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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, Federal Agency 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, US Air Force or the United States Government.
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Now displaying: 2020
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

Jun 11, 2020

Proceeding now with the Ghazni series uninterrupted (I hope).

 

Jun 11, 2020

This is our first mini- hope you enjoy and learn

Jun 5, 2020

 

THAT OTHERS MAY LIVE

Jun 2, 2020

This is an incredibly informative (and entertaining) podcast about one of the more unusual (like many other) PJ deployments. In this case it was to support the most critically hit NYC hospital that made national news, and the brave Doctors, Nurses, techs and staff showing up every day not fully knowing the risk they were taking, and if the protective gear was going to work, and then in most cases going home to their families.

We will hit on prepping the battlefield, PFC, critical care, and highlight the "FID" type response to support the NY ("indig") medical providers in a war with a new enemy that we are still learning how to battle.

PJNY- THAT OTHERS MAY LIVE

Jun 2, 2020

Check out the new MCTI- mission critical team institute podcast by Dr Cline and Coleman Ruiz

TOML

May 28, 2020

Hear the perspective of the Flight Doc providing medical C2 overhead in the C-130 and taking care of AR.

Doc Becker is an Emergency Medicine Doc at Stanford. We also discuss trismus in the field with TBI and airway management.

May 28, 2020

PJ Jon from the 131st discusses the mission and the medicine.

Use this as an sTBI pack out:

1. Hypertonic saline

2. Oxygen

3. Airway management kit, ventilator and monitor

4.RSI drugs

5. Versed

6. Kepra IV and PO

7. Glucometer, dextrose, glucose

8. Oral and rectal thermometer

May 21, 2020

IN AUG 2018 US Forces and Afghan partner forces were ordered to retake Ghazni from the Taliban. The details are described in an AUG 23, 2018 in TIME Magazine in an article entitled "Inside the US Fight to save Ghazni From the Taliban".

Nate is an 18D and Gavin is a PJ who supported ODA 1333. They discuss details of the mission and the medicine. There were over 40 casualties over the duration of the fighting with several MCIs.

This is the first of several episodes to discuss the prolonged operation. 

May 13, 2020

Ret. CMSgt Doug Isaacks had a full career as a PJ and served twice as the Commandant for INDOC. He made significant strides in optimizing and modernizing training and selection.

This is a wonderful, heartfelt and enlightening discussion with a thoughtful leader on his reflections of being the Commandant of INDOC, and the challenges of running assessment and selection for a critical career field.

We hope this inspires PJs to consider tours in the pipeline because of the absolute importance of training our next generation of operators. And also impress upon young operators the gravity of these leadership roles, and to aspire to greatness in operations and leadership!

THAT OTHERS MAY LIVE

May 13, 2020

Also getting back to basics to review some medicine over next couple of months.

Will continue to track COVID relevant issues./

TOML

 

 

Apr 25, 2020

0-6 USAF , Baltimore Shock Trauma Anesthesiologist and Intensivist Doc Galvagno has been training PJs during the pandemic.
This is an update on the evolution of knowledge and thinking on 15 APR.

 

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