapters00:00 Introduction to the AAJT and Its Creators05:09 The Development and Purpose of the AAJT09:59 First Applications and Case Studies14:47 Research and Study Data on the AAJT20:03 Application Techniques and Pressure Management25:09 Practical Demonstration and User Experience26:35 Ventilation and Device Application29:15 Challenges of Prolonged Application32:13 Reperfusion Injury and Monitoring36:59 Risk-Benefit Analysis in Emergency Interventions39:41 RABOA vs. AJT: A Comparative Discussion42:09 Research Insights on AJT Effectiveness45:53 Future of Non-Compressible Torso Hemorrhage Treatment50:03 Traumatic Cardiac Arrest and New ApproachesThank 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

In this episode of the PFC Podcast, Rick Caldwell, a seasoned sof medic, discusses the critical foundations of medical education and training for combat medics. He emphasizes the importance of quality over quantity in medic training, the need for a solid understanding of both combat and humanitarian support, and the challenges faced in modern combat medicine, particularly in prolonged field care scenarios. Caldwell advocates for a shift from mere training to comprehensive teaching that fosters critical thinking and adaptability among medics. He concludes with a call to action for improving medical education to better prepare medics for the realities of combat situations.TakeawaysHumans are more important than hardware.Quality is better than quantity in medic training.Medics cannot be mass produced; quality is essential.Combat medics must provide both combat and humanitarian support.Good medicine is the foundation of T-Tricy.Training should focus on teaching critical thinking skills.Most patients evacuated are DNBI, not just trauma cases.Current training methods may set medics up to fail.Medicine is fundamentally a logistics function.Medical education must evolve to meet modern combat challenges.Chapters00:00 Introduction to Combat Medicine03:06 The Role of Combat Medics05:55 Training vs. Teaching in Medical Education08:47 Challenges in Modern Combat Medicine11:56 The Importance of Critical Thinking15:13 Principles Over Procedures in Medical Training17:56 Conclusions 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

Explore the complexities of waking patients from sedation while tackling the challenges of emergence delirium. Real-world insights reveal the criticality of patient monitoring and effective airway management in trauma situations. Discover the art of extubation and the nuanced differences between Cric and ET tube management. Hear about the importance of clear communication during patient awakening and the need for meticulous planning to navigate the emergence process successfully. Learn why understanding a patient’s history can greatly influence sedation decisions.

In this episode of the PFC Podcast, Dennis and Ethan discuss the critical role of patient positioning in emergency and prolonged field care. They explore various aspects of patient positioning, including its importance for TBI management, ventilation, and airway management. The conversation also addresses the risks associated with changing patient positions, the need for a safety net in patient care, and the operational considerations for medics in the field. They emphasize the significance of training and cultural factors in reducing preventable deaths in combat situations, concluding with a call to focus on the basics of patient care.TakeawaysPatient positioning is often overlooked but crucial in care.Elevating the head of the bed can help with TBI.Ventilation improves with proper patient positioning.Patients can manage their airways better when allowed to position themselves.Reassess interventions after changing patient positions.Improvisation is key in resource-limited environments.Equipment design can enhance patient care in the field.Cultural factors in military medicine impact patient outcomes.Training in patient positioning is essential for medics.Mastering the basics can significantly reduce preventable deaths.Chapters00:00 Introduction to Patient Positioning02:21 The Importance of Patient Positioning06:01 Patient Positioning for TBI and Ventilation09:20 Airway Management and Patient Positioning14:25 Risks and Downsides of Changing Patient Position19:18 Building a Safety Net in Patient Care20:22 Operational Considerations for Patient Positioning24:29 Improvisation and Equipment in Patient Care27:46 Positioning in Prolonged Field Care30:03 Cultural Factors in Reducing Preventable Deaths36:40 Conclusion and Key TakeawaysThank 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

This presentation explores the challenges and needs of military operations in the Arctic, particularly focusing on cold-weather medicine and the stability of medications in extreme conditions. Emily emphasizes the urgency of improving medic training and resources, the lack of solid data on medication efficacy in cold environments, and the need for innovative solutions to ensure medics can operate effectively. She calls for collaboration and data sharing among partner nations to enhance medical care in extreme cold environments.Sorry, if you would like to see the slides, you'll have to become a paid member. TakeawaysWe don't have a whole lot of military presence above the Arctic Circle.Cold is the enemy; we need to get used to it.The greatest need is initial care at the point of injury.We need to improve the ability of our medics to operate efficiently in cold environments.Most medication stability data is from controlled environments, not extreme conditions.We need to test medications in field environments to understand their stability.Base layer transport is a promising method for carrying medications in cold weather.We need actual inventions that work for medics in the field.Siloing up information is not the answer; we need collaboration.Identifying high-priority medications is crucial for effective cold-weather operations.Chapters00:00 The Arctic Military Landscape02:47 Challenges of Cold Weather Medicine05:59 Medication Stability in Extreme Conditions08:54 Innovative Solutions for Cold Weather Operations11:52 Data Collection and Research Needs15:04 Practical Tips for Medics in Cold Environments18:02 Future Directions in Cold Weather Medical CareThank 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

Since the vast majority of you guys couldn't go to SOMSA '25, I'm bringing SOMSA '25 to you. Paul and I got our steps in this year and recorded a ton of presentations. These presentations with slides will only be available for subscription members...EnjoyIn this episode of the PFC Podcast, Dr. Jason Hiles discusses the challenges and strategies of providing medical care in unconventional warfare environments. He shares insights from his experiences in Southeast Asia, focusing on the importance of adaptability, community engagement, and training local medics to ensure sustainable healthcare practices in resource-limited settings. The conversation covers various surgical techniques, trauma management, and the significance of building trust within the communities served.TakeawaysThe need for trained personnel in war zones is critical.Adaptability in surgical techniques is essential in resource-limited environments.Community engagement fosters trust and improves healthcare access.Surgical care must be tailored to the specific needs of the environment.Triage and evacuation strategies are vital in managing war wounds.Training local medics ensures continuity of care after foreign personnel leave.Simplicity in medical kits can enhance operational efficiency.Understanding local customs and languages improves patient care.The impact of war on civilian health requires innovative solutions.Building relationships with local communities can lead to better health outcomes.Chapters00:00 Introduction to Unconventional Warfare Medicine03:12 Operational Challenges in Resource-Limited Environments06:07 Surgical Techniques and Patient Care in Conflict Zones09:00 Managing War Wounds and Trauma11:55 Triage and Evacuation Strategies15:10 Community Engagement and Building Trust18:14 Training Local Medics and Sustainable PracticesThank 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

In this episode of the PFC Podcast from last year, Dennis interviews Victor, a former Ranger and current tactical medicine program manager, who shares his experiences in Burma with the Free Burma Rangers. Victor discusses the evolving situation on the ground, his transition from military to humanitarian work, and the challenges of training indigenous forces in combat medicine. He emphasizes the importance of basic medical techniques, the complexities of blood collection and transfusion, and the management of mass casualties in a combat environment. Throughout the conversation, Victor reflects on the lessons learned from his experiences and the realities of operating in a conflict zone. In this conversation, the speaker shares their experiences and insights from operations in Burma, focusing on air operations, reconnaissance techniques, and the challenges of medical planning in hostile environments. They discuss the importance of movement discipline, ground reconnaissance, and resource management in ensuring the safety and effectiveness of their operations. The conversation highlights the complexities of providing medical care in combat situations and the need for adaptability and strategic planning.TakeawaysVictor transitioned from military service to humanitarian work.The situation in Burma is rapidly changing with ethnic forces gaining ground.Training indigenous forces requires cultural understanding and respect.Basic medical techniques are crucial in combat medicine training.Blood collection and transfusion present significant challenges in the field.Managing mass casualties requires effective triage and resource allocation.Training local medics can lead to successful outcomes in emergencies.Logistics and communication are vital in combat scenarios.The experience highlighted the importance of adaptability in medical training.Victor learned to appreciate the resources available in military medicine. The Burma army utilizes advanced air operations for reconnaissance and strikes.Movement and noise discipline are critical in combat situations.Ground reconnaissance is essential for safe movement and operational success.Medical planning must account for the capabilities of local hospitals.Prolonged field care requires careful consideration of resources and logistics.Effective communication and teamwork are vital during operations.Understanding enemy tactics can enhance operational planning.Pre-packing medical supplies can save time during emergencies.Adaptability is key in unpredictable combat environments.Continuous learning and preparation are necessary for effective field care.Chapters00:00 Introduction to Victor's Journey01:57 The Situation in Burma04:08 Transitioning from Military to Humanitarian Work05:50 Training Indigenous Forces in Combat Medicine12:07 Implementing Medical Techniques in the Field19:47 Challenges of Blood Collection and Transfusion28:03 Managing Mass Casualties in Combat39:48 Lessons Learned from the Experience41:58 Air Operations and Reconnaissance Techniques47:12 Engaging with the Enemy: Capturing Prisoners50:16 Ground Reconnaissance and Movement Discipline55:29 Medical Planning in Hostile Environments01:01:40 Challenges of Prolonged Field Care01:07:13 Logistical Considerations and Resource ManagementThank 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

In this episode of the PFC Podcast, Dennis and Doug delve into the complexities of bradyarrhythmias, discussing their recognition, causes, and treatment options. They explore the importance of vital signs, differential diagnosis, and the various pharmacological and electrical interventions available for managing bradycardia. The conversation also touches on the implications of overdoses and the long-term management of patients with bradyarrhythmias, emphasizing the need for a comprehensive approach in emergency medicine.TakeawaysRecognizing bradycardia involves checking vital signs and symptoms.Not all bradycardias are the same; context matters.Altered mental status can indicate shock in bradycardia cases.Lyme disease is a significant cause of bradycardia in younger populations.Narcotic overdose can lead to bradycardia and requires immediate attention.Atropine is a quick and handy treatment for bradycardia.Transcutaneous pacing is a common emergency intervention.Dopamine is preferred for its targeting of heart rate in bradycardia.Glucagon is an expensive but necessary treatment for beta-blocker overdose.Treating hypoxia is crucial before addressing bradycardia.Chapters00:00 Introduction to Bradyarrhythmias03:01 Recognizing Bradycardia and Its Symptoms06:14 Causes of Bradycardia09:02 Differential Diagnosis in Bradycardia11:57 Stabilization and Treatment Approaches14:46 Pharmacological Interventions for Bradycardia17:59 Electrical Interventions: Pacing Techniques20:55 Managing Overdoses and Bradycardia23:48 Long-term Management and Follow-up26:54 Conclusion and Key TakeawaysLink to full podcast:⁠⁠https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-228-DImE-e32aek2⁠⁠Thank 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