Prolonged Field Care Podcast

Coadministration of Ketamine and Versed has been practice for quite awhile, but is it best practice? 

I realized there are some really good podcasts that haven't seen the light of day in a long while. The is no exception, Jamie discusses crush syndrome and lays out very well how to get it done. I will continue to label all of the reruns and continue to get new podcast out to you guys every two weeks. Enjoy

Of course you could pack the kitchen sink, but....Why? How about we start learning what labs are important, so that we can plan and pack better.

This is one of those areas that we do not get the oppertunity to practice as much as we would like. Anytime we can learn from someone else, we should listen. 

We all know the indications to secure the airway, but when the time comes....we hesitate. Should I take the airway or should I wait. Do I have what I need? Today, I spoke with another medic about a situation he found himself in.

Hope is not a plan.....Dennis speaks with Evan on medical planning.

Dr. Cooper discusses how all of these are linked and what can be done to help ourselves and eachother.

Sometimes it's good to go over the basics again. Doug gives us the run down on who needs vent management and how to get started.    For more content visit www.prolongedfieldcare.org

Everyone knows how hard it is to do good ventilation management using  our gear. If the patient is spontaneously breathing in any way it can be  next to impossible.  Are paralytics the answer?    Dennis speaks Evan (ER Doc) and Josh (ICU Doc) about the use of paralytics in vent management.

With bleeding from the "Box" causing such a large portion of the  potentially survivable deaths, can we go in there? A better question  probably "should we?". Stacy goes over how large the actual problem is and better yet, "What can be done", and "what does it take to do it?"

We're beyond explaining that blood is better than water, when it comes  to resus and trauma. Now let's start talking about HOW to do it better.  How to collect it faster and give it faster in the austere environment.  How can we use the gear we have and optimize this life saving process.

Usually, we are sending our patients to a higher level of care. What do you do with the patients you can't? Dennis and Ian go over a timely  topic.

Jon does this for a living. Dennis discusses some more practical aspects  of analgesia and sedation, such as how to assess for pain when your  patient is unconscious. Jon also discusses the practicality  using IV  lidocaine in an austere environment. This is another podcast from the study discussed on IV lidocaine.   http://www.oxfordjournals.org/podcasts/bjaed_intravenous...

Sometimes our patients are too sick to receive the care they need.  Dennis and Mark discuss the decision points on who goes to surgery and  when.

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.

Sometimes it's not an easy decision to turn around and go home. 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.

On this podcast, I talk with Jeff about the problem with overventilation. Should we switch to a pediatric bvm for adults?

Dennis and Doug break down the pretty complex issue of dealing with an AKI in the austere environment.

Dennis discusses the new Sepsis in the PFC environment CPG with Justin and Doug.

Dennis, Tim, and Ian go through the diagnosis of the acute abdomen.

Dennis discusses the medical aspects of a trip to Antarctica.

Dennis and Scott discuss what to do after the life threats have been addressed and the healing begins.

Dennis talks with Mark on the importance of nutrition in critically injured patients.

Dennis and Dave deep dive into TBI and the various types of herniation.  Hint...the most common is not the one we have been trained on.

Dennis talks with Josh and Jeremy about the Special Operations Medic  Coalition, how they're helping the community, and what they have planned  for the future.    For more content, go to www.prolongedfieldcare.org