Recommending the following 4 books-
Call Sign Chaos
Stay tuned for a discussion on the new TXA study and TBI
Congratulations to PJ CMSgt Ray Colon-Lopez on selection to be the next Senior Enlisted Advisor to the Chairman of the Joint Chiefs of Staff!
Please support the go fund me to support Peter's family.
Moe and Kristen continue our discussion of the ap
Kristen and Moe (prior NSW) from Whoop discuss the applications and experience of whoop for athletes and mil personnel. Really interesting discussions piggybacking on Emily's discussion of the science.
check them out at WHOOP.com
Remember to go back and look for old podcasts on missions and medicine at pjmed.libsyn.com if they are not showing up on iTunes.
Please rate 5 stars and write a review- thanks, Doc
More discussion on the science behind WHOOP: heart rate variability and stages of sleep, what else goes into the WHOOP formula and determining if you are fresh for a full work out or you need to back off today?
Wearables are the present and future. They give us a lot of good information to assist in decision making regarding training.
In the first 2 discussions, neuroscientist Emily from WHOOP explains the balance of the autonomic nervous system (sympathetic and parasympathetic) and the science of sleep that impacts training and physical readiness.
Check out intel on their website at whoop.com
Check out Dr Lim's products for performance nutrition/hydration and blogs with the science behind the products and more at:
We did a PFC lab for GSW to the chest and hemorrhagic shock. We got a couple of good points from it.
World class and elite physiologist Dr Allen Lim discusses the science of hydration and performance in the heat from the perspective of an experienced sports physiologist who has supported athletes at the Tour de France.
Check out Dr Lim's products at SKRATCH labs:
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:
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!
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
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.
-delaying Needle D based on O2 sat and threat
-Importance of reassessments before AND after each movement
-NEVER leave your patient unless TL directs you to
- Dry fire MTPs to practice!
-2 IVs for all critical patients
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.