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This podcast covers medical care targeted to the Special Operations medical community with a focus on providing prolonged care in austere environments.

This podcast covers medical care targeted to the Special Operations medical community with a focus on providing prolonged care in austere environments.
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This podcast covers medical care targeted to the Special Operations medical community with a focus on providing prolonged care in austere environments.




45: Regional Anesthesia as an Analgesic Adjunct in PFC

When properly and safely administered regional anesthesia can augment your limited supply of narcotics and ketamine. It can also preserve your patient's mental status while providing targeted pain relief. This can be accomplished using a nerve stimulator and the techniques found in the Military Advanced Regional Anesthesia and Analgesia Handbook. If you have a portable ultrasound machine and a little practice you can also use the techniques found in the videos made available in by the New...


39: ETCO2

Doug and Dennis talk about the application and limitations of monitoring ETCO2 in prolonged field care situations.


36: ROLO to SOLO: The Logistics of Fresh Whole Blood Transfusion

The Tactical Hemostasis, Oxygenation and Resuscitation(THOR) Group including the 75th Ranger Regiment, NORNAVSOF and others have led the way in re-implementing type-O, low titer fresh whole blood far forward with the Ranger type-O Low titer(ROLO) program. In 2015 the Ranger Medical Leadership along with founders of the ROLO program published the paper, "Tactical Damage Control Resuscitation" outlining in detail why they chose to bring back fresh whole blood at the point of injury. Since...


34: Telemedicine to Reduce Risk in Austere Environments

Telemedicine is a crucial capability that must be planned and practiced. The base of knowledge that a SOF medic's knowledge encompasses includes many areas of medicine but generally lacks the depth and experience of specialists available to consult. This depth of knowledge is almost universally available when making a simple telephone call to any number of docs willing to take a call at all times of the day and night. Don't let pride or hubris prevent you from seeking advice from someone...


33: TIVA: Another Look at Pre-Hospital Analgesia and Sedation

Rick Hines has spent the last 20+ years in service to his country much of it deployed to combat zones and other unstable, austere environments and is dedicated to improving SOF Medicine. He made it a point to spend a fair amount of time with surgical teams when possible and has gained quite a bit of real world knowledge that we hope to pass on to a wider audience here.


32: Doug Explains the Burn Care Clinical Practice Guideline

Burns present another wound pattern that can be extremely difficult and time consuming for any level of provider to manage. So much so that there are dedicated burn teams that will often fly to where burn patients are being held in order to get them back to the burn center in San Antonio with the best chance of survival. We have taken the expert guidance of these critical care providers and packaged everything they have learned into a single clinical practice guideline targeted at the medic...


31: CBRN for Dummies COL Melissa Givens

We recorded this live from the Joint Special Operations Medical Training Center where Guest Lecturer COL Givens, shares the CBRNe knowledge she has learned working (among many other positions) as a Clinical Toxicologist around the world including as the SOCAFRICA Command Surgeon where she personally helped prepare members of 10th SFG(A) to deal with some of the most venomous snakes in the world. COL Melissa (Missy) Givens MD, MPH is a graduate of the United States Military Academy and USUHS...


30: REBOA for Prolonged Field Care with Joe DuBose

Dr. Joe DuBose is an Air Force Trauma Surgeon who recognized early in his career that hemorrhage was the number one killer of potentially survivable patients. This led him to a fellowship in vascular surgery and, as Dennis put it made him a guru in the emerging technology that allows a catheter to be placed in the femoral artery and snaked up past a bleed in the pelvis, abdomen and even chest where a balloon is then inflated cutting off all blood flow below that point. Dr. DuBose was the...


27: Winning in a Complex World

Jim originally gave this talk at SOMSA2017. Due to popular demand, we were able to convince him to rerecord after the conference concluded. Enjoy...


26: ICRC Style Wound Care

Version:1.0 StartHTML:000000313 EndHTML:000022696 StartFragment:000021664 EndFragment:000022613 StartSelection:000021664 EndSelection:000022613 SourceURL:https://prolongedfieldcare.org/2017/08/11/podcast-episode-25-advanced-icrc-wound-care-and-the-acute-wound-care-management-clinical-practice-guideline/ Podcast Episode 25: ICRC Style Wound Care and the NEW Acute Wound Care Management Clinical Practice Guideline – ProlongedFieldCare.org This Clinical Practice Guideline was written by a...