Prolonged Field Care Podcast

Discover the secrets to launching a podcast, from conquering your fears to embracing authentic conversations. Learn why audio quality trumps video and how investing in good equipment pays off. Hear tips on post-production and the vital role of media hosting for reaching audiences. Explore the balance between structured content and spontaneity for engaging dialogue, and understand how maintaining passion can prevent burnout. Authenticity is key—your genuine voice will resonate with listeners and foster deeper connections.

In this episode, Dennis discusses the role of sodium bicarbonate in medical protocols, particularly in the context of rhabdomyolysis and hyperkalemia. He emphasizes the importance of fluid management and the potential over-hyping of bicarbonate as a treatment. The conversation explores the risks associated with rhabdomyolysis, the mechanisms of potassium management, and the clinical considerations for bicarbonate use in critical care settings. Takeaways Sodium bicarbonate is often over-hyped in medical treatments. Rhabdomyolysis can lead to serious kidney damage. Immediate fluid administration is crucial in suspected rhabdo cases. Bicarbonate has not shown clinical benefits in trials. Managing potassium levels is essential in rhabdomyolysis treatment. Insulin can help drive potassium back into cells. Urine output is a key indicator in treatment effectiveness. Alkalizing urine may not significantly prevent kidney injury. Correcting pH can be important in severe shock situations. Bicarbonate should be used judiciously in critical care. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

Dive into the essentials of managing hypothermia in patient care. Explore the mechanisms of heat loss and innovative strategies to prevent it in challenging environments. Discover the importance of teamwork to maintain patient warmth, especially during blood resuscitation. Learn about the vital role of temperature monitoring and the effectiveness of different warming techniques, including the use of inflatable tents. This insightful discussion is a must-listen for anyone involved in trauma care and patient management!

In this conversation, Dennis and Aubrick discuss the critical importance of improvised medicine in austere environments, particularly focusing on the MARCH algorithm for trauma care. They delve into various techniques for managing massive hemorrhage, including improvised tourniquets and pelvic binders, as well as airway management strategies. The discussion emphasizes the need for practical skills and improvisation in emergency situations, highlighting the significance of training and practice in using improvised medical devices effectively. Takeaways Improvised medicine is essential in emergency situations. The MARCH algorithm is a vital framework for trauma care. Improvised tourniquets can significantly reduce mortality in massive hemorrhage cases. Pelvic binders must be applied correctly to be effective. Airway management requires controlling the tongue and using appropriate devices. Improvised suction devices can be created from available materials. Practicing with improvised devices is crucial for effective emergency response. Finger thoracotomies may be more effective than needle decompressions. Using gravity can aid in suctioning during emergencies. Improvised traction splints can help stabilize femur fractures. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this episode of the PFC Podcast, Dennis interviews Mark Little, a recently retired Navy medic with extensive maritime experience. They discuss the unique challenges faced in maritime operations, including planning for casualties, the importance of waterproof gear, and the need for thorough preparation. Mark emphasizes the significance of mastering basic skills and being an asset to the team, while also navigating the complexities of medical facilities at sea. The conversation provides valuable insights for medics operating in maritime environments. Takeaways Planning is crucial in maritime operations due to unique environmental challenges. Waterproofing gear is essential for effective medical care at sea. Basic medical skills should never be neglected, even in advanced training. Understanding the maritime environment can significantly impact casualty management. Coordination with air and sea assets is vital for patient evacuation. Medics should be proactive in seeking knowledge and mentorship. Communication is key in ensuring effective patient care and logistics. Pre-planning for contingencies can save lives in critical situations. Being an asset to the team requires both technical and tactical proficiency. The environment dictates the approach to medical care, whether on land or at sea. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this episode of the PFC Podcast, Dennis and Burjor Langdana delve into the intricacies of maxillofacial surgery, particularly in austere environments. They discuss critical aspects of managing facial trauma, including hemorrhage control, airway management, and techniques for treating various injuries. The conversation highlights the importance of understanding the anatomy and physiology of facial structures to effectively address complications arising from trauma. Additionally, they touch on the humanitarian efforts of Team Five Medical Foundation, which provides medical care and training in remote areas. Takeaways Hemorrhage control is crucial in facial injuries. Facial injuries can complicate airway management. Understanding the vascular nature of facial structures is essential. Techniques for managing scalp lacerations include direct and indirect pressure. Bone bleeds can often be managed by approximating fractured segments. Mid-face injuries require careful assessment to prevent airway compromise. Visual acuity tests are vital in assessing eye injuries. Nasal packing is important for managing septal hematomas. Team Five Medical Foundation focuses on providing care in remote areas. Experience and comfort level influence treatment approaches in trauma care. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this episode, Dennis interviews Justin, a second-year medical student and co-founder of Special Operations Forces to School of Medicine (SOFTSOM), a nonprofit organization that helps Special Operations Forces service members and veterans in their journey to become physicians. Justin explains that SOFTSOM provides mentorship, guidance, and support to individuals from the SOF community who are interested in pursuing a career in medicine. The organization helps with the application process, offers scholarships for MCAT prep, conducts research on veterans in medicine, and partners with universities to increase soft representation in medical school classes. Justin also emphasizes the importance of tailoring application essays and preparing for interviews to highlight the unique experiences and skills of SOF applicants. Takeaways SOFTSOM is a nonprofit organization that helps Special Operations Forces service members and veterans in their journey to become physicians. The organization provides mentorship, guidance, and support throughout the application process for medical school. SOFTSOM offers scholarships for MCAT prep and conducts research on veterans in medicine. The organization partners with universities to increase soft representation in medical school classes. Applicants from the SOF community should tailor their application essays and prepare for interviews to highlight their unique experiences and skills. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

Dr. Burjor Langdana discusses dental care in austere environments and provides tips for handling dental emergencies. He emphasizes the importance of preventive care, such as dental check-ups and good oral hygiene, before embarking on a trip. He advises carrying a dental kit with essential materials like temporary filling material and an intra-oral bandage. Dr. Langdana also shares strategies for managing dental emergencies, including broken fillings, infections, and impacted wisdom teeth. He highlights the need for a team approach and training local providers in dental care. The conversation concludes with advice for preparing for a deployment and information about Dr. Langdana's website, which offers free resources on wilderness expedition dentistry. Takeaways Preventive care, such as dental check-ups and good oral hygiene, is crucial before embarking on a trip to an austere environment. Carry a dental kit with essential materials like temporary filling material and an intra-oral bandage. Manage dental emergencies like broken fillings, infections, and impacted wisdom teeth with appropriate techniques and materials. Adopt a team approach and train local providers in dental care to improve access and outcomes. Prepare for a deployment by motivating participants to prioritize dental care and ensuring the availability of necessary materials. Dr. Burjor Langdana's website, Wilderness Expedition Dentistry, offers free resources on handling dental emergencies and basic facial injuries in austere environments. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this conversation, Dennis and Mark discuss the importance of understanding wound ballistics in trauma surgery. Mark shares his experience working with special operations teams and developing medical proficiency training. They delve into the impact of high-energy rifle wounds and the fragmentation of bullets inside the body. They also discuss the role of entrance and exit wounds, the risks of packing hollow viscous injuries, and the importance of clinical judgment in treating gunshot wounds. In this conversation, Dr. Mark Shapiro discusses various aspects of wound ballistics, including gunshot wounds, shotgun wounds, and blast injuries. He shares his experiences treating patients with these types of injuries and provides insights into the different behaviors and treatment approaches for each. Dr. Shapiro emphasizes the importance of relying on common sense and making quick decisions in resource-depleted environments. He also highlights the unpredictable nature of blast injuries and the challenges they present. Overall, this conversation provides valuable information for medical professionals dealing with traumatic injuries. Takeaways Understanding wound ballistics is crucial in trauma surgery to effectively treat gunshot wounds. High-energy rifle wounds can cause significant damage due to the speed and fragmentation of the bullet. Entrance and exit wounds may not always be reliable indicators of the bullet's path inside the body. Packing hollow viscous injuries, such as the abdomen or torso, is generally not recommended. Clinical judgment and assessment of vital signs are essential in determining the appropriate course of action for treating gunshot wounds. Gunshot wounds in the cardiac box can sometimes have unexpected outcomes, and observation can be a valid approach. Shotgun wounds are complex and require careful management due to the extensive tissue destruction and risk of infection. Assessing neurovascular function in conscious patients involves physical exams and evaluating pulse, color, and temperature. In blast injuries, the primary blast wave, secondary injuries from being thrown against objects, and tertiary injuries from fragments all contribute to the overall damage. Treating blast injuries requires addressing the various types of injuries, such as bowel injuries, lung injuries, and infections. Experience and common sense play a crucial role in making decisions and providing the best care in challenging situations. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

The conversation explores the topic of unconventional medical networks and how to establish them. The guest, Regan Lyon, discusses his thesis on this subject and the challenges involved. They discuss the historical context of guerrilla hospitals and the need for medical care in unconventional warfare scenarios. They also touch on the limitations and constraints of current medical doctrine and the importance of training, blood supply, hospital capacity, and evacuation routes. The conversation highlights the need to adapt to changing environments and the role of technology in both aiding and complicating medical care. In this conversation, Dennis and Regan discuss the challenges of providing medical care in conflict zones and austere environments. They highlight the importance of being prepared for situations where the medical supply chain is disrupted and improvisation is necessary. They emphasize the need for medical professionals to think outside the box and consider alternative solutions when faced with limited resources. They also discuss the importance of coordination and interoperability between different military and civilian organizations, as well as the need to empower and support local communities in providing medical care. Overall, they stress the need for a proactive and adaptable approach to casualty care in unconventional warfare. Takeaways Establishing unconventional medical networks is a complex and challenging task. Historical examples of guerrilla hospitals provide insights into the unique challenges and strategies involved. Current medical doctrine has limitations and constraints that need to be addressed in unconventional warfare scenarios. Training, blood supply, hospital capacity, and evacuation routes are crucial factors in establishing effective medical networks. Technology can both aid and complicate medical care in unconventional warfare situations. Medical professionals need to be prepared for situations where the medical supply chain is disrupted and improvisation is necessary. Thinking outside the box and considering alternative solutions is crucial in austere environments. Coordination and interoperability between different military and civilian organizations are essential for effective casualty care. Empowering and supporting local communities in providing medical care can enhance resilience and response capabilities. A proactive and adaptable approach is necessary for casualty care in unconventional warfare.