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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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Now displaying: 2019
Aug 21, 2019

The DM Flight Doc discusses the mission this month in the Pacific to a Mexican fishing boat on which a crane fell on three sailors. The management of a TBI with seizures and exposed skull is discussed in detail.

The role of the JTS clinical practice guidelines(CPGs) is reviewed.

See the TV news coverage of the mission with PJ and Doc interviews:

https://www.kgun9.com/border-watch/d-m-airmen-rescue-injured-mexican-fishermen

Please rate 5 stars for the podcast and write a review.


Remember, if you are new to the podcast refer to pjmed.libsyn.com to get access to all of the podcasts. The first 20 cover the handbook.

Go to pjmed.com for training dates for PJ paramedic reverts and the AFSW Medical Officer Course.

 

Aug 16, 2019

Doc Bryan, prior AF Psych, now at the Univ of Utah Veterans Health Center updates us on great news, expansion of the program funded by Boeing with more free spots, and results of treatment which are very positive for this 2 week outpatient program.

We also hit on stellate ganglion blocks, and the use of antidepressants for PTSD.

You can reach out to the program if interested by calling 801-587-7978 or the website at strive2be.org 

 

 

Aug 7, 2019

Thanks to everyone who listens.
We surpassed 700,000 downloads.
I appreciate the feedback from CONUS and around the world.
Please rate 5 stars and take a moment to write a review. One sentence works!

Doc

Aug 1, 2019

Our Army sleep neuroscientist Doc Brager is back to discuss the impact of circadian rhythms and performance for Operators.

Learn what they are and how they impact performance, and  what you can do to work around it.


Check out Doc Brager's book, MEATHEAD, about the athlete's brain.

 

Jul 23, 2019

This is follow on info from the podcast with Capt McNab. Joe was in the AF over 30 years, his wife Meghan has been through it with him. They discuss issues to help make your relationship survive and thrive through a career.

In this episode we discuss general issues impacting relationships with concrete and sensible advice.

In future episodes we will deep dive into issues around deployments with spouses and children.

Your spouse can feel free to contact Meghan for advice or to answer questions at:

MeghanBarnardYoga on instagram or her website meghanbarnardyoga.com

 

Joseph Barnard can be found on LinkedIn.

 

Stay tuned for details on the DM mish from last week.

Jul 15, 2019

Another great conversation with Ish on philosophy and thoughts on how tech rescue marries with medicine to make PJs who they are.

The first discussion with Ish is one of the top 5 most listened to podcasts on PJ MEDCAST.

Thanks for listening! 

Please give PJ Medcast 5 stars and write a review.

PJ Foundation White Mountains retreat coming up. Please send dudes and also send contributions to the PJ Foundation to support this and other programs for our Operators in need.

Jul 10, 2019

Doc Silvia was the PJ Schoolhouse Doc and now the Doc for the NASA Detachement in FL. In this podcast she reviews the impacts of microgravity on physiology and how these changes impact your job on recovery ops. This is a fascinating review of physiology in space and changes the body undergoes, and the rigors of reentry.  Go back and also review the prior podcast of Doc Menon.

Get ready for the mish!

Jul 2, 2019

Capt McNab is back to discuss common relationship pitfalls, how they impact operators, and strategies to mitigate these issues. This will be the first of a few discussions about marriage and family which sometimes create the most impactful stressors for operators. Some people are really lucky and mature and handle relationship issues without stress or negative emotions. But most of us are human beings and are emotional and not given the skills we need when we are young to optimize our relationships with loved ones and friends. Developing self awareness and strategies to communicate better and compromise, and put work into your relationships is the beginning. 

Books that Operators have found helpful:

Men are from Mars, Women are from Venus

The Five Love Langauges

 

You tube videos by Esther Perel

Jun 25, 2019

We discuss:

programming

not overloading

recovery issues

 and more!

Some great work going on downrange, good on the guys!

Jun 21, 2019

Last week we did a four hour exercise:  infil to vehicle, extrication problem, stablize 2 patients on the X. Prep for movement to hardened structure. Move. Perform MARCH PAWS/ MTPs, transition to PFC mindset, telecons, prep for exfil, ground vehicle transport to MTF.

Issues discussed:

-delaying Needle D based on O2 sat and threat

-NPA reminders

-Importance of reassessments before AND after each movement

-Documentation issues

-NEVER leave your patient unless TL directs you to

-RSI comments

- Dry fire MTPs to practice!

-2 IVs for all critical patients

and more!

 

 

 

Jun 15, 2019

SMSgt Jeremy discusses the mission from the Team Leader perspective. We discuss Parachute insertion considerations, and also add a few other interesting medical comments about compartment syndrome and pulses, TXA for ongoing bleeding 3 hours after injury, and the spiritual aspect of rescue and emotional support of our IPs.

All PJs and CROs, please send a check to the Pararescue Foundation and get family and friends to support.

Jun 11, 2019

Yesterday two PJs from the 212th RQS on their State wide alert jumped from a  C-130 to a hunter who was mauled by a grizzly bear and severely injured.  

Care under fire was translated to risk of further bear attack, then prolonged TACEVAC to a hospital.  Hear about the unique issues of this mission and translating MARCH PAWS to a civil SAR for a severely injured patient.

Jun 3, 2019

Operator overseas with partner force, runs a rotary wing tacevac for an MCI.

May 27, 2019

I realized yesterday, the day before memorial Day we should do something special. I called a few PJs and CROs I know who were friends and comrades with some of the great Operators we have lost and asked them to make few comments about their Brothers.

I apologize for not getting to more people but am committed to doing this next year and trying to tell more of the stories of the Men and these Missions.

I hope you had a great day and took time to remember the Operators we lost and think of their families. 

May 24, 2019

A young 103rd PJ, also med student, discusses a few observations from SOMSA '19.

 

 

May 17, 2019

Doc Tanaka, STTS Doc from Hurby, discusses his presentation this year at SOMA regarding increasing Dive Medical Officers for AF Special Warfare, This talk is definitely specific to AFSW.

May 16, 2019

Army Medic JJ discusses his SOMSA experience including regional anesthesia, drones for eval, and more in a thoughtful discussion. JJ is a leader in education for SF Medics, and introduces AFSW operators to a a few concepts we will need to adopt down the road.

May 15, 2019

Prior PJ, soon to be med student, Rich reviews a talk he did on prolonged field care based on the PJ experience documented in the Joint Trauma System (JTS). He then reviews a few presentations including the impact of repeated head injuries and the results of chronic traumatic encephalolpathy (CTE), and a few other presentations.

May 14, 2019

SOMSA- The Special Operations Medical Scientific Assembly. The meeting of the Special Operations Medical Association (SOMA). In the first of several podcasts one of the PJs attending the event reviews the highlights including FDP and other important presentations.

May 1, 2019

This is the first in a series of discussions with Drew, strength and conditioning coach at DM.  Drew has done a great job of building a program there and in this episode he discusses how he approached the process and some lessons learned.

Apr 27, 2019

1.Optimize patient packaging in the sked

2. TL always up and out- don't get in the weeds

3. Complete each phase before beginning next phase (general rule)

4.White cell- time each phase and task and provide feedback in debrief

5. Why do we have protocols ( medical and trauma checklists) and why should you follow them ( besides that you are directed to)

Apr 25, 2019

New feature- review of selected JSOM articles

Apr 15, 2019

Doc Lax continues our discussion of diagnosing and managing concussion (mTBI) for operators and PJs, corpsman, and medics.

Apr 9, 2019

Doc Lax is a sports med Doc with one of our Pararescue Teams. Over 2 podcasts he discusses the intricacies of diagnosing and managing concussions, both at home and in the deployed environment.

Learn about the pathophysiology and natural history of mTBI and why it is so important.

Apr 1, 2019

DD discusses the topics covered at the FEB 2019 TCCC meeting.

They include the DOD TCCC mandate, advanced resuscitative care, blood, the IT clamp for head and neck wounds, and more.


Stay tuned for the ARC ( advanced resuscitative care) summary and TCCC slides which will be on PJMED.com

 

 

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