This week features a discussion of maternity and pediatric care in disaster situations with Jessica Arno, the Combat Midwife. Jessica is a midwite, paramedic, and battlefield-born educator who’s trained over 100,000 combat medics, Special Warfare medics, and EMS professionals in OB/GYN and pediatric emergencies. From Afghan refugee camps to rural fire stations, she equips medics and civilians with the skills to handle birth, bleeding, and babies-when help isn’t coming.

Also on the show this week are disaster emergency management expert, Becky DePodwin, as well as co-hosts Sam Bradley and Jamie Davis.

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Thank you as always to Paragon Medical Education Group for their long-term support of the Disaster Podcast. Dr. Joe Holley and the team at Paragon continue to provide excellent and customized disaster response training to jurisdictions around the U.S. and internationally as well.

Podcast Discussion Summary

Jessica Arno, a paramedic and midwife, discussed her experience training combat medics and civilians in obstetrics and gynecology emergencies, emphasizing the importance of comprehensive training in areas often overlooked due to their perceived unsexiness. She highlighted the need for more in-depth training in these areas, citing her work in academia where she was able to expand the curriculum beyond the traditional few hours allocated to OB-GYN.

Jamie, a nurse, shared his experience with OB-GYN training, noting the contrast between his nursing education and his limited exposure to the subject as a medic. Both agreed on the importance of building confidence in handling rare or uncomfortable medical situations.

Jessica and the group discussed the impact of weather and disasters on childbirth and women’s health. The team explored how changes in barometric pressure and temperature can trigger labor, and highlighted the risks of infections and complications in post-disaster scenarios.

Jessica emphasized the need for medical professionals to receive specialized training in handling obstetric and pediatric emergencies in disaster situations, including understanding normal versus sick baby presentations and different age-related responses.

Jessica and Sam discussed the use of the APGAR score in assessing newborns and its relevance in emergency situations. Jessica explained that while APGAR is typically used post-delivery, it can be useful for assessing older infants as well, focusing on reflexes and normal responses.

The team also explored how understanding a patient’s menstrual cycle can provide insights into their pain perception and overall health, particularly for female patients. Jessica emphasized the importance of considering hormonal changes and their impact on various bodily functions, especially for post-menopausal women, and highlighted the need for healthcare providers to listen attentively to all patients’ concerns.

Jessica shared her experience creating an emergency birth kit for soldiers on humanitarian missions, which includes essential items like chucks, organic pads, a blanket for the baby, herbal medications for postpartum hemorrhage, and a Delee suction for suctioning mucus from newborns. She emphasized the use of herbal compounds over Pitocin for managing post-delivery bleeding, highlighting their gentler effect and faster action.

Jessica also discussed the inclusion of an ink set and birth certificate to document the baby’s parentage in case of grid-down scenarios, and she noted that the kit’s contents are listed on her website at CombatMidwife.com.

Jessica shared her unexpected experience working in a refugee camp, where she encountered a severe herpes outbreak among patients due to limited resources and poor living conditions. She emphasized the importance of being cautious about infections in disaster zones, including proper patient inspection and cleaning procedures to prevent the spread of diseases among both patients and caregivers.

Sam expressed interest in further discussions about pediatric care and childbirth, and Becky highlighted the need for more research and open discussions on women’s health, particularly regarding the lack of studies on pregnant women.

The group discussed the importance of disaster preparedness and the role of specialized training, with Jamie highlighting the sponsorship of the Disaster Podcast by Paragon Medical Education Group. Jessica, the Combat Midwife, shared her expertise and offered a discount code for her training materials. Use code DISASTER for a discount on her page. The participants agreed to have Jessica return for a follow-up episode the next Thursday.

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