Special Operations Medical Association

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**Special Operations Medical Association**

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

Latest Episodes:

53: Ventilating in the Prone?! Jul 02, 2019

Show notes

Doug reviews a NEJM article on prolonged proning.

52: Walking the Fence of Evidence, Environment and Experience with a word on Proning Jun 10, 2019

Show notes

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.

51: Tropical Medicine Considerations for Prolonged Field Care with CAPT Ryan Maves May 30, 2019

Show notes

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!

50: Simple Sepsis Recognition and Intervention for Prolonged Field Care May 17, 2019

Show notes

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.

49: Set up a Walking Blood Bank Apr 19, 2019

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48: Maximizing Medical Proficiency Hospital Rotations With Mark Apr 19, 2019

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47: Andy Fisher and his Damage Control Resuscitation for Prolonged Field Care CPG Apr 04, 2019

Show notes

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...

46: Bleeding in the Box: Non-Compressible Torso Hemorrhage with Dr. Mark Shapiro Mar 20, 2019

Show notes

45: Regional Anesthesia as an Analgesic Adjunct in PFC Feb 25, 2019

Show notes

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.

44: Prep for Flight and En Route Care Feb 06, 2019

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