FlightBridgeED foamED – Podcasts – Prolonged Field Care Podcast

Prolonged Field Care Podcast: Rethinking Triage

In this podcast episode, Dennis, Stacy Shackelford, and Doc Rush discuss the critical topic of triage in emergency medical situations, particularly in military contexts. They explore the current challenges in triage practices, emphasizing the need...

January 24, 2025

Ultra-MASCAL? A lot of tough decisions to be made. PFC Podcast: Rethinking Triage

Imagine dealing with a 50+ patient MASCAL....where to even begin. Posting tomorrow Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more...

January 23, 2025

Basic management of Breakbone fever: PFC Podcast 213: Dengue Fever

Quick rundown of basic management of Dengue fever. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-213-Dengue-Fever-e2tgiks Thank you to Delta Development Team for in part, sponsoring...

January 23, 2025

What works what doesn't with Severe Dengue Fever: PFC Podcast 213: Dengue Fever

Every fluid has its purpose as well as its effects. Stick to the isotonic fluids to maintain your patient. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-213-Dengue-Fever-e2tgiks Thank...

January 22, 2025

Better Medicine from resource constraints? PFC Podcast 213: Dengue Fever

Resource constraints (within reason) can lead to innovation and ultimately better medicine. Links to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-213-Dengue-Fever-e2tgiks Thank you to Delta...

January 21, 2025

Prolonged Field Care Podcast 213: Dengue Fever

In this episode of the PFC Podcast, Dennis speaks with Dr. Ryan Maves, an infectious disease physician, about dengue fever, a significant tropical disease. They discuss the epidemiology, clinical presentation, management, and prevention strategies...

January 20, 2025

Signs and Symptoms of "Breakbone Fever": PFC Podcast 213: Dengue Fever

When patients complain of feeling sick....That doesn't help that much. Knowing what questions to ask will lead you to the correct treatment. Posting tomorrow... Link to the full...

January 19, 2025

Security is 1st...for a reason. PFC Podcast: Tactical Time-out

In operational/tactical EMS situation, you have to put security of the remaining personnel over the medicine. It's counter intuitive to our medical training, but incredilily important. Link to full...

January 19, 2025

Tactical situation dictates our medical plan. PFC Podcast: Tactical Time-out

As always, we as medics are part of the tactical situation. We must inform the ground commander of the medical situation and based on his determination, plan on how to best help our patients. Link to full...

January 18, 2025

Prolonged Field Care Podcast: Tactical Time-out

In this episode of the PFC Podcast, Dennis, Casper, and Paul discuss the concept of Tactical Timeout, a leadership tool designed to enhance communication and operational effectiveness in medical scenarios, particularly in military contexts. They...

January 17, 2025

TXA and Hypotension...PFC Podcast 212: TXA

Hypotension has been mentioned repeatedly in literature, but is it really a thing. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-212-TXA-e2sss55 Thank you to Delta Development Team...

January 16, 2025

TXA causing seizures? PFC Podcast 212: TXA

Can TXA cause seizures and hypotension...Always read the insert. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-212-TXA-e2sss55 Thank you to Delta Development Team for in part,...

January 15, 2025

Redosing TXA? PFC Podcast 212: TXA

Bleeding patient outside the 3 hr window...Can I redose TXA? Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-212-TXA-e2sss55 Thank you to Delta Development Team for in part, sponsoring...

January 14, 2025

Causation or correlation...TXA and Hypotension. PFC Podcast 212: TXA

Does TXA cause hypotension or is it just correlated due to the types of trauma patients it's indicated for? Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-212-TXA-e2sss55

January 13, 2025

Prolonged Field Care Podcast 212: TXA

In this episode of the PFC Podcast, Dennis speaks with John McClellan, a military trauma surgeon, about the use of Tranexamic Acid (TXA) in trauma care. They discuss the mechanism of TXA, its applications in pre-hospital settings, potential...

January 13, 2025

Myths, Risks, and Benefits of TXA: PFC Podcast 212: TXA

Posting tomorrow...Down and dirty chat with John on TXA and Trauma. Link to full episode: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-212-TXA-e2sss55

January 12, 2025

Setting up a CCP in a Firefight! PFC Podcast: MASCAL Lessons Learned

Controlling chaos both the environment we're working...and ourselves. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-MASCAL-Lessons-Learned-e2t1hd7

January 12, 2025

In the thick of it. PFC Podcast: MASCAL Lessons Learned

A MASCAL will humble anyone. It's always better to learn from other mistakes. Link to the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-MASCAL-Lessons-Learned-e2t1hd7

January 11, 2025

Prolonged Field Care Podcast: MASCAL Lessons Learned

Considering recent events, I thought it would be a good time to push this info back out. In this episode of the PFC Podcast, Dennis and Rick discuss critical lessons learned from military operations, particularly focusing on mass casualty...

January 10, 2025

Organization of people , gear, and information. PFC Podcast: MASCAL Lessons Learned

It's very easy to be overwhelmed with events. Having your organization pre-planned, will help out immensely. Link to the full podcast posting...

January 9, 2025

Skill Transfer by Phase lines? PFC Podcast 211: Training Scars

We all use Walk, Crawl, Run..But what does that actually mean and how does training change? Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-211-Training-Scars-e2sq2n3

January 9, 2025

Everyone gets a prize? PFC Podcast 211: Training Scars

Patients die...That's a fact of life, but how do you train for that without crushing the medics' confidence? Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-211-Training-Scars-e2sq2n3

January 8, 2025

How to conduct an AAR. PFC Podcast 211: Training Scars

Doing a good AAR or debrief is not as easy as it looks. There are definite right and wrongs when giving feedback. Link to full podcast:...

January 7, 2025

Adjusting to your students. PFC Podcast 211: Training Scars

All students are different and need different approaches to get them were they need to be. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-211-Training-Scars-e2sq2n3

January 6, 2025

Prolonged Field Care Podcast 211: Training Scars

Welcome Back...Let's kick 2025 off with another training discussion. In this conversation, Dennis and John discuss the current state of medical training, particularly in military contexts. They explore the shortcomings of existing training...

January 6, 2025

What are we doing wrong? PFC Podcast 211: Training Scars

What are we doing wrong with medical scenarios? Dennis chats with Jon from Next Generation Combat Medics on Training Scars. Link to full podcast:...

January 5, 2025

Top 10 Podcast 0f 2024: #1 Pelvic Injury

In this episode of the PFC Podcast, Dennis and Alex discuss the complexities of trauma surgery, particularly focusing on pelvic injuries and the use of pelvic binders. They explore the subjective nature of truth in medical practice, the importance...

January 1, 2025

Top 10 Podcast 0f 2024: #2 Why your Medics Suck

Here's another great podcast from early '24. This was a great presentation at SOMSA 24 and finished the year at #2. This podcast episode discusses the challenges and trends in Special Operations Medicine, focusing on the training and evaluation of...

December 30, 2024

Top 10 Podcast 0f 2024: #3 Crush Syndrome

Here's another great podcast from early '24. This was a great conversation and finished the year at #3. In this episode of the PFC podcast, Dennis and Doug delve into the complexities of crush syndrome, discussing the importance of scene safety,...

December 28, 2024

Top 10 Podcast 0f 2024: #4 Chest Trauma

Here's another great podcast from early '24. This was a great conversation and finished the year at #4. In this episode of the PFC Podcast, Dennis and John delve into the complexities of chest trauma management, discussing the appropriate use of...

December 27, 2024

Top 10 Podcast 0f 2024: #5 Calcium and Trauma

Here's another great podcast from early '24. This was a great conversation and finished the year at #5. In this episode of the PFC Podcast, Dennis interviews Steve Schauer, an active duty lieutenant colonel in the US Army, about his research on...

December 25, 2024

Top 10 Podcast 0f 2024: #6 Most Interesting Medic in the World

Here's another great podcast from early '24. This was a great conversation with a legend and finished the year at #6. In this episode of the PFC Podcast, Phil Gonzalez shares his extensive experiences in combat medicine, detailing his journey from...

December 23, 2024

Bonus Episode: Borderland

If you like what you hear in this podcast, I can tell you that they are looking for a few good medics. Here's the link: https://capps.taleo.net/careersection/ex/jobdetail.ftl?job=00046711&tz=GMT-06%3A00&tzname=America%2FChicago In this...

December 21, 2024

Top 10 Podcast 0f 2024: #7 Maggot Therapy for wounds

Here's another great podcast from early '24. This was a great conversation and finished the year at #7. In this episode of the PFC podcast, Dennis, Jonathan, and Frank delve into the fascinating world of maggot therapy, exploring its historical...

December 20, 2024

Top 10 Podcast 0f 2024: #8 Zombie Blood

Here's another great podcast from early '24. This was a great conversation and finished the year at #8. In this episode of the PFC Podcast, Dennis and Dr. Brendan Graham discuss the controversial topic of using blood from dying patients for...

December 18, 2024

Top 10 Podcasts of 2024: #9 Pain Pathway

Here's another great podcast from early '24. This was a great conversation and finished the year at #9. In this podcast episode, Winston and I delve into the intricate world of pain and its pathways. They explore the nervous system's role in pain...

December 16, 2024

Top 10 PFC podcast of 2024 - #10 Anoxic Brain Injury

It's that time of year again. Let's finish the year off strong with your favorite podcasts. Don't worry...I already have new episodes in the pipe starting in January. In this episode of the PFC Podcast, Dennis and Jeff delve into the complexities...

December 13, 2024

Does Bi-Carb have a place in Trauma Resus? PFC Podcast 210: Logistics of Labs

We know what it does, but does it really have a real place in DCR? Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-210-Logistics-of-Labs-e2rv043

December 11, 2024

Know the accuracy of you diagnostics. PFC Podcast 210: Logistics of Labs

Use your lab values to check the accuracy of your other diagnostics. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-210-Logistics-of-Labs-e2rv043

December 10, 2024

When to pull the trigger on Calcium. PFC Podcast 210: Logistics of Labs

Talk about ICU in a rucksack! Dealing with a crush patient in an austere environment. Link to the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-210-Logistics-of-Labs-e2rv043

December 9, 2024

Prolonged Field care Podcast 210: Logistics of Labs

In this episode of the PFC podcast, Dennis and Doug delve into the practical aspects of lab values in trauma care. They discuss when to draw labs, the significance of pH, the role of bicarbonate and calcium in resuscitation, and the interpretation...

December 9, 2024

Balancing Life and Limb...This is why your "Doc" PFC Podcast: Tourniquet Conversion

Link to the full podcast: https://spotifycreators-web.app.link/e/GKNRqK0tYOb

December 8, 2024

What's going on with TQ times? PFC Podcast: Tourniquet Conversion

What's actually happening? Why do I have to convert this TQ? Link to full podcast: https://spotifycreators-web.app.link/e/GKNRqK0tYOb

December 7, 2024

Prolonged Field Care Podcast: Tourniquet Conversion

In this episode of the PFC Podcast, Dennis and Jamie discuss the critical topic of tourniquet conversion versus replacement in trauma care. They explore the guidelines for when and how to convert a tourniquet, the implications of prolonged...

December 6, 2024

Are you honest with the accuracy of your diagnostics? PFC Podcast 209: Crashing Patient Evacuations

You need to be honest with yourself about the accuracy of the information you're using to diagnose or disposition your patient. Link to the full...

December 4, 2024

Using imagery to determine disposition. PFC Podcast Crashing Patient Evacuation

Does this patient need surgery or not? Use imagery to help determine if that patient really needs that evacuation. What if you don't have imagery? Link to full...

December 3, 2024

What patients crash during transport? PFC Podcast 209: Crashing Patient Evacuation

This week Alex and I dive into the data through a recent research paper on crashing trauma patients. Link to the full...

December 2, 2024

Prolonged Field Care Podcast 209: Crashing Patient Evacuation

In this episode of the PFC Podcast, Dennis and Alex delve into a recent study on hemodynamic deterioration in trauma patients during inter-hospital transfers. They discuss the implications of the study's findings, the challenges posed by the tyranny...

December 2, 2024

Remote Blood Bank...PFC Podcast: Blood Storage

The conversation delves into the critical aspects of blood storage and resupply in military settings. It highlights the importance of maintaining temperature logs for blood storage, the challenges of resupplying blood to forward troops, and...

November 30, 2024

Blood Storage vs. Blood Transportation PFC Podcast: Blood Storage

We are definitely using these terms wrong and it's holding us back. Link to the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Blood-Storage-e2reott

November 29, 2024

Prolonged Field Care Podcast: Blood Storage

In this episode of the PFC Podcast, Dennis interviews Monte Leja from Delta Development, discussing the critical need for blood refrigeration in prolonged field care. Monte shares his extensive military background and the challenges faced in...

November 29, 2024

In-flight assessment and organization...PFC Podcast 208: Evacuation

Set yourself up for success during patient transport. Listen to the advice of people who do this for a living. Link to the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-208-Evacuation-e2r2ove

November 28, 2024

Actual gear you need to ask for...PFC Podcast 208: Evacuation

Instead of just rattling off random gear, focus on what you actually need. Link to the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-208-Evacuation-e2r2ove

November 27, 2024

Master the Handover...PFC Podcast 208: Evacuation

Just like we use MARCH for initial care...The Handover deserves it's own acronym. Link for the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-208-Evacuation-e2r2ove

November 26, 2024

Don't abuse your evacuation...PFC podcast 208: Evacuation

Don't call for EVAC just because, do it because the patient NEEDs it. Link for the full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-208-Evacuation-e2r2ove

November 25, 2024

Prolonged Field Care Podcast 208: Evacuation

In this episode of the PFC Podcast, Dennis and Rich discuss the intricacies of preparing for evacuation in various environments, focusing on rotary wing and ground operations. Rich, a soft medic with extensive experience in flight medicine, shares...

November 25, 2024

Are Eldon cards safe enough? PFC Podcast: Walking Blood Bank

Can we really depend on our Eldon Cards. Watch the entire podcast with the link below. https://spotifycreators-web.app.link/e/iHOF668syOb

November 24, 2024

Knowing you capabilities, is a big part of planning that is over looked. PFC Podcast: Walking Blood Bank

Knowing your capabilities, is a crutial part of planning. You'll have to take an honest look at yourself. Link to the full episode: https://spotifycreators-web.app.link/e/iHOF668syOb

November 23, 2024

Prolonged Field Care Podcast: Death of the Golden Hour

With the recent passing of Dr. Warner "Rocky" Farr. I thought the best tribute to a man that spent so much of his life dedicated to teaching medical providers, was to replay a lecture he gave at SOMSA.

November 23, 2024

Blood Bank Planning - PFC Podcast: Walking Blood Bank

This is a clip from Friday's Podcast on Setting up an Austere Walking Blood Bank. https://spotifycreators-web.app.link/e/iHOF668syOb

November 22, 2024

Prolonged Field Care Podcast: Walking Blood Bank

In this episode of the PFC Podcast, Dennis and Andrew Fisher discuss the critical aspects of setting up a walking blood bank in military settings. They explore the importance of pre-identifying donors, logistical planning for blood collection, and...

November 22, 2024

Prolonged Field Care Podcast 207: Zombie Blood

In this episode of the PFC Podcast, Dennis and Dr. Brendan Graham discuss the controversial topic of using blood from dying patients for transfusions. They explore the physiological changes that occur in dying patients, the potential risks and...

November 18, 2024

Prolonged Field Care Podcast: Treating Pneumothorax

In this episode of the PFC Podcast, Dennis and Doug delve into the complexities of pneumothorax and hemothorax, discussing when treatment is necessary, the implications of tension physiology, and the management of trauma patients. They explore the...

November 15, 2024

Prolonged Field Care Podcast 206: Labs You Need

In this episode of the PFC Podcast, Dennis and Josh discuss the critical role of laboratory tests in trauma care, particularly in austere environments. They cover the timing and importance of drawing labs, the significance of arterial blood gases,...

November 11, 2024

Prolonged Field Care Podcast: Traumatic Cardiac Arrest

In this episode of the PFC Podcast, Dennis and Doug delve into the complexities of traumatic cardiac arrest, distinguishing it from medical cardiac arrest. They explore the various causes of traumatic cardiac arrest, emphasizing the importance of...

November 8, 2024

Prolonged Field Care Podcast 205: Sufentanil

In this episode of the PFC Podcast, Dennis and Brad discuss the transition from fentanyl lollipops to SuFentanyl in military medicine. They explore the characteristics of SuFentanyl, its advantages and disadvantages compared to traditional fentanyl,...

November 4, 2024

The Green Whistle

In this episode of the PFC podcast, Dennis and Winston discuss Methoxyfluorine, a volatile anesthetic agent known as the 'green whistle'. They explore its mechanism of action, indications for use, and practical applications in emergency care,...

November 1, 2024

Prolonged Field Care Podcast 204: Spinal Trauma

In this episode of the PFC Podcast, Dennis and JP Kolcun, a neurosurgery resident, delve into the complexities of spinal trauma. They discuss the differences between spinal shock and neurogenic shock, the assessment and management of penetrating and...

October 28, 2024

Arctic PFC

In this episode of the PFC Podcast, Dennis, Jacob, and Alex discuss the unique challenges of providing medical care in Arctic conditions. They share their experiences and insights on managing cold weather injuries, innovative techniques for treating...

October 25, 2024

Prolonged Field Care Podcast 203: Freeze Dried Plasma

In this episode of the PFC Podcast, Dennis and ICU doctor Doug discuss the intricacies of resuscitation techniques, focusing on the use of freeze-dried plasma (FTP) and its benefits in trauma care. They explore the physiological aspects of trauma,...

October 21, 2024

Prolonged Field Care Podcast: White Phosphorus Burns

In this episode of the PFC Podcast, Dennis speaks with Dr. Lee Cancio, a surgeon and director of the U.S. Army Institute of Surgical Research Burn Center. They discuss the complexities of managing white phosphorus burns, a serious concern in modern...

October 18, 2024

PFC Podcast Bonus episode: Hurricane Helene Relief with Dennis Price

In this episode of the PFC Podcast, Dennis Price discusses the efforts of Heroes for Humanity in response to Hurricane Helene's devastation in Western North Carolina. He shares insights on the immediate activation of volunteers, the assessment of...

October 16, 2024

Prolonged Field Care Podcast 202: How To Podcast

In this podcast episode, Dennis and Chris discuss the essentials of starting a podcast, including overcoming initial fears, the importance of authentic conversations, essential gear, post-production techniques, and the significance of media hosting....

October 14, 2024

Is Bicarb Worth It?

In this episode, Dennis discusses the role of sodium bicarbonate in medical protocols, particularly in the context of rhabdomyolysis and hyperkalemia. He emphasizes the importance of fluid management and the potential over-hyping of bicarbonate as a...

October 11, 2024

Prolonged Field Care Podcast 201: Hypothermia Management

In this episode of the PFC podcast, Dennis and Kevin delve into the critical aspects of patient care, particularly focusing on hypothermia management. They explore the mechanisms of heat loss in patients, strategies to prevent it, and the challenges...

October 7, 2024

Improvised Medicine part 1

In this conversation, Dennis and Aubrick discuss the critical importance of improvised medicine in austere environments, particularly focusing on the MARCH algorithm for trauma care. They delve into various techniques for managing massive...

October 4, 2024

Prolonged Field Care Podcast 200: Maritime

In this episode of the PFC Podcast, Dennis interviews Mark Little, a recently retired Navy medic with extensive maritime experience. They discuss the unique challenges faced in maritime operations, including planning for casualties, the importance...

September 30, 2024

Facial Trauma

In this episode of the PFC Podcast, Dennis and Burjor Langdana delve into the intricacies of maxillofacial surgery, particularly in austere environments. They discuss critical aspects of managing facial trauma, including hemorrhage control, airway...

September 27, 2024

Prolonged Field Care Podcast 199: SOF to SOM

In this episode, Dennis interviews Justin, a second-year medical student and co-founder of Special Operations Forces to School of Medicine (SOFTSOM), a nonprofit organization that helps Special Operations Forces service members and veterans in their...

September 23, 2024

Austere Dentistry

Dr. Burjor Langdana discusses dental care in austere environments and provides tips for handling dental emergencies. He emphasizes the importance of preventive care, such as dental check-ups and good oral hygiene, before embarking on a trip. He...

September 20, 2024

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...

September 16, 2024

UW Hospital

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...

September 13, 2024

Prolonged Field Care Podcast 197: Nursing Care

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...

September 9, 2024

Stop giving Versed with your Ketamine

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...

September 6, 2024

Prolonged Field Care Podcast 196: Withdrawing Interventions

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...

September 2, 2024

S-Ketamine

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...

August 30, 2024

Prolonged Field Care Podcast 195: Innovating SOF

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...

August 26, 2024

MASCAL Lessons Learned

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...

August 23, 2024

Prolonged Field Care Podcast 194: Training

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...

August 19, 2024

Disposition

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...

August 16, 2024

Prolonged Field Care 193: Ukrainian MEDEVAC

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...

August 12, 2024

Burn Care

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...

August 9, 2024

Prolonged Field care Podcast 192: Clot Formation Research

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...

August 5, 2024

Abdominal Trauma

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...

August 2, 2024

Prolonged Field Care Podcast 191: Ether

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,...

July 29, 2024

Tourniquet Conversion

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...

July 26, 2024

Prolonged Field Care Podcast 190: Surgery in Burma

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...

July 22, 2024

Can Fentanyl be used safely in the field?

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...

July 19, 2024

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

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...

July 15, 2024

TBI and Suicide

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...

July 11, 2024

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

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...

July 8, 2024

Regional Blocks for Analgesia

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...

July 5, 2024

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

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...

July 1, 2024

The Basics: Versed

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...

June 28, 2024

Prolonged Fieldcare Podcast 186: Personnel Rescue

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...

June 24, 2024

What is the Best Airway

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...

June 21, 2024

Prolonged Field Care Podcast 185: Airway Decisions

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...

June 17, 2024

Expectant Care

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...

June 14, 2024

Prolonged Field Care Podcast 184: Expectant Care Discussion

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...

June 10, 2024

Train your Teammates

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...

June 7, 2024

Prolonged Field Care Podcast 183: Why YOUR medics Suck

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...

June 3, 2024

Sepsis in the Austere Environment

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....

May 31, 2024

Prolonged Field Care Podcast 182: When to Press

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...

May 27, 2024

Walking Blood Bank Setup

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...

May 24, 2024

Prolonged Field Care Podcast 181: Burma Update

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...

May 20, 2024

Gold Standard Monitor For Resus

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...

May 17, 2024

Prolonged Field Care Podcast 180: Crush Syndrome Deep Dive

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...

May 13, 2024

Snake Envenomation In Austere Environments

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...

May 10, 2024

Prolonged Field Care Podcast 179: Maritime Experience in Ukraine

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...

May 6, 2024

The Basics: Calcium for RDCR

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...

May 3, 2024

Prolonged Field Care Podcast 178: Calcium and Trauma

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...

April 29, 2024

The Basics: Winning in a Complex World

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...

April 26, 2024

Prolonged Field Care Podcast 177: Guerilla Surgeon

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...

April 22, 2024

The Basics: TBI Management

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...

April 19, 2024

Prolonged Field Care Podcast 176: High Altitude Illness

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...

April 15, 2024

The Basics: Far Forward Surgery

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...

April 12, 2024

Prolonged Field Care Podcast 175: Maggot Therapy

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...

April 8, 2024

The Basics: How to ETCO2

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...

April 5, 2024

Prolonged Field Care Podcast 174: AAJT

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...

April 1, 2024

The Basics: Heat Injury

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,...

March 29, 2024

Prolonged Field Care Podcast 173: Deep Dive on Pelvic Injury

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...

March 25, 2024

The Basics: How to do Research

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...

March 24, 2024

Prolonged Field Care Podcast 172: Gas Anesthesia

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...

March 18, 2024

The Basics: En Route Casualty Care

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...

March 15, 2024

Prolonged Field Care Podcast 171: Chest Trauma

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...

March 13, 2024

Prolonged Field Care Podcast 171: Chest Trauma

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...

March 11, 2024

The Basics: Blood Storage

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...

March 8, 2024

Prolonged Field Care Podcast 170: Medical Education

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...

March 4, 2024

The Basics: Pain Control Lessons Learned

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...

March 1, 2024

Prolonged Field Care 169: GSMSG in Urkraine

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...

February 26, 2024

The Basics: Acute Kidney Injury

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...

February 23, 2024

Prolonged Field Care Podcast 168: Austere Surgery

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...

February 19, 2024

The Basics: MSK Trauma

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...

February 16, 2024

Prolonged Field Care Podcast 167: Working Together

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...

February 12, 2024

The Basics: Team Dynamics

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...

February 9, 2024

Prolonged Field Care Podcast 166: Excited Delirium

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...

February 5, 2024

The Basics: Resiliency And Teamwork

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...

February 2, 2024

Prolonged Field Care Podcast 165: 10 Years of PFC

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...

January 29, 2024

The Basics: Tropical Medicine

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...

January 26, 2024

Prolonged Field Care Podcast 164: Anoxic Brain Injury

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...

January 22, 2024

The Basics: Death of the Golden Hour

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...

January 19, 2024

Prolonged Field Care Podcast 163: pREBOA

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...

January 15, 2024

The Basics: Spinal Trauma With Ian Wedmore

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...

January 12, 2024

Prolonged Field Care Podcast 162: Subterranean Rescue

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...

January 8, 2024

The Basics: Setting Up a Clinic

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...

January 5, 2024

Prolonged Field Care Podcast 161: Fentanyl

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...

January 1, 2024

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

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...

December 29, 2023

#2 Top Tens Podcasts of 2023: MASCAL Lessons Learned

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...

December 27, 2023

#3 Top Ten Podcasts of 2023: Ketamine Deep Dive

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...

December 25, 2023

#4 Top PFC Podcasts of 2023: PFC in Ukraine

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December 22, 2023

#5 Top PFC Podcasts of 2023: Ukraine Update

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...

December 20, 2023

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

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...

December 18, 2023

#7 Top PFC Podcasts of 2023: Improvised Med

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...

December 15, 2023

#8 Top PFC Podcasts of 2023: Combat Anesthesia

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....

December 13, 2023

#9 Top PFC Podcasts of 2023: Tension Pneumothorax

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,...

December 11, 2023

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

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...

December 8, 2023

Prolonged Field Care Podcast 160: MDMA for PTSD

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...

December 4, 2023

The Basics: CBRNE for Dummies

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...

December 1, 2023

Prolonged Field Care Podcast 159: IV Lidocaine for Acute Pain

"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...

November 27, 2023

The Basics: Triage decisions in the future fight

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...

November 24, 2023

Thanksgiving Special: Burn care CPG

Just in case....

November 23, 2023

Prolonged Field Care Podcast 158: Ketamine and Seizures

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...

November 20, 2023

The Basics: Confined Space Rescue

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...

November 17, 2023

Prolonged Field Care Podcast 157: Nubain

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...

November 13, 2023

Not so basic: Far-Forward Surgical Support

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...

November 10, 2023

Prolonged Field Care Podcast 156: Training the Ventilator

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...

November 6, 2023

The Basics: Ventilations in Trauma

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...

November 4, 2023

Prolonged Field Care Podcast 155: Arctic TCCC

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...

October 30, 2023

The Basics: Team Dynamics

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...

October 27, 2023

Prolonged Field Care Podcast 154: Tourniquet Conversion

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...

October 23, 2023

The Basics: Planning to Succeed

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...

October 19, 2023

Prolonged Field Care Podcast 153: What is a SOF Medic

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...

October 16, 2023

The Basics - Cold Weather Injuries

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,...

October 12, 2023

Prolonged Field Care Podcast 152: S - Ketamine

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...

October 9, 2023

Not so Basic: Feeding your patients

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...

October 5, 2023

Prolonged Field Care Podcast 151: Mountain Rescue

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...

October 2, 2023

The Basics: Altitude Illness

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...

September 28, 2023

Prolonged Field Care Podcast 150: ETCO2 Deep Dive

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...

September 25, 2023

The Basics: Train your Teammates

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...

September 21, 2023

Prolonged Field Care Podcast 149: Improvised Med Pt 2

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...

September 18, 2023

The Basics: Treating Pneumothorax

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...

September 14, 2023

Prolonged Field Care Podcast 148: Improvised Med Pt 1

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...

September 11, 2023

The Basics: Treating Tension Pneumothorax

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,...

September 7, 2023

Prolonged Field Care Podcast 147: Ground Truth in Burma

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...

September 4, 2023

The Basics - Field Blood Transfusions

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...

August 31, 2023

Prolonged Field Care Podcast 146: Versed and Sedation Mastery

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,...

August 28, 2023

The Basics - PFC Airway CPG

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...

August 24, 2023

Prolonged Field care Podcast 145: Tactical Timeout

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...

August 21, 2023

The Basics - Ketamine

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

August 17, 2023

Prolonged Field Care Podcast 144: Pain Pathway

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,...

August 14, 2023

The Basics - Blood Donation and Transfusion

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...

August 10, 2023

Prolonged Field Care Podcast 143: UW Hospital

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...

August 7, 2023

The Basics - Crush Syndrome

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...

August 3, 2023

Prolonged Field Care Podcast 142: Carfentinal

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...

July 31, 2023

The Basics - The best way to monitor any resuscitation

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...

July 28, 2023

Prolonged Field Care Podcast 141: Facial Trauma

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...

July 24, 2023

The Basics - Beyond the Golden Hour

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...

July 20, 2023

Prolonged Field Care Podcast 140: Borderland

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...

July 17, 2023

The Basics - Wound Care in Prolonged Field Care

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...

July 16, 2023

Prolonged Field Care Podcast 139: Return to Duty

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...

July 10, 2023

The Basics - Documentation in Prolonged Field Care

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,...

July 6, 2023

Prolonged Field Care Podcast 138: The Green Whistle

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,...

July 3, 2023

Prolonged Field Care Podcast 137: PFC in Ukraine

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...

June 26, 2023

Prolonged Field Care Podcast 136: Ukraine Update

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...

June 19, 2023

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

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...

June 12, 2023

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

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...

June 5, 2023

Prolonged Field Care Podcast 133: PFC Update SOMSA 23

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...

May 29, 2023

Prolonged Field Care Podcast 132: Combat Anesthesia

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....

May 22, 2023

Prolonged Field Care Podcast 131: Simple thing no one does

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...

May 15, 2023

Prolonged Field Care Podcast 130: PSNOT?

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...

May 8, 2023

Prolonged FieldCare Podcast 129: Preparing for Arctic Combat Medicine

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...

May 1, 2023

Prolonged FieldCare Podcast 128: Traumatic Cardiac Arrest

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,...

April 24, 2023

Prolonged FieldCare Podcast 127: Austere Dentistry

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...

April 17, 2023

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

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...

April 10, 2023

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

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...

April 3, 2023

Recycled Prolonged FieldCare Podcast 84: Altitude Illness

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,...

March 27, 2023

Prolonged Fieldcare Podcast 124: Logistics in Ukraine

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...

March 20, 2023

Recycled Prolonged Fieldcare Podcast 26: ICRC style Wound Care

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...

March 13, 2023

Prolonged Fieldcare Podcast 123: Arctic PFC

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...

March 6, 2023

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

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...

February 27, 2023

Prolonged Fieldcare Podcast 122: Anaphylaxis

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...

February 20, 2023

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

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...

February 13, 2023

Prolonged Fieldcare Podcast 121: Treating Pneumothorax

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.

February 6, 2023

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

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...

January 30, 2023

Prolonged Fieldcare Podcast 120: How to Present

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.

January 23, 2023

Recycled Prolonged Field Care Podcast 21: Optimizing Traumatic Ventilations

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...

January 16, 2023

Prolonged Fieldcare Podcast 119: Tension Pneumothorax

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

January 9, 2023

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

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...

January 2, 2023

Prolonged Fieldcare Podcast 118: Ultrasound

Dennis speaks with Bill about Ultrasound in the austere environment.

December 26, 2022

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

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...

December 19, 2022

Prolonged Fieldcare Podcast 117: Shock Index

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/

December 12, 2022

Recycled Prolonged Fieldcare Podcast 39: ETCO2 Applications and Limitations

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...

December 5, 2022

Prolonged Fieldcare Podcast 116: Ketamine Deep Dive

Kevin schools me up on real world use of Ketamine.

November 28, 2022

Recycled Prolonged Fieldcare Podcast 42: Woundcare Basics and Beyond

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

November 21, 2022

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

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.

November 14, 2022

Recycled Prolonged Fieldcare Podcast 61: TBI update with Van Wyke

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

November 7, 2022

Prolonged FieldCare Podcast 114: Analgesia and PTSD

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.

October 31, 2022

Recycled Prolonged Fieldcare Podcast 60: Cold Weather Injury

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

October 24, 2022

Prolonged Fieldcare Podcast 113: Emergent Airway ALIBI

One more piece of advice.

October 23, 2022

Prolonged Fieldcare Podcast 113: Emergent Airway

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.

October 17, 2022

Recycled Prolonged Fieldcare Podcast 82: Acute Kidney Injury

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.

October 10, 2022

Prolonged Fieldcare Podcast 112: How to read a research paper

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...

October 3, 2022

Recycle Prolonged Fieldcare Podcast 66: Calcium during RDCR

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

September 26, 2022

Prolonged fieldcare Podcast 111. Adding Medications to the Formulary

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.

September 19, 2022

Recycled Prolonged Fieldcare Podcast 68: Pediatric Basics

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

September 12, 2022

Prolonged Fieldcare Podcast 110: MASCAL Lessons Learned

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.

September 5, 2022

Recycled Prolonged Fieldcare Podcast: 74 MSK Trauma

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

August 29, 2022

Prolonged Fieldcare Podcast 109: Bring out your dead.

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.

August 22, 2022

Recycled Prolonged Fieldcare Podcast 51: Tropical Medicine Considerations for PFC

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

August 15, 2022

Prolonged Fieldcare podcast 108: TRALI

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.

August 8, 2022

Recycled Prolonged Fieldcare Podcast 65: Hot weather injury

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

August 1, 2022

Prolonged Fieldcare Podcast 107: Is Bicarb worth it?

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

July 25, 2022

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

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?

July 18, 2022

Prolonged Fieldcare Podcast 106: Training Gaps

Nate gives his views on observed training gaps.

July 11, 2022

Recycled Prolonged Field Care Podcast 65: Airway Mastery

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

July 4, 2022

Prolonged Fieldcare Podcast 105: Rethinking Triage

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

June 27, 2022

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

I speak with Jay Baker on Far Forward Surgical Support.

June 20, 2022

Prolonged Fieldcare Podcast 104:Surgery for Non-surgeons

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

June 13, 2022

Prolonged Fieldcare Podcast 103: Train your Teammates

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

June 6, 2022

Recycled PFC Podcast 17: Expectant Patients and Palliative Care

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...

May 30, 2022

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

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...

May 23, 2022

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

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

May 16, 2022

Prolonged Fieldcare Podcast 101: Ground truth in Ukraine

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...

May 6, 2022

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

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.

April 29, 2022

Recycled Prolonged Fieldcare Podcast 14: Crush Injury Round table discussion

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

April 25, 2022

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

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

April 18, 2022

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

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...

April 11, 2022

Prolonged Fieldcare Podcast 98: Important labs of the austere environment

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.

April 4, 2022

Prolonged fieldcare podcast 97: Analgesia Lessons Learned

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.

March 21, 2022

Prolonged Fieldcare Podcast 96: Airway lessons learned

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.

March 7, 2022

Prolonged Fieldcare podcast 95: Planning to succeed

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

February 21, 2022

Prolonged Fieldcare podcast 93: PTSD, TBI, and Suicide

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

August 1, 2021

Prolonged Field Care Podcast 92: Ventilation Basics

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

July 16, 2021

Prolonged Field Care podcast 91: Paralytics and Vent Management

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)...

July 16, 2021

Prolonged Field Care Podcast 90: Abdominal Trauma with Stacy Shackelford

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...

July 16, 2021

Prolonged Field Care Podcast 89: Getting and Giving Blood with Brad

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...

July 16, 2021

Prolonged Field Care Podcast 88: Disposition

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.

July 16, 2021

Prolonged Field Care Podcast 87: Analgesia and Sedation part Deux

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...

July 16, 2021

Prolonged Field Care Podcast 86: Optimize your patient for surgery

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.

July 15, 2021

Prolonged Field Care Podcast 85: Optimizing your patient for Evac

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...

July 15, 2021

Prolonged Field Care Podcast 84: What if you can't descend? Altitude illness in PFC

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.

July 15, 2021

Prolonged Field Care Podcast 83: Should we be using a pediatric BVM on adults?

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

July 15, 2021

Prolonged Field Care podcast 82: Acute Kidney Injury

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

July 15, 2021

Prolonged Field Care Podcast 81: Sepsis in the austere environment

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

July 15, 2021

Prolonged Field Care Podcast 80: Acute Abdomen

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

July 14, 2021

Prolonged Field Care Podcast 79: Expedition Medicine

Dennis discusses the medical aspects of a trip to Antarctica.

July 14, 2021

Prolonged Field Care Podcast 78: Physical Therapy Assessment

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

July 14, 2021

Prolonged Field Care Podcast 77: Nutrition in Critical Patients

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

July 14, 2021

Prolonged Field Care podcast 76: Herniation Syndromes

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.

July 14, 2021

Prolonged Field Care Podcast 75: SOM-C

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

July 14, 2021

Prolonged Field Care 74: MSK Trauma

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

July 14, 2021

Prolonged Field Care podcast 73: Medic Transition to civilian workforce

Dennis discusses medics transitioning to a civilian medical career.

July 14, 2021

Prolonged Field Care Podcast 72: Corticosteroids and SIRS

Dennis and David discuss when is the right time to use corticosteroids.

July 14, 2021

Prolonged Field Care Podcast 71: Fundamental Critical Care Support - Resource Limited

Dennis, Doug, and Jeremy discuss the newest edition to the Society of Critical care courses.

July 14, 2021

Prolonged Field Care Podcast 70: Paroxysmal Sympathetic Hyperactivity

Dennis and Dave discuss about this little talked about aspect of TBI management.

July 13, 2021

Prolonged Field Care Podcast 69: Hot Weather Injury

Dennis and Ian discuss Heat injury

July 13, 2021

Prolonged Field Care Podcast 68: Pediatric Basics

Matt and Dennis go over the basics in pediatric trauma.

July 13, 2021

Prolonged Field Care Podcast 67: PFC Airway CPG

Dennis and Collin discuss the new Prolonged Fieldcare Airway CPG

July 13, 2021

Prolonged Field Care Podcast 66: Calcium during RDCR

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

July 13, 2021

Prolonged Field Care Podcast 65: Airway Mastery

For more content, visit www.prolongedfieldcare.org

July 13, 2021

Prolonged Field Care Podcast 64.5: Austere Covid 19 CPG

For more content, visit www.prolongedfieldcare.org

July 13, 2021

Prolonged Field Care Podcast 64: Resiliency And Teamwork

For more content, visit www.prolongedfieldcare.org

July 13, 2021

Prolonged Field Care Podcast 63: Oxygenating COVID 19 Patients

Dennis talks with Doug about the difficulty with oxygenating COVID 19 patients.

July 13, 2021

Prolonged Field Care Podcast 62: Confined Space Rescue

Dennis chats with Sean on the approach to confined space rescue.

July 13, 2021

Prolonged Field Care Podcast 61: TBI Update With Dr. Van Wyck

For more content visit www.prolongedfieldcare.org

July 13, 2021

Prolonged Field Care Podcast 60: Ian Wedmore On Updates To Cold Weather Injury

Ian schools us up on some updates for treating cold weather injury.

July 13, 2021

Prolonged Field Care Podcast 59: Medical Facility Assessment Part 1

Dennis and Mark discuss assessment of a modern medical facility.

July 13, 2021

Prolonged Field Care Podcast 58: Justin On Planning

Dennis and Justin discuss medical planning. For more content, visit www.prolongedfieldcare.org

July 13, 2021

Prolonged Field Care Podcast 57: Snake Envenomation In Austere Environments

Dangerous snakes can be found both while training at home and far away while deployed. It may be a rare occurrence, but a catastrophic event when it does happen. Some austere providers may be aware of outdated treatments, and...

July 12, 2021

Prolonged Field Care Podcast 56: Spinal Trauma With Ian Wedmore

Dennis and Ian discuss spinal trauma in the austere environment. For more content, visit www.prolongedfieldcare.org

July 12, 2021

Prolonged Field Care Podcast 55: JJ And Dennis On HROs

Dennis and JJ discuss Highly Reliable Organizations. For more content, visit www.prolongedfieldcare.org

July 12, 2021

Prolonged Field Care Podcast 54: SOP For The Ideal SF Clinic

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...

July 12, 2021

Prolonged Field Care Podcast 53: Ventilating In The Prone

What happens when your patient has been given a cric or intubated but continues to decline… SpO2 continues to slowly drop despite taking control of the airway. You have placed your patient on a ventilator and slowly adjusted the...

July 12, 2021

Prolonged Field Care Podcast 52: Walking The Fence Of Evidence, Environment, And Experience

After a few discussions with JJ who has also appeared in several Element Rescue podcasts, Doug and Dennis talk about using evidence based medicine whenever possible and what to do when no prospective randomized controlled trials...

July 12, 2021

Prolonged Field Care Podcast 51: Tropical Medicine Considerations For Prolonged Field Care

Not all PFC is trauma. Malaria, Dengue, Chikungunya and others will take you out of the fight if given the chance. In this episode CAPT Ryan Maves talks about some of the more concerning and prevalent diseases...

July 12, 2021

Prolonged Field Care Podcast 50: Simple Sepsis Recognition And Intervention For PFC

Why do we care about sepsis in prolonged field care? What can we do about septic shock with what we are normally carrying on a deployment? How do you mix an epinephrine drip? Dr. Maves lays it all out in about 20 minutes....

July 12, 2021

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

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...

July 12, 2021

Prolonged Fieldcare Podcast 48: Maximizing Medical Proficiency Training with Mark

For more content: www.prolongedfieldcare.org

July 12, 2021

Prolonged Field Care Podcast 47: Andy Fisher And His Damage Control Resuscitation For PFC

So what is different than what we already have in the THOR recommendations, the JTS DCR clinical Practice Guideline and the Ranger Regiment TDCR? No hextend?! Calcium with the 1st unit of blood?! TXA slow push?! What if the patient...

July 12, 2021

Prolonged Field Care Podcast 46: Bleeding In The Box Non-Compressible Torso Hemorrhage

Many efforts in the pre-hospital combat environment had been aimed at prolonging the viability of a patient until they are able to make it to a surgeon. The goal of military triage and evacuation is to have urgent surgical patients...

July 11, 2021

Prolonged Field Care Podcast 45: Regional Anesthesia As An Analgesic Adjunct

When properly and safely administered regional anesthesia can augment your limited supply of narcotics and ketamine in resource poor environments. It can also preserve your patient’s mental status while providing targeted pain...

July 11, 2021

Prolonged Field Care Podcast 44: Prep For Flight And En Route Care

For more content, visit www.prolongedfieldcare.org

July 11, 2021

Prolonged Field Care Podcast 43: 5 Years Of Prolonged Field Care

For more content, visit www.prolongedfieldcare.org

July 11, 2021

Prolonged Field Care Podcast 42: Wound care Basics And Beyond

For more content, visit www.prolongedfieldcare.org

July 11, 2021

Prolonged Field Care Podcast 41: Death Of The Golden Hour

Colonel Warner “Rocky” Farr has made an important contribution to the body of SOF knowledge with this well-researched monograph. He advances the understanding of the many challenges and accomplishments related to guerrilla...

July 11, 2021

Prolonged Field Care Podcast 40: Team Dynamics With Doug And Dennis

Whether working on a casualty with a small team of medics or as a single medic with the help of other non-medic team members as helpers, someone has to be in charge of the situation in order to maintain a global view of priorities....

July 10, 2021

Prolonged Field Care Podcast 39: ETCO2 - Applications and Limitations

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 intubation. This...

July 10, 2021

Prolonged Field Care Podcast 38: Far Forward Surgical Support

For more content, visit www.prolongedfieldcare.org

July 10, 2021

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

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...

July 10, 2021

Prolonged Field Care Podcast 36: ROLO To SOLO The Logistics Of Fresh Whole Blood Transfusion

The Trauma Hemostasis and Oxygenation Research (THOR) Network 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...

July 10, 2021

Prolonged Field Care Podcast 35: Burn Care Priorities With Dr. Cairns Of UNC Chapel Hill

Which burn fluid resuscitation formula is best? Does it really matter? What can happen if you over resuscitate? Under? What can cause an increase or decrease in the demand of fluids? What can you do if you are running out of...

July 10, 2021

Prolonged Field Care Podcast 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 of knowledge and experience of...

July 8, 2021

Prolonged Field Care Podcast 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...

July 8, 2021

Prolonged Field Care Podcast 32: Doug Explains The Burn Care Clinical Practice Guideline

When do you give a burn patient antibiotics? Which ones? How do you calculate TBSA and the rule of 10s? What do you use to guide fluid resuscitation? What fluid? When is an escharotomy in the field appropriate?...

July 8, 2021

Prolonged Field Care Podcast 31: CBRNE For Dummies

In this live recording, guest lecturer COL Missy Givens shares the CBRNe knowledge she has learned while working as a clinical toxicologist, among many other positions, around the world including as the SOCAFRICA Command...

July 8, 2021

Prolonged Field Care Podcast 30: REBOA For Prolonged Field Care With Joe Dubose

You are in your Team House or BAS. You have given FDP, Whole blood, TXA calcium and don’t have much left despite the few units from the walking blood bank. Your patient continues to bleed internally. Nothing in the chest or upper...

July 8, 2021

Prolonged Field Care Podcast 29: Dr. Cap On Fresh Whole Blood For Resuscitation

Dr. Cap has been leading the way here in the US with the Armed Services Blood Program on fresh whole blood transfusion research in conjunction with the THOR Network and answering tough questions that different Special Operations...

July 8, 2021

Prolonged Field Care Podcast 28: Critical Skills For PFC Providers

Training materials were the number 1 most requested item from our SOMSA AAR. We have put out other training recommendations in the past but wanted to also highlight some important skills that will help you identify gaps in...

July 8, 2021

Prolonged Field Care Podcast 27: Winning In A Complex World

For more content, visit www.prolongedfieldcare.org

July 8, 2021

Prolonged Field Care Podcast 26: ICRC Style Wound Care

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...

July 8, 2021

Prolonged Field Care Podcast 24: Infection To Sepsis Round Table

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...

July 8, 2021

Prolonged Field Care Podcast 23: JTS Clinical Practice Guidelines For The SOF Medic

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...

July 8, 2021

Prolonged Field Care Podcast 22: On Blood, Geir Strandenes At SOMSA 2017

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...

July 8, 2021

Prolonged Field Care Podcast 21: Optimizing Traumatic Ventilations

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...

July 8, 2021

Prolonged Field Care Podcast 20: TBI Round Table And Case Discussion

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...

July 8, 2021

Prolonged Field Care Podcast 19: Infection, Sirs And Sepsis

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...

July 7, 2021

Prolonged Fieldcare Podcast 18: TBI Management in the Prolonged Fieldcare Environment

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....

July 7, 2021

Prolonged Field Care Podcast 17: Expectant Patients And Palliative Care

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...

May 31, 2021

Prolonged Fieldcare Podcast 16: Sedation in Prolonged Fieldcare

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...

May 31, 2021

Prolonged Field Care

Collaborative Network Creator

Prolonged Field Care Podcast: Rethinking Triage

Prolonged Field Care Podcast: Rethinking Triage

Ultra-MASCAL? A lot of tough decisions to be made. PFC Podcast: Rethinking Triage

Basic management of Breakbone fever: PFC Podcast 213: Dengue Fever

What works what doesn't with Severe Dengue Fever: PFC Podcast 213: Dengue Fever

Better Medicine from resource constraints? PFC Podcast 213: Dengue Fever

Prolonged Field Care Podcast 213: Dengue Fever

Signs and Symptoms of "Breakbone Fever": PFC Podcast 213: Dengue Fever

Security is 1st...for a reason. PFC Podcast: Tactical Time-out

Tactical situation dictates our medical plan. PFC Podcast: Tactical Time-out

Prolonged Field Care Podcast: Tactical Time-out

TXA and Hypotension...PFC Podcast 212: TXA

TXA causing seizures? PFC Podcast 212: TXA

Redosing TXA? PFC Podcast 212: TXA

Causation or correlation...TXA and Hypotension. PFC Podcast 212: TXA

Prolonged Field Care Podcast 212: TXA

Myths, Risks, and Benefits of TXA: PFC Podcast 212: TXA

Setting up a CCP in a Firefight! PFC Podcast: MASCAL Lessons Learned

In the thick of it. PFC Podcast: MASCAL Lessons Learned

Prolonged Field Care Podcast: MASCAL Lessons Learned

Organization of people , gear, and information. PFC Podcast: MASCAL Lessons Learned

Skill Transfer by Phase lines? PFC Podcast 211: Training Scars

Everyone gets a prize? PFC Podcast 211: Training Scars

How to conduct an AAR. PFC Podcast 211: Training Scars

Adjusting to your students. PFC Podcast 211: Training Scars

Prolonged Field Care Podcast 211: Training Scars

What are we doing wrong? PFC Podcast 211: Training Scars

Top 10 Podcast 0f 2024: #1 Pelvic Injury

Top 10 Podcast 0f 2024: #2 Why your Medics Suck

Top 10 Podcast 0f 2024: #3 Crush Syndrome

Top 10 Podcast 0f 2024: #4 Chest Trauma

Top 10 Podcast 0f 2024: #5 Calcium and Trauma

Top 10 Podcast 0f 2024: #6 Most Interesting Medic in the World

Bonus Episode: Borderland

Top 10 Podcast 0f 2024: #7 Maggot Therapy for wounds

Top 10 Podcast 0f 2024: #8 Zombie Blood

Top 10 Podcasts of 2024: #9 Pain Pathway

Top 10 PFC podcast of 2024 - #10 Anoxic Brain Injury

Does Bi-Carb have a place in Trauma Resus? PFC Podcast 210: Logistics of Labs

Know the accuracy of you diagnostics. PFC Podcast 210: Logistics of Labs

When to pull the trigger on Calcium. PFC Podcast 210: Logistics of Labs

Prolonged Field care Podcast 210: Logistics of Labs

Balancing Life and Limb...This is why your "Doc" PFC Podcast: Tourniquet Conversion

What's going on with TQ times? PFC Podcast: Tourniquet Conversion

Prolonged Field Care Podcast: Tourniquet Conversion

Are you honest with the accuracy of your diagnostics? PFC Podcast 209: Crashing Patient Evacuations

Using imagery to determine disposition. PFC Podcast Crashing Patient Evacuation

What patients crash during transport? PFC Podcast 209: Crashing Patient Evacuation

Prolonged Field Care Podcast 209: Crashing Patient Evacuation

Remote Blood Bank...PFC Podcast: Blood Storage

Blood Storage vs. Blood Transportation PFC Podcast: Blood Storage

Prolonged Field Care Podcast: Blood Storage

In-flight assessment and organization...PFC Podcast 208: Evacuation

Actual gear you need to ask for...PFC Podcast 208: Evacuation

Master the Handover...PFC Podcast 208: Evacuation

Don't abuse your evacuation...PFC podcast 208: Evacuation

Prolonged Field Care Podcast 208: Evacuation

Are Eldon cards safe enough? PFC Podcast: Walking Blood Bank

Knowing you capabilities, is a big part of planning that is over looked. PFC Podcast: Walking Blood Bank

Prolonged Field Care Podcast: Death of the Golden Hour

Blood Bank Planning - PFC Podcast: Walking Blood Bank

Prolonged Field Care Podcast: Walking Blood Bank

Prolonged Field Care Podcast 207: Zombie Blood

Prolonged Field Care Podcast: Treating Pneumothorax

Prolonged Field Care Podcast 206: Labs You Need

Prolonged Field Care Podcast: Traumatic Cardiac Arrest

Prolonged Field Care Podcast 205: Sufentanil

The Green Whistle

Prolonged Field Care Podcast 204: Spinal Trauma

Arctic PFC

Prolonged Field Care Podcast 203: Freeze Dried Plasma

Prolonged Field Care Podcast: White Phosphorus Burns

PFC Podcast Bonus episode: Hurricane Helene Relief with Dennis Price

Prolonged Field Care Podcast 202: How To Podcast

Is Bicarb Worth It?

Prolonged Field Care Podcast 201: Hypothermia Management

Improvised Medicine part 1

Prolonged Field Care Podcast 200: Maritime