This is a clip from Friday's Podcast on Setting up an Austere Walking Blood Bank. https://spotifycreators-web.app.link/e/iHOF668syOb

In this episode of the PFC Podcast, Dennis and Andrew Fisher discuss the critical aspects of setting up a walking blood bank in military settings. They explore the importance of pre-identifying donors, logistical planning for blood collection, and the necessity of effective communication and coordination among units. The conversation emphasizes the execution and timing of blood collection during emergencies, highlighting that understanding the principles of medical procedures is more important than specific techniques. The episode serves as a comprehensive guide for military personnel involved in medical emergencies and blood transfusion protocols. Takeaways Setting up a walking blood bank is crucial for military operations. Pre-identifying donors can significantly reduce stress during emergencies. Logistical planning is essential to ensure adequate blood supply. Effective communication among units enhances coordination in blood donation. Timing is critical; aim to have blood ready within 30 minutes of need. Training all personnel in blood collection techniques is vital. Understanding principles allows for better improvisation in emergencies. Blood type identification should be done well in advance. Practice and familiarity with procedures improve response times. A well-prepared team can save lives during critical situations. 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 Dr. Brendan Graham discuss the controversial topic of using blood from dying patients for transfusions. They explore the physiological changes that occur in dying patients, the potential risks and ethical implications of such practices, and the future of blood transfusion technology. The conversation emphasizes the importance of understanding the complexities of blood physiology and the moral dilemmas faced in trauma care. Takeaways The concept of 'zombie blood' raises significant ethical concerns. Physiological changes in dying patients can render their blood inferior for transfusion. Using blood from dying patients may not provide the intended benefits and could cause harm. Future innovations in blood transfusion may include stem cell-derived blood products. The medical community is exploring alternatives to traditional blood transfusions. Ethical considerations are paramount when discussing blood donation from dying patients. The risks of infection and coagulation issues are heightened in dying patients. Action bias in medical practice can lead to ethically questionable decisions. Understanding the physiological processes in death is crucial for medical professionals. There is a need for more research and evidence before implementing new transfusion practices. 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 Doug delve into the complexities of pneumothorax and hemothorax, discussing when treatment is necessary, the implications of tension physiology, and the management of trauma patients. They explore the differences between spontaneous and traumatic pneumothorax, the importance of patient assessment, and the medical management strategies for these conditions. The conversation emphasizes the need for vigilance in monitoring patients and making timely decisions regarding interventions such as chest tube insertion. Takeaways Tension physiology occurs when blood return to the heart is impaired. Pneumothorax can be observed if it is less than 30% of lung volume in stable patients. Healthy lungs tolerate losing lung volume better than sick lungs. Trauma is a common cause of pneumothorax, but COVID-19 also contributed significantly. Ultrasound is the gold standard for diagnosing pneumothorax and hemothorax. Medical management of pneumothorax involves minimizing positive pressure ventilation. Chest tubes are indicated when pneumothorax significantly affects oxygenation. Tension hemothorax requires urgent intervention to prevent hypovolemic shock. Young practitioners should be aware of complications associated with chest trauma. Vigilance is key in monitoring patients with chest trauma for deterioration. 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 Josh discuss the critical role of laboratory tests in trauma care, particularly in austere environments. They cover the timing and importance of drawing labs, the significance of arterial blood gases, lactate levels, and the interpretation of hemoglobin and electrolytes. Josh emphasizes the need for medics to understand normal lab values and how to integrate lab data into patient care effectively. Takeaways Labs are essential for timely trauma care. Draw labs after initial assessments in trauma situations. Arterial blood gases provide crucial information for ventilation management. Lactate levels indicate tissue oxygen delivery and resuscitation status. Hemoglobin trends are more important than single values in trauma. Electrolyte levels, especially potassium and calcium, are critical in trauma management. Medics should focus on learning normal lab values for effective care. Integrating lab data with patient context is vital for treatment decisions. Regularly check kidney function indicators in trauma patients. Communication with experienced colleagues can enhance lab interpretation 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

In this episode of the PFC Podcast, Dennis and Doug delve into the complexities of traumatic cardiac arrest, distinguishing it from medical cardiac arrest. They explore the various causes of traumatic cardiac arrest, emphasizing the importance of rapid assessment and intervention. The conversation highlights the need for effective resource allocation during resuscitation efforts and the significance of understanding the underlying causes of cardiac arrest to guide treatment. Doug shares insights on immediate actions to take in traumatic cardiac arrest scenarios, including the prioritization of interventions and the importance of teamwork in emergency situations. Takeaways Traumatic cardiac arrest can be caused by external injuries or direct heart trauma. Understanding the mechanism of injury is crucial in managing cardiac arrest. Immediate actions should focus on identifying and treating the cause of cardiac arrest. Massive hemorrhage is a common cause of traumatic cardiac arrest. Effective CPR can help restore circulation in certain scenarios. Teamwork and clear roles are essential during resuscitation efforts. Pre-delegated roles can streamline emergency responses and save lives. Assessing the situation while performing CPR is vital for effective management. Recognizing reversible causes of cardiac arrest can guide treatment decisions. Communication and coordination among team members are key in emergency 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 or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this episode of the PFC Podcast, Dennis and Brad discuss the transition from fentanyl lollipops to SuFentanyl in military medicine. They explore the characteristics of SuFentanyl, its advantages and disadvantages compared to traditional fentanyl, and the practical implications of administering these drugs in the field. The conversation highlights the importance of understanding dosage, effectiveness, and the challenges faced by medical personnel in high-stress environments. In this conversation, Dennis discusses the critical aspects of medical training, particularly in the context of administering narcotics and managing pain in field care. He emphasizes the importance of After Action Reviews (AARs) for collecting data and improving practices, the need for hands-on experience with narcotics, and the risks associated with long-term use. The discussion also covers the transition between different narcotics and the importance of titrating to effect based on patient response, particularly respiratory rate. Dennis advocates for thorough training and preparation to ensure medics can make informed decisions in high-pressure situations. Takeaways Fentanyl lollipops are being replaced by SuFentanyl tablets. SuFentanyl is significantly stronger than fentanyl. The characteristics of SuFentanyl make it effective for pain management. Lollipops were easier to administer in field settings. Sublingual tablets have absorption challenges compared to lollipops. Swallowing the tablet reduces its effectiveness drastically. Field conditions can affect drug absorption and efficacy. Medical personnel need to adapt to new drug administration methods. Dosage adjustments may be necessary for effective pain relief. Feedback from field use is crucial for optimizing drug protocols. AARs are crucial for improving medical practices. Hands-on experience with narcotics is essential for comfort. Understanding the risks of addiction is vital in narcotic use. Transitioning between narcotics requires careful consideration. Titrating to effect is key in pain management. Respiratory rate is a critical indicator in narcotic administration. Training should focus on real-world scenarios and decision-making. Medicine requires flexibility beyond strict algorithms. Discussing potential injury patterns can improve team response. Preparation and training can prevent mistakes in the field. 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 Winston discuss Methoxyfluorine, a volatile anesthetic agent known as the 'green whistle'. They explore its mechanism of action, indications for use, and practical applications in emergency care, particularly for managing severe pain in pre-hospital settings. The conversation emphasizes the importance of patient control in analgesia, safety considerations, and best practices for using Methoxyfluorine effectively. Takeaways Methoxyfluorine is used for procedural sedation and analgesia. It acts as an analgesic in low doses and anesthetic in higher doses. The green whistle allows for patient-controlled analgesia. It is effective for severe pain, particularly in burns treatment. Safety concerns include potential renal toxicity at high doses. Patient education and preparation are crucial for effective use. The onset of analgesia occurs within 6 to 10 breaths. Contraindications include altered consciousness and significant organ impairment. The device is designed to minimize environmental contamination. Effective communication with patients enhances their experience and satisfaction. 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 JP Kolcun, a neurosurgery resident, delve into the complexities of spinal trauma. They discuss the differences between spinal shock and neurogenic shock, the assessment and management of penetrating and blunt spinal injuries, and the critical importance of addressing secondary injuries. The conversation emphasizes the need for timely intervention and the nuances of trauma care in both field and hospital settings. This conversation delves into the complexities of spinal cord injury treatment, emphasizing the importance of timely surgical decompression, understanding spinal cord perfusion, and the role of intrathecal pressure. The discussion highlights the need for optimizing spinal cord perfusion pressure and the implications of using vasopressors. Innovations in treatment, including the potential for intrathecal medication delivery and advancements in brain-computer interfaces, are explored as future avenues for improving patient outcomes. Takeaways Spinal shock is a neurologic phenomenon, while neurogenic shock is hemodynamic. Penetrating spinal cord injuries are often more severe than blunt injuries. Immediate stabilization and ABCs are crucial in trauma care. Understanding the difference between spinal shock and spinal cord injury is vital. Secondary injury can worsen outcomes if not addressed promptly. Timely decompression of the spinal cord can improve recovery chances. Assessment of spinal stability is essential in blunt trauma cases. The presence of a bulbocavernous reflex can indicate spinal cord injury. Norepinephrine is preferred for treating neurogenic shock. Avoid hypotension to prevent further complications in spinal injuries. The timing of surgical decompression can significantly impact recovery. Surgical decisions must consider the overall health of the patient, not just the injury. Spinal cord perfusion is critical for recovery post-injury. Intrathecal pressure varies and can affect spinal cord perfusion. Targeting spinal cord perfusion pressure may improve outcomes over traditional MAP goals. Vasopressors can constrict blood vessels, potentially reducing perfusion to the spinal cord. Innovative treatments, such as lumbar drains, can enhance spinal cord perfusion. Research is ongoing into the use of intrathecal medications for spinal cord injury. The ultimate goal is to improve quality of life for spinal cord injury patients. Advancements in technology may lead to breakthroughs in treating chronic spinal cord 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, Jacob, and Alex discuss the unique challenges of providing medical care in Arctic conditions. They share their experiences and insights on managing cold weather injuries, innovative techniques for treating frostbite, and the complexities of airway management in extreme cold. The conversation also covers the importance of preparation, equipment, and training for military personnel operating in such environments, emphasizing the need for adaptability and understanding of the unique challenges posed by the Arctic. Takeaways Cold weather injuries are a significant concern in Arctic operations. Training for Arctic conditions was previously lacking and is now essential. Innovative solutions like sous vide for frostbite treatment have proven effective. Airway management poses unique challenges in extreme cold temperatures. Maintaining patient warmth is critical during evacuation and treatment. Shelter and heating solutions are vital for casualty care in cold environments. Medications can freeze and lose efficacy; proper storage is crucial. Preparation and knowledge of equipment are key to success in Arctic missions. Basic soldier tasks must be mastered to operate effectively in cold weather. The basics of medical care are what ultimately save lives in extreme conditions. 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