
Prolonged Field Care Podcast
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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
Latest episodes

Apr 10, 2025 • 2min
Why can't you trust everything AI tells you. PFC Podcast 224: AI in the Austere Environment
AI is helpful for relevant suggestions, but you're the provider.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-224-AI-in-Austere-Medicine-e3152ukThank 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

Apr 9, 2025 • 3min
AI is a tool. You're the provider. PFC Podcast 224: AI in Austere Medicine
AI is not the crutch you're looking for.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-224-AI-in-Austere-Medicine-e3152ukThank 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

Apr 8, 2025 • 1min
Can we trust AI for medical decisions? PFC Podcast 224: AI in Austere Medicine
Can we put that much faith in the information given, to make a medical decision based on AI?Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-224-AI-in-Austere-Medicine-e3152ukThank 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

Apr 7, 2025 • 50min
Prolonged Field Care Podcast 224: AI in Austere Medicine
In this conversation, Dennis and Steven Blocker discuss the integration of AI in healthcare, particularly in emergency medicine. They explore the capabilities and limitations of various AI models, including large language models and natural language processing, and their applications in diagnostics, patient care, and education. The conversation also touches on the ethical considerations and accountability surrounding AI usage in medical settings, emphasizing the importance of understanding the technology's boundaries and ensuring patient safety. In this conversation, Steven Blocker and Dennis discuss the evolving role of AI in healthcare, emphasizing the importance of medical protocols, the responsibilities of healthcare providers, and the limitations of AI in clinical decision-making. They explore the potential for AI to assist in surgical procedures, the future of AI in medicine, and the need for AI to adapt to changing medical practices. The discussion highlights the necessity of human oversight in medical decisions and the importance of using AI as a tool to enhance, rather than replace, the clinician's expertise.TakeawaysAI has been around for a long time, but its recent popularity is notable.Understanding the bounds of AI is crucial for effective use.AI cannot be used offline, especially on mobile devices.Large language models provide answers with confidence but lack true understanding.Always fact-check AI outputs, as they may contain inaccuracies.AI can assist in triage processes but requires tailored software.Ethical considerations in AI usage are paramount in healthcare.AI can enhance education and training for medical professionals.The quality of AI-generated information must be critically evaluated.Accountability in AI usage is essential to prevent liability issues. It's crucial to adhere to medical protocols to avoid blame.Healthcare providers are ultimately responsible for patient decisions.AI should augment medical decision-making, not replace it.The effectiveness of AI in surgery depends on the data it is trained on.AI can assist medics but cannot replace their experience.AI needs sufficient data to make informed decisions.The future of AI in healthcare is promising but uncertain.AI must adapt to evolving medical practices and protocols.Using AI effectively requires understanding its limitations.AI can help summarize and analyze patient data efficiently.Chapters00:00 Introduction to AI in Medicine02:54 Understanding AI Models and Their Applications05:46 The Role of AI in Patient Care09:08 AI in Diagnostics and Decision Support12:05 AI in Education and Training15:08 Challenges and Limitations of AI in Medicine18:10 Ethics and Accountability in AI Usage20:50 Future of AI in Healthcare27:00 Navigating Medical Protocols and Responsibilities30:02 The Role of AI in Medical Decision-Making33:13 AI in Surgical Procedures: Potential and Limitations38:57 The Future of AI in Healthcare43:05 Adapting AI to Evolving Medical Practices48:08 Maximizing AI's Utility in Clinical SettingsThank 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

Apr 6, 2025 • 3min
Benzo Reversal...Better think about it. PFC Podcast: Versed and Sedation Mastery
Benzo reversal has it's own consequences.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Versed-and-Sedation-Mastery-e30s38gThank 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

Apr 6, 2025 • 3min
Is AI the medical cheat code we need? PFC Podcast 224: AI in Austere Medicine
Posting tomorrow..Finally....something to do my thinking for me? Thank 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

Apr 5, 2025 • 3min
Sedation is the hardest to get right. PFC Podcast: Versed and Sedation Mastery
It is harder to get right than analgesia and the consequences are just as bad.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Versed-and-Sedation-Mastery-e30s38gThank 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

Apr 4, 2025 • 1h 11min
Prolonged Field Care Podcast: Versed and Sedation Mastery
In this episode of the PFC Podcast, the discussion revolves around patient positioning during procedural sedation, the pharmacology and application of Versed (Midazolam), and the nuances of dosing in various clinical scenarios. The speakers emphasize the importance of having a plan for airway management, the physiological implications of patient positioning, and the amnestic effects of Versed in trauma and surgical settings. They share insights from their experiences in austere environments, highlighting the need for adaptability and careful consideration of patient responses to sedation. In this conversation, the speakers delve into the complexities of IV amnestics, particularly focusing on Propofol and Midazolam, and the challenges faced during sedation in anesthesia. They discuss the importance of monitoring patient comfort, the nuances of sedation versus analgesia, and the implications of using drugs like Ketamine and Versed. The conversation highlights the critical nature of assessing patient responses and the difficulties in managing sedation effectively, emphasizing that sedation is often more challenging than general anesthesia.TakeawaysPatient positioning is crucial during procedural sedation.Recovery position may enhance airway protection during sedation.Always have a plan for airway management in different positions.Versed is a GABA agonist that promotes sedation and amnesia.Dosing of Versed varies significantly based on patient condition.In trauma cases, lower doses of sedatives may be necessary.Communication with the patient is key when administering sedatives.Understanding the pharmacodynamics of Versed aids in effective use.Amnestic effects of Versed can be dose-dependent.Clinical experience plays a significant role in medication administration. IV amnestics like Propofol and Midazolam do not have a guaranteed amnestic dose.Sedation is one of the most challenging aspects of anesthesia.Monitoring vital signs is crucial during sedation to assess patient comfort.The physiological state of the patient significantly affects drug dosing.Ketamine is not considered an amnestic drug by some providers.Patient comfort is paramount, and sedation must be carefully managed.The use of narcotics can help manage discomfort during sedation.Understanding the patient's history, such as alcohol use, is important for dosing.Sedation requires constant assessment and adjustment of medications.The complexities of sedation often make it more difficult than general anesthesia.Chapters00:00 Introduction to Patient Positioning in Procedural Sedation09:57 Understanding Versed: Mechanism and Usage19:54 Dosing Strategies for Versed in Different Patient Scenarios29:54 Amnestic Effects and Clinical Considerations of Versed35:05 Understanding IV Amnestics: Propofol and Midazolam39:01 The Challenges of Sedation in Anesthesia45:26 Monitoring and Assessing Patient Comfort During Sedation51:27 Navigating the Complexities of Sedation and Analgesia57:55 The Role of Versed and Ketamine in Anesthesia01:01:39 Final Thoughts on Sedation Practices and Patient SafetyThank 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

Apr 3, 2025 • 4min
H's and T's...PFC Podcast 223: Cardiac Arrest
We all say it "I'll consider my H's and T's". How do you actually consider, assess, and DO SOMETHING ABOUT IT.Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-223-Cardiac-Arrest-e30k73lThank 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

Apr 2, 2025 • 3min
When to stop CPR...PFC Podcast 223: Cardiac Arrest
We'll keep going till our arms fall off, but when DO YOU STOP CPR?Link to full podcast:https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-223-Cardiac-Arrest-e30k73lThank 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