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.

TOML

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.

Quickie-

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   

                                TOML

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!

Part 2 of our foundational discussion on general nutrition for the operator.

Sam Leyh, physiologist for the Air Force Research Laboratory discusses general nutrition concepts for the operator.  We cover the role of macronutrients, use of supplements, nutrition requirements for health, training and ops in two parts.

Doc Dorsch discusses the leadership transition for PJ Medicine and thoughts about where we will be going.

Doc Ohara is back with a detailed discussion on hydration for training and missions. Warm weather considerations reviewed, and a discussion of research he has done as a Physiologist for the AF Research Lab and his own experience as an  ultra runner.

PJ Med Director Col Dorsch discusses updates to the new edition of the handbook.

Dilaudid and ketamine drip for PFC pain control.

Slots open up for the NYC Feb refresher.

A discussion and review of some of the points raised in the podcast with the Trauma Surgeon.

Review of lessons learned in recent FMP training.

Go to pjmed.com for training info.

Use your chain if you are interested in being a participant on the winter PJ Foundation retreat for recharging. Backcountry skiing on the Tenth Mountain Division Hut System trails. Week of Feb 25, 2019.

A recently deployed and very experienced DOD trauma surgeon just came back from a deployment and shares observations and thoughts on overuse of certain techniques and emphasizing know the indications and technical details of performing invasive procedures.

These procedures should be used when indicated, and not used when not indicated. 
There are potential adverse consequences of performing procedures. The downside is minimized when they are not performed if not indicated.

Although tension pneumothorax has declined as a cause of potentially preventable death, needle decompression should only be used when indicated to reduce unnecessary complications. Excellent technical performance through rigorous training is the other way to reduce complications.

This is a unique presentation. 

New slots have opened up for the FEB PJ paramedic recertification course, go to pjmed.com under training to contact the course manager to sign up.

Our HAF CRO FAM discusses the move that we have been waiting for with a description, explanation and the vision for the rebranding and move to Air Force Special Warfare. A glimpse into the future of Pararescue and AFSPECWAR. 

                   ACCESS- STRIKE- RECOVER

                            Global access

                           Precision Strike

                       Rescue and Recovery

Ginger Locke is a paramedic educator, who has a natural talent for it but has also studied the literature and incorporated scientific principles into her teaching in a very successful manner.

This is a great conversation about thoughts on how to optimize adult learning for PJs and Paramedics.

if you are an instructor these two episodes have a lot to offer.

Check out Ginger's podcast at MEDIC MINDSET.

New PJ Med Director Announcement at MOAB.

Notes on trauma from the ATLS course- advanced trauma life support. Although many principles are similar, to what we do in the field,  there are some differences how to handle trauma patients immediately in an ER from what we do. 

This podcast reviews some trauma pearls and gives you insight into how an ER or forward MTF handles trauma, stabilizes patients, and evaluates the need for immediate transfer to a higher level of care.

Over 500,000 downloads now.

Please rate five stars on the podcast.

Thanks for your interest and support.

Hope everyone had a meaningful Veterans Day.

TOML