Patients die...That's a fact of life, but how do you train for that without crushing the medics' confidence? Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-211-Training-Scars-e2sq2n3
Doing a good AAR or debrief is not as easy as it looks. There are definite right and wrongs when giving feedback. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-211-Training-Scars-e2sq2n3
All students are different and need different approaches to get them were they need to be. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-211-Training-Scars-e2sq2n3
Welcome Back...Let's kick 2025 off with another training discussion. In this conversation, Dennis and John discuss the current state of medical training, particularly in military contexts. They explore the shortcomings of existing training methodologies, emphasizing the need for a foundational knowledge base and a structured approach to skill acquisition. John introduces the concept of cognitive load theory and advocates for a gradual progression in training stressors to enhance learning outcome...
What are we doing wrong with medical scenarios? Dennis chats with Jon from Next Generation Combat Medics on Training Scars. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-211-Training-Scars-e2sq2n3
In this episode of the PFC Podcast, Dennis and Alex discuss the complexities of trauma surgery, particularly focusing on pelvic injuries and the use of pelvic binders. They explore the subjective nature of truth in medical practice, the importance of research and evidence in trauma care, and the anatomy and physiology related to pelvic injuries. The conversation delves into injury patterns, damage control surgery, and the challenges faced in operational environments. They also engage in a debate...
Here's another great podcast from early '24. This was a great presentation at SOMSA 24 and finished the year at #2. This podcast episode discusses the challenges and trends in Special Operations Medicine, focusing on the training and evaluation of medics. The speakers share insights from their experiences at the Joint Special Operations Medical Training Center, highlighting the importance of regular training, data collection, and critical thinking in medical scenarios. They also address common c...
Here's another great podcast from early '24. This was a great conversation and finished the year at #3. In this episode of the PFC podcast, Dennis and Doug delve into the complexities of crush syndrome, discussing the importance of scene safety, initial assessment, and the management of casualties in dynamic environments. They explore the application of tourniquets, fluid resuscitation strategies, and the monitoring of potential complications such as reperfusion injury and electrolyte imbalances...
Here's another great podcast from early '24. This was a great conversation and finished the year at #4. In this episode of the PFC Podcast, Dennis and John delve into the complexities of chest trauma management, discussing the appropriate use of chest seals, the importance of blood resuscitation, and the nuances of various medical interventions such as needle decompression and finger thoracotomy. They also explore the need for a revised approach to the March algorithm, emphasizing the importance...
Here's another great podcast from early '24. This was a great conversation and finished the year at #5. In this episode of the PFC Podcast, Dennis interviews Steve Schauer, an active duty lieutenant colonel in the US Army, about his research on calcium levels in trauma patients. They discuss the significance of calcium in trauma care, the challenges of conducting research in military settings, and the methodology of their study. Steve shares insights on the correlation between calcium derangemen...
Here's another great podcast from early '24. This was a great conversation with a legend and finished the year at #6. In this episode of the PFC Podcast, Phil Gonzalez shares his extensive experiences in combat medicine, detailing his journey from the military to becoming a Special Forces medic. He reflects on his time in Vietnam, the challenges faced, and the lessons learned in the field. Phil discusses the importance of teamwork, adaptability, and the unique role of medics in combat situations...
If you like what you hear in this podcast, I can tell you that they are looking for a few good medics. Here's the link: https://capps.taleo.net/careersection/ex/jobdetail.ftl?job=00046711&tz=GMT-06%3A00&tzname=America%2FChicago In this episode of the PFC Podcast, Dr. JR Pickett discusses his role as Chief Deputy Medical Director for the City of Austin, Texas, focusing on medical operations along the Southwest border. He shares insights into the unique challenges faced in remote areas, th...
Here's another great podcast from early '24. This was a great conversation and finished the year at #7. In this episode of the PFC podcast, Dennis, Jonathan, and Frank delve into the fascinating world of maggot therapy, exploring its historical roots, benefits, and applications in modern medicine, particularly in austere environments. They discuss how maggot therapy can effectively treat chronic wounds, its cost-effectiveness compared to traditional methods, and the importance of integrating it ...
Here's another great podcast from early '24. This was a great conversation and finished the year at #8. 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 ...
Here's another great podcast from early '24. This was a great conversation and finished the year at #9. In this podcast episode, Winston and I delve into the intricate world of pain and its pathways. They explore the nervous system's role in pain transmission, the different types of pain including nociceptive, neuropathic, and nociplastic pain, and the significance of sensitization in chronic pain conditions. The discussion also highlights practical approaches to pain management, including the u...
It's that time of year again. Let's finish the year off strong with your favorite podcasts. Don't worry...I already have new episodes in the pipe starting in January. In this episode of the PFC Podcast, Dennis and Jeff delve into the complexities of anoxic brain injury, discussing its causes, recovery processes, and prevention strategies in tactical environments. They emphasize the importance of monitoring, airway management, and resuscitation goals, while also addressing the management of hypot...
We know what it does, but does it really have a real place in DCR? Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-210-Logistics-of-Labs-e2rv043
Use your lab values to check the accuracy of your other diagnostics. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-210-Logistics-of-Labs-e2rv043
Talk about ICU in a rucksack! Dealing with a crush patient in an austere environment. Link to the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-210-Logistics-of-Labs-e2rv043
In this episode of the PFC podcast, Dennis and Doug delve into the practical aspects of lab values in trauma care. They discuss when to draw labs, the significance of pH, the role of bicarbonate and calcium in resuscitation, and the interpretation of blood gas values. The conversation also covers the limitations of hemoglobin measurements, the management of potassium levels in crush injuries, and the use of hypertonic saline in head injury cases. The episode emphasizes the importance of understa...
Link to the full podcast: https://spotifycreators-web.app.link/e/GKNRqK0tYOb
What's actually happening? Why do I have to convert this TQ? Link to full podcast: https://spotifycreators-web.app.link/e/GKNRqK0tYOb
In this episode of the PFC Podcast, Dennis and Jamie discuss the critical topic of tourniquet conversion versus replacement in trauma care. They explore the guidelines for when and how to convert a tourniquet, the implications of prolonged tourniquet use, and the importance of assessing limb salvageability. The conversation also covers the management of reperfusion injury and the use of calcium and bicarbonate in resuscitation. Jamie emphasizes the need for medics to be prepared and confident in...
You need to be honest with yourself about the accuracy of the information you're using to diagnose or disposition your patient. Link to the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-209-Crashing-Transfer-Patient-e2rlspj
Does this patient need surgery or not? Use imagery to help determine if that patient really needs that evacuation. What if you don't have imagery? Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-209-Crashing-Transfer-Patient-e2rlspj
This week Alex and I dive into the data through a recent research paper on crashing trauma patients. Link to the full episode: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-209-Crashing-Transfer-Patient-e2rlspj
In this episode of the PFC Podcast, Dennis and Alex delve into a recent study on hemodynamic deterioration in trauma patients during inter-hospital transfers. They discuss the implications of the study's findings, the challenges posed by the tyranny of distance in trauma care, and the importance of effective communication in medical transfers. The conversation also covers the study's methodology, the significance of injury severity scores, and the need for stringent monitoring parameters in trau...
The conversation delves into the critical aspects of blood storage and resupply in military settings. It highlights the importance of maintaining temperature logs for blood storage, the challenges of resupplying blood to forward troops, and innovative solutions such as using drones for blood delivery. The discussion emphasizes the need for proper management and logistics to ensure that blood products are available and safe for use in chaotic environments. Takeaways Temperature logs are essential...
We are definitely using these terms wrong and it's holding us back. Link to the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Blood-Storage-e2reott
In this episode of the PFC Podcast, Dennis interviews Monte Leja from Delta Development, discussing the critical need for blood refrigeration in prolonged field care. Monte shares his extensive military background and the challenges faced in transporting and storing blood products in combat situations. The conversation delves into the innovative technology developed for blood refrigeration, the importance of maintaining proper temperature guidelines, and the operational use of blood products in ...
