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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: Page 1
Sep 28, 2020

USAF Pararescuemen (PJs) perform daring and unique rescues. Among the most unique are long range (>300 miles) ocean rescue missions accomplished by parachute insertion or helicopter using aerial refueling.

Learn about the infil and med details of these missions. This podcast is based on the article we published in the Journal of Special Operations Medicine.

THAT OTHERS MAY LIVE

Sep 23, 2020

Last week the 212th responded to a hunter who fell 100 feet down a slope and experienced significant skeletal trauma.

Dan reviews the technical and sometimes heinous rescue in unforgiving terrain during a windy, freezing rainstorm. 

Pearls-

1. To help dial in a diagnosis of sTBI- can the patient follow commands?

2- Med care in the elements focuses on hypothermia management and pain control to get into a place you can treat vs. thickets where it is impossible.

212th RQS!!! THAT OTHERS MAY LIVE

 

Sep 15, 2020

Mt Sinai Icahn School of Medicine Flex Program


Hofstra Zucker School of Medicine Direct admissions for SOF, no MCAT if qualified

Intro to 23.4 hypertonic saline for brain herniation in the field

Teaser on MCI research

THAT OTHERS MAY LIVE

Sep 10, 2020

A sailor fell ~35 feet on a ship in the Pacific- way out. Jump mission, 48 hrs PFC for spine, pelvis and extremity trauma, helo hoist off with multiple ARs. 

Stay tuned for the 212th high angle mish coming up...

 

THAT OTHERS MAY LIVE 

Sep 5, 2020

Dr Christine Sanchez is a SOF Performance Psychologist with over a decade of experience. She is an asset available to Guard and Reserve Teams, as well as AD, as a consultant.

5 Habits of High Performers to maintain cognitive bandwidth (direct focus & self-regulate psychophysiology)

 
1) Optimize mindset and facilitate productive failures
2) Engage in deliberate recovery to manage chronic stress and quiet busy brain
3) Develop performance routines to direct focus, energy levels, and mindset
4) Expand expertise through deliberate practice
5) Utilize strategic brain breaks to maximize productivity and energy levels
 
Best ways for listeners to contact Dr Sanchez (or learn more about her services/background)
1) Email: drchristinesanchez@gmail.com
2) LinkedIn: https://www.linkedin.com/in/drchristinesanchezphd/

 

Aug 18, 2020

Travis is a TCCC Committee member, and prior Pararescue Medical Programs Manager.

Travis is reviewing the TCCC Airway guidelines and found some surprising literature and details about the basics.
This is a great discussion reflecting a lot of detective work.

Thanks to Travis for dong this, emphasizing how important it is to question and validate what we do.

THAT OTHERS MAY LIVE

Aug 15, 2020

Sleep consistency

Cool Dark Quiet

Don't eat meals within 2-3 hours of sleeping

Find what time of day exercising is best for you- upon waking may be best

Go to sleep as soon after your shift that you can

 

Thanks to WHOOP for allowing us to use their email briefs

You can find data and more info at whoop.com and click on THE LOCKER

Aug 12, 2020

Check out Preston Cline and Coleman Ruiz on their podcast and website at Mission Critical Teams Institute.

Improving performance for special teams, from an academic and Tier 1 perspective.

Website:   MissionCTI.com

Check out their podcast at MCTI TEAMCAST

Aug 4, 2020

PJ Ian discusses the diagnosis of mTBI in austere operational and training environments, operational relevance, importance to post service records, considerations regarding reaction time, and a new  tool on the horizon to assist medics.


THAT OTHERS MAY LIVE

Aug 4, 2020

Ian discusses the limitations of diagnostic options in the field for mild TBI ( concussion) despite the frequency in training and on Ops.

Ian then lets us know about a new research tool leveraging reaction time as a potential solution for FOBs, in garrison training, clinics and other hardened facilities you may be responsible for Operators.

 

THAT OTHERS MAY LIVE

Jul 27, 2020

Doc Derwae was an OSS Rescue Doc at Nellis and then completed a residency in Dermatology at U PENN. She is now an USAF Dermatology Attending.

Here she discusses the science behind sun damage to the skin and risk of skin cancer. The cumulative injury to the skin over a career is real and preventible.
Skin protection from the sun is analogous to HPO programs and injury prevention and reduction to improve your lifetime health. It is also important to understand to protect your children.

If you have questions for Doc Derwae you can reach her through your Flight Doc.

THAT OTHERS MAY LIVE

Jul 21, 2020

In April 2020 NYC was overrun by COVID. 
New York Presbyterian (NYP) Medical Center comprised of several hospitals including Columbia and Cornell, exceeded capacity with COVID patients and created an overflow location on their football field in a bubble. Through personal relationships it was proposed that a social media call be made to recruit SOF medics to staff the field hospital. NYP agreed and this successfully occurred and became the Ryan Larkin Field Hospital at NYP.

NOTE- the medics came outside their military status as volunteers, but were soon integrated into the NYP staff.

From that, NYP tasked some of the medics to run another COVID ward, but inside the Columbia University Milstein Hospital.

This is the remarkable story of SOF Medics working in conjunction with civilian providers to support this world class hospital during a surge.

This model is a feasible approach to address surge needs in the Nation to hire military medics to work to their capability and become force multipliers for our healthcare providers who become overwhelmed and understaffed. SOF and other mil medics are a trained and reliable force, who come to the fight with humility and willing to do what is needed to support patient care.

Jul 18, 2020

Black mambas and cobras at some camps

thanks Dr Abo

Get POLYSERP for Africa

Check out the Asclepius Snakebite Foundation:

www.snakebitefoundation.org

Great PDF presentation:

https://jts.amedd.army.mil/assets/docs/presentations/Austere_Snake_Envenomation_Management_Presentation_Asclepius_Snakebite_Foundation.pdf

 

 

Jul 13, 2020

Prior Ranger and Ranger PA, and extremely effective medical policy writer and educator, Andy Fisher, M.D.  just reviewed the state of the art for pain control, i.e. analgesia, for the TCCC Committee.

Besides discussing basic ideas such as the difference between analgesia and sedation, Dr Fisher reviews pharmacology and his thoughts on best practices on the X and beyond.

I cannot emphasize enough how Andy's perspective from his experience on innumerable operations, combined with his keen intellect, are unique and very meaningful.

THAT OTHERS MAY LIVE

Jun 26, 2020

The basics

Gear issues

Training issues

What it means to be a TRS PJ

Physical fitness is the foundation

A memorial to those lost

With gratitude to Nate and Gavin

THAT OTHERS MAY LIVE

Jun 19, 2020

Gavin describes his experience as a casualty at the POI, exfil,  subsequent care, and trip back to CONUS.

Jun 11, 2020

Ambushed.

Multiple casualties.

Eye trauma.

TOML

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