In this podcast episode, Dennis, Stacy Shackelford, and Doc Rush discuss the critical topic of triage in emergency medical situations, particularly in military contexts. They explore the current challenges in triage practices, emphasizing the need for a shift in thinking towards large-scale events and the importance of adapting strategies based on the number of casualties. The conversation highlights the significance of immediate actions in the first hour post-injury and the necessity of training medics to handle chaotic situations effectively. The episode concludes with a call for a more standardized approach to triage that prioritizes population health over individual patient categorization. This conversation delves into the complexities of tactical medicine in combat situations, emphasizing the importance of prioritizing tactics over medicine, the necessity of clinical experience for medics, and the psychological challenges faced in high-stress environments. The discussion also covers the decision-making process in evacuation scenarios, the identification of surgical needs, and the training required for mass casualty incidents. The speakers advocate for a simplified approach to triage and the need for ongoing training to prepare medics for the realities of their roles. Takeaways Triage practices need to evolve with changing conflict scenarios. Current triage systems are not standardized and often ineffective. Immediate actions in the first hour post-injury are crucial. Training should focus on large-scale event responses, not just individual cases. The first pass actions should prioritize stopping bleeding and ensuring airway clearance. Medics should be prepared for chaotic situations and make quick decisions. Understanding the scale of an event is essential for effective triage. The concept of treating the population rather than individuals is vital. Preparation and rehearsal are key to effective triage in emergencies. Triage decisions should be offloaded to allow for rapid response. Tactics often take precedence over medical interventions in combat. Medics should have regular clinical rotations to enhance their skills. Risk management in evacuation decisions is crucial for team leaders. Psychological preparation is essential for medics facing trauma. Identifying surgical needs should focus on unstable patients. Basic principles of triage should guide decision-making in emergencies. Training for mass casualty scenarios is vital for operational readiness. Medics must be prepared for the reality of not saving every patient. Experience and pattern recognition are key to effective triage. Simplicity in approach can lead to better outcomes in chaotic situations. Chapters 00:00 Introduction to Triage and Its Importance 07:00 Current Challenges in Triage Practices 14:13 Revising Triage Approaches for Large-Scale Events 19:55 Practical Strategies for Effective Triage 30:12 Conclusion and Future Directions in Triage 31:13 Understanding Tactical Medicine in Combat Situations 36:00 The Importance of Clinical Experience for Medics 39:42 Risk Management in Evacuation Decisions 43:03 Preparing Medics for Psychological Challenges 46:07 Identifying Surgical Needs in Critical Care 49:54 The Role of Basic Principles in Triage 52:44 Training for Mass Casualty Scenarios 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

Imagine dealing with a 50+ patient MASCAL....where to even begin. Posting tomorrow 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

Quick rundown of basic management of Dengue fever. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-213-Dengue-Fever-e2tgiks 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

Every fluid has its purpose as well as its effects. Stick to the isotonic fluids to maintain your patient. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-213-Dengue-Fever-e2tgiks 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

Resource constraints (within reason) can lead to innovation and ultimately better medicine. Links to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-213-Dengue-Fever-e2tgiks 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 speaks with Dr. Ryan Maves, an infectious disease physician, about dengue fever, a significant tropical disease. They discuss the epidemiology, clinical presentation, management, and prevention strategies for dengue, emphasizing the importance of recognizing warning signs and providing supportive care. Dr. Maves shares insights from his extensive experience in tropical medicine, particularly during his time in the Navy and in Peru, where he conducted research on dengue and other vector-borne diseases. The conversation highlights the increasing relevance of dengue in both civilian and military contexts, especially in light of climate change and urbanization. Takeaways Dengue fever is part of the flavivirus family, which includes Zika and chikungunya. The disease is primarily transmitted by the Aedes aegypti mosquito, which thrives in urban areas. Dengue can cause severe morbidity, particularly in non-endemic populations. Management of dengue is largely supportive, with a focus on fluid resuscitation. Warning signs of severe dengue include persistent vomiting, abdominal pain, and altered mental status. Preventive measures include using insect repellent and controlling standing water. Dengue is endemic in many tropical regions, including parts of Latin America and Southeast Asia. Vaccines for dengue exist but are not widely available for adults. Dengue can present with a wide spectrum of symptoms, making diagnosis challenging. Public health strategies are crucial in controlling dengue outbreaks. Chapters 00:00 Introduction to Tropical Medicine and Dengue Fever 03:12 Understanding Dengue Fever: Background and Epidemiology 06:03 Clinical Presentation and Diagnosis of Dengue Fever 08:56 Management and Treatment of Dengue Fever 11:54 Warning Signs and Severe Dengue 15:13 Preventive Measures and Public Health Strategies 18:01 Final Thoughts on Dengue and Tropical 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

When patients complain of feeling sick....That doesn't help that much. Knowing what questions to ask will lead you to the correct treatment. Posting tomorrow... Link to the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-213-Dengue-Fever-e2tgiks 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 operational/tactical EMS situation, you have to put security of the remaining personnel over the medicine. It's counter intuitive to our medical training, but incredilily important. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Tactical-Time-out-e2tcbcd 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

As always, we as medics are part of the tactical situation. We must inform the ground commander of the medical situation and based on his determination, plan on how to best help our patients. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Tactical-Time-out-e2tcbcd 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, Casper, and Paul discuss the concept of Tactical Timeout, a leadership tool designed to enhance communication and operational effectiveness in medical scenarios, particularly in military contexts. They explore the importance of security, operational considerations, and effective patient care, emphasizing the need for clear communication and teamwork. The conversation highlights the significance of understanding the operational environment, managing shift changes, and ensuring that all team members are informed and prepared for any changes in patient status or operational conditions. Takeaways Tactical Timeout enhances team communication and cohesion. Security is paramount in medical operations. Understanding the operational environment is crucial for effective care. Shift changes require clear communication about patient status. Regular patient updates are essential for team awareness. Pain management should be proactive, not reactive. Encouraging team members to speak up fosters a supportive environment. Contingency planning is vital for unexpected situations. Essential supplies should be organized for quick access. Tactical Timeout can be used to clarify uncertainties among team members. Chapters 00:00 Introduction to Tactical Timeout 02:54 Understanding Tactical Timeout in Medical Context 05:48 Importance of Security in Medical Operations 09:13 Operational Considerations for Medical Teams 11:58 Shift Changes and Administrative Updates 14:55 Patient Updates and Communication 17:50 Managing Pain and Patient Care 21:12 Team Dynamics and Communication 24:03 Final Thoughts on Tactical Timeout 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