Prolonged Field Care Podcast

When it comes to dealing with crush syndrome, guys are super motivated to push sodium bicarb, but is it actually doing anything?

Dennis and Doug speak about everyone's favorite...Evidence Based Medicine...., but what do I do if there is none on what I'm researching?

Nate gives his views on observed training gaps.

Evan goes through what it takes to get to be a master of the airway.

Today, I speak with Dr. Shackleford and Dr. Rush about the realities of triage currently and moving into the future.

I speak with Jay Baker on Far Forward Surgical Support.

In this episode, I speak with Stacy Shackleford and Andy Fisher the need for surgery on the battlefield and what to do about it.

In this episode, I speak with Bryce about the importance of medical team training. What to teach and how to get involvement.

Despite our best efforts, endless training, and reading, some of our patients will die.  This has been a taboo subject that is difficult to broach in the best of times.  We aim to start a conversation here with the hope that it continues with your Medical Director, PA, Surgeon and fellow Medics before you are ever faced with this difficult situation out on your own.  Often prolonged field care involves treating the most critically sick or injured patients longer than you expect to.  Inevitably some of these “sickest-of-the-sick” will not make it to see definitive care and you will be left to ease the suffering during end of life care alone.  While you may have to deliver end of life care by yourself, you may not have to make all the decisions alone. In this episode Dennis and Doc Powell discuss how to treat expectant patients.  This could be as part of a multi-patient MASCAL or a happen to a single patient who is critically ill or injured.  If it happens during a MASCAL, once you are done treating your urgent patients, what do you do when you go back to your expectant patients?  It’s common to skip over discussing and training on losing patients…  Taboo even.  The fact is that it will eventually happen to some of us; No matter how good of a medic we are, patients will die.  Doc Powell has spent innumerable hours in Intensive Care Units with the best and brightest medical teams a patient could hope for.  Even in this setting the top notch care, medicines and interventions are not enough and patients code and die.  This is part of medicine whether we talk about it openly or not and while many of these situations will be complicated and stressful we hope to give you a few tools to help manage the situation in a more professional manner. How do you decide if your critically ill patients are expectant, when alone in a tactical or resource strained environment? After that decision is made, what can we still do? How is telemedicine different for curative vs. palliative cases, if at all?

In this episode I speak with Dr. De Mello, a retired anesthesiologist from the UK, with a lot of experience with burn patients both in the civilian hospital and military. Dr. De Mello is also a professor for the College of Remote and Offshore Medicine (CoROM) Masters in Austere Critical Care program. https://corom.edu.mt/ Lots of tidbits for you to refine your game. Enjoy