PJ Medcast

Doc Mitchell was and GA, ST and SOST EM Doc who performed the first pre hosptial combat reboa. In this episode he discusses a key article reviewing the pathophysiology of the Lethal Triad and now the diamond of death. Hypocalcemia is implicated in reduced myocardial contractility, loss of vascular tone, and several impacts on the clotting cascade and clot strength. In Part 1 of 2, Doc M puts this together for the medics and covers down on calcium cholride vs calcium gluconate. TOML

Steve's storry on the pile on 9-11. In memory of the New Yorkers we lost 21 years ago THAT OTHERS MAY LIVE

MASCAL discussion, civilian experience with triage and MCI systems Dr Kamler, EM, Cornell Medical College, NY Presbyterian Hospital

Dr Jon Kamler, EM Doc at Cornell who is first author on a paper to be published in JSOM, discusses our literature review and relevant findings to pushing for change in MASCAL response. Triage accuracy, plethora of systems, actual use of MASCAL systems in training and real world events and more.

COL Miles discusses the background of one of the leading edge SOF resuscitation meetings, new thoughts on needle decompression and tension pneumothorax, and TXA. TOML meets RLTW

Retired Chief discusses setting yourelf up for success during your career to land on your feet when you separate or retire. Wisdom from an experienced Chief. THAT OTHERS MAY LIVE

This is the final installment of AC CC Dave Ruvola discussing open ocean, nightitme survival in 70 foot seas during the Perfect Storm. All while rallying the aircrew scattered in the Atlantic, and being rescued by our Brothers and Sisters in the USCG. An exercise in consumate leadership and professionalism. THAT OTHERS MAY LIVE

Continuing with a description of the misssion and attempts at aerial refueling. THAT OTHERS MAY LIVE

Oct 30, 1991, this is the story of the real Mission of the NY AIr Guard Rescue Team that went out into the storm, later immortalized in the book and movie, The Perfect Storm. Dave Ruvola, prior PJ and aircraft commander on the mission recounts the story of the rescue attempt, ditching the helo, the ocean survival scenario, and the tragic loss of PJ Rick Smith who we remember and honor. This is a dramatic and riveting real world story of professionalism, excellence and leadership. THAT OTHERS MAY LIVE In memory of Rick Smith.

New paper will be coming out discussing new thoughts on MASCAL incorpoarting new ideas on Time and Triage to be published in the Journal of Trauma and Acute Care Surgery. Also look for our upcoming discussion on the PFC podcast with Dennis. THAT OTHERS MAY LIVE

THAT OTHERS MAY LIVE

Our deep dive into MASCAL begins with the horrific Boston Marathon Bombing, Hear my discussion with COL Ricky Kue MD, US Army Reserve, Emergency Medicine Doc. He was the on scene medical commander. THAT OTHERS MAY LIVE

Matt Stevens, prior NSW, and the Honor Foundation have created a well oiled machine to help you navigate transtioning. Very impressive program for post career growth and navigation.

More insightful stories about casualty care and analgesia in Vietnam. THAT OTHERS MAY LIVE

Yale educated Doc Llewellyn tells his exceptional story of Military Service from Vietnam through distinguisehed service in retirement. Stories of his support of SOF, relationship with COL Charlie Beckwith, research, global and tropical medicine, CONTOMS and much more. Dr LLewellyn is a prior Professor and Chairman of the Department of Military Medicine at the Uniformed Srevices University of hte Health Sciences, Consultant to the Army SG for Medical Support of Special Operations, leader inCombat Casualty Care and Medical Chemical Defense, etc. This was an honor and one of the most enjoyable and enlightenting conversations I have had. Please share this widely and enjoy. Part 1 of 3. THAT OTHERS MAY LIVE

We begin to explore the role of human factors in mishaps. Training mishaps unfortunately occur, the development of self awareness is critical in personal and professional development, and can reduce injury and worse from training mishaps. Mission safety, team and personal safety are enhanced by self awareness, risk management and taking ego out of the decision making process. This podcast with a USAF SME sets the stage for some studies we are doing after observiing the human factor role in mishaps.

Response to a question from downrange. If whole blood is frozen, DO NOT USE IT. Move all Teams to getting titered if Group O within 8-12 weeks of deployment so you can identify live universal donors.

One of our most popular guests. THAT OTHERS MAY LIVE

We are in the process of finalizing the sTBI protocol for TCCC. This podcast reviews some of the controversies in the use of 23.4% NaCl in the field, and how the discussions evolve. In the meantime it is a great review of sTBI and increased ICP(intracranial pressure). Remember to distinguish between sTBI, increased ICP and herniation. In truama they are on a contiuum of catastrophic injury. THAT OTHERS MAY LIVE

Pyschologist and US Army Reserve LTC /Doc Ben Keizer discusses management of mental health issues in combat veterans at the Center for the Intrepid in San Antonio, including their published experience using Ketamine therapeutically.

part 2 with Quinn

Prior NSW Operator Quinn, discusses his story and successful use of therapeutic ketamine. This is part of a series with Quinn and then follow up with a Psychologist from the Center for the Intrepid, and an excellent discussion from a Clinical Health Psychologist with a significant experience in caring for our Warfighters.

Great response of first 2 episodes with Marcus THAT OTHERS MAY LIVE

Final episode in this series with Maj Kashlan, spine surgeon at the Univ or Michigan and Air Guard Flight Doc. That Others May Live

Relevance to small unit care discussed as well.

Doc Kashlan is a Neurosurgeon at the University of Michigan specializing in the Spine and Spinal Cord. He is also a Flight Surgeon in the Air National Guard. We will do two series of podcasts with him. The first is to discuss spine injuries in Operators, mostly from wear and tear. Later we will do a deep dive into combat injuries of the spine and spinal cord. In this episode we introduce Doc Kashlan and review the anatomy and function of the spine, and review critical elements in the history and physical examination.

Happy New Year That Others May Live

I have heard some honest discussions from Operators who prioritized Career over Fatherhood. You can do both, it just has to be a conscious effort. Marcus is doing research and creating a practice to coach men how to be better Dads. This is a phenomenal idea, parenting does not always come naturally, and having a coach may be just the answer. In this 2 part discussion Marcus addresses: 1. Creating a Dad-Identity- seeing yourself as a Dad; understanding the importance of the role. 2. Consistency- discipline, routines, keeping promises. 3. Importance of play. 4. Not perfect, PRESENT-putting Dad time on the schedule; focusing attention on them; listening. Holiday season is an important time to reflect on family, and what we can re commit ourselves to. I hope this is meaningful during this time. Merry Christmas and Happy New Year.

This is a real and meaningful discussion by a Doc with significant Role 1 and Role 2 experience, as well as many years training PJs in ST and RQ. The value of this podcasts for PJs, Medics and Corpsmen is exceptional. THAT OTHERS MAY LIVE

Doc Givens is an Army Emergency Medicine Doc with fellowships in Toxicology and Sports Medicine. Also deployed as an EM Doc and has served as a Med Director for operational units. She recently become the Executive Director of CHAMP- the Center for Health and Military Performance at the Uniformed Services University in Bethesda. This is the human performance arm of our nation's military med school, and center of policy for many mil performance programs. in this episode we discuss what is known and unknown in recovery from training. THAT OTHERS MAY LIVE

I learned a lot from Winn and think you will too- TOML

Winn is one of the DODs most experienced operational medical educators. Hear lessons learned, thoughts on optimizing training and learning and more in this wide ranging and insightful discussion from one of our SF Brothers. THAT OTHERS MAY LIVE

CSAR response to poly trauma patient four injured extremities in shock. Key point- Iliac crest IO is an option for whole blood transfusion in a poly trauma patient without peripheral access. This is the first documented case in the mil prehospital setting. THAT OTHERS MAY LIVE

Comm with [email protected] to sign up and get more info for operationally focused paramedic recerts, with an emphasis on experiential training including labs taught by trauma surgeons, PFC training, TCCC scenarios, and real world lessons learned.

Dr Lim from SKRATCH LABS talks about overtraining. This is an insidious syndrome from doing too much and not recovering enough. It is complex, can take 2-4 weeks to recover from, and is all too common. Avoiding overtraining along with reducing injuries from training is one of the reasons we need coaches, very few people can coach themselves when training hard and operating harder! THAT OTHERS MAY LIVE

This is one of the most insightful and thoughtful discussions I have had the privilege to be part of. It includes perspectives from the ST side of the house that give perspective and consideration for future directions. THAT OTHERS MAY LIVE

A NY PJ discusses the local response.

This is an exceptional discussion from the FDNY EMS Med Director on scene, roving CCPs, loss of C2, the human toll in the middle of it all, losing his senior enlisted, and getting knocked out by the blast wave from the second collapse, regrouping and finding work. One of the many heroes, thousands of them from 11 SEP 2001. THAT OTHERS MAY LIVE

Steve retired as an FDNY Captain and was a responder for 3 months on the pile. Steve talks about first hearing about the attack and scrambling to get to his firehose ,and then get to the site. Everything from the emotions, discussion of response the massive structural collapse, and looking for work. I am proud to introduce you to my friend and retired FDNY Captain. THAT OTHERS MAY LIVE

The 106th Rescue Wing is on Long Island. Many of our Guardsmen are NYC Firefighters and Police Officers. In this series we will hear from New Yorkers who responded to the attacks here in New York. All of this on the backdrop of the news of the last few weeks. From our FDNY, NYPD, EMS first responders, and our citizens who perished in the attack, to our Marines we recently lost, I hope we will honor and remember all Americans and partner forces who have made sacrifices during GWOT. THAT OTHERS MAY LIVE