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Konten disediakan oleh Dennis. Semua konten podcast termasuk episode, grafik, dan deskripsi podcast diunggah dan disediakan langsung oleh Dennis atau mitra platform podcast mereka. Jika Anda yakin seseorang menggunakan karya berhak cipta Anda tanpa izin, Anda dapat mengikuti proses yang diuraikan di sini https://id.player.fm/legal.
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Prolonged Field Care Podcast
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Konten disediakan oleh Dennis. Semua konten podcast termasuk episode, grafik, dan deskripsi podcast diunggah dan disediakan langsung oleh Dennis atau mitra platform podcast mereka. Jika Anda yakin seseorang menggunakan karya berhak cipta Anda tanpa izin, Anda dapat mengikuti proses yang diuraikan di sini https://id.player.fm/legal.
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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457 episode
Tandai semua (belum/sudah) diputar ...
Manage series 3435284
Konten disediakan oleh Dennis. Semua konten podcast termasuk episode, grafik, dan deskripsi podcast diunggah dan disediakan langsung oleh Dennis atau mitra platform podcast mereka. Jika Anda yakin seseorang menggunakan karya berhak cipta Anda tanpa izin, Anda dapat mengikuti proses yang diuraikan di sini https://id.player.fm/legal.
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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457 episode
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Prolonged Field Care Podcast

1 Prolonged Field Care Podcast 227: Burn Resuscitation 45:47
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In this episode of the PFC Podcast, Dennis and Alex delve into the complexities of burn resuscitation, discussing recent advancements in fluid management and the importance of urine output monitoring. They explore the historical context of burn care, the role of glycocalyx in fluid dynamics, and evaluate various resuscitation protocols. The conversation emphasizes the need for careful fluid management to avoid complications and improve patient outcomes, particularly in emergency and military settings. Takeaways Burn injuries require specialized and intensive care. Fluid management is critical in burn resuscitation. The glycocalyx plays a significant role in fluid dynamics. Urine output is a key indicator of patient status. Over-resuscitation can lead to severe complications. Plasma therapy shows promise in improving outcomes. Historical protocols may need reevaluation based on new evidence. Monitoring urine output is essential for adjusting fluid therapy. Collaboration with burn centers is crucial in managing severe cases. Understanding the physiological changes in burn patients is vital. Chapters 00:00 Introduction to Burn Resuscitation 03:09 Understanding Burn Injuries and Their Management 06:00 Fluid Management in Burn Patients 09:05 The Role of Glycocalyx in Fluid Dynamics 12:04 Evaluating Burn Resuscitation Protocols 15:08 Comparing Fluid Resuscitation Strategies 17:51 The Importance of Urine Output Monitoring 20:47 Outcomes of Different Resuscitation Approaches 24:01 Recommendations for Burn Care in the Field 26:59 Final Thoughts on Burn Resuscitation Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 Master Burn Resuscitation. PFC Podcast 227: Burn Resus 1:32
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Hint...It has nothing to do with the formula. Posting tomorrow. Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 Prolonged Field Care Podcast: Bleeding in The Box 33:39
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In this episode of the PFC Podcast, trauma surgeon Dr. Mark Shapiro discusses advanced trauma care techniques, including Roboa, hemorrhage control methods, and the importance of decision-making in high-stakes environments. He emphasizes the need for ongoing training and collaboration between civilian and military medical professionals to improve patient outcomes in trauma situations. The conversation also touches on the role of telemedicine in providing guidance for advanced procedures in austere settings. Takeaways Roboa is a controversial procedure with mixed reviews. Decision-making in trauma surgery is critical and complex. Training and practice are essential for proficiency in advanced procedures. Telemedicine can enhance trauma care by providing expert guidance. Collaboration between civilian and military trauma care is vital. Alternative hemorrhage control techniques are limited but evolving. The consequences of surgical decisions can be life or death. Regular training refreshers are necessary for trauma medics. Understanding the environment is crucial for effective trauma care. Patient outcomes can improve with better training and experience. Chapters 00:00 Introduction to Advanced Trauma Care 02:51 Understanding Roboa and Its Implications 06:11 Decision-Making in Trauma Surgery 09:03 Exploring Alternative Hemorrhage Control Techniques 12:03 The Role of Training and Practice in Trauma Procedures 15:04 Shunts and Limb Reperfusion in Trauma 18:04 Thrombectomy and Its Challenges 21:03 Telemedicine in Trauma Care 24:11 Collaboration Between Civilian and Military Trauma Care 27:13 Recruiting and Training for Advanced Trauma Procedures Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 "That's the way we've always done it." isn't a good reason to keep doing it. PFC Podcast 226: Training Feedback 2:46
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The same standard doesn't equal the same approach. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-226-Training-Feedback-e31lvbn Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 Giving targeted feedback. PFC Podcast 226: Training Feedback 1:06
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Real feedback can't be cookie-cutter. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-226-Training-Feedback-e31lvbn Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 Prolonged Field Care Podcast 226: Training Feedback 59:58
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In this conversation, Dennis and Justin explore the nuances of providing feedback in educational settings, particularly in medical training. They discuss the importance of tailoring feedback to different learner levels, the concept of training to failure, and the significance of creating a safe environment for feedback. The conversation also delves into assessing learner needs, setting expectations, and the balance between giving constructive criticism and managing personal egos. Overall, the discussion emphasizes the art of effective teaching and the complexities involved in delivering feedback that fosters growth and learning. In this conversation, Justin Doroshenko and Dennis discuss the intricacies of medical education, focusing on the importance of addressing learner anxiety, facilitating self-discovery, and the significance of process-oriented learning. They explore the concept of training to failure, the design of effective training scenarios, and the necessity of establishing clear learning outcomes. Additionally, they emphasize the recognition and addressing of training scars that can hinder a learner's development.takeaways Tailoring feedback is essential for different learner levels. Training to failure can enhance learning experiences. Feedback should be task-oriented for beginners. Creating a safe environment for feedback is crucial. Setting clear expectations helps learners prepare for feedback. Experienced providers may not always be effective teachers. Feedback can resonate differently with each individual. Understanding the learning spectrum aids in providing effective feedback. Balancing feedback with personal ego is important for educators. Feedback is a gift that can lead to growth or resistance. New learners often panic when faced with criticism. Understanding the thought process behind decisions is crucial. Facilitating self-discovery enhances learning outcomes. Training to failure can be a valuable educational tool. Creating realistic training scenarios is essential. Establishing clear learning outcomes guides the educational process. Feedback should focus on the thought process, not just outcomes. Recognizing training scars can improve teaching effectiveness. Peer feedback can be less intimidating for learners. Teaching judgment is more complex than teaching facts. Chapters 00:00 Tailoring Feedback for Different Learners 02:57 Training to Failure in Education 05:57 Understanding the Learning Spectrum 08:55 Assessing Learner Needs 11:59 Creating a Safe Feedback Environment 14:59 The Importance of Setting Expectations 17:46 Navigating the Feedback Process 20:47 The Gift of Feedback 24:00 The Role of Experience in Teaching 27:05 Balancing Feedback and Ego 35:00 Navigating Learner Anxiety in Medical Education 37:50 Facilitating Self-Discovery in Learning 40:55 The Importance of Process Over Outcome 43:55 Pushing Boundaries: Training to Failure 48:48 Designing Effective Training Scenarios 54:10 Establishing Clear Learning Outcomes 57:55 Recognizing and Addressing Training Scars Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 Designing for Failure. PFC Podcast 226: Training Feedback 2:56
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Training guys to the edge of their capabilities. Posting tomorrow... Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 Get experience using the tools you have. PFC Podcast: S-Ketamine 1:56
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Experience is only gained by experience. Find a way to actually use (legally) the narcotics you're issued. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-S-Ketamine-e31etbb Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 Pick your poison. PFC Podcast: S-Ketamine 2:50
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Not every drug works well with trauma patients. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-S-Ketamine-e31etbb Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 Prolonged Field Care Podcast: S-Ketamine 51:02
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In this episode of the PFC Podcast, Dennis and Pac delve into the intricacies of ketamine and esketamine, exploring their applications in military medicine, particularly in battlefield scenarios. Pac shares his extensive experience as an anesthetist and military medical officer, discussing the evolution of ketamine, its effectiveness in pain management, and the cultural differences in pain perception. The conversation emphasizes the importance of proper training and planning in administering these drugs, as well as the role of regional anesthesia in enhancing patient care. This conversation delves into the various aspects of ketamine administration, including routes, dosages, and the importance of experience in emergency medicine. The speakers discuss the nuances of managing pain, the significance of understanding pharmacology, and the practicalities of using ketamine in hemodynamically unstable patients. They also touch on the importance of teaching and preparing for emergencies, as well as the value of gaining hands-on experience in different environments.takeaways Esketamine is often viewed as a superior alternative to traditional ketamine. Cultural perceptions of pain can significantly influence patient responses to anesthesia. Proper training in drug administration is essential for medical personnel. Ketamine has a high tolerance for side effects, making it safer in emergency situations. Regional anesthesia can complement ketamine use for better pain management. The effectiveness of ketamine in battlefield scenarios is well-documented. Dosage and administration techniques are crucial for achieving desired effects with ketamine. Understanding patient responses is key to effective pain management. The evolution of ketamine reflects ongoing advancements in medical practices. A comprehensive plan is necessary when using ketamine for sedation or analgesia. Different routes of administration for ketamine have varying bioavailabilities. Dosage adjustments are crucial when switching between IV and IM routes. Experience in drug administration can significantly impact patient outcomes. Managing adverse effects requires patience and a clear plan. Planning for patient transport is essential in emergency situations. Teaching pharmacology should focus on techniques applicable to all narcotics. Ketamine is effective for hemodynamically unstable patients. Ketamine can be used in managing refractory seizures. Hands-on experience is invaluable for medical professionals. Utilizing local knowledge can enhance treatment effectiveness. Chapters 00:00 Introduction to the Podcast and Guests 01:10 Exploring Esketamine: A Medical Perspective 03:51 The Evolution of Ketamine in Medicine 07:14 Practical Applications of Ketamine in Military Medicine 11:06 Cultural Differences in Pain Perception 13:19 Dosage and Administration of Esketamine 16:12 Comparing Ketamine and Morphine in Battlefield Analgesia 18:59 The Role of Regional Anesthesia in Pain Management 22:16 Training Challenges in Medical Personnel 25:14 Assessing Pain Management Effectiveness 27:59 Exploring Routes of Administration for Ketamine 30:57 Understanding Dosage and Onset Times 32:20 The Importance of Experience in Drug Administration 34:27 Managing Adverse Effects and Overdoses 36:14 Planning for Patient Transport and Sedation 39:10 Teaching Pharmacology and Emergency Preparedness 41:03 Ketamine in Hemodynamically Unstable Patients 45:11 Ketamine's Role in Seizure Management 48:22 Gaining Practical Experience with Ketamine Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 How to screw up ketamine admin training. PFC Podcast: S-Ketamine 2:47
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Posting tomorrow... Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 Scare them into saving lives. PFC Podcast225: Mastering Triage 1:47
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Nobody can run this alone; Unit buy-in is essential. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-225-Mastering-Triage-e31er64 Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 Not everyone is coming to help. PFC Podcast 225: Mastering Triage 2:43
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MASCALs are not solely a medical problem. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-225-Mastering-Triage-e31er64 Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 Quick Assessments and Snap Decisions save lives. PFCPodcast225: Mastering Triage 2:56
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Start with the basics...Like REAL basic. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-care-Podcast-225-Mastering-Triage-e31er64 Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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Prolonged Field Care Podcast

1 Prolonged Field care Podcast 225: Mastering Triage 58:38
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In this episode of the PFC podcast, Dennis, Andrew, and Rick delve into the critical topic of triage in emergency medicine. They explore the complexities of triage during mass casualty situations, emphasizing the importance of quick decision-making and prioritization of patient care. Andrew shares his experiences as an emergency medicine physician, highlighting the chaotic nature of triage and the necessity of using intuitive methods to assess patients effectively. The conversation covers various triage categories, techniques, and the significance of clinical judgment in determining patient needs during emergencies. This conversation delves into the complexities of triage in emergency medical situations, emphasizing the importance of decision-making under pressure, the role of medical leadership, and the integration of security measures. The speakers discuss the dynamic nature of triage, the ethical dilemmas faced in resource allocation, and the necessity of effective communication and collaboration among medical teams and command structures during mass casualty events. This conversation delves into the complexities of triage in high-pressure medical situations, particularly in military contexts. The speakers discuss the importance of effective training, the management of mass casualty scenarios, and the need for a comprehensive approach that includes both medical and non-medical personnel. They emphasize the necessity of adapting training to reflect real-world challenges and the importance of leadership in ensuring successful outcomes during emergencies. Takeaways Triage is never perfect; it's chaotic and unpredictable. Use the simplest methods for triage in emergencies. Identify who is dying now versus who is stable. Focus on life-saving interventions first. Triage is a continuous process, not a one-time event. Utilize all available resources during a mass casualty. Clinical judgment is crucial in triage decisions. Trust your instincts when assessing patient urgency. Most patients in mass casualty scenarios are routine or priority. Effective communication and organization are key in triage situations. Triage decisions must be made quickly and efficiently under pressure. Assessing patient stability is crucial for effective resource allocation. Medical leaders must maintain situational awareness during triage. Communication between medical and non-medical leaders is essential. Security measures must be integrated into medical response plans. Triage is a dynamic process that requires constant reassessment. Ethical dilemmas arise when deciding how to allocate limited resources. Collaboration with surgical teams is vital for patient outcomes. Training should address both medical and security aspects of triage. Effective management of patient flow can improve overall care during crises. Triage in high-volume situations requires strategic patient distribution. Chapters 00:00 Introduction to Triage and Its Importance 03:05 Understanding Triage Categories 09:01 Triage Techniques and Strategies 11:59 Evacuation Categories and Decision Making 14:59 Clinical Judgment in Triage 21:20 Assessing Patient Stability and Resource Allocation 25:19 Security Considerations in Mass Casualty Events 29:27 Integrating Security and Medical Response 38:50 Triage in High-Volume Situations 41:53 Managing Mass Casualty Scenarios 44:48 Command and Control in Triage 45:57 Defining Success in Mass Casualty Training 51:05 Improving Triage Processes 57:59 Final Thoughts on Triage and Training Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content, go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care…
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