WarDocs - The Military Medicine Podcast

   Embark on a journey to the front lines of military medicine with our esteemed guest, retired Army Lieutenant Colonel Dr. Randi Schaefer. With her wealth of experience, Dr. Schaefer takes us through the intense world of emergency trauma care and her personal evolution from a college student to an accomplished military nurse and emergency medicine expert. We explore the educational paths and specialization opportunities within the military nursing field and the life-saving innovations in pre-hospital blood administration that have triumphed on the battlefield and transformed civilian emergency care.    Dr. Schaefer pulls back the curtain on the progressive tactics and challenges that have shaped blood transfusion practices over the years. From the early days of relying on hospital staff donors to the current state-of-the-art application of whole blood in the thick of combat, we discuss the critical observations and strategic collaborations that have driven these practices forward. The role of STRAC in revolutionizing pre-hospital care and the crucial impact of timely blood transfusions in saving lives take center stage in this compelling narrative that intertwines military precision with medical breakthroughs.    Our final moments with Dr. Schaefer reveal the innovative solutions combat medics deploy to save lives under the most extreme conditions, including providing blood transfusions amidst the chaos of active fire. We also shine a light on the advancements that continue to elevate the field, like the Vampire Program and the Tactical Combat Casualty Care training. Dr. Schaefer's ongoing consulting work and vision for emergency medicine not only reflect her unwavering dedication but also promise to guide the future of trauma care to even greater heights. Join us for this captivating episode where valor meets the rigor of medical science, and discover the incredible impact of one woman's journey on the world of emergency medicine.   Chapters: (00:00) Addressing Hemorrhage in Trauma (07:22) Early Blood Transfusion in Emergency Settings (15:49) Pre-Hospital Blood Transfusion and Innovations (27:57) Enhancing Pre-Hospital Blood Transfusion Rates (37:26) Consulting on Pre-Hospital Blood Administration   Chapter Summaries: (00:00) Addressing Hemorrhage in Trauma Army nurse Randi Schaefer discusses pre-hospital hemorrhage control and the potential for future improvements in military and civilian sectors.   (07:22) Early Blood Transfusion in Emergency Settings Nature's role in trauma care: reliance on hospital staff, evolution of transfusion practices, and efforts to improve pre-hospital capabilities.   (15:49) Pre-Hospital Blood Transfusion and Innovations Nature's emergency blood transfusion process in pre-hospital settings, including training, logistics, and clinical guidelines for improved trauma care outcomes.   (27:57) Enhancing Pre-Hospital Blood Transfusion Rates TCCC training, missed transfusion opportunities, and improvements in pre-hospital blood programs for combat medics.   (37:26) Consulting on Pre-Hospital Blood Administration Practical aspects of pre-hospital blood product administration, logistics, military background, and legacy of service. Take Home Messages: Military medicine has played a critical role in innovating trauma and emergency care, specifically in the field of pre-hospital blood administration, due to the need for immediate life-saving measures in combat scenarios. Career progression within the Army can lead to educational opportunities and specializations in emergency medicine and trauma care, as evidenced by the journey of a retired Army Lieutenant Colonel and military nurse. The shift in blood transfusion practices, such as the transition from crystalloids and component therapy to the use of whole blood, has been influenced by clinical observations and the necessity for timely interventions to reduce mortality rates. The Southwest Texas Regional Advisory Council (STRAC) has been instrumental in connecting military and civilian trauma care practices, especially in pre-hospital blood administration. Training and protocols developed for combat medics, such as Tactical Combat Casualty Care (TCCC), have resulted in innovations that guarantee timely and safe blood transfusions even in active combat situations. The logistical challenges of storing and transporting blood products in combat situations have spurred innovative solutions, like the use of drones and advancements in non-liquid blood products such as spray-dried plasma. Clinical guidelines, such as using the shock index, assist medics in making decisions about when blood transfusions are necessary, leading to improved patient outcomes in pre-hospital trauma care. Doctoral research focused on increasing pre-hospital blood transfusion rates highlighted the significance of training, refining dispatch operations, and managing distractions during emergencies to prevent missed opportunities for life-saving transfusions. The practical implementation of pre-hospital blood product administration involves navigating logistical challenges, adhering to blood bank and FDA requirements, and ensuring the proper storage and temperature maintenance of blood products. The episode underscores the significance of continuous innovation and adaptation in emergency medicine, using lessons learned from military experiences to enhance civilian trauma care and ultimately save more lives. Episode Keywords: Military Medicine Innovation, Trauma Care Advancements, Blood Transfusion Practices, Pre-Hospital Care Strategies, Emergency Medicine Podcast, Combat Medics Training, Dr. Randi Schaefer, Tactical Combat Casualty Care (TCCC), Whole Blood Transfusion, Medical Frontiers in Trauma, Battlefield Medicine Developments, Civilian Emergency Care Techniques, Military Nurse Education, Southwest Texas Regional Advisory Council (STRAC), Vampire Program Army, Pre-Hospital Hemorrhage Control, Trauma Care Lessons from Military, Blood Product Administration, Paramedic Blood Transfusion Training, Innovation in Military Healthcare. Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #TraumaCareInnovation #DrRandiSchaefer #EmergencyMedicine #BloodTransfusion #CombatMedics #PreHospitalCare #MedicalFrontiers #TCCC #VampireProgram #MilitaryNurse #LifesavingInnovations #WholeBloodAdvancement #EmergencyCarePodcast #MilitaryHealthcare   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/episodes 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    

    Embark on an unforgettable exploration of leadership and resilience with CMSgt Tanya Y. Johnson, the influential senior enlisted leader for the Defense Health Agency. With a legacy steeped in military healthcare and wisdom to impart, Chief Johnson unwraps the layers of her journey, from her roots in an Air Force medic family to her strategic prowess in overseeing the TRICARE Health Plan and combat support missions. This episode is an education in the nuances of guiding with compassion and clarity in the military and medicine high-stress environments.     As we traverse the landscape of the Military Health System's strategy, Chief Johnson illuminates the importance of transparent communication and the creation of an environment where feedback flourishes and trust is the cornerstone. This dive into the human side of healthcare delivery and the intricate dance of accountability and compassion in leadership is as enlightening as it is essential. Chief Johnson highlights the power of clear communication, the significance of fostering a culture where feedback thrives, and the importance of trust-building Listen in as she shares pearls of wisdom on leadership, especially the art of leading with grace in the high-stakes environment of military medicine.    Finally, the episode captures the transformative journey of healthcare technology within the military, sharing how it reshapes care delivery and the necessity of readiness in times of crisis. Chief Johnson recounts the poignant memories of her deployment, including the impactful mission during the Ebola outbreak in Liberia, painting a vivid picture of the adaptability and resilience of military teams. Her insights offer invaluable advice for anyone considering a career in military medicine and underscore the profound dedication that defines this noble field. Whether you're a current service member, a healthcare professional, or simply intrigued by military medicine, this episode offers a unique perspective on the dedication and innovation that define the field.   Chapters: (00:04) CMSgt Tanya Johnson's Leadership Journey (09:02) Military Health System Strategy Discussion (15:22) Future of Military Healthcare Technology (28:30) Leading With Grace in Military Medicine (33:22) Military Career Advice and Deployment Experiences (38:53) Military Deployment to Liberia Experience   Chapter Summaries: (00:04) Tanya Johnson's Leadership Journey Chief Master Sergeant Tanya Y. Johnson's military legacy, personal journey in Air Force Medicine, and leadership philosophy in the Defense Health Agency. (09:02) Military Health System Strategy Discussion Leadership decisions impact teams through communication, trust-building, and care, as seen in the Defense Health Agency's strategy for modernizing healthcare. (15:22) Future of Military Healthcare Technology Medical technology transforms healthcare delivery, addressing staffing shortages and enhancing patient-centric care, while also discussing TRICARE Health Plan administration and DHA's role in combat support. (28:30) Leading With Grace in Military Medicine Leading with grace in military medicine, managing expectations, treating professionals with respect, and opportunities for personal growth. (33:22) Military Career Advice and Deployment Experiences Military service and recruiting insights from a guest who found a rewarding career in military medicine, advice for young service members, and profound experiences during deployment. (38:53) Military Deployment to Liberia Experience Rapid deployment to Liberia during Ebola outbreak, building medical facility, avoiding virus, overcoming challenges through teamwork.   Take Home Messages: Leadership Resilience: Resilient leadership in high-pressure environments is key to successful outcomes, especially in military medicine where the stakes are high. The ability to maintain composure and lead with empathy and understanding is essential for managing teams effectively in challenging situations. Communication and Feedback: Clear communication and fostering a feedback-rich environment are critical components of effective healthcare leadership. Creating a culture where team members feel valued and heard contributes to the successful execution of strategic goals and the overall improvement of healthcare delivery. Technology Integration: Integrating advanced technology into healthcare systems is vital for modernizing care and enhancing service delivery. Embracing a digital-first approach not only addresses staffing shortages but also empowers healthcare professionals and improves patient outcomes. Growth Opportunities: The personal and professional growth opportunities within military medicine are unparalleled. Individuals interested in this field can expect a unique career path that offers education, leadership development, and the chance to serve one's country while making a significant impact on the health and well-being of service members and their families. Deployment Experiences: Experiences from deployment highlight the importance of adaptability, resourcefulness, and teamwork in crisis situations. The ability to navigate unfamiliar and often volatile environments while providing critical healthcare services exemplifies the dedication and innovation inherent in military medical teams. Episode Keywords: Military Medicine, Leadership, Military Health System, Defense Health Agency, Patient-Centered Care, Technology, Deployment, Ebola Outbreak, Resilience, Teamwork, Military Career, Combat Support, Medical Technology, Military Service, Military Legacy, Military Deployment, Military Strategy, Military Healthcare, Military Leadership, Military Teams Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicineLeadership #ChiefJohnsonInsights #HealthcareStrategy #ResilientMilitaryHealth #AirForceMedicStories #TRICAREInnovation #DeploymentExperiences #MilitaryHealthTechnology #DefenseHealthAgency #LeadingWithGrace   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/episodes 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

    Embark on a captivating journey with Master Chief Troy Brown, a decorated Navy veteran whose life story unfolds like an epic saga across the globe's most challenging terrains, from the detainee cells of Camp Delta to the bustling medical tents of Camp Leatherneck. As a native of Joplin, Missouri, Troy's life took an unexpected turn during a fateful dinner conversation, setting him on a path that would define his character and commitment to military healthcare. Our latest episode navigates his transition from aspiring serviceman to a revered corpsman, revealing the hurdles overcome and the passion kindled for supporting the well-being of warfighters.     The echoes of 9/11 resonate through the personal narratives shared in our heartfelt discussion, casting light on the ripple effects such historical moments have on those in uniform. Troy's account of the ethical conundrums faced while caring for detainees at Guantanamo Bay is both enthralling and thought-provoking, offering listeners a rare glimpse into the realities of wartime medical practice. We also delve into the essence of leadership, as seen through the trials and triumphs of military service. Concluding our session, we admire the indelible mark left by leaders such as Troy, who underscore the value of seizing diverse opportunities and forging robust relationships throughout one's career. Heeding the advice to 'Be the one,' we reveal the transformative power of initiative and the innovative strategies that bolster team support. Troy's reflections on a gratifying career in military medicine are a testament to the impact of dedication and the art of thinking beyond conventional limits.   Chapters: (00:00) Navy Career (07:24) Challenges of Military Deployments (22:26) Military Leadership Experiences and Lessons (36:31) Supporting People in Leadership Roles (41:49) Career Legacy and Leadership Advice   Chapter Summaries: (00:00) Navy Career Master Chief Troy Brown's journey from Missouri to Navy corpsman, specializing in physical therapy and preventive medicine, with deployments in specialized roles.   (07:24) Challenges of Military Deployments 9/11's impact on military personnel, career effects, and wartime medical ethics in Guantanamo Bay.   (22:26) Military Leadership Experiences and Lessons Veteran instructors' impact on students, adaptability in deployments, leadership in military health system, and low casualty rates.   (36:31) Supporting People in Leadership Roles Flexibility and support in the workplace, prioritizing personnel issues, and the impact of individual initiative in leadership roles.   (41:49) Career Legacy and Leadership Advice Seizing opportunities, valuing diversity, and building relationships are crucial in avoiding career limitations and leaving a positive legacy. Take Home Messages: **The Significance of Adaptability in Military Service**: The story underscored in this episode highlights the importance of adapting to diverse and challenging environments, particularly in military healthcare. Multiple deployments, including those to Guantanamo Bay and Camp Leatherneck, demonstrate the need for flexibility and the ability to learn from every situation to provide the best care possible in varying circumstances. **The Complex Ethical Landscape of War Medicine**: The episode delves into the ethical considerations of treating enemy combatants and the moral obligations of military medics. The experiences shared about treating detainees with combat-related injuries in Guantanamo Bay serve as a poignant reminder of the unique challenges faced by those serving in military healthcare. **Leadership and Mentorship are Crucial in Military Careers**: Through the reflections shared in this episode, the emphasis is put on the impact that strong leadership and mentorship can have on the careers of those in the military. The stories illustrate how experienced individuals can influence and shape the path of upcoming service members, highlighting the importance of legacy in military service. **'Be the One' - Taking Initiative in Command**: The conversation explores the leadership principle of 'Be the one,' which encourages taking initiative and being responsible in leadership roles. This actionable wisdom is not only applicable to military command but also translates into leadership in various fields. **Building a Fulfilling Career by Caring for Others**: The episode concludes with an exploration of the fulfilling nature of a career in military medicine. It is the relationships formed, the diverse opportunities embraced, and the impact made through caring for others that collectively contribute to a rewarding career and leave a lasting legacy in military healthcare.   Episode Keywords: Navy Career, Military Healthcare, Deployments, Leadership, Relationships, Military Medicine, 9/11, Guantanamo Bay, Wartime Ethics, Adaptability, Mission and Morale, Leadership Roles, Career Legacy, Diversity, Seizing Opportunities, Relationships and Networks, Military Personnel, Medical Care, Physical Therapy, Preventive Medicine, Athletic Training, National Defense University, Camp Delta, Camp Leatherneck, NATO Role 3 Multinational Medical Unit, Command Senior Chief, Tyrone, Camp X-ray, Kandahar, Officer, Casualty Rates, One-Trick Pony, Diversifying Experiences, Typecast, Pushing Boundaries, Thinking Outside the Box, Fulfilling Career   Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #LeadershipLegacy #NavyCorpsmanJourney #MasterChiefBrown #WarMedicineValor #MentorshipInUniform #HealthcareHeroes #DeploymentChallenges #EthicsInWar #MilitaryHealthcareEvolution   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/episodes 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

    Retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero joins us to share his remarkable journey from the front lines to the forefront of surgical innovation. Imagine the battlefield's high stakes where every second counts, and the tools at your disposal can mean the difference between life and death. His tales of life-saving speed and adaptability in the most austere conditions reveal the genesis of his revolutionary contribution to surgical technology—a battlefield-optimized surgical retractor. Our conversation with Dr. Cestero isn't just a walk through his experiences; it's a masterclass in the resilience and resourcefulness required in military and civilian trauma surgery.     Throughout the episode, we witness the evolution of surgical retractors over the past few centuries, from their rudimentary origins to the state-of-the-art devices we see today. From the necessity that birthed his new retractor system to the behind-the-scenes look at transforming a concept into a globally utilized device, the narrative is as engaging as it is instructive. Dr. Cestero's insights into balancing the demands of a full-time surgical career with medical entrepreneurship are a candid reflection on the challenges and triumphs of innovation.      As we round out the discussion, Dr. Cestero doesn't just rest on his laurels; he casts a strategic eye toward the future of trauma surgery. With a nod to the lessons of past conflicts, we discuss the dynamic nature of military medicine and the implications for surgeons in rapidly evolving combat environments. We get into the Navy's shifting strategies, the importance of adaptable surgical teams, and the next wave of advancements set to revolutionize trauma care. It's a riveting exploration of how technologies like Dr. Cestero's retractor, along with advancements in operating room efficiency and training, stand to elevate patient care in both military operations and civilian trauma centers. Prepare to be inspired by the potential that lies ahead, as we uncover the innovations set to revolutionize the experience of patients and surgeons alike. Chapters: (00:04) Military Trauma Surgeon's Innovative Approach (08:07) Innovating Surgical Retractors (13:51) From Idea to Global Commercialization (19:06) Innovative Surgical Retractor System Design (31:10) Future Innovations in Trauma Surgery   Chapter Summaries: (00:04) Military Trauma Surgeon's Innovative Approach This chapter features retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero, who shares insights from his multiple global deployments, emphasizing the importance of proper equipment, speed, and adaptability in trauma surgery under austere conditions. I discuss with him how these experiences led to his development of a battlefield-optimized surgical retractor and the challenges of bringing such innovations to widespread use. Dr. Cestero also reflects on the unique aspects of serving as a trauma surgeon in the Navy Reserves, highlighting the balance between maintaining military connection and civilian practice, and offers suggestions for enhancing reserve surgeons' team experience and training. We explore the current gaps in trauma surgery research and what future innovations Dr. Cestero envisions. (08:07) Innovating Surgical Retractors This chapter uncovers the pressing need for innovation in surgical equipment, specifically retractors, through a surgeon's experiences working in both austere military settings and a Level 1 trauma center. I discuss the challenges faced during surgeries without adequate resources, such as the absence of platelets and the struggle for exposure in critical procedures, which can lead to life-threatening delays. The narrative is anchored by a poignant case of a young soldier with severe injuries, whose outcome might have been different with better surgical tools. We explore the history of surgical retractors, from their evolution in the Renaissance to modern table-mounted systems, and the inspirations behind famous designs like the Balfour and Bookwalter retractors. (13:51) From Idea to Global Commercialization This chapter unfolds the journey of developing a new surgical retractor system, from the spark of innovation to international commercialization. Dr. Cestero shares his story of collaborating with a tech transfer office and co-inventing with a biomedical engineer to create a prototype, which we tested successfully on a cadaver. He highlights the challenges of balancing a full-time surgery career with entrepreneurship, leading to a gradual transition to dedicating myself fully to the company. Ramon also touches on the process of patenting, fundraising, and gathering feedback from various medical professionals to refine the prototype. (19:06) Innovative Surgical Retractor System Design This chapter, we explore the design and functionality of a revolutionary surgical retractor system that addresses common frustrations surgeons face with traditional retractors. We examine how its one-way assembly prevents incorrect setup, the satisfying ratchet sound that signals secure placement, and its adaptability to different incision sizes. The system's lightweight nature at only two pounds and compatibility with Bookwalter components are highlighted, along with its efficiency in providing exposure of the abdominal wall and retroperitoneum. A personal story reveals the retractor's surprising lightness and convenience in a combat environment, emphasizing its practicality for both the operating room and field surgery. Additionally, we discuss how the retractor can be adapted for upward lift, enhancing visibility in deep pelvic or upper abdominal procedures. (31:10) Future Innovations in Trauma Surgery This chapter focuses on the anticipated changes in military medical operations, drawing parallels with historical conflicts such as World War II and emphasizing the necessity for adaptability in modern warfare environments. We discuss the likelihood of increased casualties, the need for prolonged field care, and the possibility of surgeons re-operating on patients due to limited evacuation options. Additionally, we cover the Navy's evolving role and the potential shift toward more mobile surgical teams at sea. In terms of trauma surgery advancements, we touch on the ongoing efforts to improve blood product availability and the challenges faced by trainees with the transition from open to minimally invasive surgery. The conversation also highlights the importance of enhancing operating room efficiency, particularly through innovations in surgical retractors, lighting, and integration of suction to improve patient outcomes and the overall surgical experience. **This Episode was supported in part by a generous educational grant from Advanced Surgical Retractor Systems, INC.** Take Home Messages: Military trauma surgery experiences have significantly contributed to the development and innovation of surgical technology, particularly in the design of surgical retractors optimized for battlefield conditions. The evolution of surgical retractors has been influenced by the necessity to operate efficiently under resource-limited conditions, with historical designs like the Balfour and Bookwalter retractors laying the foundation for modern advancements. A surgeon's ability to adapt and operate quickly in austere environments can have life-saving implications, underscoring the importance of equipment that is both effective and transportable. Bringing a new medical device from concept to global commercialization involves collaboration with engineers, navigating the patenting process, fundraising, and obtaining feedback from medical professionals to refine the design. The design of the discussed innovative surgical retractor system aims to address common frustrations, such as incorrect assembly, while providing rapid and secure placement, adaptability to different incision sizes, and compatibility with existing surgical components. Future innovations in trauma surgery are anticipated to include improved blood product availability, more efficient operating room technologies, and training adjustments to accommodate the transition from open to minimally invasive surgery. Military medical operations are likely to face changes with increased casualty numbers, necessitating adaptable and mobile surgical teams capable of prolonged field care and re-operation on patients. Enhancements in surgical tools can lead to better patient outcomes by improving exposure and efficiency in the operating room, even under combat or emergency conditions. Surgeons must balance maintaining traditional techniques with embracing new, potentially life-saving technologies, and training is essential for the successful adoption of innovative surgical devices. Operating room efficiency is critical not only in civilian trauma centers but also in military operations, with technological advancements being crucial to adapting to future combat environments and potentially high-casualty scenarios.   Episode Keywords: Military Trauma Surgery, Surgical Retractors, Innovation, Battlefield, Austere Conditions, Surgical Technology, Resilience, Resourcefulness, Operating Room Efficiency, Medical Entrepreneurship, Trauma Care, Navy, Surgical Teams, Blood Product Availability, Minimally Invasive Surgery, Operating Room Integration, Suction, Patient Outcomes   Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #TraumaSurgery, #SurgicalInnovation, #MilitaryMedicine, #CombatSurgeon, #MedicalBreakthroughs, #OperatingRoomTech, #SurgicalRetractor, #MedicalEntrepreneurship, #TraumaCare, #MilitaryHealthcare   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/episodes 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: WarDocs-The Military Medicine Podcast

   Step into the boots of Army BG Jennifer A. Marrast Host, our guest on this episode of WarDocs, the Military Medicine podcast. From her origins in Grenada to her current role as Deputy Commanding General Professional Services for the 807th Medical Command deployment support, BG Marrast Host’s journey will leave you astounded and inspired. The insights she shares about the battlefield hardships and the immense emotional toll of her profession are both gripping and poignant. Get a firsthand account of her time with the 452nd Hospital in Afghanistan and the graphic trauma cases she encountered. Feel the palpable intensity as she narrates the heartbreaking memory of a young burn victim she couldn't save, and how that experience informs her work today. As we traverse through her tenure as a battalion surgeon in Iraq and her time at Task Force Victory in Afghanistan, you'll get an insider view of the daunting challenges of military medical decision-making and how rank plays into it all. Towards the end of our discussion, BG Marrast Host turns the spotlight onto future military medics. She imparts her wisdom on maintaining balanced dedication between civilian and military commitments and shares invaluable leadership lessons. Wrapping up, she expresses her hopes for her legacy and the future of Army medicine. Regardless of whether you're considering a military medical career or are simply intrigued by the intricate world of military medicine, this episode promises a deeply insightful journey. Don't miss out!     Chapters: (00:00) Military Medicine and Leadership Lessons (09:00) 452nd Hospital Experiences in Afghanistan (13:14) Challenges in Afghanistan and Iraq (19:56) Challenges in Military Medicine and Readiness (39:03) Legacy of Military Medicine   Chapter Summaries: (00:00) Military Medicine and Leadership Lessons BG Jennifer A Marrast Host shares her journey from Grenada to medical school and the military, discussing the role of reserves in medical missions and leadership lessons for military medical careers.   (09:00) 452nd Hospital Experiences in Afghanistan BG Marrast Host shares her experiences of treating severe trauma in austere conditions in Afghanistan.   (13:14) Challenges in Afghanistan and Iraq Jennifer’s experiences in Afghanistan and Iraq, including medical decision-making, care of soldiers, and setting up an MC4 system, are discussed.   (19:56) Challenges in Military Medicine and Readiness BG Jennifer A. Marrast Host shares her experience of a heartbreaking case in Afghanistan and how it taught her to debrief her team after trauma cases, as well as the challenges of balancing civilian and military jobs.   (39:03) Legacy of Military Medicine BG Marrast Host’s legacy includes her passion for caring for soldiers and modernizing Army medicine. Listeners Will….. Embark on a journey from immigrant background to high-ranking military status. Gain a deep understanding of emotional and physical challenges encountered on the battlefield. Gain a complex perspective on military medicine, emphasizing the role of leadership, decision-making, and adaptability. Understand the role and significance of military reserves in medical missions and preparation for large-scale combat operations. Gain insight into the emotional strain of military medicine through the recounting of a young burn victim in Afghanistan. Understand the demanding balance between civilian careers and military obligations for reserve medical personnel. Learn valuable leadership lessons applicable in various contexts. Recognize the need for military medical personnel to maintain combat skills alongside medical expertise. Get a glimpse of the aspirations and dedication required to improve care and prepare the next generation of military medics. Use the podcast as an informative and inspiring resource for anyone considering a career in military medicine or interested in gaining insights into the demands of front-line healthcare. Episode Keywords: Military Medicine, Army Brigadier General, Jennifer A. Marrast Host, 807th Medical Command, 452nd Hospital, Afghanistan, Iraq, Trauma Cases, Burn Victim, Battalion Surgeon, Task Force Victory, Medical Decision-Making, Rank, MC4 System, Comfort, Pain Relief, Reserve Component, Modernize Army Medicine, Combat, Fighting Strength Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #BrigGenMarrastHost #WarDocsPodcast #BattlefieldMedicine #LeadershipLessons #TraumaCare #MilitaryHealthcare #CombatMedics #VeteranStories   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/episodes 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: WarDocs-The Military Medicine Podcast

Lieutenant Colonel Dr. Jeanne Krick, a neonatologist and consultant for Medical Ethics, discusses her inspiring journey into military medicine, fueled by personal loss and service after 9/11. She unpacks the heavy ethical decisions faced in war zones, highlighting the tension between patient autonomy and military protocol. Dr. Krick emphasizes the importance of ethics committees and proactive decision-making, while looking ahead to the challenges posed by AI and biotechnology. Her insights into navigating these moral quandaries are both profound and relevant.

      Dr. Crosland is a graduate of West Point and the Uniformed Services University of Health Sciences.  She is board-certified by the American Board of Family Medicine and is a Fellow of the American Academy of Family Physicians. She has held many significant responsibilities in her Army Medicine Career.  She currently serves as the Director of the Defense Health Agency.     On this episode of our Military Medical Mentorship Moments Series, LTG Crosland focuses on important things that successful mentors know.  You will hear her provide insightful answers to the following questions: How do you choose a Mentee? What are the characteristics of effective mentors? How many Mentees should you have? Does it matter? What are some Mentor competencies? What “process skills” are necessary for Mentors How do you know you are ready to be a Mentor? How do you prepare to be a mentor? What are some “Don’ts” for a Mentor What do you do if the relationship is not working out or you just want out? Personal Reflections on Mentorship Who was your most influential mentor? Why What was the best advice you got from a mentor? What do you know now that you wish you would have learned much earlier? What characterizes a “good” or “not so good” mentorship relationship from your experience? Provide examples What is some practical advice for someone interested in mentoring or being mentored? What are the next steps to take? Telita shares many insights and mentorship lessons learned over a distinguished career. You don’t want to miss this special episode!   Take Home Messages Mentorship in military healthcare is a critical aspect of professional development, with nuances unique to the armed forces environment. Effective mentors within the military medicine context are approachable, self-aware, and invested in the growth and development of their mentees. A successful mentor-mentee relationship requires clear communication, commitment from both parties, and the alignment of career guidance with personal aspirations. Mentors in military healthcare often have to navigate their mentees' professional paths while considering work-life balance and family commitments. One key to effective mentorship is the mentor's ability to provide honest feedback and advocate for their mentees when necessary. It's essential for mentors to avoid imposing their own career ambitions on mentees, as this can strain the relationship and hinder the mentee's individual growth. Mentorship is a dynamic process, and the readiness to mentor comes when one becomes genuinely excited about aiding in the development of others. Mentors should proactively reach out to potential mentees they believe they can help, showcasing the proactive nature of mentorship in fostering future leaders. Both mentors and mentees can benefit from formal mentorship programs, but the most impactful relationships are often organic and based on mutual respect and investment. Mentorship is not just about climbing the ranks; it's about lifting others as you go, embodying the ethos of leadership within the military healthcare system.   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/episodes 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  

     Ever wondered what it takes to lead in one of the world’s most challenging environments, the US Navy? Do you find yourself intrigued by the thought of making critical decisions under immense pressure? Then this episode is for you. As we sit down with retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton, we uncover a lifetime of leadership lessons, critical decision-making insights, and stories from his remarkable 37-year-long career. Admiral Moulton shares his experiences deployed during Operation Desert Storm to the heart of the Pentagon on one of the darkest days in US history.  In our conversation, Admiral Moulton delves into the challenges he faced during his deployment on the USS Nimitz, his time in Okinawa, and the unforgettable experience of being in the Pentagon on 9/11. His accounts of these events, woven with lessons on leadership, draw a vivid picture of the realities of Military Medicine. You will hear about the intuitive decisions Admiral Moulton made to handle patient safety concerns, his performance-based approach to promotions, and the importance he placed on trusting his staff. His story illustrates the courage, resilience, and dedication necessary to thrive in high-stakes environments.    RADM (Ret) Moulton opens up about his time leading the Tidewater Multiservice Market Office. His unique perspective on uniting the three Services, aligning with the needs of the MHS, and managing dual responsibilities offers invaluable advice for those navigating leadership roles within similar structures. Whether you're a veteran, on active duty, or simply interested in learning about leadership from a unique perspective, this episode promises a wealth of wisdom and a deeper understanding of Military Medicine. Terry's wisdom and advice, combined with his fascinating experiences, make this episode a must-listen for anyone seeking inspiration and leadership guidance. Chapters: (0:00:00) - Lessons From Early Years in Navy Medicine (0:05:28) - Military Assignments, Mentoring, and Medical Readiness (0:12:08) - Military Experience Around 9/11 (0:19:04) - Leadership Challenges in Okinawa and During Deployment (0:26:18) - Leadership Approach in Multiservice Market   Chapter Summaries: (0:00:00) - Lessons From Early Years in Navy Medicine (5 Minutes) We speak with retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton. Admiral Moulton shares his story of joining the Navy, his deployment lessons learned aboard the USS Nimitz, and the experience of being in the Pentagon on 9-11. He provides advice to those advancing in roles with increased levels of accountability and responsibility. Admiral Moulton also shares his understanding of how enhanced multi-service markets and managed care support contractors can enable a ready medical force and a medically ready force. We discuss his early years and his early assignments, his roles and responsibilities, and the leadership lessons he learned. Join us as we explore these topics and more with Admiral Moulton.   (0:05:28) - Military Assignments, Mentoring, and Medical Readiness (7 Minutes) Retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton reflects on his experience joining the Navy and the people who had a lasting impact on his career. He recounts his deployment on the USS Nimitz during Operation Desert Storm, and his efforts to ensure medical readiness on the ship. Finally, Admiral Moulton shares how the USS Midway Fire After-Action Report informed his approach to medical readiness.   (0:12:08) - Military Experience Around 9/11 (7 Minutes) RADM (Ret) Moulton recalls his time serving in the Pentagon on 9/11. He reflects on the events of that day and how staying in the Pentagon to help set up a triage station transformed his future medical and military service. He speaks about the training he had done in the past that prepared him for this moment and the leadership challenges he faced when he was put in command roles.   (0:19:04) - Leadership Challenges in Okinawa and Navy (7 Minutes) RADM (Ret) Moulton reflects on his leadership challenges in Okinawa. He discusses how he addressed patient safety concerns and relied on his intuition when making decisions. Admiral Moulton also shares his involvement in the planning for the evacuation of US citizens from mainland Japan and his role in ensuring their safe arrival to Okinawa. He emphasizes the importance of trusting his staff and the performance-based approach to promotion boards.   (0:26:18) - Leadership Approach in Multiservice Market (17 Minutes) Terry speaks about his experience leading the Tidewater Multiservice Market Office. Admiral Moulton shares his approach to leading the three services with a focus on unity of effort and alignment with what the MHS needed. He then offers advice to the nine DHA directors and MTF directors on how to effectively communicate direction and understand their dual-hatted responsibilities. Lastly, Admiral Moulton counsels those in leadership positions on resolving conflicts between the hats they are wearing.   Take Home Messages: Leadership often involves tackling difficult situations with honesty and integrity, whether it's addressing patient safety concerns or making critical decisions in high-pressure situations. Trusting your staff and adopting a performance-based approach to promotions are key leadership principles in any organization. When leading diverse teams, it's crucial to unite everyone with a common vision and align them with the organization's needs. Good leaders communicate effectively, providing clear direction and follow-ups. They ensure their teams understand what is important and what needs to be executed. It's essential for leaders to understand their dual responsibilities and roles, particularly in complex organizations where they might be wearing different 'hats.' Effective leadership requires an understanding of when to delegate tasks and when to be directly involved, often trusting one's gut instinct to make this decision. In challenging times, such as the evacuation of citizens during a crisis, leaders must make quick decisions, trust their staff, and have a plan in place to ensure safety and security. In healthcare, patient safety and quality of care should always be the top priorities. Leaders should pay close attention to these aspects and act promptly on any concerns. Mentorship is a valuable tool in leadership. It's important to learn from senior leaders and, in turn, guide those who are new to the organization or role. Embracing change and adaptability are critical to leadership. With changing scenarios, leaders must be ready to adapt their strategies and reassure their teams about the future. Episode Keywords: Navy, Medical Service Corps, Terry J Moulton, USS Nimitz, Operation Desert Storm, Pentagon, 9/11, Leadership Challenges, Medical Readiness, Military Assignments, Mentoring, Evacuation of US Citizens, Performance-Based Approach, Multiservice Market, DHA Directors, MTF Directors, Unity of Effort, Alignment with MHS, Effective Communication, Dual-Hatted Responsibilities, Conflict Resolution, Local Civilian Medical Providers, Quality Care for Veteran Patients, Leadership Impact Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #NavyLeadership #MilitaryMedicine #TerryMoulton #RearAdmiralInsights #Pentagon911 #LeadershipPrinciples #TidewaterMultiservice #MilitaryCareer #LeadershipChallenges #DHAAdvice   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/episodes  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

Episode Summary:    Retired Navy Captain Dr. Matthew Provencher shares his incredible journey from the decks of the USNS Mercy to the sidelines with the New England Patriots, revealing the profound connections between military orthopedics and sports medicine. His stories take us from the skies he once dreamed of conquering as a fighter pilot to the operating rooms where he honed his skills in orthopedics sports medicine, ultimately shaping the future of musculoskeletal injury research. Dr. Provencher's unique perspective not only discusses his transformative work in developing the Special Forces Tactical Athlete Program but also delves into the global impact of military medicine on orthopedic care. His stories will captivate you, revealing the profound impact of military medicine both in the field and on the homefront.      Feel the ocean's swell as we set sail on the USNS Mercy, where Dr. Provencher once led surgical teams on life-saving missions. He recounts the evolution of these floating hospitals, detailing their critical role in disaster relief and humanitarian aid. As we navigate through his experiences, the leadership lessons gleaned from his tenure resonate with anyone seeking to foster accountability, integrity, and inclusive environments—whether at sea or in any professional setting. The lessons learned extend far beyond the operating room, spotlighting the core values of accountability and integrity that resonate in any high-pressure environment. His accounts of international collaboration and safety-forward medical practices on these ships underscore military medicine's extraordinary capabilities and adaptability.      The podcast wraps up with Dr. Provencher transitioning from the high-stakes world of the NFL to providing second opinions for athletes across the sports spectrum. He reflects on pioneering surgical approaches born from the battlefield that have advanced orthopedic practices, sharing an anecdote involving Coach Bill Belichick that perfectly encapsulates the nexus of military service and professional sports. Through these discussions, Dr. Provencher illuminates the ever-present thread of innovation and excellence that military medicine weaves throughout the fabric of societal health and well-being.   Chapters: (00:00) Military Medicine and Orthopedic Training (09:49) Military Sports Medicine and Humanitarian Missions (17:10) Leadership Lessons From a Hospital Ship (23:21) Ophthalmology, Cataract Surgery, and Military Orthopedics (31:08) The Evolution of Military Fitness Programs (44:50) Sports Medicine and Military Orthopedics Advances (50:00) Military Medicine and NFL Experiences   Chapter Summaries: (00:00) Military Medicine and Orthopedic Training Retired Navy Captain Dr. Matthew Provencher's journey from Naval Academy to medical career, experiences as orthopedic surgeon, and contributions to research.   (09:49) Military Sports Medicine and Humanitarian Missions Military sports medicine, treating complex battlefield injuries, innovative techniques, collaborative efforts, humanitarian missions, rewarding aspects.   (17:10) Leadership Lessons from a Hospital Ship US Navy's hospital ships, their capabilities and operations, evolution of use, leadership challenges, and importance of safety in medical operations.   (23:21) Ophthalmology, Cataract Surgery, and Military Orthopedics Nature's challenges in performing cataract surgeries in equatorial regions, the importance of ophthalmology in medical diplomacy, and the establishment of the Military Orthopedic Tracking Injuries Network (MOTION).   (31:08) The Evolution of Military Fitness Programs The evolution of the Tactical Athlete Program for Special Warfare personnel, collaborative efforts to enhance soldier readiness and resilience, and strategies for preventing and treating common injuries.   (44:50) Sports Medicine and Military Orthopedics Advances Sports medicine advancements, military lessons, and SOMOS collaborations enhance orthopedic care and research for athletes.   (50:00) Military Medicine and NFL Experiences Transition from NFL to medical second opinions, military case of ankle bone in shoulder reconstruction, and intersection of sports and military service.   Take Home Messages: Military discipline can significantly influence and improve sports medicine practices, fostering a culture of accountability and precision. The integration of military medical techniques in sports medicine has been transformative, especially in the development of programs for elite athletes like those in the NFL. Hospital ships such as the USNS Comfort and Mercy play a crucial role in disaster relief and humanitarian aid, highlighting the adaptability of military medicine. Leadership skills honed in military environments, including accountability and creating inclusive workspaces, are invaluable in any professional setting. The evolution of military fitness programs has led to a reduction in injury rates and improved recovery processes, benefiting the broader military and potentially civilian populations. Innovations in orthopedic surgery and treatment, such as the bridge-type repair for tendon injuries and the use of biologics, have been spurred by military medical research. Collaboration between military and civilian surgeons through organizations like the Society of Military Orthopedic Surgeons is critical for advancing orthopedic care and research globally. Military medicine's focus on fundamental training, such as thorough histories and physical exams, is essential for diagnosing and treating injuries when advanced technology is not available. The importance of comprehensive fitness, wellness, and rehabilitation programs in professional sports has roots in military medicine practices. The episode underscores the continuous thread of innovation, excellence, and global impact that military medicine contributes to societal health and well-being.   Episode Keywords: Military Medicine, Orthopedic Training, Sports Medicine, Humanitarian Missions, Leadership Lessons, Hospital Ships, Ophthalmology, Cataract Surgery, Military Orthopedics, Military Fitness Programs, Tactical Athlete Program, Special Warfare, Sports Injuries, Biologics, Professional Sports, NFL, Second Opinions, Military Service, WarDocs Podcast   Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #SportsMedicine #DrMatthewProvencher #OrthopedicSurgery #NavyToNFL #TacticalAthleteProgram #USNSMercy #LeadershipLessons #InjuryPrevention #HumanitarianMissions   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/episodes 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

   This podcast contains remarks from a JUN 23 presentation by Dr. Warren Dorlac to the Excelsior Surgical Society.     Prepare to be enlightened as we embark on an insightful journey into the world of combat casualty care with trauma surgeon and military veteran Dr. Warren Dorlac. With his firsthand experience from multiple deployments and active role in the American College of Surgeons, Dr. Dorlac offers an unparalleled perspective on the evolution of battlefield medicine over the past two decades. We explore impactful initiatives like the Ranger Regiment's life-saving mission to eliminate preventable deaths and the profound influence of Secretary Gates' mandate to expedite surgical care for combat patients. Prepare to delve into the complexities of paramedic involvement in the battlefield and the vital importance of continuous in-route care.    Dr. Dorlac puts the spotlight on extremity trauma management and the multitude of challenges it presents in military settings, from temporary vascular shunts to the alarming rise in osteomyelitis cases in long-term patient follow-ups. He focuses on the high re-operation rates in major lower extremity amputations and the game-changing role of initiatives like the Integrated Orthotic Rehabilitation Initiative in returning our brave service members to duty. He also reflects on the critical role of CCATT in military casualty care and how it's revolutionizing the field.    Wrapping up his discussion, Dr. Dorlac delves into the remarkable advancements in military trauma care from 1993 to 2012 and covers the courageous efforts of the Ukrainian military's tactical healthcare initiatives in their ongoing conflict with Russia. He highlights the indispensable role of education, collaboration, and technological innovations in this field, with a special mention of the groundbreaking REBOA catheter. From the pivotal development of the Acute Lung Rescue Team to the enriching insights brought by civilian surgeons through the Senior Visiting Surgeon Program, Dr. Dorlac leaves no stone unturned. This enlightening episode is a must-listen for anyone interested in the intricate world of military medicine, where lives are saved on the front lines every day.   Chapters: (00:00) Innovations in Combat Casualty Care (17:01) Vascular Shunts, Infections, Amputations, Rehabilitation (25:29) Advancements in Military Trauma Care (30:48) Ukrainian Military's Tactical Healthcare Initiatives   Chapter Summaries: (00:00) Innovations in Combat Casualty Care    Combat casualty care advancements and challenges, eliminating preventable deaths, in-route care, and need for paramedics in the field.   (17:01) Vascular Shunts, Infections, Amputations, Rehabilitation    Nature's extremity trauma management in military settings, including vascular shunts, venous repair, transport time, infections, amputations, irrigation, orthosis, and rehabilitation.   (25:29) Advancements in Military Trauma Care    Advancements in military trauma care from 1993-2012, including transport challenges, education, collaboration, and technological innovations, leading to decreased case fatality ratio.   (30:48) Ukrainian Military's Tactical Healthcare Initiatives    Military medical care in conflict zones: tactical combat training, rethinking traditional practices, damage control, continuity of care, and evacuation challenges.   Take Home Messages: Battlefield medicine has undergone significant evolution over the past two decades, with considerable advancements in combat casualty care. The Ranger Regiment has been at the forefront of efforts to eliminate preventable deaths in pre-hospital settings on the battlefield, highlighting the importance of mastery and continuous rehearsal of basic life-saving skills. The mandate to deliver surgical care to combat patients within an hour has substantially improved survival rates, underscoring the critical nature of rapid medical intervention in combat zones. Continuous in-route care and the presence of paramedics in the field are vital for improving outcomes for military personnel who sustain injuries during combat. The management of extremity trauma, particularly in military settings, presents unique challenges that have led to innovations like temporary vascular shunts and increased focus on preventing osteomyelitis in long-term patient care. Rehabilitation initiatives, such as the Integrated Orthotic Rehabilitation Initiative, are transformative in helping service members return to duty and maintain unit cohesion and operational readiness. The introduction of CCATT (Critical Care Air Transport Teams) has revolutionized the transport of critically injured service members, ensuring they receive the necessary care during transport from the combat zone to medical facilities. Military trauma care from 1993 to 2012 witnessed remarkable advancements, with a decrease in case fatality ratios despite an increase in the severity of injuries, demonstrating improved effectiveness of trauma care systems. Education, collaboration, and technological innovations are crucial in advancing military medicine and enhancing the ability to save lives in combat scenarios, as seen with tools like the REBOA catheter. Tactical healthcare initiatives, such as those adopted by the Ukrainian military, illustrate the ongoing need to adapt and improve combat casualty care in response to different conflict environments and challenges. Episode Keywords: Combat Casualty Care, Trauma Surgeon, Military Veteran, American College of Surgeons, Battlefield Medicine, Preventable Deaths, Secretary Gates, Surgical Care, Paramedic, Extremity Trauma Management, Vascular Shunts, Osteomyelitis, Lower Extremity Amputations, Integrated Orthotic Rehabilitation Initiative, CCATT, Advancements, Military Trauma Care, Ukrainian Military, Tactical Healthcare Initiatives, Education, Collaboration, Technological Innovations, Acute Lung Rescue Team, Senior Visiting Surgeon Program, Conflict Zones, Targeted Attacks, Medical Personnel, Military Damage Control Techniques, Continuity of Care, Evacuation Hashtags: #BattlefieldMedicine #CombatCasualtyCare #MilitaryTrauma #LifeSavingInnovations #TraumaSurgery #MilitaryMedics #WarriorHealth #TacticalHealthcare #MedicalAdvancements #VeteranSurgeons   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/episodes 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