Prolonged Field Care Podcast

In this episode of the Medical Support to Irregular Warfare podcast, the hosts discuss the importance of Missy Givens' new book, 'A Lay Person's Guide for Prolonged Casualty Care.' The conversation covers the necessity of the book, its development process, and how it aims to empower laypersons with medical knowledge in emergency situations. The discussion also touches on the challe...

In this episode of the PFC Podcast, Dennis engages with Patrick, Mason, and Jonathan to discuss the emerging research on cadaveric blood and its potential applications in military medicine. The conversation explores the historical context of deceased donor blood, the pressing need for alternatives in blood supply during large-scale combat operations, and the ethical considerations surrounding bloo...

In this episode of the PFC Podcast, the discussion revolves around cold-weather injuries, particularly frostbite and trench foot. Ian shares his extensive experience in wilderness medicine and military operations, highlighting the historical significance of these injuries in military conflicts. The conversation covers prevention strategies, treatment protocols, and the importance of rapid rewarmin...

In this episode of the PFC Podcast, Dennis and Dr. John Holcomb discuss a study on ischemia reperfusion injury related to prolonged tourniquet use in combat settings. They explore the rationale behind the study, the criteria for patient inclusion, and the assessment of limb viability. The conversation delves into the implications of compartment syndrome, the management of reperfusion injury, and t...

In this episode of the PFC Podcast, Dennis speaks with Brad, a seasoned medic with experience in special operations. Brad shares a gripping account of a night raid in Afghanistan, detailing the challenges faced during casualty management under fire. The conversation delves into the importance of training, preparation, and the availability of blood in emergency situations, as well as common mistake...

In this episode of the PFC Podcast, Dennis and Max delve into the complexities of hemorrhagic shock, discussing its classifications, the importance of understanding compensated versus uncompensated shock, and the vital signs that indicate a patient's condition. They explore resuscitation strategies, emphasizing the need for careful assessment and decision-making in trauma care. Special considerati...

In this episode of the PFC podcast, Dennis and Bryce discuss the challenges and strategies of training non-medics in medical skills. Bryce shares his experiences as an 18 Delta Special Forces medic, emphasizing the importance of engaging team members in medical training to enhance patient care and operational effectiveness. The conversation covers the benefits of mentorship, fostering curiosity am...

In this episode of the PFC Podcast, Dennis speaks with Justin Ball, a licensed clinical social worker and former Green Beret, about the complexities of combat stress and mental health. They discuss the importance of recognizing maladaptive stress responses, the concept of limbic hijack, and the significance of co-regulation techniques in high-stress situations. Justin introduces the SABRE method f...

In this episode of the PFC podcast, Dennis, Andrew, and Rick delve into the complexities of triage in emergency medicine, particularly in mass casualty situations. They discuss the importance of understanding triage categories, share real-life experiences, and emphasize the role of leadership and resource management in effective triage. The conversation also highlights the need for integrated trai...

This podcast episode delves into the complexities of irregular warfare in the Indo-Pacific region, featuring insights from Dr. Andrew Maher, a subject matter expert. The discussion covers the definitions and implications of irregular warfare, the rise of proxy warfare, and the challenges faced by allies in understanding and engaging in these conflicts. Medical support and casualty management in tr...

The inaugural episode of the MSIW podcast introduces the critical role of medical support in irregular warfare. The conversation highlights the evolving challenges faced by medical personnel on the battlefield, the need for adaptation in training and technology, and the importance of preparing for future conflicts. The speakers emphasize the necessity of a robust medical trauma system and the inte...

In this episode of the PFC Podcast, host Dennis speaks with Steve Schauer, a lieutenant colonel in the US Army and a critical care fellow, about his research on calcium levels in trauma patients. They discuss the importance of understanding calcium derangements, the challenges of correlating civilian and military trauma, and the impact of pre-hospital care on calcium levels. Steve shares insights...

This presentation at SOMSA'25 discusses the analysis of transfusion reactions in trauma patients, focusing on data from military settings. It highlights the importance of blood transfusions in improving survival rates, the rates of transfusion reactions, and the limitations of the current data. The conversation emphasizes the need for further research to understand the implications of transfus...

In this episode of the PFC Podcast, Dennis and Mike Hetzler delve into the intricacies of mission planning, particularly in the context of medical operations in foreign environments. They emphasize the importance of thorough preparation, understanding local medical infrastructures, and the necessity of proactive planning to ensure successful outcomes in high-stakes situations. The conversation cov...

In this episode of the PFC Podcast, Dennis and Mike discuss the complexities of providing medical care in austere environments, focusing on the importance of understanding requirements, building relationships, and executing effective educational processes. They emphasize the need for thorough planning, cultural awareness, and continuous assessment to ensure successful outcomes in humanitarian miss...

In this episode of the PFC Podcast, Benjamin Ingram discusses the evolving landscape of military medicine, focusing on the challenges and innovations in medical training and care during combat. The conversation highlights the shift from the traditional 'golden hour' concept to a more nuanced understanding of medical capacity in warfare, the development of the Pickles concept for enhanced m...

This conversation explores the advancements in point-of-care ultrasound for combat abdominal trauma, particularly in the context of the ongoing war in Ukraine. The speaker discusses the limitations of traditional ultrasound protocols and introduces innovative approaches to enhance diagnostic accuracy. Through case studies, the importance of timely detection of injuries is emphasized, along with th...

The conversation delves into the complexities of providing medical care in remote areas, particularly focusing on the challenges faced in replicating hospital procedures. It emphasizes the critical nature of understanding hemorrhagic shock and the importance of timely resuscitation techniques, including blood transfusions, to improve patient outcomes. Takeaways There are limitations in replicating...

In this episode of the PFC Podcast, discusses the evolving landscape of military medicine, particularly focusing on blood transfusion protocols in combat situations. They emphasize the need for optimizing blood management practices, adapting to dynamic conflict environments, and the potential benefits of implementing type-specific transfusions. The conversation highlights the importance of trainin...

In this episode of the PFC Podcast, Dennis interviews Jennifer Gurney, an Army general surgeon specializing in trauma and burn care. They discuss the evolution of burn resuscitation practices, particularly the historical use of plasma and its potential benefits over crystalloid solutions. Gurney emphasizes the importance of plasma in treating burn shock, the timing and dosage of plasma administrat...

In this episode of the PFC Podcast, Colonel Stacey Shackelford discusses the critical aspects of managing abdominal trauma, particularly in battlefield settings. The conversation covers the statistics of battlefield casualties, current practices in trauma management, innovations in hemorrhage control, surgical techniques, and the challenges faced in trauma care. The discussion also emphasizes the...

This podcast episode features Mike Hetzler discussing NATO's training programs focused on medical support in irregular warfare. He outlines two primary courses: the Advanced Surgical Training Course and the Advanced Medical Concepts Course, emphasizing the need for tailored training to meet the diverse requirements of European nations. The discussion highlights the importance of tactical decis...

In this episode of the PFC Podcast, Dennis and Noel discuss the complexities of maritime irregular warfare, drawing on historical insights and personal experiences. They explore the challenges faced in maritime operations, the importance of experience, and the role of innovation and technology in modern warfare. The conversation emphasizes the need for effective communication within command struct...

In this episode of the PFC Podcast, Mikola, a self-medic from a special forces unit, shares his experiences and challenges faced in the medical field during the ongoing conflict in Ukraine. He discusses the complexities of medical evacuation processes, the importance of stabilization points, and the evolving threats posed by enemy tactics, particularly the use of drones. The conversation highlight...

This presentation discusses the significance of electromagnetic warfare in modern military operations, particularly in the context of the ongoing war in Ukraine. It highlights the importance of understanding the electromagnetic spectrum and its implications for medical devices used in combat. A pilot study measuring the electromagnetic signatures of handheld ultrasound systems is presented, reveal...