Doc Mitchell was and GA, ST and SOST EM Doc who performed the first pre hosptial combat reboa. In this episode he discusses a key article reviewing the pathophysiology of the Lethal Triad and now the diamond of death. Hypocalcemia is implicated in reduced myocardial contractility, loss of vascular tone, and several impacts on the clotting cascade and clot strength. In Part 1 of 2, Doc M puts this together for the medics and covers down on calcium cholride vs calcium gluconate.
TOML
Steve's storry on the pile on 9-11.
In memory of the New Yorkers we lost 21 years ago
THAT OTHERS MAY LIVE
MASCAL discussion, civilian experience with triage and MCI systems
Dr Kamler, EM, Cornell Medical College, NY Presbyterian Hospital
Dr Jon Kamler, EM Doc at Cornell who is first author on a paper to be published in JSOM, discusses our literature review and relevant findings to pushing for change in MASCAL response.
Triage accuracy, plethora of systems, actual use of MASCAL systems in training and real world events and more.
COL Miles discusses the background of one of the leading edge SOF resuscitation meetings, new thoughts on needle decompression and tension pneumothorax, and TXA.
TOML meets RLTW
Retired Chief discusses setting yourelf up for success during your career to land on your feet when you separate or retire. Wisdom from an experienced Chief.
THAT OTHERS MAY LIVE
This is the final installment of AC CC Dave Ruvola discussing open ocean, nightitme survival in 70 foot seas during the Perfect Storm. All while rallying the aircrew scattered in the Atlantic, and being rescued by our Brothers and Sisters in the USCG.
An exercise in consumate leadership and professionalism.
THAT OTHERS MAY LIVE
Continuing with a description of the misssion and attempts at aerial refueling.
THAT OTHERS MAY LIVE
Oct 30, 1991, this is the story of the real Mission of the NY AIr Guard Rescue Team that went out into the storm, later immortalized in the book and movie, The Perfect Storm. Dave Ruvola, prior PJ and aircraft commander on the mission recounts the story of the rescue attempt, ditching the helo, the ocean survival scenario, and the tragic loss of PJ Rick Smith who we remember and honor. This is a dramatic and riveting real world story of professionalism, excellence and leadership.
THAT OTHERS MAY LIVE
In memory of Rick Smith.
New paper will be coming out discussing new thoughts on MASCAL incorpoarting new ideas on Time and Triage to be published in the Journal of Trauma and Acute Care Surgery.
Also look for our upcoming discussion on the PFC podcast with Dennis.
THAT OTHERS MAY LIVE
Our deep dive into MASCAL begins with the horrific Boston Marathon Bombing, Hear my discussion with COL Ricky Kue MD, US Army Reserve, Emergency Medicine Doc. He was the on scene medical commander.
THAT OTHERS MAY LIVE
Matt Stevens, prior NSW, and the Honor Foundation have created a well oiled machine to help you navigate transtioning.
Very impressive program for post career growth and navigation.
More insightful stories about casualty care and analgesia in Vietnam.
THAT OTHERS MAY LIVE
Yale educated Doc Llewellyn tells his exceptional story of Military Service from Vietnam through distinguisehed service in retirement.
Stories of his support of SOF, relationship with COL Charlie Beckwith, research, global and tropical medicine, CONTOMS and much more. Dr LLewellyn is a prior Professor and Chairman of the Department of Military Medicine at the Uniformed Srevices University of hte Health Sciences, Consultant to the Army SG for Medical Support of Special Operations, leader inCombat Casualty Care and Medical Chemical Defense, etc.
This was an honor and one of the most enjoyable and enlightenting conversations I have had.
Please share this widely and enjoy.
Part 1 of 3.
THAT OTHERS MAY LIVE
We begin to explore the role of human factors in mishaps. Training mishaps unfortunately occur, the development of self awareness is critical in personal and professional development, and can reduce injury and worse from training mishaps. Mission safety, team and personal safety are enhanced by self awareness, risk management and taking ego out of the decision making process. This podcast with a USAF SME sets the stage for some studies we are doing after observiing the human factor role in mishaps.
Response to a question from downrange. If whole blood is frozen, DO NOT USE IT.
Move all Teams to getting titered if Group O within 8-12 weeks of deployment so you can identify live universal donors.
One of our most popular guests.
THAT OTHERS MAY LIVE
We are in the process of finalizing the sTBI protocol for TCCC. This podcast reviews some of the controversies in the use of 23.4% NaCl in the field, and how the discussions evolve. In the meantime it is a great review of sTBI and increased ICP(intracranial pressure). Remember to distinguish between sTBI, increased ICP and herniation. In truama they are on a contiuum of catastrophic injury.
THAT OTHERS MAY LIVE
Pyschologist and US Army Reserve LTC /Doc Ben Keizer discusses management of mental health issues in combat veterans at the Center for the Intrepid in San Antonio, including their published experience using Ketamine therapeutically.