Cover image of Special Operations Medical Association
(93)
Health & Fitness
Medicine

Special Operations Medical Association

Updated about 1 month ago

Health & Fitness
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

93 Ratings
Average Ratings
80
8
3
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

93 Ratings
Average Ratings
80
8
3
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
Cover image of Special Operations Medical Association

Special Operations Medical Association

Latest release on Jul 02, 2020

Read more

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

Rank #1: 57: Snake Envenomation in Austere Environments

Oct 31 2019

1hr 21mins

Play

Rank #2: 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

Rank #3: 46: Bleeding in the Box: Non-Compressible Torso Hemorrhage with Dr. Mark Shapiro

Podcast cover
Read more

Mar 20 2019

34mins

Play

Rank #4: 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

Rank #5: 56: Spinal Trauma with Ian Wedmore

Podcast cover
Read more

Oct 16 2019

27mins

Play

Rank #6: 7: Ketamine and PFC

Podcast cover
Read more

Sep 15 2015

21mins

Play

Rank #7: 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

Rank #8: 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

Rank #9: 41: The Death of the Golden Hour

Podcast cover
Read more

Aug 13 2018

27mins

Play

Rank #10: 6: Opiate Analgesic Pain Control

Podcast cover
Read more

May 13 2015

19mins

Play

Rank #11: 29: Dr. Cap on Fresh Whole Blood for Resuscitation in PFC

Podcast cover
Read more

Sep 29 2017

44mins

Play

Rank #12: 49: Set up a Walking Blood Bank

Podcast cover
Read more

Apr 19 2019

45mins

Play

Rank #13: 35: Burn Care Priorities With Dr. Cairns of UNC Chapel Hill

Podcast cover
Read more

Feb 23 2018

35mins

Play

Rank #14: 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

Rank #15: 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

Rank #16: 3: Nutrition in Prolonged Field Care

Podcast cover
Read more

Feb 12 2015

16mins

Play

Rank #17: 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

Rank #18: 5: Pharm episode II - MSMAID

Podcast cover
Read more

Apr 08 2015

9mins

Play

Rank #19: 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

Rank #20: 58: Justin on Planning

Podcast cover
Read more

Dec 14 2019

37mins

Play

68: Pediatric Basics

Podcast cover
Read more

Dennis and Matt Borgman discuss Pediatric trauma.

Jul 02 2020

53mins

Play

67: PFC Airway CPG

Podcast cover
Read more

Dennis and Collin discuss the long overdue PFC Airway CPG.

Jun 18 2020

34mins

Play

66: Calcium and RDCR

Podcast cover
Read more

Dennis nerds out with Justin and Ricky on calcium, clotting cascade, and RDCR.

Jun 02 2020

47mins

Play

65: Airway Mastery

Podcast cover
Read more

Evan uses his experiences to up our airway game.

May 15 2020

50mins

Play

64.5: Austere COVID 19 CPG

Podcast cover
Read more

In this podcast Sean goes over the new Austere COVID 19 Clinical Practice Guideline.

May 11 2020

23mins

Play

64: Resiliency and Teamwork

Podcast cover
Read more

On this podcast Dennis and Mark talk about Resiliency and teamwork during Mark's time working in the ICU during the COVID 19 pandemic in New Jersey.

May 01 2020

49mins

Play

63: Oxygenating COVID 19 Patients

Podcast cover
Read more

Apr 17 2020

40mins

Play

62: Confined Space Rescue

Podcast cover
Read more

Sean and Dennis discuss considerations for confined space rescue.

Mar 31 2020

1hr 5mins

Play

61: TBI Update with Dr. VanWyck

Podcast cover
Read more

Mar 06 2020

47mins

Play

60: Ian Wedmore on Updates to Cold Weather Injury Treatments

Podcast cover
Read more

Feb 21 2020

46mins

Play

59: Med Facility Assessment Part 1: What is the Difference Between Levels of Trauma Centers?

Podcast cover
Read more

Feb 08 2020

33mins

Play

58: Justin on Planning

Podcast cover
Read more

Dec 14 2019

37mins

Play

57: Snake Envenomation in Austere Environments

Oct 31 2019

1hr 21mins

Play

56: Spinal 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

iTunes Ratings

93 Ratings
Average Ratings
80
8
3
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