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