Prolonged Field Care Podcast

I talk with Dr. Moon about taking care of a patient with AMS, HAPE, and/or HACE in a PFC environment and when is it worth the consequences to evac the patient. Altitude illness is a condition that can occur when someone goes to high altitudes, such as in the mountains, and experiences symptoms like headaches, nausea, and fatigue. The podcast explains how altitude illness occurs and provides tips o...

Dennis speaks with a logistics expert, who has experience working in Ukraine with an NGO during the conflict. The conversation centers around the logistical challenges faced by refugees and the aid organizations that work to support them. The number of refugees in Ukraine fluctuates, and the population is highly mobile, which presents challenges for aid workers trying to provide services such as s...

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 t...

As superpowers begin moving into the artic circle, as medics we need to be prepared to treat patients in a very different environment they we have in recent past. Jacob and Eric speak about their experiences in the arctic. Please consider supporting us: patreon.com/ProlongedFieldCareCollective

If you sit on a patient long enough, infection has a greater chance of  taking hold and progressing to sepsis, or you may receive a patient who  has already been sick for days. Doc Jabon Ellis walks us through the  full spectrum from infection and SIRS to sepsis, shock and death.  Despite firm CoTCCC and ICRC recommendations for early antibiotics, in  the past we may have...

Today, I talk with Eric Bauer from Flight Bridge ED on Anaphylaxis and cover how bad and how fast this can overcome your patient. You can hear more about critical care flight on Eric's Podcast Flight Bridge ED. https://podcasts.apple.com/us/podcast/the-flightbridgeed-podcast/id595147712

Non-Governmental Organizations, Non-Profits and Volunteers have been  providing critical services on the battlefield for millennia.  Historically the traditional view of medical care in conflict zones was  that the military focused on victory and everything else was ancillary,  even care of their own wounded. Only in the last few centuries has there  been an evolution of c...

As a follow-up to the podcast on tension pneumothorax, how about simple pneumothorax? Dennis speaks with Doug on when you need to treat pneumothorax/hemothorax.

Dennis and the guys from the "Dustoff Medic podcast", discuss optimizing  your patient for evacuation. We go over the common mistakes and some of  the decision making processes of Load and go or Stay and Play when it  comes to the more invasive procedures.

In preparation for SOMSA, Dennis speaks with Ricky D. on how to give a great presentation. Remember to check out www.specialoperationsmedicine.org for SOMSA 2023 info.

Prolonged Field Care is back with a new episode on a long awaited topic,  traumatic ventilation.  We were finally able to corner a real, live  anesthesiologist who was actually more than happy to sit down and talk  about ventilation after his years of experience working at the heads of  thousands of patients.  This episode starts right off with a difficult  scena...

In this episode Dennis speaks with Andy about tension pneumothorax, interventions, and training scars.

When you can’t take cold stored whole blood with you and not all of your  soldiers are titered, a walking blood bank can mean the difference  between life and death for a patient in hemorrhagic shock.  With the  mounting evidence suggesting early blood is essential and not just a  good idea, you need to have a plan in order to hit the 30 minute target.   I have s...

Dennis speaks with Bill about Ultrasound in the austere environment.

While no single clinic setup will work for every situation, a common  baseline and checklist can make it far easier in customizing a clinic in  similar circumstances. This is not professed to be THE way but it is A  way in which ONE experienced team has created, tested, revised and  rehearsed a clinic with different casualties. Their pictures and  diagrams are provided in...

Sean and Dennis talk about the Shock Index, how it relates to our treatment decisions, and how it can guide our training. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4057268/

Upgrading  your airway kit with a portable end tidal CO2 monitor can help  in a  couple situations. While it has its limitations, it is essential  for   quickly determining if your tube is in the trachea during an  intubation.  This can be accomplished most accurately via a device with a   quantitative waveform such as the Emma Capnograph. If you c...

Kevin schools me up on real world use of Ketamine.

Justin, JJ, and I go over the Woundcare CPG.

Well, maybe emergency laparotomies are not for field medics, but there are a lot of other interventions that are 100% in our court. Dennis and Sean discuss what can be done.

Dr. Van Wyke and Dennis go over what can be done when managing a severe TBI in an austere environment.

Can controlling pain alone have an effect on PTSD? If so, how much? We  deep dive into analgesia and sedation and it's effect on the body and  the mind.

It's getting to be that time of year again, Ian schools us treating cold weather injury.

One more piece of advice.

Being ready for an emergent airway is more complicated than you probably think. Dennis talks with Kevin about the ENTIRE process of getting it done.