In one of our most scientifically robust discussions, we go down the rabbit hole with Dr Maves and learn about some of the advances in antibiotic selection and use in the PFC environment. He helps us learn about the many changes in antimicrobial therapy that the military has seen in the past 20 years; and how much is still the same from the past 50 years. In a separate section, he reviews the Joint Trauma System wound care clinical practice guidelines for us and helps discuss when different antibiotics would be appropriate for different situations. Visit our Social Media @jsomonline. https://jsom.us/Podcast.

Dr Maves had so much information packed into his interview that we couldn't keep it all within the hardball. It's like a double chocolate cake with chocolate chips; too much goodness! We've broken the interview into two pieces, the main interview and Dr Maves' excellent review of the current JTS wound care CPG. Please join us for both and let us know what you think! Visit our Social Media @jsomonline. https://jsom.us/Podcast.

Strategic SOF pivots to AFRICOM and INDOPACOM have brought a number of surprises, such as treating snakebites. We caught up with one of the current snakebite SMEs to learn what got him interested in the field and how the arena of snakebite care has developed over the past couple of decades. In yet another rousting bit of education, he breaks down the “hot off the press” Joint Trauma Service snakebite clinical practice guidelines and helps us better understand the underlying phys-iology that medical professionals should consider when caring for patients who may have suffered an envenomation injury. Visit our Social Media @jsomonline. https://jsom.us/Podcast.

In this episode of the JSOM Podcast, Alex and Josh discuss the articles "Ketamine Administration by Special Operatinos Medical Personnel During Training Mishaps". Guest Rico Pesce breaks down the article, "Far Forward Gaps in Hemorrhagic Shock and Prolonged Field Care: An Update of ALM Fluid Therapy for Field Use". Alex and Josh also discuss, "Management of Critically Injured Burn Patients During an Open Ocean Parachute Rescue Mission". Visit our Social Media @jsomonline. https://jsom.us/Podcast.

We settle down to chat with one of the reigning champions of Prolonged Field Care (PFC), Dr Jamie Riesberg. He helps educate us about where the modern impetus for creating PFC treatments came from and what it looks like now. We review the thought process and resources available to the SOF medic practicing in the austere environment. Hope you enjoy learning about the recent developments in PFC as much as we do! Visit our Social Media @jsomonline. https://jsom.us/Podcast.

The 20th Anniversary interview series continues with LTC Rich Lesperance. LTC Lesperance is a surgeon at Brook Army Medical Center. Rich came up through the enlisted ranks as a Special Forces Medic. He earned his commission through medical school and continues to serve the SpecOps community as a trauma surgeon. In this interview, LTC Lesperance discusses the effects of tranexamic acid on the breakdown of tissue during a trauma event. Visit our Social Media @jsomonline. https://jsom.us/Podcast.

We continue our 20th Anniversary interview series with world-renowed tourniquet expert Dr. John Kragh. In this interview, Dr. Kragh takes us through his history in becoming a tourniquet expert as well as detailing the evolution of toruniquet use in combat situations as a battalion surgeon in Southwest Asia. Tourniquet use has evolved considerably even during the 20-years since the JSOM has been in publication. Be sure to read Dr. Kragh's contributions to this quarter's journal as a companion to this interview. Visit our Social Media @jsomonline. https://jsom.us/Podcast.

In this episode of the JSOM Podcast, Alex and Josh discuss the article, "Step Duration Effects on Blood Loss in Simulated Designs of Tourniquet Use Procedure". Guest Will Price breaks down the article, "Clothing Effects on Limb Tourniquet Application", and authors Matt Douma and Peter Brindley discuss their article, "Temporizing Life-Threatening Abdominal-Pelvic Hemorrhage Using Proprietary Devices, Manual Pressure, or a Single Knee: An Integrative Review of Proximal External Aortic Compression and Even 'Knee BOA'. Visit our Social Media @jsomonline. https://jsom.us/Podcast.

Please join us as we catch up with CMSgt Rubio, currently the commandant of the 351st Special Warfare Training Squadron of the PJ schoolhouse at Kirkland AFB. We had the privilege of hearing about his wide-ranging career as a SOF medic before diving into a discussion about the PJ training pipeline. It's a great opportunity to hear from the best about how PJ training has changed during the past 20 years, and get a glimpse of where it is heading in the future. Visit our Social Media @jsomonline. https://jsom.us/Podcast.

Rick Hines has a long history in Special Operations and is currently an instructor Special Warfare Training Group. He teaches at the SF Medical Sergeant Recertification Course and focuses on anesthesia and surgical care in the austere environment. Rick and Josh have a long conversation discussing the benefits of recycling at the 18D course, historical basis and current practice of surgical care and anesthesia for the far forward special operations medic. Visit our Social Media @jsomonline. https://jsom.us/Podcast.