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Prolonged Field Care

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#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 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 of medical training and that simple, low-cost interventions are often overlooked. Miles states that patient positioning is especially crucial in prolonged field care...

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

December 8, 2023

Prolonged Field Care Podcast 160: MDMA for PTSD

December 4, 2023

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

The Basics: CBRNE for Dummies

December 1, 2023

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

Prolonged Field Care Podcast 159: IV Lidocaine for Acute Pain

November 27, 2023

Dennis interviews Sandeep, an anesthesiologist with military experience, about the use of IV lidocaine for acute pain management. Sandeep explains that IV lidocaine can be a useful opioid-sparing option, especially in austere environments with...

The Basics: Triage decisions in the future fight

November 24, 2023

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

Thanksgiving Special: Burn care CPG

November 23, 2023

Just in case....

Prolonged Field Care Podcast 158: Ketamine and Seizures

November 20, 2023

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

The Basics: Confined Space Rescue

November 17, 2023

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

Prolonged Field Care Podcast 157: Nubain

November 13, 2023

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

Not so basic: Far-Forward Surgical Support

November 10, 2023

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

Prolonged Field Care Podcast 156: Training the Ventilator

November 6, 2023

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

The Basics: Ventilations in Trauma

November 4, 2023

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

Prolonged Field Care Podcast 155: Arctic TCCC

October 30, 2023

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

The Basics: Team Dynamics

October 27, 2023

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

Prolonged Field Care Podcast 154: Tourniquet Conversion

October 23, 2023

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

The Basics: Planning to Succeed

October 19, 2023

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

Prolonged Field Care Podcast 153: What is a SOF Medic

October 16, 2023

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

The Basics - Cold Weather Injuries

October 12, 2023

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

Prolonged Field Care Podcast 152: S - Ketamine

October 9, 2023

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

Not so Basic: Feeding your patients

October 5, 2023

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

Prolonged Field Care Podcast 151: Mountain Rescue

October 2, 2023

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

The Basics: Altitude Illness

September 28, 2023

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

Prolonged Field Care Podcast 150: ETCO2 Deep Dive

September 25, 2023

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

The Basics: Train your Teammates

September 21, 2023

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

Prolonged Field Care Podcast 149: Improvised Med Pt 2

September 18, 2023

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

The Basics: Treating Pneumothorax

September 14, 2023

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

Prolonged Field Care Podcast 148: Improvised Med Pt 1

September 11, 2023

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

The Basics: Treating Tension Pneumothorax

September 7, 2023

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,...

Prolonged Field Care Podcast 147: Ground Truth in Burma

September 4, 2023

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

The Basics - Field Blood Transfusions

August 31, 2023

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

Prolonged Field Care Podcast 146: Versed and Sedation Mastery

August 28, 2023

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

The Basics - PFC Airway CPG

August 24, 2023

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

Prolonged Field care Podcast 145: Tactical Timeout

August 21, 2023

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

The Basics - Ketamine

August 17, 2023

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

Prolonged Field Care Podcast 144: Pain Pathway

August 14, 2023

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

The Basics - Blood Donation and Transfusion

August 10, 2023

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

Prolonged Field Care Podcast 143: UW Hospital

August 7, 2023

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

The Basics - Crush Syndrome

August 3, 2023

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

Prolonged Field Care Podcast 142: Carfentinal

July 31, 2023

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

The Basics - The best way to monitor any resuscitation

July 28, 2023

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

Prolonged Field Care Podcast 141: Facial Trauma

July 24, 2023

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

The Basics - Beyond the Golden Hour

July 20, 2023

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

Prolonged Field Care Podcast 140: Borderland

July 17, 2023

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

The Basics - Wound Care in Prolonged Field Care

July 16, 2023

This Clinical Practice Guideline was written by a fellow 18D with input from around the surgical community. It reconciles the differences between wound care done in a role 2 or 3 facility, such as serial debridements, with what is taught in the 18D...

Prolonged Field Care Podcast 139: Return to Duty

July 10, 2023

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

The Basics - Documentation in Prolonged Field Care

July 6, 2023

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

Prolonged Field Care Podcast 138: The Green Whistle

July 3, 2023

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

Prolonged Field Care Podcast 137: PFC in Ukraine

June 26, 2023

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

Prolonged Field Care Podcast 136: Ukraine Update

June 19, 2023

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

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

June 12, 2023

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...

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

June 5, 2023

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

Prolonged Field Care Podcast 133: PFC Update SOMSA 23

May 29, 2023

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

Prolonged Field Care Podcast 132: Combat Anesthesia

May 22, 2023

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....

Prolonged Field Care Podcast 131: Simple thing no one does

May 15, 2023

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

Prolonged Field Care Podcast 130: PSNOT?

May 8, 2023

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

Prolonged FieldCare Podcast 129: Preparing for Arctic Combat Medicine

May 1, 2023

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

Prolonged FieldCare Podcast 128: Traumatic Cardiac Arrest

April 24, 2023

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

Prolonged FieldCare Podcast 127: Austere Dentistry

April 17, 2023

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

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

April 10, 2023

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

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

April 3, 2023

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

Recycled Prolonged FieldCare Podcast 84: Altitude Illness

March 27, 2023

I talk with Dr. Moon about taking care of a patient with AMS, HAPE, and/or HACE in a PFC environment and when is it worth the consequences to evac the patient. Altitude illness is a condition that can occur when someone goes to high altitudes,...

Prolonged Fieldcare Podcast 124: Logistics in Ukraine

March 20, 2023

Dennis speaks with a logistics expert, who has experience working in Ukraine with an NGO during the conflict. The conversation centers around the logistical challenges faced by refugees and the aid organizations that work to support them. The number...

Recycled Prolonged Fieldcare Podcast 26: ICRC style Wound Care

March 13, 2023

Prolonged Fieldcare Podcast 123: Arctic PFC

March 6, 2023

As superpowers begin moving into the artic circle, as medics we need to be prepared to treat patients in a very different environment they we have in recent past. Jacob and Eric speak about their experiences in the arctic. Please consider supporting...

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

February 27, 2023

If you sit on a patient long enough, infection has a greater chance of taking hold and progressing to sepsis, or you may receive a patient who has already been sick for days. Doc Jabon Ellis walks us through the full spectrum from...

Prolonged Fieldcare Podcast 122: Anaphylaxis

February 20, 2023

Today, I talk with Eric Bauer from Flight Bridge ED on Anaphylaxis and cover how bad and how fast this can overcome your patient. You can hear more about critical care flight on Eric's Podcast Flight Bridge...

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

February 13, 2023

Non-Governmental Organizations, Non-Profits and Volunteers have been providing critical services on the battlefield for millennia. Historically the traditional view of medical care in conflict zones was that the military focused on...

Prolonged Fieldcare Podcast 121: Treating Pneumothorax

February 6, 2023

As a follow-up to the podcast on tension pneumothorax, how about simple pneumothorax? Dennis speaks with Doug on when you need to treat pneumothorax/hemothorax.

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

January 30, 2023

Dennis and the guys from the "Dustoff Medic podcast", discuss optimizing your patient for evacuation. We go over the common mistakes and some of the decision making processes of Load and go or Stay and Play when it comes to the...

Prolonged Fieldcare Podcast 120: How to Present

January 23, 2023

In preparation for SOMSA, Dennis speaks with Ricky D. on how to give a great presentation. Remember to check out www.specialoperationsmedicine.org for SOMSA 2023 info.

Recycled Prolonged Field Care Podcast 21: Optimizing Traumatic Ventilations

January 16, 2023

Prolonged Field Care is back with a new episode on a long awaited topic, traumatic ventilation. We were finally able to corner a real, live anesthesiologist who was actually more than happy to sit down and talk about...

Prolonged Fieldcare Podcast 119: Tension Pneumothorax

January 9, 2023

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

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

January 2, 2023

When you can’t take cold stored whole blood with you and not all of your soldiers are titered, a walking blood bank can mean the difference between life and death for a patient in hemorrhagic shock. With the mounting...

Prolonged Fieldcare Podcast 118: Ultrasound

December 26, 2022

Dennis speaks with Bill about Ultrasound in the austere environment.

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

December 19, 2022

While no single clinic setup will work for every situation, a common baseline and checklist can make it far easier in customizing a clinic in similar circumstances. This is not professed to be THE way but it is A way in which ONE...

Prolonged Fieldcare Podcast 117: Shock Index

December 12, 2022

Sean and Dennis talk about the Shock Index, how it relates to our treatment decisions, and how it can guide our training. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4057268/

Recycled Prolonged Fieldcare Podcast 39: ETCO2 Applications and Limitations

December 5, 2022

Upgrading your airway kit with a portable end tidal CO2 monitor can help in a couple situations. While it has its limitations, it is essential for quickly determining if your tube is in the trachea during an...

Prolonged Fieldcare Podcast 116: Ketamine Deep Dive

November 28, 2022

Kevin schools me up on real world use of Ketamine.

Recycled Prolonged Fieldcare Podcast 42: Woundcare Basics and Beyond

November 21, 2022

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

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

November 14, 2022

Well, maybe emergency laparotomies are not for field medics, but there are a lot of other interventions that are 100% in our court. Dennis and Sean discuss what can be done.

Recycled Prolonged Fieldcare Podcast 61: TBI update with Van Wyke

November 7, 2022

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

Prolonged FieldCare Podcast 114: Analgesia and PTSD

October 31, 2022

Can controlling pain alone have an effect on PTSD? If so, how much? We deep dive into analgesia and sedation and it's effect on the body and the mind.

Recycled Prolonged Fieldcare Podcast 60: Cold Weather Injury

October 24, 2022

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

Prolonged Fieldcare Podcast 113: Emergent Airway ALIBI

October 23, 2022

One more piece of advice.

Prolonged Fieldcare Podcast 113: Emergent Airway

October 17, 2022

Being ready for an emergent airway is more complicated than you probably think. Dennis talks with Kevin about the ENTIRE process of getting it done.

Recycled Prolonged Fieldcare Podcast 82: Acute Kidney Injury

October 10, 2022

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

Prolonged Fieldcare Podcast 112: How to read a research paper

October 3, 2022

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

Recycle Prolonged Fieldcare Podcast 66: Calcium during RDCR

September 26, 2022

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

Prolonged fieldcare Podcast 111. Adding Medications to the Formulary

September 19, 2022

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

Recycled Prolonged Fieldcare Podcast 68: Pediatric Basics

September 12, 2022

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

Prolonged Fieldcare Podcast 110: MASCAL Lessons Learned

September 5, 2022

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

Recycled Prolonged Fieldcare Podcast: 74 MSK Trauma

August 29, 2022

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

Prolonged Fieldcare Podcast 109: Bring out your dead.

August 22, 2022

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

Recycled Prolonged Fieldcare Podcast 51: Tropical Medicine Considerations for PFC

August 15, 2022

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

Prolonged Fieldcare podcast 108: TRALI

August 8, 2022

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

Recycled Prolonged Fieldcare Podcast 65: Hot weather injury

August 1, 2022

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

Prolonged Fieldcare Podcast 107: Is Bicarb worth it?

July 25, 2022

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

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

July 18, 2022

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

Prolonged Fieldcare Podcast 106: Training Gaps

July 11, 2022

Nate gives his views on observed training gaps.

Recycled Prolonged Field Care Podcast 65: Airway Mastery

July 4, 2022

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

Prolonged Fieldcare Podcast 105: Rethinking Triage

June 27, 2022

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

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

June 20, 2022

I speak with Jay Baker on Far Forward Surgical Support.

Prolonged Fieldcare Podcast 104:Surgery for Non-surgeons

June 13, 2022

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

Prolonged Fieldcare Podcast 103: Train your Teammates

June 6, 2022

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

Recycled PFC Podcast 17: Expectant Patients and Palliative Care

May 30, 2022

Despite our best efforts, endless training, and reading, some of our patients will die. This has been a taboo subject that is difficult to broach in the best of times. We aim to start a conversation here with the hope that it continues...

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

May 23, 2022

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

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

May 16, 2022

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

Prolonged Fieldcare Podcast 101: Ground truth in Ukraine

May 6, 2022

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

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

April 29, 2022

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

Recycled Prolonged Fieldcare Podcast 14: Crush Injury Round table discussion

April 25, 2022

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

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

April 18, 2022

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

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

April 11, 2022

I realized there are some really good podcasts that haven't seen the light of day in a long while. The is no exception, Jamie discusses crush syndrome and lays out very well how to get it done. I will continue to label all of the reruns and continue...

Prolonged Fieldcare Podcast 98: Important labs of the austere environment

April 4, 2022

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.

Prolonged fieldcare podcast 97: Analgesia Lessons Learned

March 21, 2022

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.

Prolonged Fieldcare Podcast 96: Airway lessons learned

March 7, 2022

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.

Prolonged Fieldcare podcast 95: Planning to succeed

February 21, 2022

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

Prolonged Fieldcare podcast 93: PTSD, TBI, and Suicide

August 1, 2021

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

Prolonged Field Care Podcast 92: Ventilation Basics

July 16, 2021

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

Prolonged Field Care podcast 91: Paralytics and Vent Management

July 16, 2021

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)...

Prolonged Field Care Podcast 90: Abdominal Trauma with Stacy Shackelford

July 16, 2021

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...

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

July 16, 2021

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...

Prolonged Field Care Podcast 88: Disposition

July 16, 2021

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.

Prolonged Field Care Podcast 87: Analgesia and Sedation part Deux

July 16, 2021

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...

Prolonged Field Care Podcast 86: Optimize your patient for surgery

July 15, 2021

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.

Prolonged Field Care Podcast 85: Optimizing your patient for Evac

July 15, 2021

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

July 15, 2021

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.

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

July 15, 2021

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

Prolonged Field Care podcast 82: Acute Kidney Injury

July 15, 2021

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

Prolonged Field Care Podcast 81: Sepsis in the austere environment

July 15, 2021

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

Prolonged Field Care Podcast 80: Acute Abdomen

July 14, 2021

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

Prolonged Field Care Podcast 79: Expedition Medicine

July 14, 2021

Dennis discusses the medical aspects of a trip to Antarctica.

Prolonged Field Care Podcast 78: Physical Therapy Assessment

July 14, 2021

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

Prolonged Field Care Podcast 77: Nutrition in Critical Patients

July 14, 2021

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

Prolonged Field Care podcast 76: Herniation Syndromes

July 14, 2021

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.

Prolonged Field Care Podcast 75: SOM-C

July 14, 2021

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

Prolonged Field Care 74: MSK Trauma

July 14, 2021

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

Prolonged Field Care podcast 73: Medic Transition to civilian workforce

July 14, 2021

Dennis discusses medics transitioning to a civilian medical career.

Prolonged Field Care Podcast 72: Corticosteroids and SIRS

July 14, 2021

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

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

July 14, 2021

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

Prolonged Field Care Podcast 70: Paroxysmal Sympathetic Hyperactivity

July 13, 2021

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

Prolonged Field Care Podcast 69: Hot Weather Injury

July 13, 2021

Dennis and Ian discuss Heat injury

Prolonged Field Care Podcast 68: Pediatric Basics

July 13, 2021

Matt and Dennis go over the basics in pediatric trauma.

Prolonged Field Care Podcast 67: PFC Airway CPG

July 13, 2021

Dennis and Collin discuss the new Prolonged Fieldcare Airway CPG

Prolonged Field Care Podcast 66: Calcium during RDCR

July 13, 2021

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

Prolonged Field Care Podcast 65: Airway Mastery

July 13, 2021

For more content, visit www.prolongedfieldcare.org

Prolonged Field Care Podcast 64.5: Austere Covid 19 CPG

July 13, 2021

For more content, visit www.prolongedfieldcare.org

Prolonged Field Care Podcast 64: Resiliency And Teamwork

July 13, 2021

For more content, visit www.prolongedfieldcare.org

Prolonged Field Care Podcast 63: Oxygenating COVID 19 Patients

July 13, 2021

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

Prolonged Field Care Podcast 62: Confined Space Rescue

July 13, 2021

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

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

July 13, 2021

For more content visit www.prolongedfieldcare.org

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

July 13, 2021

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

Prolonged Field Care Podcast 59: Medical Facility Assessment Part 1

July 13, 2021

Dennis and Mark discuss assessment of a modern medical facility.

Prolonged Field Care Podcast 58: Justin On Planning

July 13, 2021

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

Prolonged Field Care Podcast 57: Snake Envenomation In Austere Environments

July 12, 2021

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...

Prolonged Field Care Podcast 56: Spinal Trauma With Ian Wedmore

July 12, 2021

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

Prolonged Field Care Podcast 55: JJ And Dennis On HROs

July 12, 2021

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

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

July 12, 2021

Prolonged Field Care Podcast 53: Ventilating In The Prone

July 12, 2021

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...

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

July 12, 2021

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...

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

July 12, 2021

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...

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

July 12, 2021

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....

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

July 12, 2021

Prolonged Fieldcare Podcast 48: Maximizing Medical Proficiency Training with Mark

July 12, 2021

For more content: www.prolongedfieldcare.org

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

July 12, 2021

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...

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

July 11, 2021

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...

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

July 11, 2021

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...

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

July 11, 2021

For more content, visit www.prolongedfieldcare.org

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

July 11, 2021

For more content, visit www.prolongedfieldcare.org

Prolonged Field Care Podcast 42: Wound care Basics And Beyond

July 11, 2021

For more content, visit www.prolongedfieldcare.org

Prolonged Field Care Podcast 41: Death Of The Golden Hour

July 11, 2021

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...

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

July 10, 2021

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....

Prolonged Field Care Podcast 39: ETCO2 - Applications and Limitations

July 10, 2021

Prolonged Field Care Podcast 38: Far Forward Surgical Support

July 10, 2021

For more content, visit www.prolongedfieldcare.org

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

July 10, 2021

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

July 10, 2021

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...

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

July 10, 2021

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...

Prolonged Field Care Podcast 34: Telemedicine To Reduce Risk In Austere Environments

July 8, 2021

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...

Prolonged Field Care Podcast 33: TIVA: Another Look At Pre-Hospital Analgesia And Sedation

July 8, 2021

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...

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

July 8, 2021

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?...

Prolonged Field Care Podcast 31: CBRNE For Dummies

July 8, 2021

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...

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

July 8, 2021

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...

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

July 8, 2021

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...

Prolonged Field Care Podcast 28: Critical Skills For PFC Providers

July 8, 2021

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...

Prolonged Field Care Podcast 27: Winning In A Complex World

July 8, 2021

For more content, visit www.prolongedfieldcare.org

Prolonged Field Care Podcast 26: ICRC Style Wound Care

July 8, 2021

Prolonged Field Care Podcast 24: Infection To Sepsis Round Table

July 8, 2021

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...

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

July 8, 2021

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...

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

July 8, 2021

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...

Prolonged Field Care Podcast 21: Optimizing Traumatic Ventilations

July 8, 2021

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

July 8, 2021

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...

Prolonged Field Care Podcast 19: Infection, Sirs And Sepsis

July 7, 2021

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

July 7, 2021

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....

Prolonged Field Care Podcast 17: Expectant Patients And Palliative Care

May 31, 2021

Prolonged Fieldcare Podcast 16: Sedation in Prolonged Fieldcare

May 31, 2021

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...