Dennis had the honor of interviewing Dr. John Quinn who's on the  ground working Role 1 medical operations for an NGO somewhere in  Ukraine.

The lessons being learned by John and others during the early days of  this conflict and the past 8 years can be used to help those on the  ground now and into the future. This is an amazing opportunity to stay  informed of current events and prepare ourselves  by narrowing expectations and tweaking training.

During the interview John stated that anything that can be done to  further enable FWB availability and knowledge would be greatly  appreciated.  In particular, when asked what we could translate, he  asked for: Damage Control Resuscitation guidelines to be  translated, Prehospital Blood guidelines, anything on Damage Control  Surgery for non-surgeons (they have a lot of OB/GYNs and others like  OMFS functioning as DCS surgeons at Role 2s).  He also stated that  they're seeing a TON of TBI "walking wounded" and anything  on mild to moderate TBI management would be great.

When asked about a trauma registry, John stated that the Ministry of  Health is attempting to catalogue all civilian casualty numbers.  The  Ministry of Defense is VERY close-hold with any info and it would be  very hard to elicit the ground-truth there for  the time being.

John stated that many organizations are using the TCCC cards and all  documentation is trying to be written in BOTH Ukranian and English, due  to the large number of non-native providers helping in country.  They  LOVE the DeployedMedicine app, the translation  of TCCC and Emergency War Surgery and absolutely look to US and NATO  standards of care.

Jamie, Paul, and Dennis, discuss a difficult scenario with a crush injury patient.

I realized there are some really good podcasts that haven't seen the light of day in a long while. The is no exception, Jamie discusses crush syndrome and lays out very well how to get it done.

I will continue to label all of the reruns and continue to get new podcast out to you guys every two weeks.

Enjoy

Of course you could pack the kitchen sink, but....Why? How about we start learning what labs are important, so that we can plan and pack better.

This is one of those areas that we do not get the oppertunity to practice as much as we would like. Anytime we can learn from someone else, we should listen. 

We all know the indications to secure the airway, but when the time comes....we hesitate. Should I take the airway or should I wait. Do I have what I need? Today, I spoke with another medic about a situation he found himself in.

Hope is not a plan.....Dennis speaks with Evan on medical planning.

The Prolonged Field Care Working Group is dead (actually, evolved…).

In its place, the new Prolonged Field Care Collective arises.

We are back.

After some time to reorganize, restructure, and strategize, we will be continuing to update best practices, share ideas and raise the important questions faced by medics around the world. We have taken this step to lay the old prolonged field care working group construct to rest and form a new organization (with the same core people): the Prolonged Field Care Collective. Membership is based on participation and contribution. Dennis will continue to record podcasts, which will be posted on www.prolongedfieldcare.org, our new podcast feed as well as the same old Special Operations Medical Association Libsyn feed. This will allow us to reach a wider audience, maintain complete control of our content, continue to “push the envelope,” nurture the unconventional Think Tank, and expand what we offer in the future.