WarDocs - The Military Medicine Podcast

Military Medicine & WarDocs present: "A Ready Medical Force Special Collection." Episode Summary:    What transformations can occur when cutting-edge medical research meets the urgency of combat scenarios? This episode of WarDocs takes you on an enlightening exploration with US Air Force Colonel Dr. Joe Maddry, a distinguished figure in military medicine. We unravel the complexities of combat casualty aeromedical evacuation as Dr. Maddry, a lead author on a pivotal study published in the AMSIS Journal of Military Medicine, shares insights from his extensive career—from the Air Force Academy to his current role at the BAMC Department of Clinical Investigation. Discover how his work is charting new paths in the management of patient transfers between Role 2 and Role 3 medical facilities, especially in the fast-paced environment of combat zones. Dr. Maddry and his co-authors spotlight the "Golden Hour Rule" and its implications during Operation Enduring Freedom. This in-depth conversation covers how their research addresses the care provided during critical inter-facility transports and compares it to previous studies on point-of-injury evacuations. Learn how their findings could shape future military medical protocols and improve patient outcomes in the theater of war. This episode is a must-listen for anyone interested in the advancements and challenges of military healthcare, offering a comprehensive look into the strategic evolution of aeromedical evacuations.   AMSUS Military Medicine Article Reference: Management of Combat Casualties during Aeromedical Evacuation from a Role 2 to a Role 3 Medical Facility Joseph K Maddry, MD, USAF, MC et al. Military Medicine, Volume 189, Issue 5-6, May/June 2024, Pages e1003–e1008, https://doi.org/10.1093/milmed/usad404     Take Home Messages: Transformative Approaches in Military Medicine: The episode highlights significant advancements in military medical evacuations, focusing on the transition of patient care from Role 2 to Role 3 medical facilities. The discussion provides insights into the complexities of managing combat casualties and the innovations that are reshaping operational medicine. Golden Hour Rule Reevaluation: The podcast explores the "Golden Hour Rule" implemented during Operation Enduring Freedom, examining its impact on patient transport logistics and outcomes. The findings suggest a need to adapt and refine evacuation procedures to enhance efficiency and patient survival rates. Complexity of Inter-Facility Transports: A major takeaway is the higher complexity involved in inter-facility transports compared to initial evacuations from the point of injury. The study underscores the importance of having advanced medical providers and equipment to handle critical interventions during these longer transport durations. Training and Resource Implications: The episode emphasizes the need for improved training and resource allocation to prepare military medical teams for future conflicts. It suggests expanding the skill set of medics and incorporating advanced technology to support the demanding requirements of patient transfers. Strategic Planning for Future Conflicts: The conversation sheds light on the strategic considerations necessary for future military operations, particularly in scenarios with limited air security. It calls for innovative solutions in ground and air transport capabilities to ensure effective care for large volumes of post-operative patients.   Episode Keywords: US Air Force, Colonel, Dr. Joe Maddry, Military Medical Research, Combat Casualty Aeromedical Evacuation, BAMC, Department of Clinical Investigation, Emergency Medicine, Patient Transfer Management, Role 2, Role 3, Medical Facilities, Air Force Academy, Military Medicine, AMSIS Journal, Operation Enduring Freedom, In-Theater Inter-Facility Patient Transports, Evacuation Procedures, Patient Outcomes, Operational Medicine, Military Healthcare Advancements   Hashtags: #MilitaryMedicine #CombatCasualtyCare #AeromedicalEvacuation #GoldenHour #WarDocsPodcast #JoeMaddry #MilitaryHealthcare #EmergencyMedicine #OperationalMedicine #MilitaryInnovation   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

      Growing up in Tegucigalpa, Honduras, SGT Marco Martinez never imagined his journey would lead him to become a pivotal part of military medicine. Inspired by his mother’s relentless work ethic and his stepfather's guidance, he embraced a new life in the United States. Initially drawn to the Marines, Marco found his calling as a surgical technologist in the US Army Reserves, a role that has afforded him unique experiences across the globe. Join us as Marco shares stories from his early life, the decision to join the military, and the unexpected paths that led to a fulfilling career in surgical technology.     Traveling from operating rooms in Indonesia to medical missions in Germany, Marco’s experiences highlight the critical role surgical technologists play in military settings. With insights into the dynamics of surgical teams, he talks about the necessity of teamwork, adaptability, and trust when facing diverse teams and resource constraints. Marco also emphasizes the importance of mentorship in the military medical field, where seasoned technologists impart invaluable knowledge to new trainees, ensuring a culture of continuous learning and excellence.      Balancing the demands of military service with family life is no small feat, and Marco opens up about the emotional highs and lows that come with the territory. He shares poignant stories, including the tragic loss of a colleague and the inspiring triumph of a breast cancer patient. Through these experiences, Marco finds profound satisfaction in making a positive impact both at home and abroad. This episode of War Docs offers a heartfelt exploration of the dedication and resilience required to support military surgeons, underscoring the rewarding journey of a surgical technologist in the armed forces.   Chapters: (00:04) Military Surgical Technologists (10:19) Missions and Training in Surgical Technology (26:51) Balancing Military Service and Family   Chapter Summaries: (00:04) Military Surgical Technologist Sergeant Marco Martinez's journey from Honduras to the US Army Reserves, his role as a surgical technologist, and unique military experiences.   (10:19) Missions and Training in Surgical Technology Surgical technologists play a crucial role in military medical missions, adapting to resource constraints and mentoring trainees.   (26:51) Balancing Military Service and Family Military medicine's emotional highs and lows, a tragic loss, a breast cancer survivor, balancing service and family, and the rewarding career of a surgical technologist. Take Home Messages: Embrace Unforeseen Paths: The journey to a fulfilling career can often take unexpected turns. This episode illustrates how diverse experiences, from humble beginnings to global deployments, can shape a rewarding career in military surgical technology. Teamwork and Trust in Military Medicine: Effective surgical teams rely heavily on trust, adaptability, and teamwork, especially in military settings. The episode emphasizes the critical role that surgical technologists play in ensuring successful outcomes in challenging environments. The Importance of Mentorship: Mentorship is a cornerstone in military medical fields. Seasoned professionals impart valuable knowledge to new trainees, fostering a culture of continuous learning and excellence, which is vital for maintaining high standards in surgical care. Balancing Professional and Personal Life: Balancing the demands of military service with family responsibilities is challenging but crucial. The episode discusses strategies for staying present and fully engaged in both personal and professional settings, highlighting the importance of prioritizing family moments. Making a Positive Impact: Working in military medicine offers profound opportunities to make a positive impact on people's lives, both at home and abroad. This episode showcases the emotional highs and lows of the field, underscoring the satisfaction that comes from helping others and contributing to life-saving missions.   Episode Keywords: Military Medicine, Surgical Technologist, Military Service, Military Medical Missions, Military Surgeons, Surgical Teams, Teamwork, Adaptability, Trust, Mentorship, Continuous Learning, Excellence, Family Life, Emotional Impact, Breast Cancer, War Docs, Nonprofit Organization, War Stories, Medical Dramas   Hashtags: #MilitaryMedicine #SurgicalTechnology #ArmyReserves #MarcoMartinez #WarDocsPodcast #SurgicalTechnologist #GlobalMedicalMissions #MentorshipInMedicine #BalancingDutyAndFamily #InspiringJourneys   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

COL Jennifer Gurney, a trauma surgeon and chief of the Joint Trauma System, shares her remarkable journey from medical school to military medicine. She discusses the critical importance of trauma systems in enhancing combat casualty care and the challenges posed by the 'Walker Dip' during peacetime. Insights from current conflicts in Ukraine and Israel reveal how global trauma practices are influencing military care. Gurney emphasizes collaboration between military and civilian sectors, aiming for improved preparedness and outcomes in trauma medicine.

   Join us for an insightful conversation with retired Army LTC Darcie Greuel, RN an esteemed Army nurse and recipient of the Henry M. Jackson Foundation's Hero of Military Medicine Award. Darcie recounts her remarkable journey from enlisting in the Army Reserve during high school to becoming a commissioned officer in the Army Nurse Corps. She shares her motivations rooted in patriotism and the desire to fund her college education and reflects on overcoming her initial fears of the medical field to discover a lifelong passion for nursing. A pivotal moment in her career was her 2003 deployment to Afghanistan, where she served at the 452 Combat Support Hospital, profoundly influencing her future career decisions.       This episode also explores Darcie's transformative experiences on humanitarian missions to remote areas in third-world countries. Hear about the profound impact of providing medical care to populations with little to no prior healthcare access and the deep sense of fulfillment from these missions. Darcie shares personal anecdotes about overcoming language barriers, delivering essential health education, and how these experiences prepared military medics for deployment and wartime scenarios. The importance of global health engagements for their educational value and the purpose they provide is underscored throughout the conversation.      Additionally, Darcie reflects on her military leadership and training, the transition from enlisted service to commissioned officer, and her experiences leading a COVID-19 response team. She discusses the challenges faced by veterans transitioning from military service and the vital support systems in place to aid them. Darcie's participation in the Honor Flight program and her reflections on a 40-year career in the Army Reserve offer listeners a comprehensive look at the rewards and challenges of a military nursing career. Tune in to hear about the lasting impact of teamwork, leadership, and the honor of serving one's country.   Chapters: (00:04) Military Nursing Career Highlights (13:25) Global Health Engagements for the Military (20:28) Military Officer Leadership and Training (34:46) Military COVID-19 Response and Leadership (44:15) Veteran Transition Support and Resources (49:56) Honor Flight Program Experiences and Advice (57:51) Military Career Reflections and Legacy   Chapter Summaries: (00:04) Military Nursing Career Highlights   Retired Army nurse Darcie Greuel shares her journey from joining the military to her deployment in Afghanistan.   (13:25) Global Health Engagements for the Military    Participating in humanitarian missions to remote areas provides transformative experiences, prepares for deployment, and offers unique learning opportunities.   (20:28) Military Officer Leadership and Training    Deployment enhanced skills, bridged knowledge gaps, commanded a unit, and emphasized effective delegation and leadership.   (34:46) Military COVID-19 Response and Leadership    Transitioning from VA to COVID-19 response team, leading 452nd Field Hospital, and collaboration with civilian medical entities.   (44:15) Veteran Transition Support and Resources    Challenges faced by transitioning veterans, need for support, connecting with VA services and community, and program manager's experiences.   (49:56) Honor Flight Program Experiences and Advice    Night shift nursing, Honor Flight program, connecting with veterans, lasting bonds, honoring service, intergenerational connections.   (57:51) Military Career Reflections and Legacy    Military service offers education, leadership training, and unique missions, with a sense of pride and camaraderie, and support from colleagues and family.   Take Home Messages: Patriotism and Education Drive Military Service:    - Joining the military can be motivated by a sense of patriotism and the practical need to fund one's education. These initial motivations can lead to discovering unexpected career passions, such as nursing. Humanitarian Missions as Training Grounds:    - Participating in humanitarian missions in underserved and remote regions offers invaluable training for military medical personnel. These experiences not only provide critical medical care to those in need but also prepare medics for the realities of deployment and combat scenarios. Leadership and Transition:    - Transitioning from an enlisted service member to a commissioned officer involves significant training and a shift in responsibilities. Effective delegation, planning, and leadership are crucial skills that are developed through various command roles and military experiences. Veteran Support Systems:    - The transition from military service to civilian life can be challenging for veterans, particularly those who are medically retired or discharged. Comprehensive support systems, including collaboration between military units and the Department of Veterans Affairs, are essential for providing resources, education, and care to transitioning veterans. Honoring Military Service:    - Programs like the Honor Flight are vital in recognizing and celebrating the service of veterans from different wars. These experiences foster lasting connections between generations of military service members and provide much-needed recognition, especially for those who may not have received it upon returning home.   Episode Keywords: Military Nursing, Army Reserve, Deployment, Afghanistan, Humanitarian Missions, Global Health, Military Officer, Leadership, COVID-19 Response, Veteran Transition, Honor Flight, Military Career, Army Nurse Corps, Medical Care, Military Medicine, Military Deployment, Military Training, Military Leadership, Military Veteran Support, Military Legacy   Hashtags: #MilitaryNursing, #ArmyReserve, #Deployment, #Afghanistan, #HumanitarianMissions, #GlobalHealth, #MilitaryOfficer, #Leadership, #COVID-19Response, #VeteranTransition, #HonorFlight, #MilitaryCareer, #ArmyNurseCorps, #MedicalCare, #MilitaryMedicine, #MilitaryDeployment, #MilitaryTraining, #MilitaryLeadership, #MilitaryVeteranSupport, #MilitaryLegacy   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

Join Navy Captain Carlos D. Williams, MD, the Director of the National Intrepid Center of Excellence, as he shares groundbreaking advancements in treating traumatic brain injuries in military personnel. Discover how interdisciplinary approaches and cutting-edge diagnostic tools are revolutionizing care. Hear about the Fisher family's pivotal support and the critical intersections between TBI, suicide risk, PTSD, and pediatric healthcare. Williams also reflects on invaluable lessons learned from past pandemic responses, emphasizing the commitment required in military medicine.

     Join us for an enlightening discussion with Dr. Darrin Clouse, a retired Air Force Colonel and esteemed vascular surgeon, as we explore the modernization of military medicine. With over two decades of experience, including deployments to Iraq and Afghanistan, Dr. Clouse shares his invaluable insights on the complexity and multiplicity of vascular injuries in combat settings. Hear about his role in developing endovascular platforms, and the challenges he faced treating severe blast injuries with extensive vascular damage. Dr. Clouse also highlights the unmet needs in vascular surgery, emphasizing the necessity for infection-resistant conduits and advancements in temporary shunting techniques.    We also delve into Human Acellular Vessels (HAV) 's exciting potential in medical and military applications. Dr. Clouse discusses the successful implementation of HAVs in Ukraine and the upcoming FDA adjudication that could bring these life-saving technologies to trauma centers across the U.S. The conversation extends to the logistical challenges of deploying HAVs in battlefield settings and the future of regenerative medicine. Additionally, discover the significance of the WarDocs and OpMed TV partnership, which aims to document and preserve the rich history of military medicine. Don't miss Dr. Clouse's valuable advice for young individuals considering a career in military medicine, highlighting the unparalleled learning experiences and opportunities for growth in this field.   Chapters: (00:04) Optimizing Military Medicine Through Modernization (11:02) Advances in Military Medicine Technology   Chapter Summaries: (00:04) Optimizing Military Medicine Through Modernization This chapter features a conversation with Dr. Darrin Clouse, a retired Air Force Colonel and vascular surgeon currently leading the Vascular and Endovascular Surgery Division at the University of Virginia Health. We explore his military career, which spanned over two decades and included deployments to Iraq and Afghanistan, where he played a crucial role in developing endovascular platforms and addressing complex vascular injuries. Dr. Clouse contrasts the differences between military and civilian vascular injuries, emphasizing the complexity and multiplicity of wounds in a combat setting. He recounts a particularly challenging case involving a severe blast injury with extensive vascular and hollow viscous damage. Additionally, we discuss unmet needs in vascular surgery, such as the necessity for an off-the-shelf, infection-resistant conduit, highlighting the importance of timely revascularization and advancements in temporary shunting techniques.   (11:02) Advances in Military Medicine Technology This chapter focuses on the current status and future potential of acellular vessels (HAV) in medical and military applications. We explore the promising results from recent uses in Ukraine, where HAVs have been successfully implemented in 18 patients with severe arterial injuries. The discussion touches on the regulatory landscape, highlighting an upcoming FDA adjudication that could make HAVs widely available in trauma centers across the U.S. We also consider the logistical aspects of deploying HAVs in battlefield settings, particularly within different roles of military medical care. The conversation extends to the future of regenerative medicine, envisioning a world where lab-grown vessels can seamlessly replace damaged arteries and veins. Finally, valuable advice is offered for young individuals considering a career in military medicine, emphasizing unparalleled learning experiences and opportunities for growth within the field.     Take Home Messages: Advancements in Battlefield Vascular Surgery: The episode highlights the unique challenges of treating vascular injuries in combat zones, particularly those caused by blasts. Significant progress has been made in developing endovascular platforms and temporary shunting techniques, which are critical for timely revascularization and improving patient outcomes in military settings. Innovative Use of Acellular Vessels: The discussion covers the promising future of human acellular vessels (HAV) in both military and civilian medical applications. These vessels, which are engineered to be infection-resistant and conducive to cell infiltration, have shown positive results in recent uses in Ukraine, with potential for broader application pending FDA approval. Logistical Challenges and Solutions: Deploying advanced medical technologies like HAVs in battlefield scenarios presents logistical hurdles. The episode explores how these technologies could be integrated into different roles of military medical care, emphasizing the need for definitive vascular reconstructions to be performed at more resourced medical facilities. Regenerative Medicine’s Potential: The episode envisions a future where lab-grown vessels could seamlessly replace damaged arteries and veins, marking a significant leap in regenerative medicine. The potential for bioengineered veins and arteries could revolutionize vascular surgery and trauma care. Career Insights in Military Medicine: For those considering a career in military medicine, the episode offers invaluable advice on the unique learning opportunities and personal growth it provides. The collaborative efforts and technological advancements discussed highlight the dynamic and impactful nature of this field.   Episode Keywords: Military Medicine, Modernization, Vascular Surgery, Combat Injuries, Endovascular Platforms, Blast Injuries, Infection-Resistant Conduits, Temporary Shunting Techniques, Acellular Vessels, Regenerative Medicine, WarDocs, OpMed TV, Partnership, History, Legacy, Future Generations, Collaborative Project, Learning Experiences, Personal Growth Hashtags: #MilitaryMedicine, #Modernization, #VascularSurgery, #CombatInjuries, #EndovascularPlatforms, #BlastInjuries, #Infection-ResistantConduits, #TemporaryShuntingTechniques, #AcellularVessels, #RegenerativeMedicine, #WarDocs, #OpMedTV, #Partnership, #History, #Legacy, #FutureGenerations, #CollaborativeProject, #LearningExperiences, #PersonalGrowth   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

    Join us on WarDocs as we engage in an enlightening conversation with Navy Commander and Preventive Medicine Physician Jean-Paul Chretien, MD, who also holds the position of Biological Technologies Office Program Manager at DARPA. Listen in as Dr. Chretien shares his journey from the Naval Academy to become a key player in global emerging infection surveillance and response programs. Discover the significant role of preventive medicine in supporting armed forces around the world and how Dr. Chretien’s work at DARPA is pushing the boundaries of healthcare technology.     In this episode, we explore DARPA's mission and its transformative impact on national security through innovative medical technologies. Dr. Chretien discusses groundbreaking projects, including the development of a shelf-stable whole blood substitute that promises to revolutionize trauma care. We also dive into the DARPA Triage Challenge, an initiative focused on enhancing mass casualty response through autonomous technologies. These projects highlight DARPA's commitment to advancing healthcare and military readiness by leveraging cutting-edge research and interdisciplinary collaboration.     The episode also takes a closer look at the practical applications of preventive medicine in military operations, particularly in challenging environments like Afghanistan. Dr. Chretien provides insights into the complexities of coordinating with coalition forces and local partners to address infectious diseases and environmental hazards. For aspiring military medicine professionals, he emphasizes the importance of research, networking, and mentorship. As we wrap up, we reflect on the importance of leaving a legacy through impactful relationships and contributions to military public health. Don't miss this compelling episode filled with history, innovation, and personal stories from the front lines of military medicine.   Chapters: (00:04) Preventive Medicine in the Military (13:03) Advancing Healthcare Technologies at DARPA (25:19) Blood Substitute Triage Technology (31:59) Enhancing Triage Technology for Mass Casualty (41:41) Global Innovators and Preventive Medicine (52:51) Preventive Medicine in Military Operations   Chapter Summaries: (00:04) Preventive Medicine in the Military      DARPA's Preventive Medicine Program Manager discusses global impact, whole blood substitute project, and Triage Challenge for mass casualty events. (13:03) Advancing Healthcare Technologies at DARPA     DARPA's mission is to invest in breakthrough technologies for national security, including the Biological Technologies Office and collaboration with military professionals. (25:19) Blood Substitute Triage Technology      F-Sharp is a dried blood substitute being developed to address blood shortages, with potential for oxygen delivery, hemostatic functions, and DARPA Triage Challenge collaboration. (31:59) Enhancing Triage Technology for Mass Casualty Scenarios      DARPA Triage Challenge uses autonomous robots and virtual simulations to improve initial response in mass casualty situations. (41:41) Global Innovators and Preventive Medicine     Global innovation competition, proactive public health surveillance, preventive measures in deployed environments, and force health protection. (52:51) Preventive Medicine in Military Operations      Preventive medicine in military operations, addressing infectious diseases, environmental hazards, and food and water safety, and leaving a legacy. Take Home Messages: Transformative Role of Preventive Medicine in the Military:    Preventive medicine plays a crucial role in safeguarding the health and readiness of armed forces. By focusing on early detection, disease prevention, and health promotion, it supports military personnel both in routine operations and in complex, high-risk environments like deployments. DARPA's Innovative Medical Technologies:    DARPA is at the forefront of medical innovation with projects such as a shelf-stable whole blood substitute and the Triage Challenge, which aims to enhance mass casualty responses through autonomous technologies. These initiatives are designed to address critical shortages and improve trauma care, potentially revolutionizing both military and civilian healthcare. Interdisciplinary Collaboration for National Security:    DARPA's success hinges on interdisciplinary collaboration involving industry, academia, and other organizations. This collaborative approach ensures the rapid development and deployment of breakthrough technologies that bolster national security and military readiness. Global Health Surveillance and Emerging Infectious Diseases:    The importance of global health surveillance and proactive measures in combating emerging infectious diseases is underscored. Military programs that build capabilities in host countries to detect and respond to outbreaks are essential in a hyper-connected world where diseases can spread rapidly. Legacy and Mentorship in Military Medicine:    Aspiring military medical professionals are encouraged to engage in research, networking, and mentorship. These elements are vital for career development and for making meaningful contributions to military public health, leaving a lasting legacy in the field. Episode Keywords: Medical Technology, National Security, Military Readiness, Navy Commander, Preventive Medicine, DARPA, Biological Technologies Office, Global Infection Surveillance, Trauma Care, Triage Challenge, Autonomous Technologies, Military Operations, Emerging Infection, Research, Networking, Mentorship, Military Public Health, WarDocs Podcast, Front Lines, History, Medicine, Personal Stories   Hashtags: #MedicalTechnology, #NationalSecurity, #MilitaryReadiness, #NavyCommander, #PreventiveMedicine, #DARPA, #BiologicalTechnologiesOffice, #GlobalInfectionSurveillance, #TraumaCare, #TriageChallenge, #AutonomousTechnologies, #MilitaryOperations, #EmergingInfection, #Research, #Networking, #Mentorship, #MilitaryPublicHealth, #WarDocsPodcast, #FrontLines, #History, #Medicine, #PersonalStories   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

Join us for an insightful episode of WarDocs as we welcome Army Veterinarian COL Dickie J. Vest, DVM. Listen in as COL Vest shares his incredible journey from a North Texas cattle ranch to the Veterinary Corps in the Army Reserves, highlighting veterinarians' vital roles in the military. From caring for military working dogs to ensuring food safety, COL Vest provides an in-depth look into the essential functions and intense experiences of military veterinarians, including an unforgettable story of treating a working dog injured in action.       Discover the critical missions of military veterinarians both at home and abroad. We explore how Army veterinarians manage clinics on military bases, provide medical care to service animals and pets, and focus on food safety inspections. Learn about the veterinarians' role in zoonotic disease prevention, advising commanders on public health risks, and supporting wartime efforts by maintaining the health and safety of military working dogs. This episode also highlights the contributions of enlisted personnel and current military-supported research and development programs.      In addition, we delve into the logistical advancements in military medical support, particularly the transition from combat support hospitals to modular field hospitals. COL Vest shares his personal experiences commanding units through this transition, emphasizing the importance of flexibility and effective logistics in conflict scenarios. Concluding with career advice for aspiring Army veterinarians, COL Vest reflects on his unique path and hopes to inspire others to pursue diverse and challenging roles within the military. Don't miss this captivating episode packed with firsthand experiences and valuable insights into military veterinary medicine.   Chapters: (00:05) COL Vest Experience as an Army Veterinarian (08:59) Military Veterinarians (27:46) Military Veterinarian Roles and Equipment (38:13) Field Hospitals and Military Leadership (48:12) Career Advice for Army Veterinarians   Chapter Summaries: (00:05) COL Vest Experience as an Army Veterinarian    Army Veterinarian COL Vest shares his journey and experiences in the military, including caring for working dogs and transitioning a combat support hospital.   (08:59) Military Veterinarians    Army veterinarians manage clinics, ensure food safety, prevent zoonotic diseases, and support military working dogs in both home and deployed settings.   (27:46) Military Veterinarian Roles and Equipment     Military working dogs, ceremonial horses, and marine mammals are cared for by veterinarians and enlisted personnel in military operations.   (38:13) Field Hospitals and Military Leadership     Advancements in military medical support include shelf-stable blood products and modular field hospitals, with emphasis on leadership training.   (48:12) Career Advice for Army Veterinarians     Veterinarians in the Army undergo extensive training and sacrifices, with opportunities for diverse roles and potential for impact.   Take Home Messages: Crucial Roles of Military Veterinarians: Military veterinarians are indispensable to the armed forces, providing care for military working dogs, managing veterinary clinics on bases, ensuring food safety, and advising on zoonotic disease prevention. Their work spans from routine care to emergency treatment in combat zones. Diverse Missions and Responsibilities: These veterinarians are tasked with a variety of responsibilities, including treating service animals and pets, conducting food safety inspections, and supporting public health initiatives. Their efforts are vital both in peaceful settings and during deployments. Logistical and Medical Innovations: The episode highlights significant advancements in military medical support, such as the transition from traditional combat support hospitals to modular field hospitals. These innovations enhance the flexibility and effectiveness of military medical operations. Challenging and Rewarding Career Path: The career of a military veterinarian is marked by continuous learning, professional military education, and unique opportunities. Aspiring veterinarians can find inspiration in the diverse and challenging roles available within the military. Interdisciplinary Collaboration: Military veterinarians work closely with other medical professionals and enlisted personnel to achieve their mission. Their collaboration ensures comprehensive care for military working dogs and supports the overall health and readiness of the armed forces.   Episode Keywords: Military Veterinarians, Army, Colonel Dickie Vest, Military Working Dogs, Food Safety, Zoonotic Disease Prevention, Public Health, Veterinary Clinics, Deployments, Combat Zones, Enlisted Personnel, Research and Development, Combat Support Hospital, Field Hospital, Military Leadership, Blood Products, Medical Strategic Leadership Program, Career Advice, Veterinary Corps Officers   Hashtags: #MilitaryVeterinarians, #Army, #ColonelDickieVest, #MilitaryWorkingDogs, #FoodSafety, #ZoonoticDiseasePrevention, #PublicHealth, #VeterinaryClinics, #Deployments, #CombatZones, #EnlistedPersonnel, #ResearchandDevelopment, #CombatSupportHospital, #FieldHospital, #MilitaryLeadership, #BloodProducts, #MedicalStrategicLeadershipProgram, #CareerAdvice, #VeterinaryCorpsOfficers   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

    What motivates someone to dedicate nearly four decades to military medicine? Join us for an enlightening conversation with BG Bill Soliz, who shares his journey from a combat medic in 1987 to his recent promotion to BG in 2024. Learn about the significant milestones in his career, from his experiences with the 82nd Airborne Division to his prestigious role as a Physician Assistant at the White House. BG Soliz offers invaluable insights into the evolving roles of combat medics and Physician Assistants (PAs) and the transformative impact of initiatives like the Prolonged Care Augmentation Detachment.     Discover how advancements in battlefield medical practices have reshaped military medicine over the past two decades. BG Soliz discusses the importance of paramedic training and emerging technologies like freeze-dried plasma in enhancing medic capabilities. Gain a deeper understanding of the unique challenges faced in the Indo-Pacific region and the critical role of partnerships and training with allies to maintain combat readiness. This episode is a treasure trove of practical advice for aspiring military PAs, emphasizing the need for shadowing active duty and civilian PAs to fully grasp the demands of the profession.    Get inspired by BG Soliz's leadership wisdom and his commitment to mentoring the next generation of military medical professionals. He introduces the acronym REST—Read, Exercise, Sleep, and Think—as a framework for personal well-being and thoughtful decision-making. With a focus on authentic leadership and aligning personal and professional goals, this episode offers a comprehensive look at the legacy and future of military medicine. Whether you're a military medical professional or simply interested in the field, this episode promises to broaden your perspective and provide actionable insights.   Chapters: (00:04) Military Medicine (09:22) Evolution of Combat Medic Roles (17:56) Advancing Combat Medic Capabilities (23:27) Developing Leadership and Medical Capabilities (32:00) Military Medic Training and Advice (35:45) Military Medicine Leadership and Legacy   Chapter Summaries: (00:04) Military Medicine     BG Soliz shares his journey as a PA in the military, discussing its evolution and future in the Indo-Pacific region.   (09:22) Evolution of Combat Medic Roles    Shadowing active duty or civilian PAs, being a soldier first, and serving as a PA at the White House.   (17:56) Advancing Combat Medic Capabilities    Evolution of battlefield medical practices, role of medics, advancements in technology, and challenges in Indo-Pacific region.   (23:27) Developing Leadership and Medical Capabilities     Partnering with diverse allies in the Indo-Pacific region, including exchange programs and the Prolonged Care Augmentation Detachment, and celebrating the first active-duty Army physician assistant promoted to BG.   (32:00) Military Medic Training and Advice    Nature's unique demands on military clinicians, operational credentialing, continuous learning, and time management for deployment.   (35:45) Military Medicine Leadership and Legacy    REST method promotes balance and self-care through Read, Exercise, Sleep, and Think, while emphasizing authenticity and mentoring for personal and professional growth.   Take Home Messages: Leadership and Mentorship in Military Medicine: The episode underscores the importance of leadership and mentorship in the military medical field. Emphasizing hands-on experience and shadowing active-duty or civilian Physician Assistants (PAs), the guest highlights the critical roles of being a soldier first, training medics, taking care of the battalion's health, and advising commanders. These leadership lessons from the battlefield shape both clinical decision-making and tactical responsibilities. Innovative Medical Programs and Training: The conversation reveals the evolution and significance of specialized military medical programs like the Inner Service Physician Assistant Program (IPAP) and the Tactical Medical Officer (TMO) program. These initiatives have been instrumental in training and equipping military medics and PAs with the skills needed to provide top-notch medical care in diverse and challenging environments. Advancements in Battlefield Medicine: The episode delves into the advancements in battlefield medical practices over the last two decades, including paramedic training and emerging technologies like freeze-dried plasma. These innovations have significantly enhanced the capabilities of combat medics, enabling them to provide better care in austere and high-stress conditions. Strategic Partnerships and Training with Allies: The discussion highlights the importance of international partnerships and training with allied nations, especially in the expansive Indo-Pacific region. Building interoperability at the hospital level, sharing equipment, and training medical personnel are essential for ensuring readiness and effective medical care during large-scale combat operations Personal Well-being and Continuous Learning: The guest shares a personal philosophy for maintaining well-being and effectiveness, encapsulated in the acronym REST (Read, Exercise, Sleep, and Think). This approach emphasizes the need for balance, self-care, and continuous learning. Additionally, the importance of authenticity and mentoring junior officers and NCOs to align their personal and professional goals is highlighted, fostering a legacy of service and dedication. Episode Keywords: Military Medicine, Physician Assistant, Combat Medic, Army, Leadership, Training, Indo-Pacific, Prolonged Care Augmentation Detachment, Battlefield, Paramedic, Tactical Medical Officer, Freeze-dried Plasma, Interoperability, Deployment, Representation, State Licensure, Continuous Learning, Time Management, Personal Well-being, Reflection, Authenticity, Mentoring, Legacy   Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #CombatMedics #Leadership #ArmyHealthcare #BillSoliz #InnovationInMedicine #ProlongedCare #IndoPacificStrategy #TacticalMedicine #WarDocsPodcast   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast    

Episode Summary:     Discover the secrets to optimizing military medicine and enhancing operational readiness in our latest episode, featuring the esteemed Byron Hepburn, MD, retired Air Force Major General from the and current Director of the Military Health Institute (MHI) at UT Health San Antonio. You'll gain an insider's perspective on MHI's groundbreaking initiatives, from cutting-edge trauma research and PTSD treatments via the Strong Star consortium to pioneering efforts in establishing a human performance center. We unravel the complexities of modern warfare's evolving threats and the indispensable role of industry partners in closing critical capability gaps, focusing on advanced burn care and aeromedical evacuation in contested environments.     We also spotlight the evolution of critical patient transport within the Air Force, credited to the trailblazing efforts of Lt. Gen. (Ret.) Carlton and his establishment of life-saving protocols. The episode delves into the pivotal role of family medicine in military healthcare and the necessity of supporting the broader family unit for optimal operational effectiveness. Through personal stories and reflections, we celebrate the fulfillment and enduring bonds formed in military medicine, underscoring the honor of caring for veterans and the invaluable mentorship that shapes careers. Join us for an enriching discussion that highlights the resilience and proactive logistical planning essential for preparing medical personnel for the challenges of contemporary and future conflicts.   Chapters: (00:04) Enhancing Military Medicine in San Antonio (09:11) Military Healthcare and Career Insights   Chapter Summaries: (00:04) Enhancing Military Medicine in San Antonio      Military Health Institute's initiatives include trauma research, PTSD treatment, human performance center, and addressing challenges of modern warfare.   (09:11) Military Healthcare and Career Insights      Lt. Gen. (Ret.) Carlton's contributions to critical patient transport, family medicine's role in military healthcare, and the honor of caring for veterans.   Take Home Messages: Collaborative Efforts Enhance Military Medicine: The Military Health Institute (MHI) at UT Health San Antonio has been pivotal in advancing military healthcare through its collaboration with the military and VA. Initiatives such as trauma research, PTSD treatment through the Strong Star consortium, and the development of a human performance center exemplify this synergy. Addressing Evolving Threats in Modern Warfare: The landscape of modern warfare is continually changing, necessitating new strategies and technologies. The episode highlights the importance of industry partnerships in closing capability gaps, particularly in areas like advanced burn care and aeromedical evacuation in contested environments. Importance of Critical Patient Transport: The evolution of critical patient transport within the Air Force has been transformative, with protocols now established for safely moving patients, including those requiring ECMO. This development underscores the importance of having the right training, equipment, and doctrine to move critical patients safely. Family Medicine's Role in Operational Readiness: Family medicine plays a crucial role in military healthcare by focusing on the overall wellness and prevention of illness for the entire family unit. This holistic approach is essential for ensuring that military personnel can perform optimally in their duties, knowing that their families are well cared for. Resilience and Preparedness in Military Medicine: Preparing medical personnel for the challenges of contemporary and future conflicts involves more than just technical training. The episode stresses the need for resilience and proactive logistical planning to handle higher casualty volumes and moral injuries effectively, ensuring that medical teams are ready for the emotional and physical demands of their roles.   Episode Keywords: Military medicine, trauma research, PTSD treatment, operational readiness, Dr. Byron Hepburn, Air Force, Military Health Institute, UT Health San Antonio, Strong Star consortium, human performance center, modern warfare, industry partners, advanced burn care, aeromedical evacuation, critical patient transport, General Carlton, family medicine, veteran care, military family support, resilience, logistics, War Docs podcast, military healthcare evolution, future conflicts   Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #TraumaResearch #PTSDTreatment #OperationalReadiness #DrByronHepburn #MilitaryHealthcare #WarDocsPodcast #StrongStarConsortium #VeteranCare #MilitaryFamilySupport   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast