MASCALs are always crazy...Trying being a patient in one. I had a great conversation with Max about his experience.

You know the indications, but have you made a plan? Have you thought about "What will I do in THIS situation?"...Maybe you should

Link to full podcast:

https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Airway-Decisions-e2u0juk

What should be a straightforward decision...isn't.

Link to the full podcast:

https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Airway-Decisions-e2u0juk

In this episode of the PFC podcast, Dr. Jim DeCanto, an experienced anesthesiologist, discusses the critical aspects of airway management in emergency situations. He emphasizes the importance of decision-making processes, assessing neurological status, and the necessity of proper planning and preparation for airway interventions. The conversation highlights the challenges faced in both hospital and pre-hospital settings, the significance of having the right equipment, and the need for practitioners to be confident in their skills. Dr. DeCanto shares valuable insights and advice for new practitioners in the field, stressing the importance of thorough assessments and timely interventions to ensure patient safety.

Takeaways

Airway management is a critical skill for anesthesiologists.

Decision-making in emergencies can be complex and requires a plan.

Assessing neurological status is crucial before airway interventions.

Proper planning and preparation can enhance confidence in emergency situations.

Communication with patients, even when unconscious, is important.

Practitioners must be ready to act when necessary, as no one else may be available.

Understanding the tools and techniques for airway management is essential.

Experience and continuous learning are key to improving skills in airway management.

Practitioners should not hesitate to perform necessary procedures when indicated.

Physical exams and clinical judgment are vital in emergency medicine.

Chapters

00:00 Introduction to Airway Management

03:05 Decision-Making in Emergency Situations

12:29 Assessing Neurological Status

20:40 Planning and Preparing for Airway Management

30:50 Clinical Decision-Making in Airway Management

41:21 Advice for New Practitioners

A successful MASCAL depends on your ability to Triage effectively.

Link to full podcast:

https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-214-TCCC-Updates-e2to67f

Major changes coming soon to TCCC.

Link to full podcast:

https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-214-TCCC-Updates-e2to67f

Why are they changing MARCH to Resus before managing the Chest?

Link to full podcast:

https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-214-TCCC-Updates-e2to67f

In this episode of the PFC Podcast, Dennis and John discuss the ongoing updates and changes within the Tactical Combat Casualty Care (TCCC) guidelines. They delve into the role of the TTC Committee, the importance of literature reviews in developing algorithms for trauma care, and the proposed changes to the March algorithm, emphasizing the need for resuscitation before decompression. The conversation also covers the overhaul of the analgesic section, the recommendations for antibiotics, and the role of TXA in treating hemorrhagic shock. Additionally, they touch on the significance of triage in mass casualty situations and the future directions of the committee's work.

Takeaways

TCCC is continuously updated to reflect new research.

Resuscitation should be prioritized over decompression in trauma care.

The March algorithm may undergo significant changes to improve outcomes.

Analgesic options are being re-evaluated due to supply issues.

Rocephin is being recommended as a primary antibiotic.

TXA is crucial for managing hemorrhagic shock in trauma patients.

Triage protocols are essential for effective mass casualty management.

The committee is open to innovative ideas and solutions.

Training and education are vital for implementing new guidelines.

Future meetings will focus on finalizing and voting on proposed changes.

Chapters

00:00 Introduction to the PFC Podcast

02:46 Understanding the TTC Committee and Its Role

06:06 Literature Review and Algorithm Development

09:00 Resuscitation vs. Decompression in Trauma Care

12:07 Proposed Changes to the March Algorithm

15:06 Analgesic Section Overhaul and Alternatives

18:09 Antibiotic Recommendations and Changes

20:54 TXA and Its Role in Hemorrhagic Shock

23:51 Triage in Mass Casualty Situations

26:45 Future Directions and Upcoming Votes

30:06 Conclusion and Final Thoughts

Posting tomorrow...John gives us a behind the curtain look at upcoming TCCC updates.

Knowing the basics and how to apply them rapidly, will allow you to help far more people.

Link to full podcast:

https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-Rethinking-Triage-e2tljum