Prolonged Field Care Podcast

You have probably treated someone with an infection and likely even with  someone with SIRS criteria at some point in your career.  At what point  does a simple infection become concerning to the point that you should  call for a teleconsult?  When does it become emergent or life threatening, demanding intervention  and treatment?  How can you prevent an infectio...

What is the process that the CPGs go through before publication?       Medics identify what guidelines are needed.      A team consisting of a medic, unit surgeon and specialist in the  field begin a draft.     Additional authors, specialists and SMEs are added as identified      Progress is monitored by the Prolo...

Are you familiar with the concept of oxygen debt or oxygen deficit?   What constitutes a “dose” of shock?  What systolic BP constitutes  hypotension on the battlefield?  Where did the concept of permissive  hypotension come from?  Is it still valid? How long can fresh whole  blood last?   Blood Transfusions were a huge topic at this year’s meeting...

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...

This podcast is a follow up from our last post on managing traumatic brain injuries in austere environments. We included a scenario  discussion with David, Jamie, Daryl, Jay, Doug and I with much needed  answers to some frequently asked questions.  What are your priorities?  How do you assess in the field without labs and imagery? Do you include severe TBI injuries in your trau...

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...

We want you to be able to have more knowledge on this topic and more  confidently be able to answer these questions and plan for it, as well  as implement this into your training for hands on and trauma patient  assessment skills.   Traumatic Brain Injury (TBI) is physical damage to the brain caused by a  blow to the head, penetrating objects, motor vehicles crashes a...

Despite our best efforts, endless training, and reading, some of our  patients will die.  This has been a taboo subject that is difficult to  broach in the best of times.  We aim to start a conversation here with  the hope that  it continues with your Medical Director, PA, Surgeon and fellow Medics  before you are ever faced with this difficult situation out on y...

Being able to calm and sedate patient in operational or prolonged field  care situations may be a valuable skill.  Here are our thoughts on  sedating your patients when patient comfort and safety are an issue?   For more content, visit www.prolongedfieldcare.org