Everyone knows how hard it is to do good ventilation management using our gear. If the patient is spontaneously breathing in any way it can be next to impossible. Are paralytics the answer? Dennis speaks Evan (ER Doc) and Josh (ICU Doc) about t

90: Abdominal Trauma with Stacy Shackelford

Jun 3rd, 2021 38m 53s

With bleeding from the "Box" causing such a large portion of the potentially survivable deaths, can we go in there? A better question probably "should we?". Stacy goes over how large the actual problem is and better yet, "What can be done", and

89: Getting and Giving Blood with Brad

May 20th, 2021 35m 9s

We're beyond explaining that blood is better than water, when it comes to resus and trauma. Now let's start talking about HOW to do it better. How to collect it faster and give it faster in the austere environment. How can we use the gear we ha

88: Disposition

May 8th, 2021 34m 10s

Usually, we are sending our patients to a higher level of care. What do you do with the patients you can't? Dennis and Ian go over a timely topic.

87: Analgesia and Sedation part deux

Apr 15th, 2021 52m 39s

Jon does this for a living. Dennis discusses some more practical aspects of analgesia and sedation, such as how to assess for pain when your patient is unconscious. Jon also discusses the practicality using IV lidocaine in an austere environme

86: Optimize your patient for surgery

Apr 1st, 2021 32m 21s

Sometimes our patients are too sick to recieve the care they need. Dennis and Mark discuss the decision points of who goes to surgery and when.

85: Optimizing your patient for Evac

Mar 18th, 2021 1h 7m

Dennis and the guys from the "Dustoff Medic podcast", discuss optimizing your patient for evacuation. We go over the common mistakes and some of the decision making processes of Load and go or Stay and Play whan it comes to the more invasive pr

84: What if you can't descend? Altitude Illness in PFC

Mar 4th, 2021 34m 51s

Sometimes it's not an easy decision to turn around and go home. I talk with Dr. Moon, about taking care of a patient with AMS, HAPE, and or HACE in a PFC environment and when is it worth the consequences to evac the patient.

83: Should we be using a pediatric BVM?

Feb 18th, 2021 31m 10s

I discuss overventilation with Jeff. Should we be using a pediatric bvm?

82: Acute Kidney Injury

Feb 4th, 2021 39m 10s

Dennis and Doug break down the pretty complex issue of dealing with an AKI in the austere environment.

81: Sepsis in the PFC environment

Jan 30th, 2021 1h 4m

Dennis along with Doug and Justin discuss the latest PFC CPG on Sepsis Management in the austere environment.

81: New Sepsis CPG for the PFC environment

Jan 9th, 2021 1h 5m

Dennis talks with two of the authors of the new sepsis CPG.

81: Sepsis CPG for PFC

Jan 7th, 2021 1h 5m

Dennis, Doug, and Justin discuss the newly released Sepsis CPG of the PFC environment.

80: Acute Abdomen

Dec 24th, 2020 14m 56s

Dennis discusses the acute abdomen with Ian and Tim, but ER docs working in some very remote locations.

79: Expeditionary Medicine

Dec 10th, 2020 25m 54s

Dennis discusses a recent trip to Antarctica with Ian and Tim.

78: Physical Therapy assessments

Nov 25th, 2020 27m 56s

Dennis and Scott discuss what to do after the life threats have been addressed and the healing begins.

77: Nutrition in Critical Patients

Nov 5th, 2020 1h 11m

Dennis talks with Mark on the importantce of nutrition in critically injuried patients.

76: Herniation Syndromes

Oct 15th, 2020 54m 32s

Dennis and Dave deep dive into TBI and the various types of herniation. Hint...the most common is not the one we have been trained on.

75: SOM-C

Oct 1st, 2020 1h 4m

Dennis talks with Josh and Jeremy about the Special Operations Medic Coalition, what they are doing for the community, and what's in store for the future.