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Prolonged Field Care

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Prolonged Field Care Podcast 198: Wound Ballistics

In this conversation, Dennis and Mark discuss the importance of understanding wound ballistics in trauma surgery. Mark shares his experience working with special operations teams and developing medical proficiency training. They delve into the impact of high-energy rifle wounds and the fragmentation of bullets inside the body. They also discuss the role of entrance and exit wounds, the risks of packing hollow viscous injuries, and the importance of clinical judgment in treating gunshot wounds. In this conversation, Dr. Mark Shapiro discusses various aspects of wound ballistics, including...

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Prolonged Field Care Podcast 198: Wound Ballistics

September 16, 2024

UW Hospital

September 13, 2024

The conversation explores the topic of unconventional medical networks and how to establish them. The guest, Regan Lyon, discusses his thesis on this subject and the challenges involved. They discuss the historical context of guerrilla hospitals and...

Prolonged Field Care Podcast 197: Nursing Care

September 9, 2024

In this conversation, Kevin and Dennis discuss nursing care in a prolonged field care (PFC) setting. Kevin, an experienced nurse anesthetist, provides insights into when PFC nursing care begins and the importance of gathering data and assessing...

Stop giving Versed with your Ketamine

September 6, 2024

In this podcast episode, Dennis and Andy Fisher discuss the co-administration of ketamine and Versed. They explore the reasons behind the common practice of adding Versed to ketamine, the concept of emergence reactions, and the appropriate use of...

Prolonged Field Care Podcast 196: Withdrawing Interventions

September 2, 2024

In this conversation, Dennis and Dave discuss procedures like cricothyroidotomy (cric) and chest tube placement in the context of extended care. They explore the challenges of managing patients with airway interventions and the importance of...

S-Ketamine

August 30, 2024

In this podcast episode, Dennis and Pac discuss the use of ketamine in medical settings, particularly in austere environments. They cover topics such as the differences between S-ketamine and R-ketamine, the dosing and administration of ketamine for...

Prolonged Field Care Podcast 195: Innovating SOF

August 26, 2024

In this conversation, Dennis and Monti discuss the process of product development. They cover topics such as generating ideas, validating ideas with potential customers, protecting intellectual property, and deciding whether to build a business or...

MASCAL Lessons Learned

August 23, 2024

In this conversation, Rick, a senior medic for the 10th Special Forces Group, shares lessons learned from a mass casualty event in Eastern Afghanistan. He discusses the different types of mass casualty situations and the challenges faced in both...

Prolonged Field Care Podcast 194: Training

August 19, 2024

In this podcast episode, Dennis, Rick, and Paul discuss the challenges of training in the field of prolonged field care (PFC) and advanced medical training. They address the common problems of miscommunication and unrealistic expectations when it...

Disposition

August 16, 2024

In this podcast episode, Dennis and Ian discuss the process of disposition in emergency medical care. They explore how to transfer patients who cannot be evacuated to a higher level of care and instead need to be sent back to their families or local...

Prolonged Field Care 193: Ukrainian MEDEVAC

August 12, 2024

Mikola, a combat medic from the Ukrainian Special Operations Task Forces, shares his experience and challenges in providing medical care in the war-torn region of Ukraine during SOMSA 24. He discusses the difficulties of operating in a large and...

Burn Care

August 9, 2024

In this podcast episode, Dr. DeMello discusses the management of burns in a pre-hospital setting. He emphasizes the importance of following the MARCH approach and not letting the burn distract from other life-threatening injuries. He also highlights...

Prolonged Field care Podcast 192: Clot Formation Research

August 5, 2024

In this episode, Dennis and Alex discuss the importance of reading research papers and critically analyzing their applicability to the operational environment. They review a paper on the role of red blood cells in thrombosis and post-transfusion...

Abdominal Trauma

August 2, 2024

In this episode of the PFC Podcast, Colonel Stacey Shackelford discusses abdominal trauma and exsanguinating hemorrhage. He highlights the findings from studies on casualties who died before reaching a surgical hospital, with close to 90% of those...

Prolonged Field Care Podcast 191: Ether

July 29, 2024

The conversation revolves around the topic of ether and its use in surgery. Mike and Brad, both medical professionals, discuss the benefits and drawbacks of using ether as an anesthetic. They highlight its historical significance, safety profile,...

Tourniquet Conversion

July 26, 2024

In this episode of the PFC Podcast, Dennis and Jamie discuss the importance of tourniquet conversion in the context of combat medicine. They explain the difference between tourniquet conversion and tourniquet replacement, emphasizing the need to...

Prolonged Field Care Podcast 190: Surgery in Burma

July 22, 2024

In this podcast episode, Dennis interviews Tom Avery, a surgeon who worked in Myanmar with the Free Burma Rangers. Tom shares his experience providing critical care in a war-torn area and the challenges he faced. He discusses the importance of...

Can Fentanyl be used safely in the field?

July 19, 2024

In this podcast episode, Dennis and Brad discuss the use of fentanyl as an opioid analgesic. They explore the history and development of fentanyl, its pharmacological properties, and its advantages over other opioids. They also discuss the...

Prolonged Field Care Podcast 189: Welcome to the Jungle Part 2

July 15, 2024

In this part of the conversation, Dennis and Andy discuss common health issues and injuries that can occur in the jungle. They specifically focus on heat illnesses, musculoskeletal conditions, dermatological conditions, and tropical diseases. They...

TBI and Suicide

July 11, 2024

This podcast episode discusses the topics of PTSD, TBI, sleep, and suicide, particularly in relation to military personnel. The speaker, Joe Cooper, provides insights into the overlapping nature of these conditions and the need for a comprehensive...

Prolonged Field Care Podcast 188: Welcome to the Jungle Part 1

July 8, 2024

In this podcast episode, Dennis interviews Andy, a former UK Special Forces paramedic, about working in the jungle. They discuss the challenges and skills required to operate in the jungle, such as personal administration, environmental health, and...

Regional Blocks for Analgesia

July 5, 2024

In this podcast episode, the hosts discuss regional anesthesia and its role in the priorities of analgesia. They explain that regional anesthesia is a tool that allows for pain control without taking away consciousness or respiratory drive. They...

Prolonged Field Care Podcast 187: Most Interesting Medic in the World

July 1, 2024

Phil Gonzalez, a combat medic, shares his experiences in Vietnam and his journey to becoming a medic. He discusses the intense situations he faced in Vietnam, including being in dangerous situations and witnessing the horrors of war. He also talks...

The Basics: Versed

June 28, 2024

The conversation discusses patient positioning during procedural sedation and the use of Versed (Midazolam) as a sedative. The speakers explore the importance of patient positioning and the need to have a plan for airway management in different...

Prolonged Fieldcare Podcast 186: Personnel Rescue

June 24, 2024

Dennis Price discusses his experiences in organizing rescues in Afghanistan and Ukraine. He attributes his success to the blessings of God and his strong faith. In Afghanistan, he formed a company called Polaris. They were able to save 55 Americans...

What is the Best Airway

June 21, 2024

In this conversation, Dennis, Evan, and Doug discuss the debate between intubation and cricothyrotomy (cric) in the field. Dennis confesses his belief that intubation is the better option, while Evan and Doug argue for the use of cric in certain...

Prolonged Field Care Podcast 185: Airway Decisions

June 17, 2024

In this podcast episode, Dennis interviews Dr. Jim DuCanto, an anesthesiologist with a special interest in airway management. They discuss the decision-making process in emergency airway management, particularly in challenging situations such as...

Expectant Care

June 14, 2024

In this episode, Dennis, Doug, and Paul discuss how to treat expectant patients in a medical setting. They explore the concept of palliative care and its role in providing comfort to patients at all stages of care. They also discuss the challenges...

Prolonged Field Care Podcast 184: Expectant Care Discussion

June 10, 2024

The podcast episode discusses the controversial topics of expectant care and end-of-life care in a role one setting. The panel of experienced medics and docs share their personal experiences and concerns regarding training and implementation of...

Train your Teammates

June 7, 2024

Bryce, an 18 Delta out of the Special Forces group, discusses the challenges and strategies for training non-medics in medical skills. He emphasizes the importance of building a culture of medical training within the team and the benefits of...

Prolonged Field Care Podcast 183: Why YOUR medics Suck

June 3, 2024

In this episode of the PFC Podcast, the speakers discuss the state of medics in Special Operations Medicine and offer recommendations for improvement. They highlight the importance of regular and realistic medical training at the unit level, as well...

Sepsis in the Austere Environment

May 31, 2024

In this conversation, Dennis, Doug, and Justin discuss the development of a Sepsis Clinical Practice Guideline (CPG) for prolonged field care. They highlight the importance of early recognition and antibiotic administration in sepsis management....

Prolonged Field Care Podcast 182: When to Press

May 27, 2024

In this episode, Doug and Dennis discuss the appropriate use of vasopressors, specifically epinephrine and norepinephrine, in the management of shock. They highlight the importance of fluids in sepsis resuscitation and the potential dangers of using...

Walking Blood Bank Setup

May 24, 2024

In this podcast episode, Dennis and Andrew Fisher discuss the process of setting up a walking blood bank in a military setting. They emphasize the importance of practicing and adapting the process to specific needs. They recommend conducting ABO...

Prolonged Field Care Podcast 181: Burma Update

May 20, 2024

In this conversation, Dennis interviews Victor about his experiences in Burma and his work with Free Burma Rangers. Victor discusses the changing dynamics of the conflict in Burma and the progress made by ethnic forces. He also talks about his role...

Gold Standard Monitor For Resus

May 17, 2024

This podcast episode focuses on the importance of measuring urine output as a cheap and effective method for monitoring hemodynamics in prolonged field care. The hosts discuss the benefits of using a Foley catheter for urine measurement and...

Prolonged Field Care Podcast 180: Crush Syndrome Deep Dive

May 13, 2024

In this conversation, Dennis and Doug discuss crush syndrome and the challenges it presents in dynamic environments such as natural disasters or man-made incidents. They emphasize the importance of scene safety and the need to assess and stabilize...

Snake Envenomation In Austere Environments

May 10, 2024

In this episode of the Prolonged Fuel Care Podcast, Dr. Ben Abo and Jordan Benjamin discuss snake envenomation. They debunk common myths about snakebite treatment, such as using tourniquets, extractors, ice, or cutting into the wound. They emphasize...

Prolonged Field Care Podcast 179: Maritime Experience in Ukraine

May 6, 2024

In this podcast episode, Dennis interviews Pete, a former Navy Special Warfare medic with experience in maritime operations. They discuss the unique challenges of providing medical care in a maritime environment, including the need for...

The Basics: Calcium for RDCR

May 3, 2024

Ricky and Justin discuss their research on the administration of calcium in hemorrhagic shock. They explain how they became interested in the topic and the gaps they identified in current medical knowledge. They discuss the importance of calcium in...

Prolonged Field Care Podcast 178: Calcium and Trauma

April 29, 2024

In this podcast episode, Dennis interviews Steve Schauer about his calcium study in trauma patients. Steve provides an introduction to himself and his background in emergency medicine and research. He explains that the study aims to determine the...

The Basics: Winning in a Complex World

April 26, 2024

In this episode, Jim discusses the importance of adapting to the changing world and the need to prioritize the well-being of soldiers. He emphasizes the need for commanders and medical providers to understand the risks and challenges faced by the...

Prolonged Field Care Podcast 177: Guerilla Surgeon

April 22, 2024

In this podcast episode, Dennis interviews Alex McDonald, a medical student and member of Tactical Medicine New Zealand, about the republishing of the book 'Guerilla Surgeon.' The book tells the story of Dr. Lindsay Rogers, a New...

The Basics: TBI Management

April 19, 2024

Dr. Van Wyk discusses updates in traumatic brain injury (TBI) management, focusing on the CRASH 3 trial and the use of tranexamic acid (TXA). He explains that TXA is safe and reduces head injury-related death, particularly in patients with moderate...

Prolonged Field Care Podcast 176: High Altitude Illness

April 15, 2024

Summary: In this conversation, Dennis and Ian discuss the new high altitude Clinical Practice Guideline (CPG) in the Joint Trauma System. They cover topics such as acute mountain sickness (AMS), high altitude cerebral edema (HACE), and high altitude...

The Basics: Far Forward Surgery

April 12, 2024

In this podcast episode, Jay Baker discusses the topic of SOF surgical support in Special Operations Forces (SOF). He compares the different types of missions that soft surgical teams might be called upon to support and describes the gap that exists...

Prolonged Field Care Podcast 175: Maggot Therapy

April 8, 2024

Maggot therapy, also known as maggot debridement therapy (MDT), is a treatment that uses live maggots to clean and heal wounds. The therapy has a long history, dating back thousands of years, and has been used in various settings, including war...

The Basics: How to ETCO2

April 5, 2024

In this podcast episode, Doug discusses the use of End-tidal CO2 monitoring in medical practice. End-tidal CO2 is used to monitor the percent of carbon dioxide in blood that has been returned to the lungs. It is commonly used to confirm the...

Prolonged Field Care Podcast 174: AAJT

April 1, 2024

In this episode, Dennis interviews John and Paul about the Abdominal Aortic and Junctional Tourniquet (AAJT). They discuss the background and reasons for inventing the AAJT, including the need to control bleeding in the pelvis. They also talk about...

The Basics: Heat Injury

March 29, 2024

In this podcast episode, Dennis and Ian discuss heat injuries and illnesses. They cover the background science of body heat and heat transfer, as well as the different types of heat injuries, including heat cramps, heat syncope, heat exhaustion,...

Prolonged Field Care Podcast 173: Deep Dive on Pelvic Injury

March 25, 2024

In this episode, Dennis and Alex discuss the truth about pelvic binders and their relevance in trauma care. They explore the background and experience of Alex, who has extensive knowledge in trauma surgery. They delve into the anatomy and injury...

The Basics: How to do Research

March 24, 2024

In this podcast episode, Dennis and Ricky discuss how to pick and evaluate research papers to inform medical practice. They differentiate between causative research papers and retrospective observational studies, emphasizing the importance of...

Prolonged Field Care Podcast 172: Gas Anesthesia

March 18, 2024

This conversation explores the topic of gas anesthesia, its historical background, and its use in various environments. The conversation covers the shift to the TIVA technique, the importance of the anesthesia machine and equipment, and the training...

The Basics: En Route Casualty Care

March 15, 2024

This episode of the PFC podcast focuses on in-route casualty care. The guest, Nikki, shares her background and experience in the Navy and explains why she started an in-route care training course. The conversation covers common mistakes in...

Prolonged Field Care Podcast 171: Chest Trauma

March 13, 2024

In this conversation, Dennis and John discuss chest trauma management, specifically the use of chest seals and the sequence of interventions. They explore the overuse of chest seals and the potential complications they can cause. They also discuss...

Prolonged Field Care Podcast 171: Chest Trauma

March 11, 2024

The Basics: Blood Storage

March 8, 2024

In this podcast episode, Dennis interviews Monte from Delta Development about the need for a small blood refrigerator for prolonged field care. Monte shares his military background and experiences in Afghanistan and Iraq, where he realized the...

Prolonged Field Care Podcast 170: Medical Education

March 4, 2024

In this conversation, Dennis and Mike discuss the process of providing medical care and education in austere environments. They emphasize the importance of understanding the requirements and asking the right questions to ensure success. They also...

The Basics: Pain Control Lessons Learned

March 1, 2024

In this conversation, Dennis and Justin discuss lessons learned in analgesia and sedation. They emphasize the importance of understanding medications and dosages, as well as having a plan for drug administration. They share case studies and examples...

Prolonged Field Care 169: GSMSG in Urkraine

February 26, 2024

In this conversation, Aaron Epstein from GSMSG discusses the background and formation of GSMSG, their focus on training partners rather than providing services, and their work with military and security forces around the world. He shares lessons...

The Basics: Acute Kidney Injury

February 23, 2024

In this podcast episode, Dennis talks with Doug (an ICU doctor) about acute kidney injury. They discuss the causes and types of acute kidney injury, how to recognize it, and the treatment options available. They also cover the recovery and prognosis...

Prolonged Field Care Podcast 168: Austere Surgery

February 19, 2024

In this podcast episode, Dennis interviews David Hardin, a general surgeon with experience in austere environments. They discuss the differences between surgeons in first-world and austere environments, the importance of improvisation, training and...

The Basics: MSK Trauma

February 16, 2024

In this podcast episode, Dennis talks with Mark, a trauma surgeon, about lower extremity trauma and limb salvage. They discuss the decision-making process for determining if a limb is salvageable or not, the risk vs reward of tourniquet...

Prolonged Field Care Podcast 167: Working Together

February 12, 2024

In this podcast episode, Dennis and Antonio discuss the challenges and friction points that arise when working with providers from different countries. They explore how to iron out these issues efficiently to provide good care. The conversation...

The Basics: Team Dynamics

February 9, 2024

In this podcast episode, Dennis and Doug discuss the importance of team dynamics in critical care, specifically when dealing with critically injured patients. They highlight the challenges that arise when team members work individually and fail to...

Prolonged Field Care Podcast 166: Excited Delirium

February 5, 2024

In this podcast episode, Dennis interviews JR Pickett, an ER physician and EMS medical director, about excited delirium. They discuss the definition and history of excited delirium, the challenges faced by law enforcement and medical providers in...

The Basics: Resiliency And Teamwork

February 2, 2024

Dr. Mark Shapiro discusses resilience and teamwork in the medical field during the COVID-19 pandemic. He highlights the differences between the civilian medical system and the military's approach to stress and resilience training. Dr. Shapiro...

Prolonged Field Care Podcast 165: 10 Years of PFC

January 29, 2024

Today I chat with the Godfathers of PFC and discuss the concept of Prolonged Field Care (PFC) and its importance in military and civilian medical settings. It highlights the need for PFC in situations where evacuation is delayed or not possible, and...

The Basics: Tropical Medicine

January 26, 2024

Dr. Ryan Maves discusses clinical medicine topics, specifically malaria and other tropical diseases. He emphasizes the importance of preventing infections when traveling in tropical and remote areas through vaccination, hand hygiene, malaria...

Prolonged Field Care Podcast 164: Anoxic Brain Injury

January 22, 2024

In this podcast episode, Dennis and Jeff discuss anoxic brain injury, its causes, progression, and treatment. They emphasize the importance of preventing anoxic brain injury by following the March algorithm and maintaining blood flow, airway...

The Basics: Death of the Golden Hour

January 19, 2024

In this podcast episode, Dennis discusses the history and evolution of medical support in guerrilla warfare. He explores the role of unconventional warfare in the Army and provides examples of guerrilla warfare campaigns. Dennis also delves into the...

Prolonged Field Care Podcast 163: pREBOA

January 15, 2024

In this podcast episode, Dennis interviews Eric and Ted from Prytime Medical about the P-REBOA catheter. They discuss the training process in Ukraine, the differences between the P-REBOA and the original REBOA catheter, the benefits of the P-REBOA...

The Basics: Spinal Trauma With Ian Wedmore

January 12, 2024

In this podcast episode, Dennis interviews Ian, an ER physician with experience in wilderness medicine, about spinal trauma. They discuss the initial approach to spinal trauma, the process of clinically clearing the spine, the neuro exam for spinal...

Prolonged Field Care Podcast 162: Subterranean Rescue

January 8, 2024

In this episode, Sean McKay discusses the challenges and considerations of subterranean mobility and rescue. He emphasizes the importance of understanding the geology and environmental pathology of underground environments, as well as the need for...

The Basics: Setting Up a Clinic

January 5, 2024

In this podcast episode, Nate, a Special Forces Detachment Commander, discusses the importance of incorporating medical training into team operations. He shares his journey of realizing the limitations of his own medical knowledge and the need to...

Prolonged Field Care Podcast 161: Fentanyl

January 1, 2024

In this episode, Dennis and Brad discuss the use of fentanyl in medical settings. They provide an overview of the background and development of fentanyl, highlighting its reliability and predictability as an opioid. They explain the characteristics...

#1 Top Tens Podcasts of 2023: Ground Truth in Ukraine

December 29, 2023

Dennis is interviewing Dr. John Quinn who's on the ground working Role 1 medical operations for an NGO somewhere in Ukraine. The lessons being learned by John and others during the early days of this conflict and the past 8 years can be used...

#2 Top Tens Podcasts of 2023: MASCAL Lessons Learned

December 27, 2023

Today, I'm joined by Rick, a senior medic with 18 years of experience in AFSOC and the Green Berets. We dive into lessons learned from mass casualty events, focusing on reactive and proactive scenarios. Rick recounts a harrowing mission in...

#3 Top Ten Podcasts of 2023: Ketamine Deep Dive

December 25, 2023

Merry Christmas...Today, we're diving into the nitty-gritty of ketamine – that mind-bending stuff, you know? So, ketamine's like this receptor blocker, messing with your brain's signals. It's a mixed bag, really. In low doses, it...

#4 Top PFC Podcasts of 2023: PFC in Ukraine

December 22, 2023

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#5 Top PFC Podcasts of 2023: Ukraine Update

December 20, 2023

This Podcast was from June of this year. This is Dennis, and today I'm joined by Anri, a Ukrainian medic who will share some lessons learned from the battlefield. Anri talks about how wound patterns change in urban versus rural areas, with urban...

#6 Top PFC Podcasts of 2023: What's the Best Airway?

December 18, 2023

In the latest episode of the PFC podcast, I spoke with Evan and Doug about airway management. As experienced airway takers in both pre-hospital and hospital settings, they had some valuable insights. We discussed the controversy over intubation...

#7 Top PFC Podcasts of 2023: Improvised Med

December 15, 2023

In today's podcast, I chat with Aebhric OKelly the founder and Dean Emeritus of the College of Remote and Offshore Medicine (COROM) about Improvised medicine. I will be the first to say, as cool as it is to learn Improvised techniques, this is...

#8 Top PFC Podcasts of 2023: Combat Anesthesia

December 13, 2023

Dennis and Kevin Worth talk about combat anesthesia. The podcast discusses the four pillars of anesthesia, which are amnesia, analgesia, akinesia, and autonomic stability. The focus is on the importance of autonomic stability in combat situations....

#9 Top PFC Podcasts of 2023: Tension Pneumothorax

December 11, 2023

Now, let's dive into treating tension pneumothorax. Joined by Andy Fisher, our favorite surgery resident and social media provocateur. We're talking IFAC essentials and the needle decompression debate. Andy's been stirring the pot,...

#10 Top PFC Podcasts of 2023: Simple thing no one does

December 8, 2023

For the rest of the month, every Mon, Wed, and Fri, I will be posting the top 10 podcasts of '23. I will resume with the regular schedule on New Year's Day. Happy Holidays. This podcast discusses the importance of patient positioning in...

Prolonged Field Care Podcast 160: MDMA for PTSD

December 4, 2023

Dennis discusses MDMA therapy for PTSD with guest Emily, a pharmacist. They explore how MDMA is being researched as a treatment for combat-related PTSD, especially when conventional medications like SSRIs and SNRIs fall short. MDMA offers a unique...

The Basics: CBRNE for Dummies

December 1, 2023

Dr. Givens talks about dealing with CBRNE patients in the field. They discuss the need for standardized approaches and clinical guidelines. I'm all about simplifying things and making them user-friendly. The hot zone requires quick thinking and...

Prolonged Field Care Podcast 159: IV Lidocaine for Acute Pain

November 27, 2023

"Correction: The correct initial dose of lipid emulsion is 1.5mL/kg, not 1 mL/kg" Dennis interviews Sandeep, an anesthesiologist with military experience, about the use of IV lidocaine for acute pain management. Sandeep explains that IV lidocaine...

The Basics: Triage decisions in the future fight

November 24, 2023

Dennis hosts two special guests, Stacy Shackelford and Doc Rush, to discuss rethinking triage. They emphasize the need for a shift in the way medics are trained and how triage is approached. They challenge traditional triage algorithms and encourage...

Thanksgiving Special: Burn care CPG

November 23, 2023

Just in case....

Prolonged Field Care Podcast 158: Ketamine and Seizures

November 20, 2023

Dennis and guest Jeff Siegler, an assistant professor of emergency medicine, discuss the use of ketamine in managing status epilepticus. Status epilepticus is a prolonged seizure lasting more than five minutes, which can be life-threatening. They...

The Basics: Confined Space Rescue

November 17, 2023

Dennis and guest Shawn McKay discuss the basics of confined space rescue. They touch upon the importance of understanding the environment and potential risks, the need for monitoring equipment, and the selection of the right personnel for specific...

Prolonged Field Care Podcast 157: Nubain

November 13, 2023

Dennis and Brad discuss the use of Nubain, also known as Bufene. Nubain is a non-controlled narcotic that was FDA-approved in 1979 and gained popularity in the 1980s and 1990s. It is similar in strength to morphine but lacks some of its side effects...

Not so basic: Far-Forward Surgical Support

November 10, 2023

Jay Baker, a brigade surgeon with limited special operations experience, discusses the evolving landscape of surgical support in Special Operations Forces (SOF). He highlights the differences between traditional trauma care provided during the...

Prolonged Field Care Podcast 156: Training the Ventilator

November 6, 2023

Dennis and Josh discuss ventilator training on the PFC Podcast. Josh, a former ranger medic now working in a level one ICU, shares insights. They emphasize the importance of proper ventilation in the field and address common mistakes, like setting...

The Basics: Ventilations in Trauma

November 4, 2023

Dennis and Doug discuss the fundamentals of ventilatory management in trauma cases. They emphasize the distinction between the need for an airway and the need for a ventilator. Patients requiring an airway may have issues like swelling or trauma...

Prolonged Field Care Podcast 155: Arctic TCCC

October 30, 2023

Dennis interviews Thomas Trust Have, a former Danish Special Forces operative turned doctor, discussing the challenges of providing medical care in Arctic environments. Thomas emphasizes the extreme conditions, highlighting a hypothetical scenario...

The Basics: Team Dynamics

October 27, 2023

Dennis and Doug discuss the critical importance of effective team dynamics when dealing with critically injured patients. They highlight the challenges faced by medical teams who often work in silos, failing to communicate and coordinate...

Prolonged Field Care Podcast 154: Tourniquet Conversion

October 23, 2023

In today's episode, we're diving into the topic of tourniquet conversion. With conflicts happening globally, it's crucial to understand the difference between tourniquet conversion and replacement. Conversion means finding an alternative...

The Basics: Planning to Succeed

October 19, 2023

Today, we're diving into the crucial topic of medical contingency planning. Evan and I discuss the importance of planning for medical emergencies in various scenarios, emphasizing that timely evacuation is often more effective than improvised...

Prolonged Field Care Podcast 153: What is a SOF Medic

October 16, 2023

Dennis hosts a discussion with various military medics. They explain the role of Special Operations Forces (SOF) medics, emphasizing their training and responsibilities. Each guest represents different SOF units, such as Rangers, Navy SEALs, and...

The Basics - Cold Weather Injuries

October 12, 2023

In this podcast, Dennis discusses cold weather injuries, particularly frostbite and non-freezing cold injuries like trench foot. He highlights their historical significance, citing examples from military campaigns. Prevention is emphasized,...

Prolonged Field Care Podcast 152: S - Ketamine

October 9, 2023

Dennis welcomes his friend Pac to discuss S-Ketamine. Pac, an anesthetist with extensive experience, shares insights on using S-Ketamine in various medical settings. He highlights its potential advantages, such as improved analgesia and reduced...

Not so Basic: Feeding your patients

October 5, 2023

Welcome back to the PFC Podcast. Mark and I chat about feeding the critically ill. Now, look, when you're done stitching folks up and pumping them with antibiotics, there's a point you'll need to feed them. Mark shed light on how...

Prolonged Field Care Podcast 151: Mountain Rescue

October 2, 2023

Today, we've got Brett, a paramedic legend from El Paso County Search and Rescue. The mountains? Tricky business. One moment it's beach weather, the next it's a frigid winter wonderland – and that’s in the summer! Know what...

The Basics: Altitude Illness

September 28, 2023

Today, on the PFC Podcast, we dived deep into altitude illness with the experienced Dr. Moon from Duke University and Patrick O'Boyle, a senior medical instructor. Dr. Moon's been to Everest Base Camp, studies altitude physiology, and works...

Prolonged Field Care Podcast 150: ETCO2 Deep Dive

September 25, 2023

Here's the lowdown from the PFC Podcast episode 150 with Dennis and Alex, diving into ETCO2. Dennis chats with Alex, who's had a colorful career, from being a 68 Whiskey and a paramedic to now working with Massimo. They discuss the Emma...

The Basics: Train your Teammates

September 21, 2023

Bryce joined the podcast to share insights on training non-medics. Why bother? Well, Bryce emphasized the value of cross-training within teams. While it's not always easy to motivate folks to grasp medical tasks, it's a lifesaver. Literally. The...

Prolonged Field Care Podcast 149: Improvised Med Pt 2

September 18, 2023

This is part 2 of our 2.5 hour conversation with Aebhric OKelly the founder and Dean Emeritus of the College of Remote and Offshore Medicine (COROM) about Improvised medicine. I will be the first to say, as cool as it is to learn Improvised...

The Basics: Treating Pneumothorax

September 14, 2023

Today, we're diving deep into pneumothorax and hemothorax. Pneumothorax can quickly become an emergency, especially when it's not about the pressure but the declining SPO2. But where's the line between tension and hemothoraces? Our ICU doc expert...

Prolonged Field Care Podcast 148: Improvised Med Pt 1

September 11, 2023

Today's podcast is part one of a 2.5 hr chat with Aebhric OKelly the founder and Dean Emeritus of the College of Remote and Offshore Medicine (COROM) about Improvised medicine. I will be the first to say, as cool as it is to learn Improvised...

The Basics: Treating Tension Pneumothorax

September 7, 2023

Prolonged Field Care Podcast 147: Ground Truth in Burma

September 4, 2023

Welcome back, folks! Had a chat with Ephraim Matto, who's seen the thick of things in Burma. He spent the last six months there, amidst security crises and medical emergencies. Burma's ethnic minorities are resisting subjugation, and the...

The Basics - Field Blood Transfusions

August 31, 2023

Let's cut to the chase about field blood transfusion. Dr. Andrew Cap came on the PFC Podcast to drop some knowledge. We talked about a high-stakes op in Afghanistan where two soldiers suffered intense injuries. First patient? Lost both legs and...

Prolonged Field Care Podcast 146: Versed and Sedation Mastery

August 28, 2023

Today's episode, is all about "Versed." We've got Kevin and Paul here, chatting about patient positioning and the intricacies of using Versed, a benzodiazepine, for sedation. They touch on how different patients react to the drug,...

The Basics - PFC Airway CPG

August 24, 2023

Today, I'm chatting with Colin about the new Prolonged Fieldcare Airway CPG. Basically, it's a guideline for managing airways in tough situations. Colin's a special ops medic and he helped put this thing together. CPGs are like gold for medics, so...

Prolonged Field care Podcast 145: Tactical Timeout

August 21, 2023

Welcome back to the PFC podcast! Today, it's Dennis here with Casper and Paul. We're discussing a leadership tool called the Tactical Timeout, which helps teams ensure everyone is on the same page. Casper, a NATO Special Operations combat...

The Basics - Ketamine

August 17, 2023

Kevin schools me up on Ketamine and it's use in the field.

Prolonged Field Care Podcast 144: Pain Pathway

August 14, 2023

Hey there, it's Dennis from the Prolonged Field Care Podcast, episode 144. Today, Winston and I dive into pain pathways. You know, those definitions of pain like visceral or psychogenic, they've never helped me treat pain practically. So,...

The Basics - Blood Donation and Transfusion

August 10, 2023

Today, I'm joined by Brad, a former special operations medic and instructor, to talk about a harrowing experience during a night raid in Afghanistan. They faced a barricade shooter situation and multiple casualties. Despite the danger, their...

Prolonged Field Care Podcast 143: UW Hospital

August 7, 2023

Welcome back to the PFC Podcast. Today, we've got Regan on the show discussing her thesis on unconventional medical networks. She's an emergency medicine physician with extensive experience in special operations and unconventional warfare...

The Basics - Crush Syndrome

August 3, 2023

Hey there, folks! Welcome to the Prolonged Field Care Podcast. Today's episode is all about Crush Syndrome and how to handle tourniquet conversion. Our speaker, Doc Jamie Riesberg, is a pro in this field, so listen up! Crush Syndrome happens when...

Prolonged Field Care Podcast 142: Carfentinal

July 31, 2023

Hey, welcome back to the PFC podcast! This is Dennis, and I'm here with Aaron, an emergency medicine physician and medical toxicologist. We discuss carfentanil, a synthetic opioid used in the 2002 Moscow hostage rescue. Carfentanil can cause...

The Basics - The best way to monitor any resuscitation

July 28, 2023

Hey there, folks! Welcome back to the PFC podcast! Today, we're diving into some operational medicine stuff, and let me tell you, it's a gem. We'll be talking about the often overlooked, underestimated, and dirt-cheap way of monitoring...

Prolonged Field Care Podcast 141: Facial Trauma

July 24, 2023

Welcome back to the PFC Podcast. This is Dennis, and today I'm joined by my friend Burjor. We discuss facial trauma and the importance of hemorrhage control in austere environments. Burjor shares his expertise in maxillofacial surgery and...

The Basics - Beyond the Golden Hour

July 20, 2023

Hey there, folks! Welcome back to the PFC Podcast. Today's episode is a special one, recorded live at the JSOMTC during the joint trauma system teleconference. Dr. Doug Powell, a battalion surgeon in a special forces group, joins us to talk...

Prolonged Field Care Podcast 140: Borderland

July 17, 2023

Welcome back to the PFC Podcast with Dennis and guest JR, discussing their work on the border. Dr. JR Pickett, the Chief Deputy Medical Director for Austin, Texas, describes the rugged, rural regions they cover, far from major cities. The area...

The Basics - Wound Care in Prolonged Field Care

July 16, 2023

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...

Prolonged Field Care Podcast 139: Return to Duty

July 10, 2023

Hey there, welcome back to the PFC podcast! I'm Dennis, and today I'm joined by David and Tim. We'll be discussing the topic of Return to Duty and the important work these guys are doing for our service members. They hope to spread the...

The Basics - Documentation in Prolonged Field Care

July 6, 2023

Hey, welcome back to ProlongedFieldCare.org. I'm Paul, and today I want to talk about the importance of documentation in prolonged field care situations. Before you head out, make sure you have a checklist and all the necessary equipment,...

Prolonged Field Care Podcast 138: The Green Whistle

July 3, 2023

Welcome back to the PFC Podcast with Dennis and Winston discussing the "Green Whistle". Methoxofluorine, a volatile hydrocarbon similar to modern anesthetics, was used in general anesthesia until 2005 due to renal toxicity risks. However,...

Prolonged Field Care Podcast 137: PFC in Ukraine

June 26, 2023

Welcome back to the PFC podcast! Today we have a diverse group of individuals discussing their experiences in Ukraine. Kasha, an emergency pre-hospital critical care expert, spent several months there, while Denys, a physician and medical course...

Prolonged Field Care Podcast 136: Ukraine Update

June 19, 2023

Welcome back to the PFC Podcast. This is Dennis, and today I'm joined by Anri, a Ukrainian medic who will share some lessons learned from the battlefield. Anri talks about how wound patterns change in urban versus rural areas, with urban areas...

Prolonged Field Care Podcast 135: What's the Best Airway?

June 12, 2023

Prolonged Field Care Podcast 134: Blood Storage for Prolonged Field Care

June 5, 2023

Dennis is hosting the PFC podcast with Monty as his guest. Monty is a former army medic who has multiple rotations in Afghanistan and Iraq. He is now part of Delta development, which created a battery-powered blood refrigerator that can store blood...

Prolonged Field Care Podcast 133: PFC Update SOMSA 23

May 29, 2023

Welcome back to the PFC Podcast! Today, we're discussing some important topics that have come up recently. One of them has been going on for 10 years, while the other has been around even longer, related to irregular warfare. We're...

Prolonged Field Care Podcast 132: Combat Anesthesia

May 22, 2023

Prolonged Field Care Podcast 131: Simple thing no one does

May 15, 2023

This podcast discusses the importance of patient positioning in prolonged field care. The guest, Ethan Miles, a board-certified family medicine physician with extensive military experience, emphasizes that patient positioning is a forgotten aspect...

Prolonged Field Care Podcast 130: PSNOT?

May 8, 2023

Dennis introduces the Prolonged Field Care (PFC) Podcast 130, welcoming Alex as his guest speaker. Alex, Dan, and Rick are working on a project for the upcoming SOMSA, where they will present the idea of defining the different phases of care in...

Prolonged FieldCare Podcast 129: Preparing for Arctic Combat Medicine

May 1, 2023

In this episode, the we discuss the unique challenges and considerations involved in providing medical care in extreme cold weather conditions. They cover topics such as hypothermia, frostbite, cold injuries, and equipment and supplies needed for...

Prolonged FieldCare Podcast 128: Traumatic Cardiac Arrest

April 24, 2023

In this podcast, the Dennis and Doug discuss the challenges of treating traumatic cardiac arrest in the field and the importance of early intervention to improve outcomes. They also cover various topics such as identifying reversible causes,...

Prolonged FieldCare Podcast 127: Austere Dentistry

April 17, 2023

In this podcast, Dennis and Berger Langda discuss austere dentistry, specifically how to handle dental emergencies in an austere environment. They discuss the importance of preventive preparation, such as motivating participants to have a dental...

Prolonged FieldCare Podcast 126: Austere Emergency Care's European Vacation

April 10, 2023

This is Dennis from the Prolonged FieldCare podcast. In this episode, we have a group running an austere emergency care course in Norway. They discuss the challenges of providing medical care in remote or austere environments where evacuation to a...

Prolonged FieldCare Podcast 125: Behind the Smoke - White Phosphorus Burns

April 3, 2023

In this episode, Dennis and Dr. Cancio discuss the dangers and treatment of white phosphorus burns, which can be extremely painful and even fatal. They also talk about the challenges of providing medical care in combat situations and the importance...

Recycled Prolonged FieldCare Podcast 84: Altitude Illness

March 27, 2023

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,...

Prolonged Fieldcare Podcast 124: Logistics in Ukraine

March 20, 2023

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...

Recycled Prolonged Fieldcare Podcast 26: ICRC style Wound Care

March 13, 2023

Prolonged Fieldcare Podcast 123: Arctic PFC

March 6, 2023

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...

Recycled Prolonged Fieldcare Podcast 19: Infection, SIRS, and Sepsis

February 27, 2023

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...

Prolonged Fieldcare Podcast 122: Anaphylaxis

February 20, 2023

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...

Recycled Prolonged Field Care Podcast 37: PFC From The NGO Perspective With Alex Potter Of GRM

February 13, 2023

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...

Prolonged Fieldcare Podcast 121: Treating Pneumothorax

February 6, 2023

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.

Recycled Prolonged Field Care Podcast 85: Optimizing your patient for Evac

January 30, 2023

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...

Prolonged Fieldcare Podcast 120: How to Present

January 23, 2023

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.

Recycled Prolonged Field Care Podcast 21: Optimizing Traumatic Ventilations

January 16, 2023

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...

Prolonged Fieldcare Podcast 119: Tension Pneumothorax

January 9, 2023

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

Recycled Prolonged Field Care Podcast 49: Setting Up A Walking Blood Bank

January 2, 2023

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...

Prolonged Fieldcare Podcast 118: Ultrasound

December 26, 2022

Dennis speaks with Bill about Ultrasound in the austere environment.

Recycled Prolonged Fieldcare Podcast 54: SOP of the Ideal SOF Clinic

December 19, 2022

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...

Prolonged Fieldcare Podcast 117: Shock Index

December 12, 2022

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/

Recycled Prolonged Fieldcare Podcast 39: ETCO2 Applications and Limitations

December 5, 2022

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...

Prolonged Fieldcare Podcast 116: Ketamine Deep Dive

November 28, 2022

Kevin schools me up on real world use of Ketamine.

Recycled Prolonged Fieldcare Podcast 42: Woundcare Basics and Beyond

November 21, 2022

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

Prolonged Fieldcare Podcast 115: Surgery for Non-Surgeons part Deux

November 14, 2022

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.

Recycled Prolonged Fieldcare Podcast 61: TBI update with Van Wyke

November 7, 2022

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

Prolonged FieldCare Podcast 114: Analgesia and PTSD

October 31, 2022

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.

Recycled Prolonged Fieldcare Podcast 60: Cold Weather Injury

October 24, 2022

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

Prolonged Fieldcare Podcast 113: Emergent Airway ALIBI

October 23, 2022

One more piece of advice.

Prolonged Fieldcare Podcast 113: Emergent Airway

October 17, 2022

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.

Recycled Prolonged Fieldcare Podcast 82: Acute Kidney Injury

October 10, 2022

Urine output is the gold standard for adjusting any resuscitation, Dennis and Doug talk about the beans and what to do when things go wrong.

Prolonged Fieldcare Podcast 112: How to read a research paper

October 3, 2022

I know our listeners want to stay on the bleeding edge of medicine, but with today's "publish or die" environment, flashy titles can lead you down a wrong path. Ricky and Dennis go through how to properly read a research paper and be able to sift...

Recycle Prolonged Fieldcare Podcast 66: Calcium during RDCR

September 26, 2022

Dennis nerds out with Justin and Ricky on the importance of calcium during fresh whole blood transfusion.

Prolonged fieldcare Podcast 111. Adding Medications to the Formulary

September 19, 2022

Recommended medications are always being updated in the guidelines, but the formulary does not change nearly as fast. This is the right way to get things changed.

Recycled Prolonged Fieldcare Podcast 68: Pediatric Basics

September 12, 2022

Kids scare the crap out of everyone. Lets go through some basics and get back up to speed.

Prolonged Fieldcare Podcast 110: MASCAL Lessons Learned

September 5, 2022

Life is the cruelest teacher....it gives you the test and then teaches you the lesson. Rick walks through a very difficult situation and the many things that went well and what did not.

Recycled Prolonged Fieldcare Podcast: 74 MSK Trauma

August 29, 2022

Dennis and Mark discuss tourniquet conversion and pelvic fracture with associated mid-shaft femur fracture. For more content visit, www.prolongedfieldcare.org

Prolonged Fieldcare Podcast 109: Bring out your dead.

August 22, 2022

Death is an unfortunate part of medicine, but what do you do after the patient dies? Rick and Dennis discuss what to do if your patient can not be saved.

Recycled Prolonged Fieldcare Podcast 51: Tropical Medicine Considerations for PFC

August 15, 2022

It's not always trauma that gets you, Dennis and Ryan discuss fever of unknown origin.

Prolonged Fieldcare podcast 108: TRALI

August 8, 2022

Transfusion reactions are generally rare, but some are not as rare as you think? Combine that with other risk factors and you have a problem that you had better be prepared for. Don't worry Evan and Dennis walk through the the whole thing.

Recycled Prolonged Fieldcare Podcast 65: Hot weather injury

August 1, 2022

It's that time of year. Dennis and Ian talk about every medic favorite training injuries.

Prolonged Fieldcare Podcast 107: Is Bicarb worth it?

July 25, 2022

When it comes to dealing with crush syndrome, guys are super motivated to push sodium bicarb, but is it actually doing anything?

Recycled Prolonged Fieldcare Podcast 52: Walking the Fence of Evidence, Environment, and Experience

July 18, 2022

Dennis and Doug speak about everyone's favorite...Evidence Based Medicine...., but what do I do if there is none on what I'm researching?

Prolonged Fieldcare Podcast 106: Training Gaps

July 11, 2022

Nate gives his views on observed training gaps.

Recycled Prolonged Field Care Podcast 65: Airway Mastery

July 4, 2022

Evan goes through what it takes to get to be a master of the airway.

Prolonged Fieldcare Podcast 105: Rethinking Triage

June 27, 2022

Today, I speak with Dr. Shackleford and Dr. Rush about the realities of triage currently and moving into the future.

Recycled Prolonged Fieldcare podcast 38: Far Forward Surgical Support and Resources

June 20, 2022

I speak with Jay Baker on Far Forward Surgical Support.

Prolonged Fieldcare Podcast 104:Surgery for Non-surgeons

June 13, 2022

In this episode, I speak with Stacy Shackleford and Andy Fisher the need for surgery on the battlefield and what to do about it.

Prolonged Fieldcare Podcast 103: Train your Teammates

June 6, 2022

In this episode, I speak with Bryce about the importance of medical team training. What to teach and how to get involvement.

Recycled PFC Podcast 17: Expectant Patients and Palliative Care

May 30, 2022

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...

Prolonged Fieldcare Podcast 102: Burns in the Austere Environment with Dr. De Mello

May 23, 2022

In this episode I speak with Dr. De Mello, a retired anesthesiologist from the UK, with a lot of experience with burn patients both in the civilian hospital and military. Dr. De Mello is also a professor for the College of Remote and Offshore...

Recycled Prolonged Fieldcare Podcast 15: Analgesia Case Discussion Podcast With A Word On Emerging Ptsd Research

May 16, 2022

Dennis, Doug, and Paul talk through the PFC Analgesia and Sedation CPG

Prolonged Fieldcare Podcast 101: Ground truth in Ukraine

May 6, 2022

Dennis had the honor of interviewing Dr. John Quinn who's on the ground working Role 1 medical operations for an NGO somewhere in Ukraine. The lessons being learned by John and others during the early days of this conflict and the...

Prolonged Field Care Podcast 100: The Past, Present, and Future of PFC

April 29, 2022

This is our 100th episode! Today I speak with the Godfathers of the Prolonged Fieldcare Working Group and talk about how things got started and where things are going in the future.

Recycled Prolonged Fieldcare Podcast 14: Crush Injury Round table discussion

April 25, 2022

Jamie, Paul, and Dennis, discuss a difficult scenario with a crush injury patient.

Prolonged Fieldcare Podcast 99: Stop giving Versed with your Ketamine?

April 18, 2022

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

Recycled Prolonged Fieldcare Podcast 12: Crush Syndrome in the Austere Environment

April 11, 2022

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...