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Prolonged Field Care Podcast

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Prolonged Field Care Podcast

This podcast and website is dedicated to the healthcare professional who needs to provide high quality care in a very austere location. For more content: www.prolongedfieldcare.org Consider supporting us on: patreon.com/ProlongedFieldCareCollective

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Recent Episodes of Prolonged Field Care Podcast


TBI and Suicide

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 approach to treatment. He emphasizes the importance of therapy as the primary treatment for PTSD and highlights alternative therapies such as stellate ganglion block, ketamine, acupuncture, cannabis, mindfulness, and testosterone replacement therapy. The episode also addresses the challenges of soldier buy-in and compliance with treatment. The conversation explores the importance of addressing victim status versus hero worship in the context of PTSD. It...

Episode 11 July 2024 1h, 21m and 26s


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

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 communication. Andy emphasizes the importance of being physically fit and mentally prepared for the jungle environment. He also provides tips for preparing and packing essential medical equipment. The conversation highlights common mistakes made by rookies and offers advice for those interested in venturing into the jungle.


Takeaways

Working in the jungle requires specific skills and...

Episode 8 July 2024 31m and 55s


Regional Blocks for Analgesia

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 discuss the decision-making process for when to use regional anesthesia versus other forms of pain management. The hosts also cover topics such as indicators for when a patient is light enough for a regional block, the risks and complications associated with regional anesthesia, and the importance of training and references for this skill set.


Takeaways

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Episode 5 July 2024 32m and 56s


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

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 about the importance of medics in Special Forces and the impact they have on the people they treat. After Vietnam, Phil pursued a career in medicine and worked in various locations, including Panama and Salvador, providing medical care to those in need. Dennis shares his experiences working as a medic in remote areas, including his time in Panama and Colombia...

Episode 1 July 2024 1h, 41m and 47s


The Basics: Versed

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 positions. They also provide insights into the mechanism of action and dosing of Versed, highlighting the importance of individual patient factors and context in determining the appropriate dose. The conversation emphasizes the need for a staged approach when using sedatives and the importance of communication with the patient to assess their response. In this conversation, Dennis discusses the use of different medications...

Episode 28 June 2024 1h, 11m and 13s


Prolonged Fieldcare Podcast 186: Personnel Rescue

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 and CIV interpreters in two weeks. Later, he joined a committee called Save Our Allies and worked with the government to rescue and vet interpreters. In Ukraine, he formed a nonprofit called Heroes for Humanity and led a team to provide medical aid and assistance to special needs orphans. He describes the devastation of the war in Ukraine and the...

Episode 24 June 2024 1h, 14m and 16s


What is the Best Airway

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 situations. They discuss the resource limitations in the field, the need for resuscitation prior to intubation, the challenges of obtaining and administering sedation medications, and the potential complications of intubation. They also touch on the importance of training and maintaining skills in a resource-constrained environment. The conversation explores the challenges of airway management in austere environments and the training and...

Episode 21 June 2024 1h, 14m and 38s


Prolonged Field Care Podcast 185: Airway Decisions

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 facial trauma. Dr. DuCanto emphasizes the importance of assessing the patient's neurologic status and respiratory efforts, as well as considering the safety of the scene. He also highlights the need for clear communication with the patient and the use of appropriate techniques and tools for airway management. In this conversation, Dr. Jim DuCanto and Dennis discuss various aspects of airway management. They cover topics such as...

Episode 17 June 2024 48m and 22s


Expectant Care

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 medics face when dealing with expectant patients and the importance of reaching out for support and guidance. The conversation emphasizes the need to prioritize efforts and provide pain control and symptom management to make the patient as comfortable as possible. The key takeaway is that even in difficult situations, medics should strive to do everything they can...

Episode 14 June 2024 14m and 19s


Prolonged Field Care Podcast 184: Expectant Care Discussion

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 these types of care. They highlight the need for clear guidance and training for medics and corpsmen to make difficult decisions in the field. The panel also discusses the potential obstacles and unintended consequences of implementing clinical practice guidelines for expectant and end-of-life care. The conversation focuses on the need for guidance and training in making difficult medical decisions on the battlefield, particularly...

Episode 10 June 2024 55m and 30s

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