Finally- NY PJ Jordan discusses Mission development and MSN planning for this mission in April. This is the first of several in depth discussions of this highly complex and dynamic night jump into the Atlantic for two burn critical patients.
A Florida SWAT medic reports on a recent shooting he responded to, the care he provided and lessons learned
TECC is tactical emergency medical care, the Civilian/ Law Enforcement version of TCCC.
The PJ Foundation is working hard to support the needs of Active and Prior PJs who need help for TBI and PTSD and everything in between. Chief discusses how the Foundation came into being, its mission, next steps and how important it is for all PJs, CROs and SERE Specialists to support.
We need you to share this with you teammates, pipeline buddies and support it with annual contributions and fundraisers.
Contact the foundation for information about the summer NH trip with Chief Negron and the Winter Ski Tour.
Lee discusses the Patrick ocean jump mission, extra bundles for med gear, providing care in the X in a raft, transferring to the zodiac and subsequent ship boarding. They were later hoisted out by their 60s. He reviews the prolonged care provided.
Lets think about adding saran wrap back in the kits for maritime missions to waterproof the wounds and dressings, and we will post the burn packout we made at the 103rd on PJ MED.com, we will also send it out in the next newsletter.
One of the keys to success for teams that want to be ready for these missions are well organized alert kits, and having a separate one for burn missions.
Send a check to support the programs at the Pararescuefoundation.org
SW reviews the key points from the Pararescue Medical Operations Advisory Board. These include the way forward for HPO, issues of currency vs. readiness vs. proficiency. The importance of specialized Burn training, with opportunities in Washington and NYC. Affecting the med training and culture on the team by integrating POI care, tactical field care and TACEVAC into regular training at the DZ, range and boat party. Finally, SW reviews the rationale and positive pilot effort to use the deployment transition center as a third location decompression site.
This was really a well done brief by your PJ Med Programs manager.
A special thanks to Col Wayne Pritt- the ACC SGP who is retiring and Chaired this MOAB!
Check out the podcasts with Prolonged Field Care the CoTCCC.
Dr. Reggie Ohara returns to discuss recovery tips after missions and training based on his knowledge as a PhD physiologist, prior operator and current ultra runner. Nutrition and timing, contrast water therapy, cold wraps, inexpensive and low tech options to massage and more are reviewed in light of what the literature says and what works.
Doc Brager discusses sleep resiliency, prepping for overnight and multi night selection and mission objectives and some more relevant science impacting the operational side of sleep. This is an excellent discussion where research and science meet OPS.
Dr. Laureen Hill is the Chair of Anesthesiology at Emory university.
In the second discussion with her we focus on:
1. Surpa-glottic airways
2. Role of paralytics beyond sedation
3. Video assisted larygoscopy
4. Aspiration pneumonia as a complication of intubating without a paralytic
This discussion was really good, easy to follow, with great points.
THAT OTHERS MAY LIVE
Dr Allison Brager is a US Army neuroscientist and crossfire athlete. In this first discussion with her she explains why sleep really is important from a scientific perspective that is easy to understand, and the "why's" of sleep habits as well as effects of sleeping/ NO GO pills.
Donate to the Pararescue Foundation!!!!
Check out America's Vet Dogs online.
Best wishes and remember our fallen this Memorial Day Weekend.
ALERT- reminder of changes to handbook from DEC 2016 MOAB: 1. Change in needle D. site to only 5th ICS Mid Axillary Line. 2. Addition of combat dose of ketamine for sedation.3. Administer TXA by slow IV push over 2-3 minutes giving a cc at a time.4.Discontinue training upper extremity and thigh fasciotomies, only leg (tip-fib) will remain for training. Do not perform fasciotomy without proper training and sign off. Next MOAB 21-22 JUN.
Doc Powell is an SF Group Surgeon and Army Intensivist (intensive care specialist). he discusses the basic science and practical aspects of what shock is "beyond hypoerfusion of tissues". The science of shock is complex and multifactorial. Doc Powell explains the concepts of tissue damage and the systemic inflammatory response. For those of you who want to understand what shock really is, this is an excellent discussion.
Stay tuned for news of the PJNY /103rd jump mission near the Azores for 2 burn patients last week. A night jump, lots of sophisticated medicine and complex exfil.
THAT OTHERS MAY LIVE.
Donate to the PararescueFoundation.org, we have several upcoming programs for brothers in need and their families.
Check out https://vimeo.com/216213346
The most frequent book I recommend is the TALENT CODE by Daniel Coyle. He studied how world class performers come to be and discussed the neuroscience behind it. This book was recommended to me by a former BUDS Commander and is part of the foundation of how I perform operational medical training. I encourage anyone who trains operators below them or in schoolhouses to listen to this and read the book.
Support the PARARESCUE FOUNDATION.
THAT OTHERS MAY LIVE.
Chief Atkins is a great PJ who has codified his lessons learned as a Leader in our career field. After discussing these on a walk around Lake Tahoe last month while training, I thought it would be great to have his share his thoughts on leadership. His four key principles include 1. work ethic, 2. positive attitude, 3. receptiveness, 4. self motivation. Enjoy this focused discussion on leadership.
Donate to the Pararescue Foundation.
Our Orthopedic Surgeon and 212th FLIGHT DOC discusses hip and knee injuries common to operators. He also discusses standard and emerging treatments and operations for these injuries, return to duty concepts, and time courses for healing.
Support the Pararescue Foundation- PLEASE!
Maj Erin Jenkins is an AF aerospace and exercise physiologist. In this episode she discusses the negative impact of fatigue and fatigue mitigation strategies. She covers the issues of mental and physical fatigue, sleep physiology and tips, and the problems with the lights from your computers and cell phones at night.
Support the pararescue foundation! Donate today.
Dr. Laureen Hill is the Chair of Anesthesiology at Emory University. In this episode, she discusses controversies regarding intubation, particularly in the pre-hospital setting, the supreme importance of bagging properly, and other lessons learned during decades of training medical providers how to intubate.
Please go to PararescueFoundation.org and make a donation.
In part 2 of our discussion with Bill, he discusses his experience in the Khobar Towers bombing, and the PJs who survived it and then helped organize and manage the CCP for hundreds.
Get Bill's two books on PJs- Guardian ANGEL and the novel TRICKLOCK, on Amazon or elsewhere where books are sold.
Support your brothers at PararescueFoundation.org
In this first of two conversations with Ret. PJ Bil Sine, he discusses the first Pararescue combat jump mission into a minefield.
Remember to support the PJ foundation at pararescuefoundation.org
Doc Smith was a member on the Wilderness Medical Society Guidelines for avalanche safety and rescue. He discusses, avalanche awareness, safety and mitigation protocols, rescue and resuscitation.
Here are some links he mentions is the discussion:
Ish had a long career doing missions and and has spent the last decade and a half thinking about the technical aspects of Rescue, what it means to be a PJ, how does rescue fit into the DOD mission set, and ends with an unplanned discussion of being on the X when you least expect it.
Ish has had an important impact on PJs and tech rescue.
SW reviews the highlights of the meeting including PJ combat medic presentation.
Go to RDCR.org to learn about a great meeting in Norway for mil resuscitation.
Try to attend the 2017 Special Operations Medical Association Scientific Assembly to network with SOF and learn from SOF.
21-25 MAY in Charlotte
Doc Smith is an Emergency Medicine Doc in Jackson, WY, member of the Teton SAR team and Med Director,NPS Doc, wilderness med consultant, and LTC in the US Army Reserves. He is one of the most experienced Wilderness Medical Providers around with lots of real world experience.
In this first of a series of wilderness medical podcasts, Doc Smith discusses a rescue after a lightning strike and MCI, and then reviews medical aspects of lightning strikes.
You can find and contact Doc Smith at wildernessdoc.com
Detailed minutes can be found on the NREMT website and in the JSOM.
Thanks to Capt (RET) Butler for permission to do this.
Doc Paynter is an orthopedic surgeon and Flight Doc for the 212th RQS. He previously was a full time AF Orthopedic Surgeon at Elmendorf. In this first of a series of discussions, Doc Paynter discusses injuries of the shoulder and general management issues. Doc P has a unique perspective as both a FS and orthopedic surgeon who is experienced with PJs and CROs.
Injuries of the bone, labrum, biceps, rotator cuff and joint are discussed with an emphasis on those injuries that are more commonly seen in operators.
In part 2 with Keith, he discusses a dive recovery mission in Iraq, and MCI in Africa. We end with Keith with a description of the TOMS lab at Hurlburt.