A podcast providing clinical pearls and insight from experts in the field, plus the top headlines in pulmonary and critical care medicine.
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Vital Capacity Podcasts
Obtaining accurate pulmonary function test results isn’t always as straightforward as it seems. The Blown Values Podcast explores the hidden complexities of PFTs, from technical challenges and interpretation pitfalls to the systems and standards that shape how tests are performed. Hosted by someone with deep experience in respiratory diagnostics, this show invites all stakeholders into a conversation about how we can do better. Through clear-eyed analysis, we unpack what works, what doesn’t ...
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Become a Paid Subscriber: https://creators.spotify.com/pod/show/dennis3211/subscribe This podcast and website is dedicated to the healthcare professional who needs to provide high quality care in a very austere location. For more content: www.prolongedfieldcare.org Consider supporting us on: patreon.com/ProlongedFieldCareCollective
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Dr. Tom Miller understands the unique set of challenges facing both aspiring and experienced charter school leaders today. Tom has spent more than two decades at the forefront in school leadership. First as an exceptional children’s teacher who worked his way into a middle school principal position. When he wrote his dissertation on the Characteristics of Effective Charter Schools, he was recruited by the North Carolina Department of Public Instruction to be a statewide consultant. Through h ...
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Prolonged Field Care Podcast: Medical Education
53:04
53:04
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53:04In this episode of the PFC Podcast, Dennis and Mike discuss the complexities of providing medical care in austere environments, focusing on the importance of understanding requirements, building relationships, and executing effective educational processes. They emphasize the need for thorough planning, cultural awareness, and continuous assessment …
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In this episode of the PFC Podcast, Benjamin Ingram discusses the evolving landscape of military medicine, focusing on the challenges and innovations in medical training and care during combat. The conversation highlights the shift from the traditional 'golden hour' concept to a more nuanced understanding of medical capacity in warfare, the develop…
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This conversation explores the advancements in point-of-care ultrasound for combat abdominal trauma, particularly in the context of the ongoing war in Ukraine. The speaker discusses the limitations of traditional ultrasound protocols and introduces innovative approaches to enhance diagnostic accuracy. Through case studies, the importance of timely …
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Prolonged Field Care Podcast: Remote Damage Control Resuscitation
38:04
38:04
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38:04The conversation delves into the complexities of providing medical care in remote areas, particularly focusing on the challenges faced in replicating hospital procedures. It emphasizes the critical nature of understanding hemorrhagic shock and the importance of timely resuscitation techniques, including blood transfusions, to improve patient outcom…
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SOMSA '25 - Beyond The Golden Hour Thoughts On SOF Blood Protocols In The Era Of Peer Adversaries And Austere Environments
21:04
21:04
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21:04In this episode of the PFC Podcast, discusses the evolving landscape of military medicine, particularly focusing on blood transfusion protocols in combat situations. They emphasize the need for optimizing blood management practices, adapting to dynamic conflict environments, and the potential benefits of implementing type-specific transfusions. The…
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Prolonged Field Care Podcast 247: Plasma for Burns
26:27
26:27
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26:27In this episode of the PFC Podcast, Dennis interviews Jennifer Gurney, an Army general surgeon specializing in trauma and burn care. They discuss the evolution of burn resuscitation practices, particularly the historical use of plasma and its potential benefits over crystalloid solutions. Gurney emphasizes the importance of plasma in treating burn …
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Prolonged Field Care Podcast: Abdominal Trauma
39:07
39:07
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39:07In this episode of the PFC Podcast, Colonel Stacey Shackelford discusses the critical aspects of managing abdominal trauma, particularly in battlefield settings. The conversation covers the statistics of battlefield casualties, current practices in trauma management, innovations in hemorrhage control, surgical techniques, and the challenges faced i…
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SOMSA '25 - Medical Training In NATO SOFCOM
11:49
11:49
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11:49This podcast episode features Mike Hetzler discussing NATO's training programs focused on medical support in irregular warfare. He outlines two primary courses: the Advanced Surgical Training Course and the Advanced Medical Concepts Course, emphasizing the need for tailored training to meet the diverse requirements of European nations. The discussi…
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Prolonged Field Care Podcast 246: Maritime IW Medicine Deep Dive
57:13
57:13
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57:13In this episode of the PFC Podcast, Dennis and Noel discuss the complexities of maritime irregular warfare, drawing on historical insights and personal experiences. They explore the challenges faced in maritime operations, the importance of experience, and the role of innovation and technology in modern warfare. The conversation emphasizes the need…
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Prolonged Field Care Podcast: Ukrainian MEDEVAC
33:37
33:37
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33:37In this episode of the PFC Podcast, Mikola, a self-medic from a special forces unit, shares his experiences and challenges faced in the medical field during the ongoing conflict in Ukraine. He discusses the complexities of medical evacuation processes, the importance of stabilization points, and the evolving threats posed by enemy tactics, particul…
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This presentation discusses the significance of electromagnetic warfare in modern military operations, particularly in the context of the ongoing war in Ukraine. It highlights the importance of understanding the electromagnetic spectrum and its implications for medical devices used in combat. A pilot study measuring the electromagnetic signatures o…
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Prolonged Field Care Podcast 245: Postpartum Hemorrhage
51:39
51:39
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51:39In this episode of the PFC Podcast, Dennis interviews Jessica, known as the Combat Midwife, who shares her extensive experience in both paramedicine and midwifery. The conversation delves into the critical issues surrounding postpartum hemorrhage, the mismanagement of obstetrics, and the importance of proper labor management. Jessica emphasizes the…
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Prolonged Field Care Podcast: Ketamine Deep Dive
53:07
53:07
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53:07In this episode of the PFC Podcast, Dennis and Kevin dive deep into the complexities of ketamine, exploring its pharmacodynamics, pharmacokinetics, and practical applications in emergency medicine. They discuss the drug's disassociative properties, its analgesic effects, and the importance of individualized dosing based on patient physiology. The c…
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SOMSA'25 - Consideration For Maritime IW Medicine
22:44
22:44
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22:44In this episode of the PFC Podcast, Noel discusses the complexities and challenges of maritime medicine, emphasizing the importance of training, knowledge, and operational flexibility. He shares insights from his extensive experience, highlighting the unpredictable nature of the ocean and the necessity of effective communication and integration wit…
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Prolonged Field Care Podcast 244: Penetrating Neck Trauma
1:12:24
1:12:24
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1:12:24In this episode of the PFC Podcast, Dennis and Max discuss the evolving landscape of modern combat injuries, focusing on neck and upper chest injuries. They delve into the anatomy of the neck, the importance of understanding different zones for surgical intervention, and effective hemorrhage control techniques. The conversation emphasizes the criti…
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Prolonged Field Care Podcast: Maggot Therapy
50:39
50:39
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50:39This podcast episode explores the innovative use of maggot therapy in wound care, discussing its historical context, benefits, and applications in various medical settings, particularly in austere environments. The conversation highlights the importance of maggot therapy as a cost-effective and efficient treatment option, especially in the face of …
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In this episode of the PFC Podcast, the speaker discusses the Ridge Healer exercise, a tactical training program designed for small surgical and resuscitation teams operating in unconventional warfare environments. The conversation covers various aspects of the exercise, including operational challenges, team dynamics, communication strategies, pat…
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Prolonged Field Care Podcast 243: Forced Vital Capacity and Lung Injury
54:31
54:31
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54:31In this episode of the PFC Podcast, Dennis and Alex delve into the topic of forced vital capacity in the context of chest trauma. They discuss a research paper that explores the assessment of forced vital capacity for risk stratification of blunt chest trauma patients in emergency settings. The conversation covers the importance of understanding ch…
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Prolonged Field Care Podcast: Sedation in PFC
38:03
38:03
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38:03In this episode of the PFC Podcast, Dennis and Doug discuss the critical aspects of analgesia and sedation in emergency and critical care settings. They emphasize the importance of patient safety, comfort, and effective communication among medical teams. The conversation covers decision-making processes for sedation, the types of medications used, …
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SOMSA '25 - Sustaining Distributed Medics In A Denied Environment
26:08
26:08
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26:08This podcast episode discusses the challenges and strategies for sustaining distributed medics in denied environments, focusing on unconventional warfare and the importance of medical support as a force multiplier. It explores historical lessons from World War II, modern resupply techniques, and innovative delivery systems for medical supplies, emp…
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Prolonged Field Care Podcast 242: Plasma for TBI Management
34:57
34:57
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34:57In this podcast episode, Dr. John Holcomb discusses the management of traumatic brain injury (TBI) and the innovative use of plasma as a treatment option. He emphasizes the importance of understanding the glycocalyx and its role in preventing edema and managing intracranial pressure (ICP). The conversation also highlights the limitations of current…
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Prolonged Field Care Podcast: Anoxic Brain Injury
31:39
31:39
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31:39In this episode of the PFC Podcast, Dennis and Jeff delve into the complexities of anoxic brain injury, discussing its causes, recovery processes, and prevention strategies in tactical environments. They emphasize the importance of maintaining oxygen levels, effective airway management, and addressing hypotension and hypoxia. The conversation highl…
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SOMSA '25 - Leveraging Medical Support to Strengthen Relationships
35:50
35:50
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35:50In this episode of the PFC Podcast, the speakers discuss their experiences during a mission in Syria, focusing on the challenges and lessons learned from managing mass casualty operations. They emphasize the importance of planning, teamwork, and effective communication in high-stress environments, particularly in the context of medical support for …
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Prolonged Field Care Podcast 241: NDC Confirmation
42:53
42:53
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42:53In this episode of the PFC Podcast, Dennis interviews Dr. John Aho, a general surgeon and emergency medicine expert, discussing the critical topic of needle decompression and the confirmation of placement in cases of tension pneumothorax. Dr. Aho shares his insights on assessing the need for decompression, the techniques and sites for needle placem…
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Prolonged Field Care Podcast: Chest Trauma
55:12
55:12
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55:12In this episode of the PFC Podcast, Dennis and John discuss the complexities of chest trauma management, focusing on the use of chest seals, the importance of patient assessment, and the evolving guidelines in tactical medicine. They explore the debate surrounding the March algorithm, the role of blood transfusions, and the techniques for needle de…
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This conversation highlights a harrowing experience of combat medics during a mission, detailing the challenges faced during a life-threatening incident. The speakers share their personal accounts of injury, rescue, and the critical medical response that followed. They emphasize the importance of teamwork, humor, and training in high-stress situati…
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Prolonged Field Care Podcast 240: Needle Decompression Placement
59:44
59:44
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59:44In this episode of the PFC Podcast, host Dennis interviews Jeff Ory, a recent medical graduate and former infantryman, discussing the critical topic of tension pneumothorax and the techniques for needle decompression. They explore the historical data on tension pneumothorax mortality, the effectiveness of different decompression sites, and the risk…
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By Guy Deutschman
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Prolonged Field Care Podcast: ETCO2 Deep Dive
40:09
40:09
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40:09In this episode of the PFC Podcast, Dennis and Alex Drum discuss the Massimo EMMA device, focusing on its functions, calibration, and clinical applications. They explore the importance of understanding waveforms, interpreting end-tidal CO2 values, and the significance of training and familiarity with medical equipment. The conversation emphasizes t…
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In this episode of the PFC Podcast, Paul discusses the evolving landscape of medical support in irregular warfare, emphasizing the importance of training non-medics and leveraging technology like AI to enhance medical training and support. He shares insights from his extensive experience in military medicine and highlights the need for comprehensiv…
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Prolonged Field Care Podcast 239: End of Life Care
1:09:06
1:09:06
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1:09:06The conversation delves into the complexities of end of life care in combat settings, emphasizing the need for palliative care discussions among military medical personnel. It highlights the challenges faced in recognizing non-survivable injuries, the decision-making process in resuscitation efforts, and the importance of compassionate care for bot…
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This podcast episode discusses the evolution and current state of battlefield medicine, focusing on the Tactical Combat Casualty Care (TCCC) guidelines, training tiers, and the importance of evidence-based practices. The conversation highlights the challenges faced in implementing these guidelines and the ongoing efforts to improve trauma care in c…
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By Guy Deutschman
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In this episode of the PFC Podcast, Dr. Givens discusses the importance of civilian involvement in medical emergencies, particularly in conflict and disaster situations. He shares the origin of a new medical initiative aimed at training laypeople to respond effectively to trauma care. The conversation highlights the need for accessible medical reso…
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Prolonged Field Care Podcast 238: Bad Day in Ukraine
34:35
34:35
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34:35In this episode of the PFC Podcast, Dennis and Kateryna discuss the complexities of trauma care in Ukraine, focusing on a specific case study involving a soldier injured by a drone explosion. They explore the challenges faced in medical response, including the importance of training, communication, and the need for standardized procedures. The conv…
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Prolonged Field Care Podcast: CBRNE for Dummies
38:26
38:26
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38:26In this podcast episode, Dr. Givens discusses the complexities of dealing with CBRNE patients in the field, emphasizing the need for a methodical approach to treatment. He introduces the March concept, which integrates CBRNE protocols into tactical care, and outlines the importance of agent identification and treatment protocols. The conversation c…
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SOMSA '25 - SOF Medic to Flight Paramedic
29:25
29:25
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29:25In this episode of the PFC Podcast, Brock shares his journey into critical care medicine, emphasizing the importance of mentorship, essential knowledge for paramedics, and the challenges faced in the field. He discusses the rigorous training and experiences required to excel in flight medicine, the significance of the FPC certification, and the lea…
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Prolonged Field Care Podcast 237: Finger Thoracostomy
38:11
38:11
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38:11In this episode of the PFC Podcast, Dennis and Ethan discuss the complexities of managing chest trauma in pre-hospital settings, focusing on the controversial topic of finger thoracostomy versus needle decompression. They explore the challenges of existing protocols, the importance of training and diagnostics, and the need for better data collectio…
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Prolonged Field Care Podcast: Telemedicine
46:47
46:47
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46:47This podcast discusses the evolution and importance of telemedicine in operational environments, particularly in military settings. It highlights case studies that demonstrate the need for telemedical support during prolonged field care, the challenges faced by medical teams, and the current solutions available. The conversation emphasizes the sign…
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SOMSA '25 - Expeditionary Crisis Standards of Care
27:16
27:16
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27:16In this episode of the PFC Podcast, Ramey Wilson discusses the evolving landscape of Global Health Engagement (GHE) and its critical role in military medicine. He emphasizes the importance of interoperability in crisis standards of care, sharing real-world examples of medical collaboration in operational settings. The conversation highlights the ne…
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Prolonged Field Care Podcast 236: Hemostatic Agents
38:58
38:58
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38:58In this podcast episode, Dennis and Michael discuss the critical role of hemostatic agents in hemorrhage control. Michael, a clinical education manager at Celox Medical, shares his extensive experience as a Navy corpsman and firefighter, emphasizing the importance of understanding the mechanisms of hemostatic agents, the necessity of pressure in co…
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Prolonged Field care Podcast: Team Dynamics
27:44
27:44
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27:44In this podcast episode, the hosts discuss the critical importance of team dynamics in emergency medical situations, particularly when dealing with critically injured patients. They explore the challenges teams face when individuals work in isolation rather than collaboratively, emphasizing the need for effective communication and organization. The…
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SOMSA '25- Delayed Hemodynamic Collapse Following a Retroperitoneal Gunshot Injury During a Special Operation Training Exercise
32:44
32:44
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32:44The conversation revolves around a complex trauma case involving a 26-year-old male who suffered severe injuries from a live round during a training exercise. The discussion covers the patient's initial assessment, the challenges faced during his treatment, the surgical interventions performed, and the lessons learned from the case. The speakers em…
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Prolonged Field Care Podcast 235: Lessons Learned from a Guerrilla Surgeon
44:10
44:10
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44:10In this episode of the PFC podcast, Dennis interviews Jason, a seasoned surgeon with extensive military experience. They discuss the challenges and adaptations required for surgical practices in austere environments, the importance of mindset in trauma care, and the need for effective training in both military and civilian contexts. Jason shares in…
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Prolonged Field Care Podcast: SOP for SOF Clinic
25:05
25:05
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25:05In this episode of the PFC Podcast, host Dennis interviews Nate, a Special Forces Detachment Commander, who shares his unique perspective on the integration of medical training within military operations. Nate discusses his journey into the medical side of Special Forces, the challenges of establishing effective Standard Operating Procedures (SOPs)…
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SOMSA '25 - COLD Blood Protocol for Medical Support
27:34
27:34
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27:34This conversation focuses on the implementation of a cold blood protocol for military training, emphasizing the importance of whole blood transfusions in preventing deaths from hemorrhagic shock. The discussion covers the logistics of blood availability, the challenges of storage and transportation, and the establishment of a pilot program for bloo…
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Prolonged Field Care Podcast 234: SOMA
1:06:16
1:06:16
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1:06:16In this episode of the PFC Podcast, Dennis interviews John Dominguez, a veteran with extensive experience in the Special Operations Medical Association (SOMA). They discuss the origins of SOMA, its evolution into a global organization, and its impact on interoperability among special operations forces. John emphasizes the importance of networking, …
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This podcast episode delves into the complexities of unconventional warfare (UW) and the evolution of medical support within Special Forces. Rocky Farr discusses historical examples of guerrilla warfare, the critical role of medics, and the challenges faced in providing timely medical care during combat operations. He emphasizes the importance of a…
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SOMSA '25 - Former Ranger Medic's Lessons Learned
30:12
30:12
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30:12In this episode of the PFC Podcast, Victor, a former Ranger medic, shares his experiences and lessons learned from a mass casualty event during a humanitarian mission in Burma. He discusses the historical context of the conflict, the challenges faced in providing medical support, and the innovative solutions developed in a denied environment. The c…
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Prolonged Field Care Podcast 233: Females in Combat
34:35
34:35
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34:35In this episode of the PFC Podcast, Dennis and Master Sergeant Dan McGarra discuss the evolving role of females in combat and the challenges faced in medical treatment for female casualties. They explore discrepancies in medical protocols, cultural implications, and the need for gender-neutral approaches in military medicine. The conversation highl…
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