PJ Medcast

PJ MEDCAST are the podcasts for PJ MED (Pararescue Medicine). Besides PJs, these podcasts may be useful to other Military, Law Enforcement and Civilian Medical Personnel involved in Tactical and Technical Rescue Medicine, and other facets of Operational Medicine. PJs may document the time they spend listening to podcasts as training for their training folders, and also apply towards Paramedic Recertification. This podcast represents the positions of the authors and may not represent the offical position of the Department of the Defense or the United States Government.
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PJ Medcast






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Oct 9, 2018

The new PJ Medical Operations Handbook is posted on the GA Sharepoint.

ACC is determining if there will be a mass printing.
In the meantime Teams can print them locally.

Recent missions with lessons learned on thoracic trauma are briefly discussed.

The med cert has been updated and made more user friendly.

More to follow.

Come to the MOAB in NOV in NY. There will be great mission presentations.


Oct 3, 2018

A SOF Critical Care Flight Medic discusses the emerging interest in Calcium with blood transfusions, its role in clotting.

He also reviews the lethal triad of acidosis, coagulopathy and hypothermia.

Remember to use the first 20 podcasts to review the handbook and the basics.

PJ MOAB in NOV in NYC, there will be many mission presentations. Speak to your Team leadership to attend.

"Mastery of the basics, and conditioning through repetition".

Sep 25, 2018

Doc Brager, Army neuroscientist and sleep expert,  reviews the highlights from a recent Sleep Research meeting she thinks you should know.


PJ MOAB in NY, NOV- check with your Team, we will have the most mission presentations ever.  Try to come.

Sep 18, 2018

In this final installment of the Thai rescue Derek debriefs and summarizes some of the lessons learned.

If you found this interesting and are new to PJ Medcast go back and listen to podcasts 94-97 and listen to the series on the MV Tamar rescue mission.

Remember the Handbook is summarized in the first 20 episodes and is a great way to review the PJ Medical Operations Handbook.

Finally- with great sadness for those of you who have come to PJ Med Courses, my friend and Cardiothoracic Surgeon Dr. Michael Graver and his wife Jodi Cohen, friend of the 103rd and the Pararescue career-field and pilot, died this week in a small plane crash. Dr. Graver took time out of his schedule several days a year to volunteer to teach PJs about thoracic trauma in the Cadaver lab. He was committed to teaching PJs and was always proud to read about PJs hacking the mish around the world.

That Others May Live

Sep 15, 2018

The PJ TL describes the step by step actions and meticulous attention to detail the disparate group of rescuers performed to safely and successfully get the children and the coach out.

Learn about the level professionalism that was displayed to perform this high profile, high risk mission.

Watching the news as PJs are on standby in the Carolinas during Hurricane Florence. 

Hello to all PJs deployed worldwide.

Sep 12, 2018

Part 3 of 5. Operation Wild Boar.

Another exceptional discussion of the evolution of this incredible mission that gripped the world.

Today is 9-11-2018.

On behalf of TEAM NY, the 103rd Rescue Squadron, we send our warmest wishes to the survivors of the citizens, FDNY, NYPD, PAPD members and others who perished on 9-11.  We will never forget.

PJs from the 103rd were on the pile with the FDNY firefighters on September 12.

We are grateful for our Operators who stay vigilant in continuing to protect our freedom, and our law enforcement and first responders who are exceptional Americans we count on everyday.


Sep 8, 2018

This second in a  series of 5 podcasts were cut from a long discussion so there is no intro or closing to most of them.

This podcast begins to discuss mission execution and the rescue of the children and coach from the wild boars soccer team.

Check out the updated website.

Check out

Sep 3, 2018

Operation Wild Boar, the mission to rescue 12 Thai children on a soccer team and their coach captured the world's attention this summer.

Derek, ST PJ and Team Leader on the mission, describes the mission drop, prep and on scene arrival. This is the first of several podcasts by Derek describing the mission and PJs' role.




Aug 27, 2018

PJ J talks about his experience with the R & R program at the Univ of Utah.

He discusses the issues of high ops tempo, toll on the family, and details about the R & R program Doc Bryan discussed last week.   

We really want to drive home the message that this is appropriate for burn out and smoldering issues, not just more definitive mental health issues like PTSD and Depression.

Support the Pararescue Foundation by doing team events once a year, in addition to individual contributions and encouraging those of family and friends.



Aug 21, 2018

Doc Bryan discusses this focused 2 week intensive program based out of Park City and Salt Lake City Utah. Comparable or better results compared to standard treatments that take months. 

Several PJs and other SOF Operators have used this with success. 

It is also unique because the families can come and take part in discussions and therapy if indicated,  and also enjoy all that Park City has to offer in all seasons.

Treatment is free and the PJ Foundation generally covers ancillary costs.

If you are interested reach out to Doc Bryan at the Univ Of Utah and Ron at  the Pararescue Foundation.

Univ of Utah  801-587-7978

Pararescue Foundation





Aug 13, 2018

Doc Bryan is a prior AF Psychologist. He currently is the Executive Director of National Center for Veteran's Studies at the Univ of Utah. He partnered with the AF Psychology Service to perform long term research on our Operators during OEF.  

The articles are posted on

In this episode he discusses findings that have been published in peer reviewed journals, and implications for PJ Mental Health.

He also runs a two week program which we will highlight in another episode.



Aug 8, 2018

Heat illness is a shockingly common problem for the military in the US and abroad. One of our PJ Docs discusses the categorization, diagnosis and management of the range of heat illness from cramps to life threatening heat stroke.  And why it is such a profound military issue summer after summer.  Strategies to mitigate heat illness in SOF Operators and manage it are discussed.

See the updates on our website:

If you have news clips from your teams you want to have linked on please send them to Doc directly or get my email from your leadership.

The PJ Med Director / SOF Medical Officer Course is set for JAN 2019. See info on   

Jul 31, 2018

Doc G is a critical care trained Physician.  He wanted to review some ventilator concepts for the Operators.

This is a great opportunity to review vent issues.

Jul 24, 2018

Optimize your performance by maximizing your operational educational and training.  Sleep is the foundation of improving your performance by learning and training the skills you need to operate.

Part 2 with Neuroscientist Doc Alger.

Jul 17, 2018

Dr Sara Alger is a DOD sleep research scientist and has a PhD in cognitive neuroscience.

She discusses the science of optimally learning and training in regards to the critical role sleep plays in encoding, retaining and retrieving new, complex information.

This is important for all Operators, trainers and educators.


Jul 8, 2018

The Thailand Cave Rescue is underway. PJs are on the mission. We will not discuss any details until it is completed.

We are using this opportunity to speak to the FDNY Scuba Team Commanding Officer who is a certified cave diver.

We discuss:
Principles of cave diving.
Similarities and differences from open ocean diving.
Considerations in caves and caverns regarding air quality and oxygen. Issues in rescue.

Follow the rescue and keep the victims, PJs, and other rescuers in your thoughts and prayers.  This is a high risk operation.


Jul 2, 2018

PJ Josh had a near complete rupture of his ACL and was recommended to undergo surgery, He discusses his injury, the surgeon's recommendations, research he did, and ultimately the process he went through to get a stem cell injection and the outcome.

Jun 18, 2018

This podcast introduces Sean Berman who has performed medical research on stem cells and TBI.  Stem cells hold promise in the treatment of various injuries and degenerative conditions and have been used by several clinics.

Sean will explain the science of stem cells and specifically stem cells harvested from a patient's own fat.

This is the first of several podcasts that will introduce you to stem cells, the state of current understanding and use, the promises and what is known.  The podcasts will culminate in discussions with PJs who have gone for this therapy.

The reference for the paper is:

Effective Treatment of Traumatic Brain Injury in

Rowett Nude Rats with Stromal Vascular

Fraction Transplantation

Sean Berman 1,*, Toni L. Uhlendorf 2, Mark Berman 1 and Elliot B. Lander 1

Brain Sci. 2018, 8, 112; doi:10.3390/brainsci8060112

Jun 12, 2018

Highlights from the meeting.



Jun 5, 2018

Highlights of the Special Operations Medical Scientific Assembly- Part 1 of 2.  Great meeting.

Being a member of SOMA (Special Operations Medical Association) should be part of your professional and medical development for a special operations medic / 18D , IDC or PJ. Attending this annual meeting is an important chance to network with colleagues from the other branches, hear lessons learned and subject matter experts.  Like using a foley in a wound track for hemorrhage control...


May 29, 2018

The history of memorial day is presented from the PJ Association website and Wikipedia.

The origin was Decoration Day, where Southern women decorated the graves of Civil War fallen.

Learn about the evolution of Memorial Day in our history.

Honoring the Gold Star Families of the Crew of Jolly 51 and all of our Fallen...

May 22, 2018

Part 2 of TCCC Committee paper on Tension Pnuemothorax and the new guidelines for management.

Fifth interspace anterior axillary line.

A Patrick PJ was laid to rest today.

"That Others May Live"

May 15, 2018

The TCCC Committee has made new changes to the management of suspected tension pneumothorax. 
They created a great paper on all of the aspects of this regarding diagnosis. management and controversial issues.

This is Part 1. 

Regards from SOMSA.  Thanks to many folks for coming up and saying hello. 
More feedback comes in on the value of this podcast to our amazing Operational Medics around the globe- Be safe.

Apr 16, 2018

Recent LLs from training.  

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