This podcast discusses the evolution and importance of telemedicine in operational environments, particularly in military settings. It highlights case studies that demonstrate the need for telemedical support during prolonged field care, the challenges faced by medical teams, and the current solutions available. The conversation emphasizes the significance of training, effective communication, and the integration of technology to enhance patient care in remote and challenging environments. Liste...
Jul 04, 2025•47 min
In this episode of the PFC Podcast, Ramey Wilson discusses the evolving landscape of Global Health Engagement (GHE) and its critical role in military medicine. He emphasizes the importance of interoperability in crisis standards of care, sharing real-world examples of medical collaboration in operational settings. The conversation highlights the need for a framework that addresses crisis capability gaps and the psychological protection of medical personnel in challenging situations. Ramey also e...
Jul 02, 2025•27 min
In this podcast episode, Dennis and Michael discuss the critical role of hemostatic agents in hemorrhage control. Michael, a clinical education manager at Celox Medical, shares his extensive experience as a Navy corpsman and firefighter, emphasizing the importance of understanding the mechanisms of hemostatic agents, the necessity of pressure in controlling bleeding, and the impact of coagulopathy on treatment effectiveness. They also explore practical tips for effective wound packing, the signi...
Jun 30, 2025•39 min
In this podcast episode, the hosts discuss the critical importance of team dynamics in emergency medical situations, particularly when dealing with critically injured patients. They explore the challenges teams face when individuals work in isolation rather than collaboratively, emphasizing the need for effective communication and organization. The conversation highlights the role of a team leader in overseeing the resuscitation process, the necessity of training as a cohesive unit, and strategi...
Jun 27, 2025•28 min
The conversation revolves around a complex trauma case involving a 26-year-old male who suffered severe injuries from a live round during a training exercise. The discussion covers the patient's initial assessment, the challenges faced during his treatment, the surgical interventions performed, and the lessons learned from the case. The speakers emphasize the importance of timely interventions, effective communication, and the need for continuous improvement in emergency medical practices. Takea...
Jun 25, 2025•33 min
In this episode of the PFC podcast, Dennis interviews Jason, a seasoned surgeon with extensive military experience. They discuss the challenges and adaptations required for surgical practices in austere environments, the importance of mindset in trauma care, and the need for effective training in both military and civilian contexts. Jason shares insights from his combat deployments and humanitarian work, emphasizing the necessity of flexibility and resourcefulness in providing care under challen...
Jun 23, 2025•44 min
In this episode of the PFC Podcast, host Dennis interviews Nate, a Special Forces Detachment Commander, who shares his unique perspective on the integration of medical training within military operations. Nate discusses his journey into the medical side of Special Forces, the challenges of establishing effective Standard Operating Procedures (SOPs), and the importance of realistic training and communication of medical capabilities to commanders. The conversation emphasizes the need for curiosity...
Jun 20, 2025•25 min
This conversation focuses on the implementation of a cold blood protocol for military training, emphasizing the importance of whole blood transfusions in preventing deaths from hemorrhagic shock. The discussion covers the logistics of blood availability, the challenges of storage and transportation, and the establishment of a pilot program for blood donation. The speakers highlight the collaboration with blood banks and the regulatory hurdles faced, while also outlining future directions for exp...
Jun 18, 2025•28 min
In this episode of the PFC Podcast, Dennis interviews John Dominguez, a veteran with extensive experience in the Special Operations Medical Association (SOMA). They discuss the origins of SOMA, its evolution into a global organization, and its impact on interoperability among special operations forces. John emphasizes the importance of networking, professional development, and learning from failures in medical training for medics. The conversation highlights how SOMA serves as a platform for sha...
Jun 16, 2025•1 hr 6 min
This podcast episode delves into the complexities of unconventional warfare (UW) and the evolution of medical support within Special Forces. Rocky Farr discusses historical examples of guerrilla warfare, the critical role of medics, and the challenges faced in providing timely medical care during combat operations. He emphasizes the importance of adapting medical practices to the realities of modern warfare and the need for ongoing training and support for Special Forces medics. The conversation...
Jun 13, 2025•28 min
In this episode of the PFC Podcast, Victor, a former Ranger medic, shares his experiences and lessons learned from a mass casualty event during a humanitarian mission in Burma. He discusses the historical context of the conflict, the challenges faced in providing medical support, and the innovative solutions developed in a denied environment. The conversation emphasizes the importance of training, adaptability, and building sustainable medical practices to empower local medics in future conflict...
Jun 11, 2025•30 min
In this episode of the PFC Podcast, Dennis and Master Sergeant Dan McGarra discuss the evolving role of females in combat and the challenges faced in medical treatment for female casualties. They explore discrepancies in medical protocols, cultural implications, and the need for gender-neutral approaches in military medicine. The conversation highlights the importance of understanding physiological differences and social dynamics that affect treatment outcomes, as well as the necessity for train...
Jun 09, 2025•35 min
In this episode of the PFC Podcast, host Dennis engages with Andy Fisher to discuss the controversial topic of needle decompression in Individual First Aid Kits (IFACs). They explore the historical context of IFAC contents, the effectiveness of needle decompression, and the challenges in identifying tension pneumothorax in the pre-hospital setting. The conversation also delves into the training and decision-making processes in combat medicine, assessment techniques for pneumothorax, and potentia...
Jun 06, 2025•50 min
In this episode of the PFC Podcast, Dan McGraw discusses the critical need for gender-specific medical training in military settings, drawing from personal experiences and extensive research. He highlights the disparities in treatment outcomes between male and female patients, the physiological differences that affect trauma care, and the cultural challenges faced by medical personnel when treating patients of the opposite sex. Through case studies and real-life scenarios, Dan emphasizes the imp...
Jun 04, 2025•29 min
In this conversation, Dennis and Ryan Maves delve into the complex world of hemorrhagic fevers, discussing various viral infections such as Ebola, Lassa fever, and dengue. They explore the symptoms, diagnosis, and treatment options available for these dangerous pathogens, emphasizing the importance of supportive care and proper waste management. The discussion also highlights the challenges faced in resource-limited settings and the need for medical intelligence and preparedness when dealing wit...
Jun 02, 2025•36 min
In this episode of the PFC Podcast, hosts Dennis, John, and Paul delve into the development and application of the Abdominal Aortic Junctional Tourniquet (AAJT). John shares his background as an ER doctor and military medic, explaining the need for a device to control pelvic hemorrhage in trauma cases. Paul discusses the first applications of the AAJT in combat situations, highlighting successful case studies. The conversation also covers research findings on the device's efficacy, application t...
May 30, 2025•57 min
In this episode of the PFC Podcast, Rick Caldwell, a seasoned sof medic, discusses the critical foundations of medical education and training for combat medics. He emphasizes the importance of quality over quantity in medic training, the need for a solid understanding of both combat and humanitarian support, and the challenges faced in modern combat medicine, particularly in prolonged field care scenarios. Caldwell advocates for a shift from mere training to comprehensive teaching that fosters c...
May 28, 2025•19 min
In this episode of the PFC Podcast, Dennis and Kevin discuss the intricacies of waking patients after sedation, focusing on procedural sedation techniques, managing emergence delirium, and the challenges of airway management. They share insights from real-world experiences, particularly in combat and austere environments, emphasizing the importance of monitoring and patient safety during the awakening process. The conversation also covers extubation strategies, the differences between Cric and E...
May 26, 2025•46 min
In this episode of the PFC Podcast, Dennis and Ethan discuss the critical role of patient positioning in emergency and prolonged field care. They explore various aspects of patient positioning, including its importance for TBI management, ventilation, and airway management. The conversation also addresses the risks associated with changing patient positions, the need for a safety net in patient care, and the operational considerations for medics in the field. They emphasize the significance of t...
May 23, 2025•38 min
This presentation explores the challenges and needs of military operations in the Arctic, particularly focusing on cold-weather medicine and the stability of medications in extreme conditions. Emily emphasizes the urgency of improving medic training and resources, the lack of solid data on medication efficacy in cold environments, and the need for innovative solutions to ensure medics can operate effectively. She calls for collaboration and data sharing among partner nations to enhance medical c...
May 21, 2025•24 min
Since the vast majority of you guys couldn't go to SOMSA '25, I'm bringing SOMSA '25 to you. Paul and I got our steps in this year and recorded a ton of presentations. These presentations with slides will only be available for subscription members...Enjoy In this episode of the PFC Podcast, Dr. Jason Hiles discusses the challenges and strategies of providing medical care in unconventional warfare environments. He shares insights from his experiences in Southeast Asia, focusing on the importance ...
May 19, 2025•21 min
In this episode of the PFC Podcast from last year, Dennis interviews Victor, a former Ranger and current tactical medicine program manager, who shares his experiences in Burma with the Free Burma Rangers. Victor discusses the evolving situation on the ground, his transition from military to humanitarian work, and the challenges of training indigenous forces in combat medicine. He emphasizes the importance of basic medical techniques, the complexities of blood collection and transfusion, and the ...
May 16, 2025•1 hr 16 min
In this episode of the PFC Podcast, Dennis and Doug delve into the complexities of bradyarrhythmias, discussing their recognition, causes, and treatment options. They explore the importance of vital signs, differential diagnosis, and the various pharmacological and electrical interventions available for managing bradycardia. The conversation also touches on the implications of overdoses and the long-term management of patients with bradyarrhythmias, emphasizing the need for a comprehensive appro...
May 12, 2025•35 min
Posting tomorrow..Not all cardiac issues have to do with the heart.
May 11, 2025•1 min
In this episode of the PFC Podcast, Ian Wedmore, an expert in high altitude medicine, discusses the newly released Clinical Practice Guidelines (CPG) for altitude-related illnesses. The conversation covers the pathophysiology of acute mountain sickness, high altitude pulmonary edema, and high altitude cerebral edema, as well as their diagnosis and treatment protocols. Ian emphasizes the importance of understanding the symptoms, utilizing technology, and implementing prevention strategies to effe...
May 09, 2025•40 min
Help with what they actually need. Having a long-term view will bring lasting success. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-228-DImE-e32aek2 Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consi...
May 06, 2025•2 min
In this episode of the PFC Podcast, Dennis speaks with Dr. Jim Czarnik, a retired Army officer with extensive experience in military medicine and operations. They discuss the complexities of military medicine, the importance of communication between medical and operational personnel, and the challenges of adapting to future conflicts, particularly in the context of large-scale combat operations (LISCO). Jim emphasizes the need for honest discussions about the role of medicine in the military and...
May 05, 2025•2 hr 2 min
Medicine is no different. You either adapt to the environment or you will fail. Posting tomorrow.. 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 ...
May 04, 2025•3 min
This conversation delves into the critical aspects of tourniquet management in trauma care, focusing on the distinction between tourniquet conversion and replacement, the importance of resuscitation, and the physiological implications of prolonged tourniquet use. The speakers discuss techniques for safe conversion, the challenges faced in the field, and the assessment of limb salvageability, emphasizing the need for preparedness and patient assessment in high-stress environments. This conversati...
May 02, 2025•49 min
The hardest thing in medicine is to dial back a treatment. Link to full podcast: https://spotifycreators-web.app.link/e/06Azb81cTSb 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/ProlongedFieldCar...
Apr 30, 2025•3 min
