Rank #1: 54: SOP for the Ideal SF Clinic?
Rank #2: 4: Pharm for SOF Medics
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
Rank #3: 11: Beyond the Golden Hour
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
Rank #4: 25: The Lethal Triad
In an attempt ot explain the lethal triad, Dennis may have gone too far...
Rank #5: 29: Dr. Cap on Fresh Whole Blood for Resuscitation in PFC
Rank #6: 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 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.
Rank #7: 27: Winning in a Complex World
Jim originally gave this talk at SOMSA2017. Due to popular demand, we were able to convince him to rerecord after the conference concluded. Enjoy...
Rank #8: 35: Burn Care Priorities With Dr. Cairns of UNC Chapel Hill
Rank #9: 41: The Death of the Golden Hour
Rank #10: 28: Critical Skills for PFC Providers
Rank #11: 1: What's this PFC stuff anyway and why should I care?
This podcast was originally recorded in May, 2014. Some of the information and discussion about the direction of the Prolonged Field Care Working Group (PFC WG) is a little dated, but this will give the listener some idea of what this PFC thing is all about and how the US SOF PFC WG started out. Dr. Sean Keenan is interviewed about the initial development and concept. Enjoy!
Rank #12: 50: Simple Sepsis Recognition and Intervention for Prolonged Field Care
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.
Rank #13: 36: ROLO to SOLO: The Logistics of Fresh Whole Blood Transfusion
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.
Rank #14: 2: UOP - The Best field monitor for PFC...and a word on hypotensive resuscitation
Now it’s time to bust out some clinical content and talk resuscitation. You can start today! You don’t need fancy equipment or tools. Just reach down and grab something, use a Foley and you’re there…and as a special bonus, you get a little intro on hypotensive resuscitation and why it may not be all that for the long haul…Drs. Phil Mason and Chris Burns are interviewed by Justin.