In this podcast episode, Dennis interviews Andy, a former UK Special Forces paramedic, about working in the jungle. They discuss the challenges and skills required to operate in the jungle, such as personal administration, environmental health, and communication. Andy emphasizes the importance of being physically fit and mentally prepared for the jungle environment. He also provides tips for preparing and packing essential medical equipment. The conversation highlights common mistakes made by rookies and offers advice for those interested in venturing into the jungle.

Takeaways

Working in the jungle requires specific skills and preparation, including personal administration, environmental health, and communication.

Being physically fit and mentally prepared is crucial for surviving and thriving in the jungle.

Proper packing and preparation of medical equipment is essential for providing medical care in the jungle.

Rookies often make mistakes in setting up their hammocks, personal administration, and being prepared for the jungle environment.

Taking a course or participating in an expedition with experienced guides can provide valuable knowledge and experience for working in the jungle.

In this podcast episode, the hosts discuss regional anesthesia and its role in the priorities of analgesia. They explain that regional anesthesia is a tool that allows for pain control without taking away consciousness or respiratory drive. They discuss the decision-making process for when to use regional anesthesia versus other forms of pain management. The hosts also cover topics such as indicators for when a patient is light enough for a regional block, the risks and complications associated with regional anesthesia, and the importance of training and references for this skill set.

Takeaways

Regional anesthesia is a tool that allows for pain control without taking away consciousness or respiratory drive.

The decision to use regional anesthesia depends on factors such as the complexity of the wound, the time available, and the patient's future needs.

Indicators that a patient is light enough for a regional block include increased respiration and heart rate.

Risks and complications of regional anesthesia include local anesthesia systemic toxicity, cardiac toxicity, and damage to the nerve sheath.

Training and references are important for developing the skill set required for regional anesthesia.

The conversation discusses patient positioning during procedural sedation and the use of Versed (Midazolam) as a sedative. The speakers explore the importance of patient positioning and the need to have a plan for airway management in different positions. They also provide insights into the mechanism of action and dosing of Versed, highlighting the importance of individual patient factors and context in determining the appropriate dose. The conversation emphasizes the need for a staged approach when using sedatives and the importance of communication with the patient to assess their response. In this conversation, Dennis discusses the use of different medications for sedation and anesthesia, focusing on the challenges and considerations involved. He explains that there is no specific dose for achieving amnesia with medications like Midazolam, Propofol, and Ketamine. The dose depends on various factors, including the patient's physiological state and the presence of alcohol in their system. Dennis emphasizes the importance of closely monitoring vital signs and respiratory rate during sedation to ensure the patient remains comfortable and ventilating properly. He also discusses the use of analgesics and local anesthesia to manage pain during procedures. The conversation concludes with a discussion on the reversal agent for sedatives and the importance of considering the set and setting when administering medications like Ketamine.

Takeaways

Consider patient positioning during procedural sedation and have a plan for airway management in different positions.

Understand the mechanism of action and dosing of Versed (Midazolam) as a sedative.

Take into account individual patient factors and context when determining the appropriate dose of Versed.

Use a staged approach when administering sedatives and communicate with the patient to assess their response. There is no specific dose for achieving amnesia with sedative medications like Midazolam, Propofol, and Ketamine.

The dose of sedative medications depends on various factors, including the patient's physiological state and the presence of alcohol in their system.

Monitoring vital signs and respiratory rate is crucial during sedation to ensure the patient remains comfortable and ventilating properly.

Analgesics and local anesthesia can be used to manage pain during procedures.

The reversal agent for sedatives, such as Versed, is Ramazicon, but it should be used cautiously and only after ruling out other causes for the patient not waking up.

Consider the set and setting when administering sedative medications, especially in high-stress environments like combat situations.

Thank you to Delta Development Team for in part, sponsoring this podcast.

Dennis Price discusses his experiences in organizing rescues in Afghanistan and Ukraine. He attributes his success to the blessings of God and his strong faith. In Afghanistan, he formed a company called Polaris. They were able to save 55 Americans and CIV interpreters in two weeks. Later, he joined a committee called Save Our Allies and worked with the government to rescue and vet interpreters. In Ukraine, he formed a nonprofit called Heroes for Humanity and led a team to provide medical aid and assistance to special needs orphans. He describes the devastation of the war in Ukraine and the innovation of the local people in defending their towns. Dennis Price shares his experiences in Ukraine and his work in rescuing sexually trafficked children. He emphasizes the importance of doing the right thing for the right reasons and helping those in need. He also discusses the challenges of rescuing victims of human trafficking, including the influence of Stockholm syndrome and the need for a compassionate and nurturing approach. Dennis encourages listeners to get involved in organizations that are well-vetted and work closely with law enforcement. He also highlights the need to focus on the rescue mission and not engage in illegal activities. Dennis concludes by urging people to follow Heroes for Humanity on Instagram and support their efforts to make a difference.

In this podcast episode, Dennis interviews Dr. Jim DuCanto, an anesthesiologist with a special interest in airway management. They discuss the decision-making process in emergency airway management, particularly in challenging situations such as facial trauma. Dr. DuCanto emphasizes the importance of assessing the patient's neurologic status and respiratory efforts, as well as considering the safety of the scene. He also highlights the need for clear communication with the patient and the use of appropriate techniques and tools for airway management. In this conversation, Dr. Jim DuCanto and Dennis discuss various aspects of airway management. They cover topics such as the importance of recognizing the signs of airway compromise, the stages of anesthesia, the role of the spinal cord and reflexes in anesthesia, and the use of different techniques and tools in emergency airway management. They also touch on the potential risks and complications of airway management procedures and the importance of thorough physical examinations. Overall, the conversation emphasizes the need for preparedness, clinical judgment, and the ability to adapt to different situations in airway management.

Takeaways

Assess the patient's neurologic status and respiratory efforts in emergency airway management

Consider the safety of the scene and the need for patient mobility

Communicate clearly with the patient and explain the procedure

Use appropriate techniques and tools for airway management The patient's ability to hear may persist even when they are unconscious under anesthesia.

Emergency airway management requires an understanding of the patient's reflexes and potential resistance.

Clinical judgment and the ability to adapt to different situations are crucial in airway management.

Thorough physical examinations can provide valuable information in assessing the patient's condition.

Preparedness and having the necessary tools and equipment readily available are essential in airway management.

Thank you to Delta Development Team for in part, sponsoring this podcast.

⁠⁠⁠⁠

In this episode, Dennis, Doug, and Paul discuss how to treat expectant patients in a medical setting. They explore the concept of palliative care and its role in providing comfort to patients at all stages of care. They also discuss the challenges medics face when dealing with expectant patients and the importance of reaching out for support and guidance. The conversation emphasizes the need to prioritize efforts and provide pain control and symptom management to make the patient as comfortable as possible. The key takeaway is that even in difficult situations, medics should strive to do everything they can for their patients.

Takeaways

Palliative care is an important aspect of patient care at all stages, not just at the end of life.

Medics should prioritize efforts and provide pain control and symptom management to expectant patients.

It is crucial for medics to reach out for support and guidance when making difficult decisions.

Even if the outcome is not favorable, providing closure and knowing that everything possible was done can bring comfort to everyone involved.

Thank you to Delta Development Team for in part, sponsoring this podcast.

⁠⁠⁠⁠

The podcast episode discusses the controversial topics of expectant care and end-of-life care in a role one setting. The panel of experienced medics and docs share their personal experiences and concerns regarding training and implementation of these types of care. They highlight the need for clear guidance and training for medics and corpsmen to make difficult decisions in the field. The panel also discusses the potential obstacles and unintended consequences of implementing clinical practice guidelines for expectant and end-of-life care. The conversation focuses on the need for guidance and training in making difficult medical decisions on the battlefield, particularly in the context of end-of-life care. The speakers discuss the importance of identifying patients who would most benefit from direct care and the potential moral injury that can occur when undertrained individuals are put in positions of medical directorship. They also explore the challenges of decision-making in mass casualty situations and the need for clear guidelines and policies. The conversation emphasizes the importance of having conversations about death and dying early in training and the need for realistic expectations and shared decision-making.

Takeaways

Expectant care and end-of-life care are important topics that need to be discussed and addressed in the role one setting.

Training for medics and corpsmen in expectant and end-of-life care is currently inadequate and needs improvement.

Clear guidance and clinical practice guidelines are necessary to help medics and corpsmen make difficult decisions in the field.

Implementing expectant and end-of-life care guidelines may have unintended consequences and require careful consideration.

Empowering medical directors to make decisions based on their unit's needs and training is important for effective implementation. The need for guidance and training in making difficult medical decisions on the battlefield, particularly in the context of end-of-life care

The potential moral injury that can occur when undertrained individuals are put in positions of medical directorship

The challenges of decision-making in mass casualty situations and the need for clear guidelines and policies

The importance of having conversations about death and dying early in training and the need for realistic expectations and shared decision-making

Thank you to Delta Development Team for in part, sponsoring this podcast.

⁠⁠⁠⁠