

Prolonged Field Care Podcast
Dennis
Become a Paid Subscriber: https://creators.spotify.com/pod/show/dennis3211/subscribe
This podcast and website is dedicated to the healthcare professional who needs to provide high quality care in a very austere location.
For more content: www.prolongedfieldcare.org
Consider supporting us on: patreon.com/ProlongedFieldCareCollective
This podcast and website is dedicated to the healthcare professional who needs to provide high quality care in a very austere location.
For more content: www.prolongedfieldcare.org
Consider supporting us on: patreon.com/ProlongedFieldCareCollective
Episodes
Mentioned books

Jul 2, 2025 • 27min
SOMSA '25 - Expeditionary Crisis Standards of Care
In this episode of the PFC Podcast, Ramey Wilson discusses the evolving landscape of Global Health Engagement (GHE) and its critical role in military medicine. He emphasizes the importance of interoperability in crisis standards of care, sharing real-world examples of medical collaboration in operational settings. The conversation highlights the need for a framework that addresses crisis capability gaps and the psychological protection of medical personnel in challenging situations. Ramey also explores future directions for medical engagement and the importance of preparing for various operational contexts.TakeawaysGlobal Health Engagement is evolving and critical for military operations.Interoperability is essential for effective crisis response.Crisis standards of care must be established for operational readiness.Understanding partner capabilities is vital for effective medical support.Real-world examples illustrate the importance of collaboration in medical care.Psychological protection for medical personnel is crucial in crisis situations.Future medical engagement should focus on sustainable practices.Risk assessment is a key component of medical decision-making.Training must align with the operational context and partner capabilities.Crisis standards of care can enhance the effectiveness of medical operations.Chapters00:00 Introduction to Global Health Engagement02:38 Interoperability in Crisis Standards of Care05:42 The Role of Global Health Engagement09:02 Crisis Capability Gap and Medical Support11:51 Real-World Examples of Medical Collaboration14:41 Crisis Standards of Care and Ethical Considerations17:57 Framework for Crisis Standards of Care20:46 Future Directions in Global Health EngagementThank 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

Jun 30, 2025 • 39min
Prolonged Field Care Podcast 236: Hemostatic Agents
Michael Weissman, a clinical education manager at Celox Medical and former Navy corpsman, brings a wealth of experience in austere medicine. He discusses the criticality of hemostatic agents in controlling severe bleeding and shares insights on the importance of applying pressure and understanding anatomy. They explore various hemostatic products, their activation times, and the impact of coagulopathy on effectiveness. The conversation emphasizes continuous education, practical training, and advancements in technology for effective trauma care.

Jun 27, 2025 • 28min
Prolonged Field care Podcast: Team Dynamics
In this podcast episode, the hosts discuss the critical importance of team dynamics in emergency medical situations, particularly when dealing with critically injured patients. They explore the challenges teams face when individuals work in isolation rather than collaboratively, emphasizing the need for effective communication and organization. The conversation highlights the role of a team leader in overseeing the resuscitation process, the necessity of training as a cohesive unit, and strategies for adapting these concepts in solo medic scenarios. The episode concludes with insights on training for mass casualty situations and empowering team members to take initiative during emergencies.Listen to this podcast AD-Free with membership.TakeawaysTeam dynamics are crucial in critical care situations.Effective communication can prevent missed injuries during resuscitation.A well-organized team can significantly improve patient outcomes.The team leader's role is to maintain oversight and ensure all tasks are completed.Training as a cohesive unit is essential for effective emergency response.Solo medics should utilize checklists to ensure comprehensive care.Mass casualty training should include triage and stabilization protocols.Empowering all team members enhances situational awareness and response.Repetitive training improves team performance in real-life scenarios.Mentored training fosters confidence and cohesiveness within the team.Chapters00:00 Understanding Team Dynamics in Critical Care04:52 Effective Team Organization in Trauma Situations11:14 The Role of the Team Leader in Resuscitation13:38 Adapting Team Concepts for Solo Medics17:00 Training for Mass Casualty Scenarios20:35 Empowering the Team for Better OutcomesThank 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

Jun 25, 2025 • 33min
SOMSA '25- Delayed Hemodynamic Collapse Following a Retroperitoneal Gunshot Injury During a Special Operation Training Exercise
The conversation revolves around a complex trauma case involving a 26-year-old male who suffered severe injuries from a live round during a training exercise. The discussion covers the patient's initial assessment, the challenges faced during his treatment, the surgical interventions performed, and the lessons learned from the case. The speakers emphasize the importance of timely interventions, effective communication, and the need for continuous improvement in emergency medical practices.TakeawaysThe patient was a 26-year-old male with severe injuries.Initial assessment showed signs of shock despite normal blood pressure.CT scans revealed significant internal bleeding.Surgical interventions were complicated by the patient's deteriorating condition.Massive transfusion protocol was activated due to significant blood loss.Lessons learned include the importance of timely blood product administration.Pre-hospital care plays a crucial role in patient outcomes.Effective communication among medical teams is essential.The case highlights the need for continuous training and preparedness.The patient ultimately required extensive rehabilitation after his injuries.Chapters00:00 Introduction to the Case02:52 Patient Arrival and Initial Assessment06:05 CT Scan and Deterioration08:50 Surgical Interventions and Challenges11:58 Massive Transfusion Protocol and Outcomes14:58 Lessons Learned from the Case18:00 Discussion on Pre-Hospital and In-Hospital Care20:48 Final Thoughts and ReflectionsThank 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

Jun 23, 2025 • 44min
Prolonged Field Care Podcast 235: Lessons Learned from a Guerrilla Surgeon
Join an eye-opening discussion with a seasoned military surgeon as he shares the grit and adaptability required for surgical practices in austere environments. Topics include the stark realities of operating under limited resources and the critical need for effective training. Discover insights on the essential differences between definitive care and damage control surgery. The conversation highlights the global surgical care crisis and the importance of courage and simplicity in high-stakes settings. Perfect for those aspiring to make a difference in challenging medical scenarios.

Jun 20, 2025 • 25min
Prolonged Field Care Podcast: SOP for SOF Clinic
In this episode of the PFC Podcast, host Dennis interviews Nate, a Special Forces Detachment Commander, who shares his unique perspective on the integration of medical training within military operations. Nate discusses his journey into the medical side of Special Forces, the challenges of establishing effective Standard Operating Procedures (SOPs), and the importance of realistic training and communication of medical capabilities to commanders. The conversation emphasizes the need for curiosity and problem-solving in medical training, as well as the value of community feedback in improving medical practices in austere environments.Listen ad-free with membershipTakeawaysNate's background is not in medicine, but he has a strong interest in improving medical capabilities.The importance of hands-on experience in medical training for Special Forces.Creating effective SOPs is crucial for operational success in medical scenarios.Testing and validating medical plans is essential to ensure effectiveness.Training standards in medicine should be as rigorous as in other military skills.Communication of medical capabilities to commanders is vital for mission success.Curiosity about medicine can enhance team dynamics and operational effectiveness.Problem-solving is a key aspect of medical training and should be embraced.Feedback from the community can help improve medical practices in the field.Establishing a culture of honesty about medical capabilities is necessary for effective planning.Chapters00:00 Introduction to the Podcast and Guest01:02 Nate's Journey into Medical Training03:38 Establishing Standard Operating Procedures (SOPs)06:12 Testing and Validating Medical Plans09:33 The Importance of Training Standards in Medicine12:44 Planning and Realistic Medical Training16:51 Communicating Medical Capabilities to Commanders20:07 The Role of Curiosity in Medical Training23:18 Seeking Community Feedback on Clinic SetupThank 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-

Jun 18, 2025 • 28min
SOMSA '25 - COLD Blood Protocol for Medical Support
Chase Zanel, a former 18 Delta and now an emergency medicine resident, teams up with Ken Radloff, an emergency physician and fellow 18 Delta, to discuss critical cold blood protocols for military training. They explore how whole blood transfusions can prevent deaths from hemorrhagic shock and the logistical challenges of blood storage during operations. The duo highlights a pilot blood donation program aimed at enhancing medic preparedness while navigating complex regulatory hurdles. Their insights promise to transform military medical support and training.

Jun 16, 2025 • 1h 6min
Prolonged Field Care Podcast 234: SOMA
In this episode of the PFC Podcast, Dennis interviews John Dominguez, a veteran with extensive experience in the Special Operations Medical Association (SOMA). They discuss the origins of SOMA, its evolution into a global organization, and its impact on interoperability among special operations forces. John emphasizes the importance of networking, professional development, and learning from failures in medical training for medics. The conversation highlights how SOMA serves as a platform for sharing experiences and knowledge among medical professionals in the military and beyond. The conversation delves into the importance of experiential learning in medical training, particularly through SOMA's various labs and courses. It highlights the challenges faced in organizing medical conferences, the professional development opportunities available through SOMA, and the significance of leveraging technology for enhanced learning. The discussion also emphasizes the importance of early engagement and membership in SOMA for career advancement and knowledge sharing.Listen to this episode ad-free with our membership.TakeawaysSOMA was established to improve interoperability among special operations medics.The organization has grown to include international representation from over 30 countries.Networking at SOMA events fosters relationships and collaboration among medics.SOMA provides a platform for professional development and training for medics.Learning from failures is crucial in medical practice, especially in high-stakes environments. Experiential learning enhances the connection between theory and practice.SOMA offers various labs that provide hands-on experience in medical training.Attendees can gain different perspectives through international training opportunities.The organization of medical conferences faces unique challenges, especially in funding and logistics.SOMA's growth in attendance reflects its importance in the medical community.Vendors play a crucial role in funding and supporting SOMA events.Professional development opportunities are available for those interested in advancing their careers.Mentorship is a key component of SOMA, aiding in career guidance and development.Technology is increasingly important in medical education and training.Engagement in SOMA can lead to leadership opportunities and influence in the field.Chapters00:00 Introduction to SOMA and Its Origins07:49 The Evolution of SOMA and Its Global Impact14:53 Networking and Interoperability in Special Operations21:59 Training and Professional Development for Medics26:59 Learning from Failures and Sharing Experiences33:54 Experiential Learning in Medical Training41:06 Challenges in Organizing Medical Conferences47:40 SOMA's Professional Development Opportunities55:30 Leveraging Technology for Enhanced Learning01:01:28 Engagement and Membership in SOMAThank 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

Jun 13, 2025 • 28min
Rocky Farr - Death of the Golden Hour
Rocky Farr, a retired Special Forces medic and current educator in Tampa, dives into the dynamic world of unconventional warfare and its medical implications. He discusses the critical role of medics in sustaining operations and the historical evolution of medical support in guerrilla warfare. Emphasizing the golden hour's significance, Farr argues for the need to adapt medical practices to modern combat realities. He highlights the importance of ongoing training and challenges traditional methods, envisioning a future where Special Forces operate with agility and creativity in medical care.

Jun 11, 2025 • 30min
SOMSA '25 - Former Ranger Medic's Lessons Learned
In this episode of the PFC Podcast, Victor, a former Ranger medic, shares his experiences and lessons learned from a mass casualty event during a humanitarian mission in Burma. He discusses the historical context of the conflict, the challenges faced in providing medical support, and the innovative solutions developed in a denied environment. The conversation emphasizes the importance of training, adaptability, and building sustainable medical practices to empower local medics in future conflicts.Listen to this episode ad free with membership.TakeawaysVictor shares his experiences as a former Ranger medic.The humanitarian mission in Burma faced severe challenges.The conflict in Burma has historical roots dating back to World War II.Training focused on hemorrhage control and casualty extraction techniques.Two casualty collection points were established during the operation.The team had to adapt to carrying casualties over long distances.Blood transfusions were successfully conducted in the field for the first time.Building sustainable medical practices is crucial for future operations.Empowering local medics is essential for effective care.The mission was guided by a sense of love and purpose.Chapter00:00 Introduction to the Humanitarian Mission02:54 The Conflict in Burma: Historical Context05:52 Training the Rangers: Preparing for Combat08:55 The Medical Support Operation: Initial Challenges11:49 Casualty Management: Triage and Evacuation14:55 Adapting to the Battlefield: Lessons Learned17:54 Blood Transfusions in the Field: A New Capability20:45 Building Sustainable Medical Practices23:48 Empowering Local Medics: The Future of Care26:58 Conclusion: A Call to ActionThank 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


