SRTC Rogue Medic Podcast

Part 3: "More Than Just Tools: Advanced Equipment for Rapid Extrication Teams – Part 2"

In the second half of our equipment discussion, we explore the specialized and often overlooked gear that can make or break a wilderness rescue mission. From advanced communication systems to technical rope rescue tools, we examine how the right equipment can enhance the performance and safety of REM teams. Join us as we complete the list of essentials and highlight what’s missing from the current NWCG guidelines.

Hosts: Jason "Big J" Tartalone & Jeff Kwiecien

Guests:
Felipe Valle

Jeff's Substack Link: https://jeffreykwiecien.substack.com/p/nwcg-standards-for-rapid-extraction

https://www.nwcg.gov/ad-positions/technical-rescue-technician - NWCG Technical Rescue Technician

https://www.nwcg.gov/ad-positions/technical-rescue-squad-leader - NWCG Technical-Rescue Squad Leader

https://www.nwcg.gov/ad-positions/technical-team-leader - NWCG Technical Team Leader

NWCG Standards PMS-552 REMS - https://www.nwcg.gov/publications/pms552 

Part 2: "Gear Up: Essential Equipment for Rapid Extrication Teams – Part 1"

What should a properly outfitted Rapid Extrication team carry into the wilderness? In this first part of our two-part discussion, we focus on the critical life-saving equipment that these teams need to operate efficiently in remote, hazardous environments. From medical gear to personal protective equipment, we’ll talk through the tools that make the difference between success and failure in high-stakes rescues.

Hosts: Jason "Big J" Tartalone & Jeff Kwiecien

Guests:
Felipe Valle

Jeff's Substack Link: https://jeffreykwiecien.substack.com/p/nwcg-standards-for-rapid-extraction

https://www.nwcg.gov/ad-positions/technical-rescue-technician - NWCG Technical Rescue Technician

https://www.nwcg.gov/ad-positions/technical-rescue-squad-leader - NWCG Technical-Rescue Squad Leader

https://www.nwcg.gov/ad-positions/technical-team-leader - NWCG Technical Team Leader

NWCG Standards PMS-552 REMS - https://www.nwcg.gov/publications/pms552 

Part 1: "Breaking Down Rapid Extrication Modules: Team Composition & Standards"

In this episode, we take a deep dive into the NWCG's Rapid Extrication Module (REM) document, analyzing what it lays out for team composition, roles, and responsibilities. We'll examine the standards—or lack thereof—set by the NWCG and why this failure to establish a wilderness rescue protocol leaves critical gaps. Are these teams fully prepared for the challenges of backcountry rescue? Tune in to find out as we dissect the document and explore its real-world implications.

Hosts: Jason "Big J" Tartalone & Jeff Kwiecien

Guests:
Felipe Valle

Jeff's Substack Link: https://jeffreykwiecien.substack.com/p/nwcg-standards-for-rapid-extraction

https://www.nwcg.gov/ad-positions/technical-rescue-technician - NWCG Technical Rescue Technician

https://www.nwcg.gov/ad-positions/technical-rescue-squad-leader - NWCG Technical-Rescue Squad Leader

https://www.nwcg.gov/ad-positions/technical-team-leader - NWCG Technical Team Leader

NWCG Standards PMS-552 REMS - https://www.nwcg.gov/publications/pms552 

In this episode, we delve into the Wilderness Medical Society’s Clinical Practice Guidelines for the Medical Direction of Search and Rescue (SAR) Teams. Join us as we explore the critical role of medical direction in SAR operations, uncover the development process behind these essential guidelines, and discuss their impact on the safety and effectiveness of SAR missions.

In Part 1 we speak with experts about the key recommendations outlined in the guidelines, the vital responsibilities of SAR medical directors, and the unique challenges faced in remote and austere environments. From legal and ethical considerations to the integration with local EMS systems. During this multipart series we will leave no stone unturned in understanding how these guidelines are shaping the future of SAR operations.

Whether you’re a member of a SAR team, a medical professional, or simply fascinated by the intersection of wilderness medicine and rescue missions, this episode offers invaluable insights into the evolving landscape of medical direction in search and rescue. Tune in to learn how these guidelines are not just saving lives but also setting new standards in wilderness medical care.

Hosts: Jason "Big J" Tartalone & Jeff Kwiecien

Guests:

Dr. Michael Millin
https://www.austeremedicalprofessionals.org/
[email protected]

Dr. Jeff Thurman
https://redstarmedical.org/
[email protected] 

Dr. Seth C. Hawkins 


WMS CPG: https://wms.org/WMS/WMS/Research/WEM/CPG.aspx?hkey=9d313906-4f7f-4b79-bc5a-007516f2c61c 


If you have comments you would like to share or a topic for a discussion, hit us up at [email protected] or click the contact link on our webpage at www.SergeantRescue.com

In this episode of our podcast, we delve into the critical topic of redundancy in rope rescue operations. Redundancy is was a fundamental principle in ensuring the safety and success of rescue missions, providing multiple layers of backup to mitigate risks. Our expert guests, Mike and Sean from EMS On The Mountain, join us to share their invaluable insights and experiences from the field. Together, we explore various techniques, equipment considerations, and best practices that make redundancy hot topic in the rope rescue arena. We discuss where it may be beneficial and then also explore why this concept has become overkill in many situations. Whether you're a seasoned professional or new to rope rescue, this episode offers practical advice and expert perspectives to enhance your understanding and application of redundancy in your rescue operations. Tune in for an engaging and informative discussion brought to you in partnership with Mike and Sean from EMS On The Mountain! 

Find EMS on The Mountain Here: https://www.emsonthemountain.com/

Host: Jason "Big J" Tartalone

Guests: Mike & Sean from EMS On The Mountain

If you have comments you would like to share or a topic for a discussion, hit us up at [email protected] or click the contact link on our webpage at www.SergeantRescue.com

In today's episode, we tackle a crucial yet often overlooked aspect of trauma care: minimizing on-scene time to improve patient outcomes. Drawing from leading trauma courses like PHTLS, BTLS, and ITLS, we introduce a new acronym, MAST, designed to streamline your trauma care and response. 

Scene time is a critical factor in trauma care, and studies consistently show that longer on-scene durations negatively impact patient outcomes. We explore the universal agreement on the need for rapid transport and challenge common practices that delay patient movement. Finally, we underscore that transport is the priority, with numerous studies demonstrating that getting patients to definitive care quickly saves more lives than extended on-scene ALS interventions.

Join us as we dive deep into the MAST approach, offering you actionable insights and a fresh perspective on trauma care. Whether you're a seasoned medic or new to the field, this episode provides valuable knowledge to enhance your response and improve patient outcomes.

Host: Jason "Big J" Tartalone

Guest(s): None


If you have a topic or idea that you would like us to present send us a message at [email protected]! 

In the high-stakes world of Search and Rescue (SAR), the difference between a successful mission and a tragic outcome often hinges on one crucial factor: certification. Join us in this compelling episode as we unravel the significance of certifications in SAR and other rescue disciplines .

What You’ll Discover:

• Safety First: Learn how certifications ensure the safety of both rescuers and victims, turning potential chaos into coordinated rescues.
• Skill & Standardization: Explore the rigorous training and standardized protocols that certified SAR teams undergo to prepare for the unknown.
• Trust & Collaboration: Understand how certifications build public trust and enable seamless collaboration between various rescue agencies.

Whether you’re a SAR enthusiast, a curious listener, or someone who values community safety, this episode sheds light on the unseen backbone of every rescue operation: the certifications that validate and empower SAR teams to perform under pressure.

Have questions or stories to share? Reach out to us on social media or via email. We’d love to hear from you! 

Host: Jason "Big J" Tartalone

Guest(s): None


If you have a topic or idea that you would like us to present send us a message at [email protected]! 

What is the Fireline Medical Technician Course?

The Fireline Medical Technician Course is an intensive training program designed to equip emergency medical personnel with the specialized skills and knowledge necessary to provide medical care in the challenging and dynamic environment of wildland firefighting. This comprehensive course combines classroom instruction, hands-on skills training, and practical field exercises to prepare participants for the unique demands they may encounter while serving on Fireline incidents. Throughout the course, participants learn how to assess and treat injuries and medical emergencies commonly encountered in wildland firefighting, including burns, heat-related illnesses, trauma, and respiratory distress. 

In addition to medical skills, participants learn about Fireline safety protocols, personal protective equipment (PPE), and the Incident Command System (ICS) structure to effectively integrate medical operations with fire suppression tactics and strategies. Practical scenarios and simulations are employed to reinforce learning and develop critical thinking and decision-making skills under pressure. 

Upon successful completion of the course, participants receive the necessary certificates to be Fireline qualified and are equipped to serve as vital members of the Fireline medical team, providing essential care to injured personnel and contributing to the overall safety and success of wildland firefighting operations.

Host - Jason "Big J" Tartalone 

Guest: Lauren "Lo" Lane

If you have a topic or idea that you would like us to present send us a message at [email protected]! 

In this eye-opening episode of our podcast, we dive deep into the unconventional yet profoundly impactful learning tool that is failure, particularly within the realms of wilderness medicine and rescue simulations. Unpack the nuanced benefits and explore the critical role that facing and overcoming failure plays in preparing individuals for the high-stakes challenges of real-world wilderness emergencies.

Join us as we navigate through the enhanced problem-solving skills, improved technical proficiency, increased resilience, and the unparalleled decision-making abilities that are fostered by integrating failure into training scenarios. Our journey doesn't stop there; we delve into the psychological impacts, the evolution of simulation technologies, and the ethical considerations of inducing failure in a controlled learning environment.

Host - Jason "Big J" Tartalone 

If you have a topic or idea that you would like us to present send us a message at [email protected]! 

In this episode, 'Pain Management Part Deux,' we continue our deep dive into the critical world of pain relief in emergency medicine. Join us as we explore some different strategies and new ideas from Jeff's perspective relating to  managing pain for patients in the most challenging environments. From cutting-edge pharmaceuticals to innovative non-pharmacological approaches, we cover it all. Whether you're looking to enhance your pain management skills or just curious about the latest trends in emergency medical care, this episode is packed with information you won't want to miss. Tune in now for an enlightening journey back into the heart of pain management!

Host - Jason "Big J" Tartalone & Jeff Kwiecien

If you have a topic or idea that you would like us to present send us a message at [email protected]! 

Referenced materials: 

https://jts.health.mil/index.cfm/PI_CPGs/cpgs

https://www.wemjournal.org/article/S1080-6032(14)00269-5/fulltext

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https://www.ncbi.nlm.nih.gov/books/NBK65949.1/table/CDR0000062738__373/?report=objectonly

chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.empr.com/wp-content/uploads/sites/7/2018/12/pain_oed_0618_1158.pdf