This week, we have another MiM25 presentation from Dr John Quinn discussing Damage Control Resuscitation in large-scale combat operations, particularly in Ukraine. He shares insights from his extensive experience in emergency medicine and highlights the unique challenges faced in combat medicine, including medical logistics, terminology, and telemedicine. Dr. Quinn emphasises the importance of training, clinical governance, and the need for effective blood supply management in austere environments. The conversation also touches on the evolving practices in casualty care and the impact of modern warfare on medical operations.

Takeaways

Ukraine has surpassed NATO in counterinsurgency experience.

Effective medical planning is crucial for combat operations.

Telemedicine enhances clinical decision-making in remote areas.

Logistical challenges significantly impact casualty evacuation.

Understanding the terminology is essential for interoperability.

Innovations like RBOA are being utilised in combat medicine.

Training and capacity building are vital for partner forces.

Blood supply issues are critical in combat settings.

Tourniquet management is a significant concern in Ukraine.

Plasma is being used due to a lack of blood supply.

Chapters

00:00 Introduction to the CoROM Podcast

00:45 Dr. John Quinn's Background and Experience

02:13 Key Assumptions in Damage Control Resuscitation

03:42 Medical Planning in Large-Scale Combat Operations

05:11 Challenges in Medical Logistics and Command

07:35 Understanding Terminology and Echelons of Care

09:58 Tactical Combat Casualty Care and Innovations

11:52 Telemedicine's Role in Combat Medicine

13:47 Challenges in Casualty Evacuation

15:40 Logistical Challenges in Blood Supply

17:34 Wounding Patterns and Weapon Systems

19:50 Medical Evacuation in Challenging Environments

22:35 Training and Capacity Building in Ukraine

24:59 Clinical Governance and Standards in Ukraine

27:39 Transfusion Practices and Challenges

30:54 Addressing Tourniquet Issues and Training

33:39 Plasma Use and Blood Supply Challenges

36:51 Conclusion and Future Directions