Prolonged Field Care Podcast

Now, let's dive into treating tension pneumothorax. Joined by Andy Fisher, our favorite surgery resident and social media provocateur. We're talking IFAC essentials and the needle decompression debate. Andy's been stirring the pot, suggesting ditching Needle D's from the IFAC due to lack of official backing. The IFAC's about saving lives for non-medics, but is it hemorrhage, not tension, we should focus on? Special ops pushed decompression needles, but is it justified? Andy questions the success rate of needle decompressions and suggests focusing on actual tension physiology. Training rush may play a role. Is sticking needles in pre-emptively smart? Well, let's focus on true tension signs instead. I mention tension either shows up or it doesn't, and hemodynamic changes trigger action. Thoracic trauma, mostly hemothorax, outweighs tension pneumothorax deaths. Andy, if king for a day, would adjust chest injury treatment. Surgical insights, plain talk, only on the PFC podcast. 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

Welcome back, folks! Had a chat with Ephraim Matto, who's seen the thick of things in Burma. He spent the last six months there, amidst security crises and medical emergencies. Burma's ethnic minorities are resisting subjugation, and the mountainous borders provide relative safe areas. Still, things are pretty dire. On top of internal conflicts, there's interference from the Russians and Chinese. On the medical front, there's a dire need. His crew operates ambulances and boats to get folks the care they need, and of course, the logistics! The rainy season and challenging terrain make things tough. Tragically, the Burma army isn't holding back. Just recently, 17 villagers, including children, were brutally murdered. It's heavy stuff, and the situation demands attention. 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

Let's cut to the chase about field blood transfusion. Dr. Andrew Cap came on the PFC Podcast to drop some knowledge. We talked about a high-stakes op in Afghanistan where two soldiers suffered intense injuries. First patient? Lost both legs and showed clear signs of shock. Second guy? Shot in the gut and leg, started strong but slowly faded out. Dr. Cap then gave us the rundown on resuscitation. Key points: control bleeding first, whole blood is the MVP for treatment, but sometimes, there ain't enough to go around. So we talked alternatives like starches and crystalloids. However, normal saline? Originally for cholera, not ideal for trauma. Oh, and calcium plays a bigger role than you might think. TXA? Super useful for clot stability, but blood circulation's the real deal. Prioritize, act fast, and always be prepared to adapt. 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

Today's episode, is all about "Versed." We've got Kevin and Paul here, chatting about patient positioning and the intricacies of using Versed, a benzodiazepine, for sedation. They touch on how different patients react to the drug, emphasizing the art of medicine over strict calculations, especially in challenging scenarios. The podcast delves into dosing strategies, dealing with hemodynamically unstable patients, and the complexities of maintaining sedation during procedures. Remember, every patient is unique, so adapt the approach accordingly. 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

Today, I'm chatting with Colin about the new Prolonged Fieldcare Airway CPG. Basically, it's a guideline for managing airways in tough situations. Colin's a special ops medic and he helped put this thing together. CPGs are like gold for medics, so Google "PFC CPG" for info. Airway's vital, but sometimes overlooked. We're diving into the details, from procedures to training. It's not just about sticking a tube in; it's a whole process. Training's key – keep practicing. Units need to back it up too. 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

Welcome back to the PFC podcast! Today, it's Dennis here with Casper and Paul. We're discussing a leadership tool called the Tactical Timeout, which helps teams ensure everyone is on the same page. Casper, a NATO Special Operations combat medic, gives a shout-out to the timeout used in the medical community, ensuring correct procedures. Using the Tactical Timeout, they discuss the tactical situation, security, and evacuation plans, ensuring efficient shift changes and patient updates. It fosters cohesion, especially with non-medical personnel. Dennis emphasizes the importance of contingency planning and clear communication, while Paul urges junior medical team members to ask questions to avoid confusion. Stay tuned for more on the PFC podcast! 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

Kevin schools me up on Ketamine and it's use in the field.

Hey there, it's Dennis from the Prolonged Field Care Podcast, episode 144. Today, Winston and I dive into pain pathways. You know, those definitions of pain like visceral or psychogenic, they've never helped me treat pain practically. So, understanding the nervous system might just boost my pain management skills. The pain pathway consists of transduction, where energy turns into nerve impulses, ascending pathways, spinal cord travel, brain processing, and descending pathways. Remember, understanding the whole system aids better pain management. 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

Today, I'm joined by Brad, a former special operations medic and instructor, to talk about a harrowing experience during a night raid in Afghanistan. They faced a barricade shooter situation and multiple casualties. Despite the danger, their medical training and preparedness shone through. Brad emphasizes the importance of casualty training and incorporating it into every mission. They stress the need for repetition and selecting the right equipment for efficient treatment. The podcast covers various medical aspects, and Brad commends the use of 16-gauge catheters and pressure infuser pumps for better blood flow and control. Remember, be prepared, train well, and stay on the bleeding edge of combat medicine! 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

Welcome back to the PFC Podcast. Today, we've got Regan on the show discussing her thesis on unconventional medical networks. She's an emergency medicine physician with extensive experience in special operations and unconventional warfare scenarios. Her thesis delves into the difficulties in the establishment and operation of medical networks in challenging environments. They explore historical examples like the Yugoslavian resistance, highlighting the importance of proximity to the frontline and adaptability. Regan emphasizes the need for cognitive agility and understanding local resources when providing medical aid. Cooperation with allies and partners is vital for interoperability and empowering them to effectively respond to conflicts. 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