Prolonged Field Care Podcast

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...

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 histo...

Hey there, folks! Welcome to the Prolonged Field Care Podcast. Today's episode is all about Crush Syndrome and how to handle tourniquet conversion. Our speaker, Doc Jamie Riesberg, is a pro in this field, so listen up! Crush Syndrome happens when muscle tissue leaks into the bloodstream, causing trouble. We're entering a new era of war with limited evacuation and medical supplies, so we gotta be p...

Hey, welcome back to the PFC podcast! This is Dennis, and I'm here with Aaron, an emergency medicine physician and medical toxicologist. We discuss carfentanil, a synthetic opioid used in the 2002 Moscow hostage rescue. Carfentanil can cause CNS depression, pinpoint pupils, respiratory depression, and decreased gut motility. Reversing its effects may require higher doses of naloxone. However,...

Hey there, folks! Welcome back to the PFC podcast! Today, we're diving into some operational medicine stuff, and let me tell you, it's a gem. We'll be talking about the often overlooked, underestimated, and dirt-cheap way of monitoring patients in prolonged field care - measuring urine output. Now, this might not sound exciting, but trust me, it's essential! You can get crucial hem...

Welcome back to the PFC Podcast. This is Dennis, and today I'm joined by my friend Burjor. We discuss facial trauma and the importance of hemorrhage control in austere environments. Burjor shares his expertise in maxillofacial surgery and emphasizes the need to address bleeding and fluid loss in patients with scalp lacerations. He also provides insights on managing injuries in different areas...

Hey there, folks! Welcome back to the PFC Podcast. Today's episode is a special one, recorded live at the JSOMTC during the joint trauma system teleconference. Dr. Doug Powell, a battalion surgeon in a special forces group, joins us to talk about providing critical care in austere environments. With the increasing trend of sending smaller teams to more places, it's crucial for SOF medics t...

Welcome back to the PFC Podcast with Dennis and guest JR, discussing their work on the border. Dr. JR Pickett, the Chief Deputy Medical Director for Austin, Texas, describes the rugged, rural regions they cover, far from major cities. The area experiences scorching temperatures, and many migrants pass through, making it crucial to provide medical assistance. They encounter accidents, venomous snak...

This Clinical Practice Guideline was written by a fellow 18D with input from around the surgical community. It reconciles the differences between wound care done in a role 2 or 3 facility, such as serial debridements, with what is taught in the 18D Special Forces Medical Sergeant Course with regards to delayed primary closure. One way is not "right" while the other wrong, it has more to...

Hey there, welcome back to the PFC podcast! I'm Dennis, and today I'm joined by David and Tim. We'll be discussing the topic of Return to Duty and the important work these guys are doing for our service members. They hope to spread the word and get more people involved in helping out. David shares his background, mentioning his experience as a combat medic and his transition into the f...

Hey, welcome back to ProlongedFieldCare.org. I'm Paul, and today I want to talk about the importance of documentation in prolonged field care situations. Before you head out, make sure you have a checklist and all the necessary equipment, including medications, fresh whole blood kits, blood typing cards, fluids, specialty equipment, power supply, cables, and filled oxygen bottles. Ensure your...

Welcome back to the PFC Podcast with Dennis and Winston discussing the "Green Whistle". Methoxofluorine, a volatile hydrocarbon similar to modern anesthetics, was used in general anesthesia until 2005 due to renal toxicity risks. However, it continued to be used in Australia, New Zealand, and recently in the UK for pre-hospital care and burns units. In low doses, it acts as an analgesic,...

Welcome back to the PFC podcast! Today we have a diverse group of individuals discussing their experiences in Ukraine. Kasha, an emergency pre-hospital critical care expert, spent several months there, while Denys, a physician and medical course director, has extensive experience in training medics for the Ukrainian armed forces. Kevin, a former special agent and tactical paramedic, is currently e...

Welcome back to the PFC Podcast. This is Dennis, and today I'm joined by Anri, a Ukrainian medic who will share some lessons learned from the battlefield. Anri talks about how wound patterns change in urban versus rural areas, with urban areas having more trauma from shrapnel and secondary trauma from debris. He mentions the challenges medics face in treating these complex wounds, including fr...

In the latest episode of the PFC podcast, I spoke with Evan and Doug about airway management. As experienced airway takers in both pre-hospital and hospital settings, they had some valuable insights. We discussed the controversy over intubation versus cricothyrotomy. Evan and Doug raised some valid points, such as the need for suctioning, paralytics, and the difficulty of obtaining post-intubation...

Dennis is hosting the PFC podcast with Monty as his guest. Monty is a former army medic who has multiple rotations in Afghanistan and Iraq. He is now part of Delta development, which created a battery-powered blood refrigerator that can store blood between 1 and 6 degrees Celsius, which is vital for prolonged field care. The device can keep blood for up to 10 days on battery power and has a temper...

Welcome back to the PFC Podcast! Today, we're discussing some important topics that have come up recently. One of them has been going on for 10 years, while the other has been around even longer, related to irregular warfare. We're exploring how these two subjects can inform each other. Now, before we begin, I want to clarify that the views and opinions expressed here are solely mine. I al...

Dennis and Kevin Worth talk about combat anesthesia. The podcast discusses the four pillars of anesthesia, which are amnesia, analgesia, akinesia, and autonomic stability. The focus is on the importance of autonomic stability in combat situations. The best medication for amnesia in a downrange environment is Midazolam or Versed, and ketamine is a potent analgesic. The podcast also covers the MAP (...

This podcast discusses the importance of patient positioning in prolonged field care. The guest, Ethan Miles, a board-certified family medicine physician with extensive military experience, emphasizes that patient positioning is a forgotten aspect of medical training and that simple, low-cost interventions are often overlooked. Miles states that patient positioning is especially crucial in prolong...

Dennis introduces the Prolonged Field Care (PFC) Podcast 130, welcoming Alex as his guest speaker. Alex, Dan, and Rick are working on a project for the upcoming SOMSA, where they will present the idea of defining the different phases of care in PFC, just like TCCC. They believes that the medics should think about March for taking care of their patients, where they would continue to think about Mar...

In this episode, the we discuss the unique challenges and considerations involved in providing medical care in extreme cold weather conditions. They cover topics such as hypothermia, frostbite, cold injuries, and equipment and supplies needed for arctic operations. They also provide tips and resources for medical personnel preparing for arctic deployments. So, if you're interested in learning...

In this podcast, the Dennis and Doug discuss the challenges of treating traumatic cardiac arrest in the field and the importance of early intervention to improve outcomes. They also cover various topics such as identifying reversible causes, utilizing resuscitative thoracotomy, and managing hypovolemia. For more content go to www.prolongedfieldcare.org Consider supporting us: patreon.com/Prolonged...

In this podcast, Dennis and Berger Langda discuss austere dentistry, specifically how to handle dental emergencies in an austere environment. They discuss the importance of preventive preparation, such as motivating participants to have a dental checkup and using high fluoride toothpaste, as well as preparing oneself with an adequate dental kit. They also discuss common dental procedures and compl...

This is Dennis from the Prolonged FieldCare podcast. In this episode, we have a group running an austere emergency care course in Norway. They discuss the challenges of providing medical care in remote or austere environments where evacuation to a medical facility may not be possible for several hours or even days. The course focuses on changing people's mindsets and creating a team approach t...

In this episode, Dennis and Dr. Cancio discuss the dangers and treatment of white phosphorus burns, which can be extremely painful and even fatal. They also talk about the challenges of providing medical care in combat situations and the importance of being prepared for any situation. It's an informative and interesting listen, so if you're interested in military medicine or emergency care...