The TCCC Committee has made new changes to the management of suspected tension pneumothorax.
They created a great paper on all of the aspects of this regarding diagnosis. management and controversial issues.
This is Part 1.
Regards from SOMSA. Thanks to many folks for coming up and saying hello.
More feedback comes in on the value of this podcast to our amazing Operational Medics around the globe- Be safe.
After the loss of Jolly 51 we engaged an Operational Psychologist to support the Wing and the Leadership.
We discuss the grieving process and loss, and how Operators deal with it different from civilians.
What are normal reactions to death, and when do we need to intervene and seek support to prevent long term problems related to the loss of teammates and friends?
These issues and more are discussed in Part 1 of this conversation.
Support the Pararescue Foundation!
In memory of the crew of Jolly 51.
Remember the aviators and operators.
I review a few things we stressed on base this week that are helpful getting through these difficult times to deal with those close to us who are suffering and to help you get through these challenging tragedies.
The 2 Vs- ventilate and validate.
Go thru the different phases of grief.
Grieve- remember- move forward.
"That Others May Live"
Here is a simple and concise way to approach PFC from the working group. It is a nice re-look at how to view it.
check out specialtactics.com
check out the news for a recent Portalng PJ rescue on Mt Hood.
Continuation of great thoughts on leadership.
Start checking out SPECIALTACTICS.com,
we will be merging PJMED.com to this site.
Leadership is about character.
Leadership means influencing people.
Influencing people requires building relationships with them.
Advanced skills are the basics mastered.
Practice the basics daily!
Our good friend Dr Mazzoli created a publication from the vision center for excellence. OCS (orbital compartment syndrome) can result from trauma to the head, face and orbit, resulting in increased pressure behind the eye threatening the retina and optic nerve. This is a potentially preventible cause of blindness. This podcast discusses what OCS is. You need to learn it on a specimen. It is relatively straightforward. You can look for it on youtube. The document will go out in the next Med newsletter and can also be found on PJ med.com
Please send donations to pararescuefoundation.org to help defray costs of the winter retreat.
This episode discusses historical aspects of aeromedical evacuation and goes into some detail of the three platforms operating out of helmand province in OEF. These were Army Dustoff, Air Force Rescue (PEDRO) and the British MERT platforms.
The information is from a Journal of Trauma paper discussing the way forward for FAME ( forward aeromedical evacuation).
This episode discusses the new winter 2018 JSOM article validating MARCH PAWS as a checklist for Operational Medicine.
This review was based on 465 consecutive patients during a single PJ deployment at Bastion during OEF.
Happy New Year!
Moffet puts on an annual PJ paramedic recertification course in Tahoe. Here are some lessons learned (LLs) and foot stomps for Pararescue Medicine.
Emphasis on care under fire and TCCC.
Check with Moffet in the summer if you are interested in their course in the beautiful, mountainous woods of South Lake Tahoe.
Merry Christmas- Happy Hanukah- Happy New Year!
In part 2 of this discussion regarding the value of psychological skills training, we continue the discussion of BTSF, Beat The Stress Fool. We discuss the process and evidence supporting self Talk (instructional and motivational), visualization (See), and the use of a Focus word ( a go word, or trigger).
Have a Merry Christmas, Happy Hanukah and Happy New Year. Please consider a donation to the Pararescue Foundation in your end of year giving.
In part 1 of psychological skills training we introduce the concept and discuss tactical breathing. This article by med student and prior PJ Mike Lauria is in the Annals of Emergency Medicine Dec 2017. Vol 70 Issue 6, p 884.
The research supporting this is presented and discussed in the context of special operations and emergency medicine resuscitations.
Send money to the PJ Foundation to support the winter retreat for operators.
What are the key differences between leadership and management and how do you exploit them to achieve strategic and tactical objectives?
Lessons from the business world applied to our world-
We introduce a new feature to share quick lessons learned from training.
If you have points you think we should get out to the career field email them to me if you have my address, the PJ Med Programs Manager at Langley, or to email@example.com
The I-gel has a series of benefits that make it attractive as an extra glottic airway (EGA). This podcast reviews the paper that will be in the Journal of Special Operations Medicine and discusses the role of EGAs in the pre-hospital environment and why the I-gel is preferred.
PJs- pls send a check to the Pararescue Foundation and do a fundraiser once a year. Chief (RET) Jones is expanding the services and needs your support.
Doc Menon is an AF Flight Surgeon with prior OEF deployments with Moffet, and a NASA Crew Surgeon. He discusses his background with experience on Mt Everest and in Haiti after the earthquake, and how they impact how he thinks about care in Space and other low resource, austere environments.
He then gives us an overview of what happens to humans in space from a medical and physiological perspective, as well as what PJs should expect when you pull an Astronaut out of the capsule.
Finally, we get a brief operational overview of the coming space mission.
This concise discussion contains good intel for SA for the Space Recovery Mission.
Look into the Pararescue Foundation for the March winter retreat and ski tour for Operators in need of decompression and reconstitution.
Travis discusses highlights of 2 important mil med meetings in the past month: TCCC Committee and the Military Health Services Research Symposium.
Mike Lauria is a Med student, prior STS PJ turned Flight Medic. He discusses his experiences as they would be relevant to special needs populations during disaster response and his transition to becoming a Flight Medic which is another great career option if you want to stay operational.
Look into Kyle Faudree's training if you are interested in becoming a flight medic at www.iamed.us
On this September 11 we remember our fallen and honor our police, fire and EMS first responders, and Nation's warriors.
Keep our PJs and others operating right now in response to Hurricane Irma.
Doc Fedor adds a few notes on RSA.
In light of civil SAR at Harvey and Irma, we introduce some of the issues surrounding special needs populations.
Look for the Winter Pararescue Foundation ski tour in the Rockies if you need some decompression, or know someone who does.
Support your foundation at pararescuefoundation.org
Doc Fedor is a civilian Emergency Medicine and EMS Doc who is the Director of the Schoolhouse Paramedic Program. He discusses rapid sequence airway. A technique unique and specific to pre-hospital medicine in which the patient receives a sedative and paralytic, and a supra-glottic device is intentionally placed.
There are a few slots left for the PJNY Med Course this fall and winter. You can email firstname.lastname@example.org
When you go for recert courses after this year make sure the new NREMT NCCP standards are met. Your Team has this memo.
GREAT WORK AT HARVEY- BE SAFE WITH IRMA-
THAT OTHERS MAY LIVE!
In the fourth installation of the TAMAR Rescue another PJ discusses the medical care in more detail provided for the two patients.
PJs from around the Nation are supporting Rescue Ops in Texas as this is aired. Think of and pray for all the victims and responders.
In the third installation of the TAMAR rescue, after infil and ship boarding are complete, Jordan gives an overview of the medical care including the complicated surgical airway.
In part 2 Jordan discusses parachute insertion, marine surface operations, ship boarding and linking up with the Captain and crew.
Look for the PJNY recert courses in SEP, NOV and FEB. Hosted by the 103rd RQS and NORTHWELL Health System. We have increased our PFC lanes (extended care) since lessons learned on this mish.