Dr Joyner is a Physician-Scientist at the Mayo Clinic who specializes in exercise research. look for a prior Freakanomics podcast with him. It was really interesting. He is a great guy, prior D-1 runner, and talks to us about basic intel you need to know to understand some of these human performance issues. How does oxygen get from the air to your muscles and get utilized? and more!
This is an intro to an HPO block of podcasts for the next couple of months.
Enjoy these discussions covering heart rate variability, wearables, exercise physiology , deep dive into overheating and hydration, and reflections from Dr Doug Kechijian, prior PJ, strength coach and physical therapist.
look on line for resilient performance physical therapy and Doug's insightful podcasts, whoop, and skratch labs.
I include some intel on gear from an overland.
Thanks for taking us over 750,000 downloads!
Remember to look at pjmed.libsy..com for all of our podcasts if the prior ones are not showing up on iTunes.
Thanks for listening and your dedication to our IPs and patients.
Really, penetrating trauma in Alaska from a sword attack.
A couple of good lessons learned.
Axillary hemorrhage protocol, remember not to use your O2 if the O2 saturation is > 90%.
That Others May Live!
Decisions on meds, seizure management, scalp laceration and exfil and handoff.
Go to pjmed.com to see the image of the scalp injury
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.
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
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
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.
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.
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.
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!
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
We discuss:
programming
not overloading
recovery issues
and more!
Some great work going on downrange, good on the guys!
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!
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)