CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.

173-Practical Prolonged Casualty Care

Dec 12, 2025
Join Bill Vasios, a skilled physician associate, and Rhod Jordan, a seasoned remote paramedic, as they dive into the Practical Prolonged Casualty Care manual. They discuss the essential role of clear communication in patient care and emphasize training for non-medical responders. Rhod highlights the significance of promoting patient autonomy and recognizing nonverbal pain signals. The conversation also touches on cultural considerations and practical techniques for prolonged casualty care, making it clear that fostering teamwork can lead to better outcomes.
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ADVICE

Use Conversation For Neurological Monitoring

  • Use ongoing conversation as a simple neurological check and monitoring tool.
  • Assign talkative people for awake checks and quiet people for sleep periods to detect changes in mental status.
ANECDOTE

Leaving Practical Manuals Behind

  • Rhod recalled taking 'Where There Is No Doctor' to northern Nigeria with his family in 1979 as a lasting field tool.
  • He recommends pictorial manuals that can be left behind to empower communities.
ADVICE

Rotate Helpers And Record Trends

  • Rotate helpers and teach basic nursing tasks like repositioning, oral care and hygiene to prevent complications.
  • Record regular vital signs and trends so incoming clinicians get useful handover information.
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