Prolonged Field Care Podcast
by Dennis
Latest episode
Hypothermia in PFC: Prevention beats Rewarming
Hypothermia in PFC: Prevention beats Rewarming
About this podcast
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Episodes
The newest 50 of 645 episodes
- Hypothermia in PFC: Prevention beats Rewarming · 55 minProlonged field care (PFC) means holding casualties for hours or days, and once the bleeding is stopped, the patient still has to be kept warm. Dennis talks with Kevin, following…
- Your Blood Supply Needs a Plan · 35 minHow do you keep whole blood ready for transfusion when evacuation is delayed and resupply is uncertain? Dennis sits down with Monty from Delta Development, a former Army and…
- Decision to Save the Limb - Wartime Tourniquet Conversion · 35 minDr. John Holcomb returns to discuss a Ukrainian single-center paper on morbidity and mortality from ischemia-reperfusion injury after prolonged tourniquet use. One forward…
- 301: MARCH Works - Wound Care and TBI are NEXT Layer · 51 minStacey Shackelford retired from the Air Force after serving as Joint Trauma System chief and trauma medical director in Colorado Springs. She now works at the Center for Combat…
- Neck Junctional Injuries: Zones, Pressure, and Placement · 1 h 12 minMax and Dennis walk through neck and upper-chest junctional injuries, the pattern he expects more of with top-down penetrating trauma. The neck is divided into three zones for a…
- 300: What Are We Missing? SOF Medics on Veteran Suicide · 1 h 19 min17.7 veterans die by suicide every single day. Almost everyone listening knows someone. Episode 300 of the PFC Podcast puts three retired special operations medics in the room to…
- When does Nursing Care start? · 1 h 5 minKevin is a nurse anesthetist with more than a decade of bedside nursing. Dennis brings him on to talk about the part of prolonged field care that the CPG describes but does not…
- 299 - TCCC Analgesia: After the Opioids Left · 57 minWe covered the new analgesia guidelines from TCCC, now lets talk about how to get it done. Ryan Knight — emergency physician and Deep, Army anesthesiologist now at UNC, walk the…
- SOMA '26 - Lessons Learned: Humanitarian Field Hospitals in Syria and Gaza · 30 minRecorded live at SOMA 26 Dr. Sam, an orthopedic and surgical oncologist, shares hard-won lessons from humanitarian deployments in Syria, Ukraine, and Gaza. Operating in…
- -40 Changes MARCH: Arctic TCCC · 51 minA healthy person lying in the snow at -30 or -40 dies of hypothermia. Add a gunshot wound, wet clothes, and twenty minutes on the X while the team finishes the fight, and the…
- When is When: Withdrawing Interventions in PFC · 44 minMedics add interventions easily. Prolonged field care is where those interventions start charging rent. Dave walks the unwind. A cut endotracheal tube used as a cric can come out…
- When is When: Withdrawing Interventions in PFC · 44 minMedics add interventions easily. Prolonged field care is where those interventions start charging rent. Dave walks the unwind. A cut endotracheal tube used as a cric can come out…
- 298 - Starting a VA Disability Claim After the Service · 42 minThe internet will tell you how to “win” a VA claim. Almost none of it is how the exam is actually written. Will spent 11 years Navy EOD, 9 as a SOF medic, and now sits as a…
- Blood Sweep, Deep Breath, Pulse Check: Point-of-Injury Triage · 59 minMost of us were taught START, the sieve, RAMP, DIME, P1–P3. Andrew — EM physician on a small surgical team out of Fort Liberty — used none of it the night a helicopter went down…
- Don’t Wait for Hypotension: Resuscitation Decision-Making · 1 h 40 minDennis sits down with Max to walk through hemorrhagic shock the way it actually behaves in young, healthy military-age casualties—not the tidy textbook ladder of Class I–IV. They…
- 297 -Train The Trainer In The Jungle TCCC For A Resistance Force · 47 minBen walks Dennis through a six-month plan that became a jungle course for about 200 unpaid resistance volunteers. Vic built the curriculum from TCCC, the Ranger Medic Handbook…
- Pack to the Vessel: Hemorrhage Control Is Not a Mind-less Skill · 39 minMike Weisman — 25 years as a Navy Corpsman and SARC, 27 years on a busy Vegas fire department, now clinical education at Celox — does not sell magic dust. He sells a hydraulic…
- 296 - Mission Capable Pain Control: The TCCC Analgesia Update Explained · 40 minOTFC is gone. That was not a small supply hiccup. It punched a hole in the old TCCC pain plan. George Barbee, a PA and co-author of TCCC Guideline Change 25-03, walks Dennis…
- SOMA 26' - Ultrasound-Augmented Triage A Proposal To Refine Field Decision Making In Tactical Combat Casualty Care · 26 minRecorded live at SOMA 26 In a near-peer MASCAL, one medic and one junior medic may face twenty penetrating torso casualties, one unit of blood, and no time to empirically needle…
- 295- Logistics For LSCO: Why SOF Med Supplies Fail When The War Changes · 36 minMedical logistics was an afterthought for a lot of us in GWOT. You submitted a request, something showed up, and everyone joked that the warehouse never read the order. That…
- SOMA 26' - Role 1.5: Fighting Tourniquet Syndrome at the Forefront · 21 minUkrainian orthopedic and reconstructive surgeon describes what prolonged field care actually looks like when evacuation from the front line to Role 2 takes three to four days…
- 294 - Do Antibiotics Really Reduce Mortality in Trauma? Wound Care First in Prolonged Field Care · 36 minAntibiotics are not magic. In this episode of the PFC Podcast, Dennis sits down with Ryan to cut through the common myth that “I’ve given antibiotics, so the wound is protected.”…
- SOMA 26' - Fresh Whole Blood is Not The Answer: It's Still a Question · 29 minWhole Blood Is Not a Solution (Until Conventional Forces Can Deliver It) Recorded live at SOMA 26 Dr. Vanessa Hanick (emergency physician, former active-duty Army, now National…
- 293 - Dead Tissue Kills in Prolonged Field Care: 4 C’s, Early Debridement & Delayed Primary Closure Lessons from the Field · 49 minIn this episode of the PFC Podcast, Dennis sits down with missionary surgeon Jason to cut through the noise on real-world wound care in austere and unconventional warfare…
- SOMA 26' - European Medical Preparations for Major Engagements and Large-Scale Combat Operations · 31 minRecorded live at SOMA 26 Pierre Pasquier (France) and his German counterpart deliver a clear-eyed assessment of how European military medical systems are preparing for…
- 292-Building Mobile Surgical Capability in Denied Environments · 41 minIn this episode of the Prolonged Field Care Podcast, Dennis sits down with Mitch (U.S. family practice/ER physician) and Augustine (frontline surgeon with five years of…
- SOMA 26 - Optimizing the Efficacy of Commonly Used Tactical Medical Gear and Medications In The Arctic Extreme Cold Operational Environment · 30 minRecorded live at SOMA 26 Dr. Emily Johnston (Cascadia Mountain Institute) and SFC Ezequiel Mendoza (Arctic Dustoff, Fairbanks) deliver a hard-hitting, field-validated look at how…
- 291 - Pediatric Burns In Prolonged Field Care Assessment, Resuscitation & Airway Management · 31 minIn this essential episode of the Prolonged Field Care Podcast, Dennis sits down with pediatric intensivist Dr. Sara Bibbens to tackle one of the most challenging and…
- SOMA 26 - A History of Mobile Surgical Teams Role 1-3 and Horizon Scan · 29 minIn this presentation, we take a deep dive into the 300-year history of mobile surgery supporting land campaigns — from Dominique Larrey’s ambulance volantes through the Letterman…
- 290 -Manufacturing Medical Gear In A War Zone: Aluminum Splints, Plastic Drag Litters & The Human Side Of War · 46 minIn this episode of the Prolonged Field Care Podcast, Dennis sits down with Alex, CEO of Shannon Mechanics, a Ukrainian company that has produced more than 8,000 drag stretchers…
- Managing the Combative Patient: Hyperactive Delirium with Severe Agitation, Ketamine & Field Reality · 48 minIn this episode of the Prolonged Field Care Podcast, Dennis sits down with J.R. Pickett — unpack the controversial and high-stakes topic of what used to be called excited…
- 289: Guerrilla Surgeon: Life-Saving Surgery in Caves, Dirt Rooms & War Zones · 44 minIn this raw and eye-opening episode of the PFC Podcast, Dennis sits down with Jason, a general surgeon who completed nine combat deployments (seven in special operations) and has…
- From Tourniquet to Crush: Mastering Hyperkalemia with Calcium in Prolonged Field Care · 43 minIn this episode of the Prolonged Field Care Podcast, Dennis sits down with Alex to dissect a controversial claim that calcium is useless for hyperkalemia during cardiac arrest…
- 288: Blood, Citrate & Cardiac Chaos – Rethinking Calcium in Prolonged Field Care · 39 minIn this episode of the Prolonged Field Care Podcast, Dennis sits down with Dr. Andre Cap to unpack the evolving role of calcium in trauma resuscitation. What started as the “new…
- Burn Resuscitation Revelation: Fluid Restriction + Early Plasma Beats Parkland in PFC · 46 minIn this episode of the Prolonged Field Care Podcast, Dennis sits down with Alex to break down a hot-off-the-press retrospective study from the Journal of the American College of…
- 287: Drone Evacs Are Coming… But Can They Handle Real Critical Care Patients · 30 minIn this episode, Dennis sits down with Brock, a civilian critical care flight paramedic who flies Medevac in the States, to break down what it actually takes to move a sick…
- War Wounds Unfiltered: Cleaning, Debridement & Why You Shouldn’t Close Early · 52 minIn this high-yield episode, Dennis sits down with Dr. Jennifer Gurney, Army trauma/burn surgeon and Chief of the Joint Trauma System. They dive deep into the practical realities…
- 286: Antibiotic Resistance - Smart Stewardship in Austere Care · 39 minIn this episode of the Prolonged Field Care Podcast, Dennis talks with Dr. Ryan Maves (infectious disease physician and retired military ID doc) about one of the biggest silent…
- S Ketamine Mastery in Austere Care: S-Ketamine Dosing, Tricks, and TCCC Updates · 51 minS-Ketamine is now part of the TCCC pharmacopeia; you'd better understand how to use it. Dennis sits down with Pat — a veteran military anesthetist, former Danish Special…
- PFC Podcast 285: Adapt or Die - How Ukraine is Rewriting Combat Medicine · 40 minIn this powerful episode of the Prolonged Field Care Podcast, Dennis sits down with Viktoriia, Chief Medical Officer, responsible for medical care across more than 150 kilometers…
- PFC Podcast: Silent Brain Killer - SpO2 Goals, Airway Triggers & Saving Lives When Oxygen Is Scarce · 32 minIn this episode of the Prolonged Field Care Podcast, Dennis sits down with Jeff to tackle one of the most time-sensitive and under-appreciated threats in tactical and austere…
- PFC Podcast 284: Pediatric Trauma in Denied Environments · 58 minIn this episode of the Prolonged Field Care Podcast, Dennis sits down with Dr. Mike Falk — pediatric ICU physician with multiple deployments to Iraq, Gaza, and Ukraine — for a…
- PFC Podcast: TXA - 2g Slam and other myths busted · 35 minIn this deep-dive episode of the Prolonged Field Care Podcast, Dennis sits down with trauma and critical care surgeon Dr. John McClellan ( University of North Carolina) to cut…
- PFC Podcast 283: Underground Manufacturing - Ukraine’s Shadow Factories Saving Lives · 52 minIn this episode of the PFC Podcast, Dennis sits down with David Plaster — former U.S. Army combat nurse, medic, and 68 Delta who has lived and worked in Ukraine since 2012, long…
- PFC Podcast: Velocity Kills - Wound Ballistics, Shotguns & Unpredictable Trauma in Prolonged Field Care · 58 minIn this episode of the Prolonged Field Care Podcast, Dennis sits down with trauma surgeon Mark Shapiro for a no-BS masterclass on wound ballistics. They break down why…
- PFC Podcast 282: Blast Lung - Expert Tactics for Blast Lung Injury in Prolonged Field Care · 1 h 5 minIn this high-signal PFC Podcast episode, Dennis sits down with Dr. John Wightman — former 24th Special Operations Wing Surgeon, emergency physician, and one of the world’s…
- PFC Podcast: Guerrilla Hospitals - How to Actually Build Medical Systems When Evacuation & Resupply Are Gone · 1 h 1 minIn this episode, Dennis sits down with Reagan Lyon, an Emergency Medicine physician and 17-year Air Force veteran who spent the majority of her career in special operations…
- PFC Podcast 281: Crisis Standards of Care: The Hardest Conversations Medics and Teams Must Have · 59 minIn this raw and unflinching episode of the Prolonged Field Care Podcast, Dennis sits down with Thad Snyder (physician, former medic, and brigade surgeon) to tackle one of the…
- PFC Podcast: Building the Ideal SOF Clinic - Setting Up a World-Class Austere SOF Clinic · 25 minIn this powerful episode of the Prolonged Field Care Podcast, Special Forces Detachment Commander Nate shares his journey from medical novice to building a highly effective team…
- PFC Podcast 280: Hantavirus in the Field: Cruise Ship Outbreak, Deadly Clues & Field-Ready Lessons Every Medic Must Know · 33 minWhat happens when a sharp-eyed cruise ship doctor spots a hantavirus amid a sea of hangovers and flu symptoms? In this high-stakes episode of the Prolonged Field Care Podcast…
