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.
-delaying Needle D based on O2 sat and threat
-Importance of reassessments before AND after each movement
-NEVER leave your patient unless TL directs you to
- Dry fire MTPs to practice!
-2 IVs for all critical patients
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.
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.
Operator overseas with partner force, runs a rotary wing tacevac for an MCI.
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.
A young 103rd PJ, also med student, discusses a few observations from SOMSA '19.
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.
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.
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.
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.
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.
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)
New feature- review of selected JSOM articles
Doc Lax continues our discussion of diagnosing and managing concussion (mTBI) for operators and PJs, corpsman, and medics.
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.
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
Some operators have a smooth transition into civilian life and sometimes there are challenges. These challenges can be financial, personal and the loss of meaning and purpose.
In this episode, a recently retired combat rescue officer discusses what you can do to set yourself up for success after a career of service.
Thanks to everyone as we approach 600,000 downloads of PJ MEDCAST. Please make sure your colleagues know about the podcast.
Please give a 5 star rating and review if you have not.
Thanks for your support and allowing me to provide both operational content, and content that can help you and your family like this episode.
Nellis PJs performed a distant open ocean rescue to a ship with a sailor who had an unusual infection and required urgent surgical debridement.
Listen to this debrief between the PJs and the Flight Doc and get SA on severe soft tissue infection at sea.
Capt McNab was a 68W with combat deployments as an Army Medic. His life turned to being a mental health professional. He is now a Social Worker at Moody for the 38th RQS. We first saw Capt McNab at the MOAB and he gave a great brief.
In the first of several discussions with Capt McNab, he talks about the importance of communication for everything from mission readiness to getting along with your teammates, how to improve your comm skills, and how to overcome obstacles when personalities clash.
If you have not, please give the podcast a 5 star rating. Thanks.
This is the final installment of a meaningful discussion between the AF Trauma Consultant and PJ Med Director while they were in those positions during OEF.
It is a starp and meaningful discussion.
Doc Dorlac discusses his perspective on a career of Deployments as a Trauma Surgeon and Trauma Leader in theater through OEF and OIF. He breaks down the rewards and challenges of treating our warriors, and his interactions with combat medics and PJs.
1. We review care under fire, simplifying training to SHOOT MOVE TOURNIQUET.
2. Preparing for the worst for a training mishap. They happen all the time and can be catastrophic. Mitigate risk by having the whole team put all phone numbers for home station and TDYs in their phones. Closest emergency room, level 1 trauma center, life flight and ambulance if appropriate, and dive chambers.
3. Submit your patient care card on every mission to the JTS under contact us/prehospital. See the directions on PJMED.com under intel.
We have a PJ foundation winter retreat going out the door. Please support with a check at pararescuefoundation.org
Global Access- Precision Strike- Recovery
Required listening for PJ Med Paramedic recertification.
Thyroid, diabetic and adrenal emergencies discussed.
Thanks to Doc Simon!
PJ Foundation (PJF) winter retreat coming up.
Please send a check to the PJF!