Prolonged Field Care Podcast

SOMSA '25 - Prolonged Combat Lifesaver

Sep 24, 2025
Benjamin Ingram, a military medicine practitioner with a focus on prolonged field care and innovative training, dives into the transformation of medical practices in combat. He critiques the outdated 'golden hour' concept and emphasizes the need for adaptive strategies in modern warfare. Ingram introduces the PICKLES training curriculum, aimed at shifting medical tasks to non-traditional providers. He discusses unique injury patterns observed in conflicts like Ukraine and highlights the essential collaboration among nations to bolster medical response capabilities.
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ADVICE

Adopt Three Offsets To Reduce Preventable Deaths

  • Use three offset strategies: push interventions forward, invest in technology and innovation, and partner with allies to expand capacity.
  • Ingram recommends these offsets to reduce preventable deaths when timelines lengthen.
ANECDOTE

PET: A Field-Tested Evacuation Program

  • The PET program was created to standardize prolonged evacuation training for multinational partners in Ukraine.
  • Ingram and colleagues found existing curricula (CLS, CNC, PCC) didn't fit the interoperability gaps they encountered.
INSIGHT

Gap Between CLS And Prolonged Care

  • There is a capability gap between short-form CLS and longer prolonged care needs during extended transport or delayed evacuation.
  • Ingram proposes a bolt-on extended CLS curriculum to fill that middle gap.
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