Set yourself up for success during patient transport. Listen to the advice of people who do this for a living. Link to the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-208-Evacuation-e2r2ove
Instead of just rattling off random gear, focus on what you actually need. Link to the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-208-Evacuation-e2r2ove
Just like we use MARCH for initial care...The Handover deserves it's own acronym. Link for the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-208-Evacuation-e2r2ove
Don't call for EVAC just because, do it because the patient NEEDs it. Link for the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-208-Evacuation-e2r2ove
In this episode of the PFC Podcast, Dennis and Rich discuss the intricacies of preparing for evacuation in various environments, focusing on rotary wing and ground operations. Rich, a soft medic with extensive experience in flight medicine, shares insights on the challenges faced during patient transport, common mistakes made during handovers, and the importance of accurate MIST reports. The conversation emphasizes the need for thorough preparation, effective communication, and the critical natu...
Can we really depend on our Eldon Cards. Watch the entire podcast with the link below. https://spotifycreators-web.app.link/e/iHOF668syOb
Knowing your capabilities, is a crutial part of planning. You'll have to take an honest look at yourself. Link to the full episode: https://spotifycreators-web.app.link/e/iHOF668syOb
With the recent passing of Dr. Warner "Rocky" Farr. I thought the best tribute to a man that spent so much of his life dedicated to teaching medical providers, was to replay a lecture he gave at SOMSA.
In this episode of the PFC Podcast, Dennis and Andrew Fisher discuss the critical aspects of setting up a walking blood bank in military settings. They explore the importance of pre-identifying donors, logistical planning for blood collection, and the necessity of effective communication and coordination among units. The conversation emphasizes the execution and timing of blood collection during emergencies, highlighting that understanding the principles of medical procedures is more important t...
This is a clip from Friday's Podcast on Setting up an Austere Walking Blood Bank. https://spotifycreators-web.app.link/e/iHOF668syOb
In this episode of the PFC Podcast, Dennis and Dr. Brendan Graham discuss the controversial topic of using blood from dying patients for transfusions. They explore the physiological changes that occur in dying patients, the potential risks and ethical implications of such practices, and the future of blood transfusion technology. The conversation emphasizes the importance of understanding the complexities of blood physiology and the moral dilemmas faced in trauma care. Takeaways The concept of '...
In this episode of the PFC Podcast, Dennis and Doug delve into the complexities of pneumothorax and hemothorax, discussing when treatment is necessary, the implications of tension physiology, and the management of trauma patients. They explore the differences between spontaneous and traumatic pneumothorax, the importance of patient assessment, and the medical management strategies for these conditions. The conversation emphasizes the need for vigilance in monitoring patients and making timely de...
In this episode of the PFC Podcast, Dennis and Josh discuss the critical role of laboratory tests in trauma care, particularly in austere environments. They cover the timing and importance of drawing labs, the significance of arterial blood gases, lactate levels, and the interpretation of hemoglobin and electrolytes. Josh emphasizes the need for medics to understand normal lab values and how to integrate lab data into patient care effectively. Takeaways Labs are essential for timely trauma care....
In this episode of the PFC Podcast, Dennis and Doug delve into the complexities of traumatic cardiac arrest, distinguishing it from medical cardiac arrest. They explore the various causes of traumatic cardiac arrest, emphasizing the importance of rapid assessment and intervention. The conversation highlights the need for effective resource allocation during resuscitation efforts and the significance of understanding the underlying causes of cardiac arrest to guide treatment. Doug shares insights...
In this episode of the PFC Podcast, Dennis and Brad discuss the transition from fentanyl lollipops to SuFentanyl in military medicine. They explore the characteristics of SuFentanyl, its advantages and disadvantages compared to traditional fentanyl, and the practical implications of administering these drugs in the field. The conversation highlights the importance of understanding dosage, effectiveness, and the challenges faced by medical personnel in high-stress environments. In this conversati...
In this episode of the PFC podcast, Dennis and Winston discuss Methoxyfluorine, a volatile anesthetic agent known as the 'green whistle'. They explore its mechanism of action, indications for use, and practical applications in emergency care, particularly for managing severe pain in pre-hospital settings. The conversation emphasizes the importance of patient control in analgesia, safety considerations, and best practices for using Methoxyfluorine effectively. Takeaways Methoxyfluorine is used fo...
In this episode of the PFC Podcast, Dennis and JP Kolcun, a neurosurgery resident, delve into the complexities of spinal trauma. They discuss the differences between spinal shock and neurogenic shock, the assessment and management of penetrating and blunt spinal injuries, and the critical importance of addressing secondary injuries. The conversation emphasizes the need for timely intervention and the nuances of trauma care in both field and hospital settings. This conversation delves into the co...
In this episode of the PFC Podcast, Dennis, Jacob, and Alex discuss the unique challenges of providing medical care in Arctic conditions. They share their experiences and insights on managing cold weather injuries, innovative techniques for treating frostbite, and the complexities of airway management in extreme cold. The conversation also covers the importance of preparation, equipment, and training for military personnel operating in such environments, emphasizing the need for adaptability and...
In this episode of the PFC Podcast, Dennis and ICU doctor Doug discuss the intricacies of resuscitation techniques, focusing on the use of freeze-dried plasma (FTP) and its benefits in trauma care. They explore the physiological aspects of trauma, the role of endotheliopathy, and practical applications of FTP in emergency situations. The conversation also touches on the comparison between FTP, whole blood, and albumin, highlighting the challenges and considerations in using these fluids for resu...
In this episode of the PFC Podcast, Dennis speaks with Dr. Lee Cancio, a surgeon and director of the U.S. Army Institute of Surgical Research Burn Center. They discuss the complexities of managing white phosphorus burns, a serious concern in modern warfare. Dr. Cancio shares insights on the properties of white phosphorus, the mechanisms of injury, and the critical steps in initial care and management of such injuries. The conversation also covers the importance of fluid resuscitation, monitoring...
In this episode of the PFC Podcast, Dennis Price discusses the efforts of Heroes for Humanity in response to Hurricane Helene's devastation in Western North Carolina. He shares insights on the immediate activation of volunteers, the assessment of needs, and the challenges faced during search and rescue operations. The conversation highlights the importance of community knowledge, the integration of various organizations, and the human behavior observed during crises. As winter approaches, the fo...
In this podcast episode, Dennis and Chris discuss the essentials of starting a podcast, including overcoming initial fears, the importance of authentic conversations, essential gear, post-production techniques, and the significance of media hosting. They also address common pitfalls like podfading, the need for quality content, and the importance of energy and authenticity in podcasting. The conversation provides valuable insights for aspiring podcasters looking to create engaging and successful...
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 ...
In this episode of the PFC podcast, Dennis and Kevin delve into the critical aspects of patient care, particularly focusing on hypothermia management. They explore the mechanisms of heat loss in patients, strategies to prevent it, and the challenges faced in austere environments. The conversation emphasizes the importance of maintaining patient warmth during trauma care and the implications of blood resuscitation on body temperature. They also discuss practical approaches for managing hypothermi...
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 i...
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 valuabl...
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 ...
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, offe...
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 hig...
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. I...
