Prolonged Field Care Podcast

In this episode, the we discuss the unique challenges and considerations involved in providing medical care in extreme cold weather conditions. They cover topics such as hypothermia, frostbite, cold injuries, and equipment and supplies needed for arctic operations. They also provide tips and resources for medical personnel preparing for arctic deployments. So, if you're interested in learning more about arctic combat medicine, give this podcast a listen! For more content go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective

In this podcast, the Dennis and Doug discuss the challenges of treating traumatic cardiac arrest in the field and the importance of early intervention to improve outcomes. They also cover various topics such as identifying reversible causes, utilizing resuscitative thoracotomy, and managing hypovolemia. For more content go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective

In this podcast, Dennis and Berger Langda discuss austere dentistry, specifically how to handle dental emergencies in an austere environment. They discuss the importance of preventive preparation, such as motivating participants to have a dental checkup and using high fluoride toothpaste, as well as preparing oneself with an adequate dental kit. They also discuss common dental procedures and complaints that may arise in an austere environment, such as broken fillings and impacted wisdom teeth, and how to approach treating patients with limited time and resources. Finally, they touch on the importance of a team approach and distributing medications and antibiotics efficiently. For more content go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective

This is Dennis from the Prolonged FieldCare podcast. In this episode, we have a group running an austere emergency care course in Norway. They discuss the challenges of providing medical care in remote or austere environments where evacuation to a medical facility may not be possible for several hours or even days. The course focuses on changing people's mindsets and creating a team approach to caring for patients. They discuss the importance of checklists and the challenges of communicating with non-medical responders in emergency situations. The podcast is available on various platforms, including YouTube, and you can find more information about the Prolonged FieldCare course on their website and social media channels. Thanks for listening! For more content go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective

In this episode, Dennis and Dr. Cancio discuss the dangers and treatment of white phosphorus burns, which can be extremely painful and even fatal. They also talk about the challenges of providing medical care in combat situations and the importance of being prepared for any situation. It's an informative and interesting listen, so if you're interested in military medicine or emergency care, check it out!

I talk with Dr. Moon about taking care of a patient with AMS, HAPE, and/or HACE in a PFC environment and when is it worth the consequences to evac the patient. Altitude illness is a condition that can occur when someone goes to high altitudes, such as in the mountains, and experiences symptoms like headaches, nausea, and fatigue. The podcast explains how altitude illness occurs and provides tips on how to prevent it, such as slowly acclimating to high altitudes and staying hydrated.

Dennis speaks with a logistics expert, who has experience working in Ukraine with an NGO during the conflict. The conversation centers around the logistical challenges faced by refugees and the aid organizations that work to support them. The number of refugees in Ukraine fluctuates, and the population is highly mobile, which presents challenges for aid workers trying to provide services such as shelter, bedding, and medical care. The supply chain for aid is not streamlined and is often self-defeating due to duplication of effort and shortages of necessary items. Logistics are further complicated by the lack of fresh water and infrastructure in certain areas of the country. The conversation highlights the importance of efficient distribution of aid and communication between aid organizations to ensure that the needs of refugees are met.   Please 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. Please consider supporting us: patreon.com/ProlongedFieldCareCollective

As superpowers begin moving into the artic circle, as medics we need to be prepared to treat patients in a very different environment they we have in recent past. Jacob and Eric speak about their experiences in the arctic. Please consider supporting us: patreon.com/ProlongedFieldCareCollective

If you sit on a patient long enough, infection has a greater chance of  taking hold and progressing to sepsis, or you may receive a patient who  has already been sick for days. Doc Jabon Ellis walks us through the  full spectrum from infection and SIRS to sepsis, shock and death.  Despite firm CoTCCC and ICRC recommendations for early antibiotics, in  the past we may have foregone that luxury because of lighting fast  evacuation times, maybe even thinking, ‘they’ll take care of it at the  next echelon.’  A great medic should not only treat their patient but  set them up for success at the next echelon, as sepsis is a testament to  how poor care during the TCCC phases of care can cost our patients days  and weeks in a hospital later.  But what if you are your own next echelon?  Point of injury to Role 1+  could be your own team house or single litter aid station.  Go down the  checklist on the right side of the PFC trending chart and make sure you  are taking care of anything that could result in an infection.  Have you  given those antibiotics?  How is your airway and respiratory care?    Did you replace any dirty IV or IO sites you placed in the field?  Are  you doing all your procedures an as aseptic manner as much as possible?   When will you debride?  Are you doing everything you can to prevent  pressure ulcers?  When will you call for a telemedical consult?  When your patient  develops a fever?  Blood pressure falling?  Altered mental status?   Do you know how to dilute your 1:1000 epinephrine to use as a push dose  pressor?  (It’s in the Tactical Medical Emergency Protocols) Is an Epi  drip appropriate, why or why not?  How much fluid will you give to help  prop up that BP? All questions that the medic prepared for PFC should be  looking to answer.    For more content, visit www.prolongedfieldcare.org