PJ Medcast

SW reviews the key points from the Pararescue Medical Operations Advisory Board. These include the way forward for HPO, issues of currency vs. readiness vs. proficiency.  The importance of specialized Burn training, with opportunities in Washington and NYC. Affecting the med training and culture on the team by integrating POI care, tactical field care and TACEVAC into regular training at the DZ, range and boat party. Finally, SW reviews the rationale and positive pilot effort to use the deployment transition center as a third location decompression site.

This was really a well done brief by your PJ Med Programs manager. 

A special thanks to Col Wayne Pritt- the ACC SGP who is retiring and Chaired this MOAB!

Check out the podcasts with Prolonged Field Care the CoTCCC.

Dr. Reggie Ohara returns to discuss recovery tips after missions and training based on his knowledge as a PhD physiologist, prior operator and current ultra runner. Nutrition and timing, contrast water therapy, cold wraps,  inexpensive and low tech options to massage and more are reviewed in light of what the literature says and what works.

TOML

Doc Brager discusses sleep resiliency, prepping for overnight and multi night selection and mission objectives and some more relevant science impacting the operational side of sleep. This is an excellent discussion where research and science meet OPS.

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Dr. Laureen Hill is the Chair of Anesthesiology at Emory university.

In the second discussion with her we focus on:

1. Surpa-glottic airways

2. Role of paralytics beyond sedation

3. Video assisted larygoscopy

4. Aspiration pneumonia as a complication of intubating without a paralytic

This discussion was really good, easy to follow, with great points.

THAT OTHERS MAY LIVE

Pararescuefoundation.org

Dr Allison Brager is a US Army neuroscientist and crossfire athlete. In this first discussion with her she explains why sleep really is important from a scientific perspective that is easy to understand, and the "why's" of sleep habits as well as effects of sleeping/ NO GO pills.

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Check out America's Vet Dogs online.

Best wishes and remember our fallen this Memorial Day Weekend.

ALERT- reminder of changes to handbook from DEC 2016 MOAB: 1. Change in needle D. site to only 5th ICS Mid Axillary Line. 2. Addition of combat dose of ketamine for sedation.3. Administer TXA by slow IV push over 2-3 minutes giving a cc at a time.4.Discontinue training upper extremity and thigh fasciotomies, only leg (tip-fib) will remain for training. Do not perform fasciotomy without proper training and sign off. Next MOAB 21-22 JUN.

Doc Powell is an SF Group Surgeon and Army Intensivist (intensive care specialist). he discusses the basic science and practical aspects of what shock is "beyond hypoerfusion of tissues".  The science of shock is complex and multifactorial. Doc Powell explains the concepts of tissue damage and the systemic inflammatory response. For those of you who want to understand what shock really is, this is an excellent discussion.

Stay tuned for news of the PJNY /103rd jump mission near the Azores for 2 burn patients last week.  A night jump, lots of sophisticated medicine and complex exfil.

THAT OTHERS MAY LIVE.

Donate to the PararescueFoundation.org, we have several upcoming programs for brothers in need and their families.

Check out https://vimeo.com/216213346

The most frequent book I recommend is the TALENT CODE by Daniel Coyle. He studied how world class performers come to be and discussed the neuroscience behind it. This book was recommended to me by a former BUDS Commander and is part of the foundation of how I perform operational medical training. I encourage anyone who trains operators below them or in schoolhouses to listen to this and read the book.

Support the PARARESCUE FOUNDATION.
THAT OTHERS MAY LIVE.

Chief Atkins is a great PJ who has codified his lessons learned as a Leader in our career field. After discussing these on a walk around Lake Tahoe last month while training, I thought it would be great to have his share his thoughts on leadership. His four key principles include 1. work ethic, 2. positive attitude, 3. receptiveness, 4. self motivation. Enjoy this focused discussion on leadership.

Donate to the Pararescue Foundation.

TOML

Our Orthopedic Surgeon and 212th FLIGHT DOC discusses hip and knee injuries common to operators. He also discusses standard and emerging treatments and operations for these injuries, return to duty concepts, and time courses for healing.

Support the Pararescue Foundation- PLEASE!

TTWD-TOML