Cover image of Special Operations Medical Association
(81)
Health & Fitness
Government
Medicine

Special Operations Medical Association

Updated about 11 hours ago

Health & Fitness
Government
Medicine
Read more

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

Read more

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

iTunes Ratings

81 Ratings
Average Ratings
69
8
2
0
2

Great podcast...hard to hear well

By gkouhhfdssdjkkmnnnbb - Mar 29 2019
Read more
Great content. Probably need new mics. Audio is a little off.

Great podcast

By Roidhem - Mar 11 2015
Read more
Can't wait for more episodes

iTunes Ratings

81 Ratings
Average Ratings
69
8
2
0
2

Great podcast...hard to hear well

By gkouhhfdssdjkkmnnnbb - Mar 29 2019
Read more
Great content. Probably need new mics. Audio is a little off.

Great podcast

By Roidhem - Mar 11 2015
Read more
Can't wait for more episodes

Listen to:

Cover image of Special Operations Medical Association

Special Operations Medical Association

Updated about 11 hours ago

Read more

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

25: The Lethal Triad

Podcast cover
Read more

In an attempt ot explain the lethal triad, Dennis may have gone too far...

Aug 11 2017

7mins

Play

4: Pharm for SOF Medics

Podcast cover
Read more

In this great podcast Justin introduces the principals of pharmacology that have served him well over the years and have done far more for him than simply keeping him out of trouble.  He also introduces Brad Morgans CRNA who is a wealth of knowledge and experience in not only combat and austere theaters but also in working with and relating to, SOF medics and the challenges we face.  This is the first with more episodes in the series to come. So listen, download, read and understand the principals that, if heeded, can make the lives of you and your patients’ safer and more comfortable.  These principals should challenge you and spur you along to learn more about the drugs in the magic, locked narc box and the effects they will have on your patient.  If you have questions or comments add them to the comments section of this post at www.prolongedfieldcare.org

Mar 19 2015

10mins

Play

46: Bleeding in the Box: Non-Compressible Torso Hemorrhage with Dr. Mark Shapiro

Podcast cover
Read more

Mar 20 2019

34mins

Play

7: Ketamine and PFC

Podcast cover
Read more

Sep 15 2015

21mins

Play

11: Beyond the Golden Hour

Podcast cover
Read more

The following video podcast was recorded live at the JSOMTC during the July 21 2016 weekly Joint Trauma System Teleconference.  Dr. Doug Powell talks about providing critical care in austere environments.  He has been answering tough questions that medics have been asking the Prolonged Field Care Working Group for over 2 years as he simultaneously provided intensive care to sick patients in his ICU.  He has proctored and instructed more prolonged field care and other austere medical exercises than anyone I know.  He is now a Battalion Surgeon for a Special Forces Group and has a very good idea of what is required of a Special Operations Medic.  All of the downloads from the talk can be found at our website: www.prolongedfieldcare.org

Jul 30 2016

24mins

Play

6: Opiate Analgesic Pain Control

Podcast cover
Read more

May 13 2015

19mins

Play

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

Podcast cover
Read more

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

Dec 21 2017

27mins

Play

18: TBI Management in PFC

Podcast cover
Read more

Be sure to visit www.prolongedfieldcare.org for the associated quiz and show notes! Dr. David Van Wyck an Intensivist and Neurointensivist Fellow at Duke Medical Center in North Carolina explains the evolving management of TBI in the field for medics in austere environments. Go to www.prolongedfieldcare.org for the accompanying blog post, shownotes and quiz.

Apr 25 2017

51mins

Play

29: Dr. Cap on Fresh Whole Blood for Resuscitation in PFC

Podcast cover
Read more

Sep 29 2017

44mins

Play

5: Pharm episode II - MSMAID

Podcast cover
Read more

Apr 08 2015

9mins

Play

49: Set up a Walking Blood Bank

Podcast cover
Read more

Apr 19 2019

45mins

Play

15: Analgesia Case Discussion Podcast with a word on Emerging PTSD Research

Podcast cover
Read more

Just snow your patient with ketamine and versed to prevent PTSD right?  Maybe not.  While talking through some more analgesia and sedation strategies, Doc Powell shares his thoughts on what he has read recently and it might blow your mind.  It did mine andI'll definitely have to dig in and do more research of my own. We also go through some of the answers to our survey we put out on our last post.  For the most part we did pretty good as a whole.  There were, however, some dangerous answers such as using propofol or benzodiazepines for pain control, and we will discuss why that's not necessarily such a great idea.

Jan 02 2017

44mins

Play

3: Nutrition in Prolonged Field Care

Podcast cover
Read more

Feb 12 2015

16mins

Play

27: Winning in a Complex World

Podcast cover
Read more

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

Sep 02 2017

45mins

Play

21: Optimizing Traumatic Ventilation

Podcast cover
Read more

Dennis was finally able to corner an anesthesiologist who was actually more than happy to sit down and talk about his years if experience working from the head of thousands of patients.  While we are working on an Airway Clinical Practice Guideline with the Army Institute of Surgical Research, this will go along with our earlier posted airway recommendations until we can get a consensus and get it published. 

Jun 03 2017

30mins

Play

41: The Death of the Golden Hour

Podcast cover
Read more

Aug 13 2018

27mins

Play

14: Round Table Crush Injury Discussion

Podcast cover
Read more

In this episode we gathered around a microphone to discuss the management of crush injury in austere environments including a scenario and the answers to our poll.  Go to www.prolongedfieldcare.org to take the follow-up, 3-question quiz to make sure you understand the principles of the latest evidence based recommendations. 

Nov 01 2016

39mins

Play

16: Sedation in PFC

Podcast cover
Read more

A follow up to our last analgesia podcast, Dennis hosts Doug and Paul to talk about pearls when dealing with sedation in the ICU and how they translate to care in the field by medics.

Mar 17 2017

37mins

Play

44: Prep for Flight and En Route Care

Podcast cover
Read more

Feb 06 2019

39mins

Play

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

Podcast cover
Read more

The Tactical Hemostasis, Oxygenation and Resuscitation(THOR) Group including the 75th Ranger Regiment, NORNAVSOF and others have led the way in re-implementing type-O, low titer fresh whole blood far forward with the Ranger type-O Low titer(ROLO) program. In 2015 the Ranger Medical Leadership along with founders of the ROLO program published the paper, "Tactical Damage Control Resuscitation" outlining in detail why they chose to bring back fresh whole blood at the point of injury. Since that time further studies have strongly suggested that the earlier fresh whole blood was transfused, the greater the benefit to the patient. Shackleford et al demonstrated that the greatest benefit to a patient receiving fresh whole blood occurred within 36 minutes of injury. After 36 minutes no decrease in 24-hour mortality was found.

Blood must be replaced as soon as possible. The Committee on Tactical Combat Casualty Care also recommends FWB as the first line intervention for patients in hemorrhagic shock with blood products in both second and third place. We cannot ignore whole blood any longer if we wish to deliver the best possible battlefield care possible. Excuses citing logistical difficulty, concerns of safety or lack of information are unfounded. There are multiple ways to ensure our casualties are receiving fresh whole blood. The first is through the Armed Forces Blood program delivering cold stored O-Low titer blood to a Role 2 facility where it is picked up and pushed forward from there. Refrigeration is necessary in order to keep it below 4°C. If going out on mission insulated containers such as the Golden Hour or Golden Minute containers can be used to keep the blood within temperature specs for 24, 72 hours or longer. If dismounted, a transfusion can occur at or near the point of injury with pre-typed, screened and titered ROLO/SOLO donors. Other non-Ranger Special Operations units have since followed suit and have tweaked the name to suit them, hence the new SOLO(Special Operations Low-O) acronym.

Mar 10 2018

11mins

Play

57: Snake Envenomation in Austere Environments

Oct 31 2019

1hr 21mins

Play

56: Spi al Trauma with Ian Wedmore

Podcast cover
Read more

Oct 16 2019

27mins

Play

55: JJ and Dennis on HROs

Podcast cover
Read more

Sep 27 2019

33mins

Play

54: SOP for the Ideal SF Clinic?

Podcast cover
Read more

Jul 16 2019

25mins

Play

53: Ventilating in the Prone?!

Podcast cover
Read more

Doug reviews a NEJM article on prolonged proning.

Jul 02 2019

25mins

Play

52: Walking the Fence of Evidence, Environment and Experience with a word on Proning

Podcast cover
Read more

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 exist for a specific problem you face. With such a wide scope of practice while deployed and a lack of protocols SF medics are often faced with unique situations in which they must actually weigh the evidence, best practice, guidelines and expert consensus against the given situation. This is a great responsibility not entrusted to many other combat arms troops. In order to weigh the evidence you must first be aware it exists and how to interpret what you are reading. This will help get you on the right path in making informed decisions.

Jun 10 2019

35mins

Play

51: Tropical Medicine Considerations for Prolonged Field Care with CAPT Ryan Maves

Podcast cover
Read more

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 encountered by deployed military personnel and partner forces and what you can do about it before an infection becomes life threatening. .  

A few things to remember from the episode:

  • History and assessment are key in identifying tropical diseases. Remember to consider both history of exposures as well as the accompanying syndromes in formulating a differential diagnoses.  
  • Malaria treatment consists of Malerone, Coartem or both. 
  • No one dies without Doxycycline!

May 30 2019

28mins

Play

50: Simple Sepsis Recognition and Intervention for Prolonged Field Care

Podcast cover
Read more

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. 

May 17 2019

21mins

Play

49: Set up a Walking Blood Bank

Podcast cover
Read more

Apr 19 2019

45mins

Play

48: Maximizing Medical Proficiency Hospital Rotations With Mark

Podcast cover
Read more

Apr 19 2019

39mins

Play

47: Andy Fisher and his Damage Control Resuscitation for Prolonged Field Care CPG

Podcast cover
Read more

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 is not responding to resuscitation efforts? This is a guideline truly written for the Medic working despite lack of help or resources in an austere environment...

Apr 04 2019

38mins

Play

46: Bleeding in the Box: Non-Compressible Torso Hemorrhage with Dr. Mark Shapiro

Podcast cover
Read more

Mar 20 2019

34mins

Play

45: Regional Anesthesia as an Analgesic Adjunct in PFC

Podcast cover
Read more

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

Feb 25 2019

33mins

Play

44: Prep for Flight and En Route Care

Podcast cover
Read more

Feb 06 2019

39mins

Play

43: 5 Years of Prolonged Field Care

Podcast cover
Read more

Dec 16 2018

21mins

Play

42: Wound Care Basics and Beyond

Podcast cover
Read more

Nov 27 2018

42mins

Play

41: The Death of the Golden Hour

Podcast cover
Read more

Aug 13 2018

27mins

Play

Episode 40: Medic Team Dynamics with Dennis and Doug

Podcast cover
Read more

Jul 27 2018

27mins

Play

39: ETCO2

Podcast cover
Read more

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

Jul 05 2018

30mins

Play

38: Far Forward Surgical Support

Podcast cover
Read more

Apr 13 2018

18mins

Play