Special Operations Medical Association

Latest Episodes:

33: TIVA: Another Look at Pre-Hospital Analgesia and Sedation Dec 21, 2017

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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.

32: Doug Explains the Burn Care Clinical Practice Guideline Dec 09, 2017

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Burns present another wound pattern that can be extremely difficult and time consuming for any level of provider to manage. So much so that there are dedicated burn teams that will often fly to where burn patients are being held in order to get them back to the burn center in San Antonio with the best chance of survival. We have taken the expert guidance of these critical care providers and packaged everything they have learned into a single clinical practice guideline targeted at the medic and other Role 1 Providers who might find themselves sitting on a patient at a Battalion Aid Station or team house before evacuation is available. Initial priorities such as estimating percentage of body surface area burned, starting fluid resuscitation with the rule of 10s, foley placement along with many others may determine the mortality and morbidity of your patient.

31: CBRN for Dummies COL Melissa Givens Nov 24, 2017

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We recorded this live from the Joint Special Operations Medical Training Center where Guest Lecturer COL Givens, shares the CBRNe knowledge she has learned working (among many other positions) as a Clinical Toxicologist around the world including as the SOCAFRICA Command Surgeon where she personally helped prepare members of 10th SFG(A) to deal with some of the most venomous snakes in the world.

COL Melissa (Missy) Givens MD, MPH is a graduate of the United States Military Academy and USUHS alumni. She is board certified in Emergency Medicine with subspecialty training in Clinical Toxicology and Sports Medicine and certification as a Strength and Conditioning Specialist. She is the former program director for the Carl R. Darnall Emergency Medicine Residency and EM-PA Fellowship. She has held various academic and operational assignments and completed several combat tours and deployments with both conventional and Special Operations Forces. COL Givens is currently faculty in the Department of Military and Emergency Medicine at USUHS.

30: REBOA for Prolonged Field Care with Joe DuBose Nov 01, 2017

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Dr. Joe DuBose is an Air Force Trauma Surgeon who recognized early in his career that hemorrhage was the number one killer of potentially survivable patients. This led him to a fellowship in vascular surgery and, as Dennis put it made him a guru in the emerging technology that allows a catheter to be placed in the femoral artery and snaked up past a bleed in the pelvis, abdomen and even chest where a balloon is then inflated cutting off all blood flow below that point. Dr. DuBose was the first to do This in the ED using a newer version that had a small enough diameter that a vascular repair would not be required after use. It is simply placed through a central line and removed as such later on. This is called REBOA or Resuscitative Endovascular Balloon Occlusion of the Aorta. As you can imagine this is not without limits and complications if done improperly.

29: Dr. Cap on Fresh Whole Blood for Resuscitation in PFC Sep 29, 2017

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28: Critical Skills for PFC Providers Sep 17, 2017

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27: Winning in a Complex World Sep 02, 2017

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Jim originally gave this talk at SOMSA2017. Due to popular demand, we were able to convince him to rerecord after the conference concluded. Enjoy...

26: ICRC Style Wound Care Aug 11, 2017

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Version:1.0 StartHTML:000000313 EndHTML:000022696 StartFragment:000021664 EndFragment:000022613 StartSelection:000021664 EndSelection:000022613 SourceURL:https://prolongedfieldcare.org/2017/08/11/podcast-episode-25-advanced-icrc-wound-care-and-the-acute-wound-care-management-clinical-practice-guideline/ Podcast Episode 25: ICRC Style Wound Care and the NEW Acute Wound Care Management Clinical Practice Guideline â€" ProlongedFieldCare.org

This Clinical Practice Guideline was written by a fellow 18D with input from around the surgical community. Â It reconciles the differences between wound care done in a role 2 or 3 facility, such as serial debridements, with what is taught in the 18D Special Forces Medical Sergeant Course with regards to delayed primary closure. Â One way is not â€œrightâ€ while the other wrong, it has more to do with the amount of time and resources available to the medic or other provider. Â The remainder of the blog post and podcast is meant to be a refresher for those who have already been taught these procedures. Â It is also meant to be informational for those medical directors who may not be exactly certain of what has been taught as far as wound care and surgery.Â Â If you havenâ€™t been trained to do these procedures before going ahead with them, it is very likely that you may do more harm to the patient than good.

25: The Lethal Triad Aug 11, 2017

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In an attempt ot explain the lethal triad, Dennis may have gone too far...

24: Infection to Sepsis Round Table Expert Discusion Panel Jul 21, 2017

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In this episode Dennis moderates a discussion on recognition and management of sepsis in Prolonged Field Care. We have Doug and Jaybon from the ICU, Jay from the ER perspective along with Paul providing some questions and insight on prehospital and evacuation considerations.

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