WarDocs - The Military Medicine Podcast
Welcome to WarDocs! This is a podcast developed and hosted by 3 Army surgeons, Doug, Wayne and Kevin who all possess a passion to honor the legacy and preserve the oral history of Military Medicine and get the amazing stories of these healthcare heroes to our listeners. We will take a behind the scenes look into unique opportunities and experiences told firsthand from current and former military medical professionals and provide interesting and informative content about the mission, history, contributions, and achievements of Military Medicine from all the members of the team. You will better understand what Military Medicine does in deployed environments as well as the peacetime mission and how these healthcare providers train for the next conflict. You will also hear some incredible stories of how these WarDocs bring first class medical care from Level 1 Trauma Centers to the most austere of conditions in every corner of the globe Please visit our website at www.wardocspodcast.com to get additional information about our hosts and our guests and follow us on Facebook, Twitter and Instagram. If you like war stories and medical drama, WarDocs has you covered. Spread the word!
Episodes
Episodes
Friday Apr 19, 2024
Friday Apr 19, 2024
Join us on WarDocs as we chat with the legend himself, Dr. Norman Rich, who pioneered the field of military vascular surgery. We journey through his life and career, from his humble beginnings in a small Arizona copper mining town to becoming an international authority in his field. Listen as Dr. Rich discusses his groundbreaking work in Vietnam, his creation of the Vietnam Vascular Registry, and the completion of his landmark textbook, Vascular Trauma.Dr. Rich shares insights on his journey of pioneering military vascular surgery and his unique experiences operating on President Eisenhower in this riveting discussion. Hear his fascinating story about meeting with Dr. DeBakey. Discover his career's challenges and triumphs and valuable contributions to the military medicine field. Learn about the unique military pathologies that Dr. Rich brought to light through his extensive research and the role of international collaboration in spreading the word about military vascular surgery. You will also gain an understanding of the importance of having consultants to help with the newly formed USUHS medical school surgical program and the value of the Excelsior Surgical Society in advancing military medicine. Don't miss out on this chance to hear from a true visionary in military surgery.
--------- EPISODE CHAPTERS WITH SHORT KEY POINTS ---------(0:00:00) - Dr. Norman RichDr Norman Rich was a pioneer in military vascular surgery, chairing surgery for 25 years and authoring the landmark textbook Vascular Trauma.(0:17:16) - Vietnam Vascular Trauma and RegistryDr. Norman Rich pioneered vascular surgery in the military, developing a registry system and writing the book Vascular Trauma.(0:33:51) – Walter Reed Fellowship Growth and ChallengesDr Rich pioneered military vascular surgery, strengthened fellowship through general surgery, and reached out internationally to start the Uniform Services University medical school.(0:41:39) - Military Unique Pathologies in Vascular SurgeryDr Rich assembled a team of specialists to pioneer military vascular surgery, addressing unique pathologies like Popliteal Entrapment Syndrome.(0:45:35) - International Collaboration on Vascular IssuesDr. Norman Rich spread knowledge of military vascular surgery, with consultants and Excelsior Surgical Society marketing, emphasizing the importance of expertise.(0:58:26) - Memorable Surgical CasesDr. Rich reflects on his experience operating on Eisenhower, meeting with Dr. DeBakey, and the importance of experience and organization in military medicine.
Friday Apr 12, 2024
Friday Apr 12, 2024
Embark on a journey to the front lines of military medicine with our esteemed guest, retired Army Lieutenant Colonel Dr. Randi Schaefer. With her wealth of experience, Dr. Schaefer takes us through the intense world of emergency trauma care and her personal evolution from a college student to an accomplished military nurse and emergency medicine expert. We explore the educational paths and specialization opportunities within the military nursing field and the life-saving innovations in pre-hospital blood administration that have triumphed on the battlefield and transformed civilian emergency care.
Dr. Schaefer pulls back the curtain on the progressive tactics and challenges that have shaped blood transfusion practices over the years. From the early days of relying on hospital staff donors to the current state-of-the-art application of whole blood in the thick of combat, we discuss the critical observations and strategic collaborations that have driven these practices forward. The role of STRAC in revolutionizing pre-hospital care and the crucial impact of timely blood transfusions in saving lives take center stage in this compelling narrative that intertwines military precision with medical breakthroughs.
Our final moments with Dr. Schaefer reveal the innovative solutions combat medics deploy to save lives under the most extreme conditions, including providing blood transfusions amidst the chaos of active fire. We also shine a light on the advancements that continue to elevate the field, like the Vampire Program and the Tactical Combat Casualty Care training. Dr. Schaefer's ongoing consulting work and vision for emergency medicine not only reflect her unwavering dedication but also promise to guide the future of trauma care to even greater heights. Join us for this captivating episode where valor meets the rigor of medical science, and discover the incredible impact of one woman's journey on the world of emergency medicine.
Chapters:
(00:00) Addressing Hemorrhage in Trauma
(07:22) Early Blood Transfusion in Emergency Settings
(15:49) Pre-Hospital Blood Transfusion and Innovations
(27:57) Enhancing Pre-Hospital Blood Transfusion Rates
(37:26) Consulting on Pre-Hospital Blood Administration
Chapter Summaries:
(00:00) Addressing Hemorrhage in Trauma
Army nurse Randi Schaefer discusses pre-hospital hemorrhage control and the potential for future improvements in military and civilian sectors.
(07:22) Early Blood Transfusion in Emergency Settings
Nature's role in trauma care: reliance on hospital staff, evolution of transfusion practices, and efforts to improve pre-hospital capabilities.
(15:49) Pre-Hospital Blood Transfusion and Innovations
Nature's emergency blood transfusion process in pre-hospital settings, including training, logistics, and clinical guidelines for improved trauma care outcomes.
(27:57) Enhancing Pre-Hospital Blood Transfusion Rates
TCCC training, missed transfusion opportunities, and improvements in pre-hospital blood programs for combat medics.
(37:26) Consulting on Pre-Hospital Blood Administration
Practical aspects of pre-hospital blood product administration, logistics, military background, and legacy of service.
Take Home Messages:
Military medicine has played a critical role in innovating trauma and emergency care, specifically in the field of pre-hospital blood administration, due to the need for immediate life-saving measures in combat scenarios.
Career progression within the Army can lead to educational opportunities and specializations in emergency medicine and trauma care, as evidenced by the journey of a retired Army Lieutenant Colonel and military nurse.
The shift in blood transfusion practices, such as the transition from crystalloids and component therapy to the use of whole blood, has been influenced by clinical observations and the necessity for timely interventions to reduce mortality rates.
The Southwest Texas Regional Advisory Council (STRAC) has been instrumental in connecting military and civilian trauma care practices, especially in pre-hospital blood administration.
Training and protocols developed for combat medics, such as Tactical Combat Casualty Care (TCCC), have resulted in innovations that guarantee timely and safe blood transfusions even in active combat situations.
The logistical challenges of storing and transporting blood products in combat situations have spurred innovative solutions, like the use of drones and advancements in non-liquid blood products such as spray-dried plasma.
Clinical guidelines, such as using the shock index, assist medics in making decisions about when blood transfusions are necessary, leading to improved patient outcomes in pre-hospital trauma care.
Doctoral research focused on increasing pre-hospital blood transfusion rates highlighted the significance of training, refining dispatch operations, and managing distractions during emergencies to prevent missed opportunities for life-saving transfusions.
The practical implementation of pre-hospital blood product administration involves navigating logistical challenges, adhering to blood bank and FDA requirements, and ensuring the proper storage and temperature maintenance of blood products.
The episode underscores the significance of continuous innovation and adaptation in emergency medicine, using lessons learned from military experiences to enhance civilian trauma care and ultimately save more lives.
Episode Keywords:
Military Medicine Innovation, Trauma Care Advancements, Blood Transfusion Practices, Pre-Hospital Care Strategies, Emergency Medicine Podcast, Combat Medics Training, Dr. Randi Schaefer, Tactical Combat Casualty Care (TCCC), Whole Blood Transfusion, Medical Frontiers in Trauma, Battlefield Medicine Developments, Civilian Emergency Care Techniques, Military Nurse Education, Southwest Texas Regional Advisory Council (STRAC), Vampire Program Army, Pre-Hospital Hemorrhage Control, Trauma Care Lessons from Military, Blood Product Administration, Paramedic Blood Transfusion Training, Innovation in Military Healthcare.
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #TraumaCareInnovation #DrRandiSchaefer #EmergencyMedicine #BloodTransfusion #CombatMedics #PreHospitalCare #MedicalFrontiers #TCCC #VampireProgram #MilitaryNurse #LifesavingInnovations #WholeBloodAdvancement #EmergencyCarePodcast #MilitaryHealthcare
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
YouTube Channel: https://www.youtube.com/@wardocspodcast
Friday Apr 05, 2024
Leading with Grace in Military Medicine: Air Force CMSgt Tanya Y. Johnson
Friday Apr 05, 2024
Friday Apr 05, 2024
Embark on an unforgettable exploration of leadership and resilience with CMSgt Tanya Y. Johnson, the influential senior enlisted leader for the Defense Health Agency. With a legacy steeped in military healthcare and wisdom to impart, Chief Johnson unwraps the layers of her journey, from her roots in an Air Force medic family to her strategic prowess in overseeing the TRICARE Health Plan and combat support missions. This episode is an education in the nuances of guiding with compassion and clarity in the military and medicine high-stress environments.
As we traverse the landscape of the Military Health System's strategy, Chief Johnson illuminates the importance of transparent communication and the creation of an environment where feedback flourishes and trust is the cornerstone. This dive into the human side of healthcare delivery and the intricate dance of accountability and compassion in leadership is as enlightening as it is essential. Chief Johnson highlights the power of clear communication, the significance of fostering a culture where feedback thrives, and the importance of trust-building Listen in as she shares pearls of wisdom on leadership, especially the art of leading with grace in the high-stakes environment of military medicine.
Finally, the episode captures the transformative journey of healthcare technology within the military, sharing how it reshapes care delivery and the necessity of readiness in times of crisis. Chief Johnson recounts the poignant memories of her deployment, including the impactful mission during the Ebola outbreak in Liberia, painting a vivid picture of the adaptability and resilience of military teams. Her insights offer invaluable advice for anyone considering a career in military medicine and underscore the profound dedication that defines this noble field. Whether you're a current service member, a healthcare professional, or simply intrigued by military medicine, this episode offers a unique perspective on the dedication and innovation that define the field.
Chapters:
(00:04) CMSgt Tanya Johnson's Leadership Journey
(09:02) Military Health System Strategy Discussion
(15:22) Future of Military Healthcare Technology
(28:30) Leading With Grace in Military Medicine
(33:22) Military Career Advice and Deployment Experiences
(38:53) Military Deployment to Liberia Experience
Chapter Summaries:
(00:04) Tanya Johnson's Leadership Journey
Chief Master Sergeant Tanya Y. Johnson's military legacy, personal journey in Air Force Medicine, and leadership philosophy in the Defense Health Agency.
(09:02) Military Health System Strategy Discussion
Leadership decisions impact teams through communication, trust-building, and care, as seen in the Defense Health Agency's strategy for modernizing healthcare.
(15:22) Future of Military Healthcare Technology
Medical technology transforms healthcare delivery, addressing staffing shortages and enhancing patient-centric care, while also discussing TRICARE Health Plan administration and DHA's role in combat support.
(28:30) Leading With Grace in Military Medicine
Leading with grace in military medicine, managing expectations, treating professionals with respect, and opportunities for personal growth.
(33:22) Military Career Advice and Deployment Experiences
Military service and recruiting insights from a guest who found a rewarding career in military medicine, advice for young service members, and profound experiences during deployment.
(38:53) Military Deployment to Liberia Experience
Rapid deployment to Liberia during Ebola outbreak, building medical facility, avoiding virus, overcoming challenges through teamwork.
Take Home Messages:
Leadership Resilience:
Resilient leadership in high-pressure environments is key to successful outcomes, especially in military medicine where the stakes are high. The ability to maintain composure and lead with empathy and understanding is essential for managing teams effectively in challenging situations.
Communication and Feedback:
Clear communication and fostering a feedback-rich environment are critical components of effective healthcare leadership. Creating a culture where team members feel valued and heard contributes to the successful execution of strategic goals and the overall improvement of healthcare delivery.
Technology Integration:
Integrating advanced technology into healthcare systems is vital for modernizing care and enhancing service delivery. Embracing a digital-first approach not only addresses staffing shortages but also empowers healthcare professionals and improves patient outcomes.
Growth Opportunities:
The personal and professional growth opportunities within military medicine are unparalleled. Individuals interested in this field can expect a unique career path that offers education, leadership development, and the chance to serve one's country while making a significant impact on the health and well-being of service members and their families.
Deployment Experiences:
Experiences from deployment highlight the importance of adaptability, resourcefulness, and teamwork in crisis situations. The ability to navigate unfamiliar and often volatile environments while providing critical healthcare services exemplifies the dedication and innovation inherent in military medical teams.
Episode Keywords:
Military Medicine, Leadership, Military Health System, Defense Health Agency, Patient-Centered Care, Technology, Deployment, Ebola Outbreak, Resilience, Teamwork, Military Career, Combat Support, Medical Technology, Military Service, Military Legacy, Military Deployment, Military Strategy, Military Healthcare, Military Leadership, Military Teams
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicineLeadership #ChiefJohnsonInsights #HealthcareStrategy #ResilientMilitaryHealth #AirForceMedicStories #TRICAREInnovation #DeploymentExperiences #MilitaryHealthTechnology #DefenseHealthAgency #LeadingWithGrace
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
YouTube Channel: https://www.youtube.com/@wardocspodcast
Friday Mar 22, 2024
Diverse Opportunities in Navy Healthcare: Navy Master Chief Troy Brown.
Friday Mar 22, 2024
Friday Mar 22, 2024
Embark on a captivating journey with Master Chief Troy Brown, a decorated Navy veteran whose life story unfolds like an epic saga across the globe's most challenging terrains, from the detainee cells of Camp Delta to the bustling medical tents of Camp Leatherneck. As a native of Joplin, Missouri, Troy's life took an unexpected turn during a fateful dinner conversation, setting him on a path that would define his character and commitment to military healthcare. Our latest episode navigates his transition from aspiring serviceman to a revered corpsman, revealing the hurdles overcome and the passion kindled for supporting the well-being of warfighters.
The echoes of 9/11 resonate through the personal narratives shared in our heartfelt discussion, casting light on the ripple effects such historical moments have on those in uniform. Troy's account of the ethical conundrums faced while caring for detainees at Guantanamo Bay is both enthralling and thought-provoking, offering listeners a rare glimpse into the realities of wartime medical practice. We also delve into the essence of leadership, as seen through the trials and triumphs of military service.
Concluding our session, we admire the indelible mark left by leaders such as Troy, who underscore the value of seizing diverse opportunities and forging robust relationships throughout one's career. Heeding the advice to 'Be the one,' we reveal the transformative power of initiative and the innovative strategies that bolster team support. Troy's reflections on a gratifying career in military medicine are a testament to the impact of dedication and the art of thinking beyond conventional limits.
Chapters:
(00:00) Navy Career
(07:24) Challenges of Military Deployments
(22:26) Military Leadership Experiences and Lessons
(36:31) Supporting People in Leadership Roles
(41:49) Career Legacy and Leadership Advice
Chapter Summaries:
(00:00) Navy Career
Master Chief Troy Brown's journey from Missouri to Navy corpsman, specializing in physical therapy and preventive medicine, with deployments in specialized roles.
(07:24) Challenges of Military Deployments
9/11's impact on military personnel, career effects, and wartime medical ethics in Guantanamo Bay.
(22:26) Military Leadership Experiences and Lessons
Veteran instructors' impact on students, adaptability in deployments, leadership in military health system, and low casualty rates.
(36:31) Supporting People in Leadership Roles
Flexibility and support in the workplace, prioritizing personnel issues, and the impact of individual initiative in leadership roles.
(41:49) Career Legacy and Leadership Advice
Seizing opportunities, valuing diversity, and building relationships are crucial in avoiding career limitations and leaving a positive legacy.
Take Home Messages:
**The Significance of Adaptability in Military Service**: The story underscored in this episode highlights the importance of adapting to diverse and challenging environments, particularly in military healthcare. Multiple deployments, including those to Guantanamo Bay and Camp Leatherneck, demonstrate the need for flexibility and the ability to learn from every situation to provide the best care possible in varying circumstances.
**The Complex Ethical Landscape of War Medicine**: The episode delves into the ethical considerations of treating enemy combatants and the moral obligations of military medics. The experiences shared about treating detainees with combat-related injuries in Guantanamo Bay serve as a poignant reminder of the unique challenges faced by those serving in military healthcare.
**Leadership and Mentorship are Crucial in Military Careers**: Through the reflections shared in this episode, the emphasis is put on the impact that strong leadership and mentorship can have on the careers of those in the military. The stories illustrate how experienced individuals can influence and shape the path of upcoming service members, highlighting the importance of legacy in military service.
**'Be the One' - Taking Initiative in Command**: The conversation explores the leadership principle of 'Be the one,' which encourages taking initiative and being responsible in leadership roles. This actionable wisdom is not only applicable to military command but also translates into leadership in various fields.
**Building a Fulfilling Career by Caring for Others**: The episode concludes with an exploration of the fulfilling nature of a career in military medicine. It is the relationships formed, the diverse opportunities embraced, and the impact made through caring for others that collectively contribute to a rewarding career and leave a lasting legacy in military healthcare.
Episode Keywords:
Navy Career, Military Healthcare, Deployments, Leadership, Relationships, Military Medicine, 9/11, Guantanamo Bay, Wartime Ethics, Adaptability, Mission and Morale, Leadership Roles, Career Legacy, Diversity, Seizing Opportunities, Relationships and Networks, Military Personnel, Medical Care, Physical Therapy, Preventive Medicine, Athletic Training, National Defense University, Camp Delta, Camp Leatherneck, NATO Role 3 Multinational Medical Unit, Command Senior Chief, Tyrone, Camp X-ray, Kandahar, Officer, Casualty Rates, One-Trick Pony, Diversifying Experiences, Typecast, Pushing Boundaries, Thinking Outside the Box, Fulfilling Career
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #LeadershipLegacy #NavyCorpsmanJourney #MasterChiefBrown #WarMedicineValor #MentorshipInUniform #HealthcareHeroes #DeploymentChallenges #EthicsInWar #MilitaryHealthcareEvolution
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
YouTube Channel: https://www.youtube.com/@wardocspodcast
Friday Mar 15, 2024
Friday Mar 15, 2024
Retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero joins us to share his remarkable journey from the front lines to the forefront of surgical innovation. Imagine the battlefield's high stakes where every second counts, and the tools at your disposal can mean the difference between life and death. His tales of life-saving speed and adaptability in the most austere conditions reveal the genesis of his revolutionary contribution to surgical technology—a battlefield-optimized surgical retractor. Our conversation with Dr. Cestero isn't just a walk through his experiences; it's a masterclass in the resilience and resourcefulness required in military and civilian trauma surgery.
Throughout the episode, we witness the evolution of surgical retractors over the past few centuries, from their rudimentary origins to the state-of-the-art devices we see today. From the necessity that birthed his new retractor system to the behind-the-scenes look at transforming a concept into a globally utilized device, the narrative is as engaging as it is instructive. Dr. Cestero's insights into balancing the demands of a full-time surgical career with medical entrepreneurship are a candid reflection on the challenges and triumphs of innovation.
As we round out the discussion, Dr. Cestero doesn't just rest on his laurels; he casts a strategic eye toward the future of trauma surgery. With a nod to the lessons of past conflicts, we discuss the dynamic nature of military medicine and the implications for surgeons in rapidly evolving combat environments. We get into the Navy's shifting strategies, the importance of adaptable surgical teams, and the next wave of advancements set to revolutionize trauma care. It's a riveting exploration of how technologies like Dr. Cestero's retractor, along with advancements in operating room efficiency and training, stand to elevate patient care in both military operations and civilian trauma centers. Prepare to be inspired by the potential that lies ahead, as we uncover the innovations set to revolutionize the experience of patients and surgeons alike.
Chapters:
(00:04) Military Trauma Surgeon's Innovative Approach
(08:07) Innovating Surgical Retractors
(13:51) From Idea to Global Commercialization
(19:06) Innovative Surgical Retractor System Design
(31:10) Future Innovations in Trauma Surgery
Chapter Summaries:
(00:04) Military Trauma Surgeon's Innovative Approach
This chapter features retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero, who shares insights from his multiple global deployments, emphasizing the importance of proper equipment, speed, and adaptability in trauma surgery under austere conditions. I discuss with him how these experiences led to his development of a battlefield-optimized surgical retractor and the challenges of bringing such innovations to widespread use. Dr. Cestero also reflects on the unique aspects of serving as a trauma surgeon in the Navy Reserves, highlighting the balance between maintaining military connection and civilian practice, and offers suggestions for enhancing reserve surgeons' team experience and training. We explore the current gaps in trauma surgery research and what future innovations Dr. Cestero envisions.
(08:07) Innovating Surgical Retractors
This chapter uncovers the pressing need for innovation in surgical equipment, specifically retractors, through a surgeon's experiences working in both austere military settings and a Level 1 trauma center. I discuss the challenges faced during surgeries without adequate resources, such as the absence of platelets and the struggle for exposure in critical procedures, which can lead to life-threatening delays. The narrative is anchored by a poignant case of a young soldier with severe injuries, whose outcome might have been different with better surgical tools. We explore the history of surgical retractors, from their evolution in the Renaissance to modern table-mounted systems, and the inspirations behind famous designs like the Balfour and Bookwalter retractors.
(13:51) From Idea to Global Commercialization
This chapter unfolds the journey of developing a new surgical retractor system, from the spark of innovation to international commercialization. Dr. Cestero shares his story of collaborating with a tech transfer office and co-inventing with a biomedical engineer to create a prototype, which we tested successfully on a cadaver. He highlights the challenges of balancing a full-time surgery career with entrepreneurship, leading to a gradual transition to dedicating myself fully to the company. Ramon also touches on the process of patenting, fundraising, and gathering feedback from various medical professionals to refine the prototype.
(19:06) Innovative Surgical Retractor System Design
This chapter, we explore the design and functionality of a revolutionary surgical retractor system that addresses common frustrations surgeons face with traditional retractors. We examine how its one-way assembly prevents incorrect setup, the satisfying ratchet sound that signals secure placement, and its adaptability to different incision sizes. The system's lightweight nature at only two pounds and compatibility with Bookwalter components are highlighted, along with its efficiency in providing exposure of the abdominal wall and retroperitoneum. A personal story reveals the retractor's surprising lightness and convenience in a combat environment, emphasizing its practicality for both the operating room and field surgery. Additionally, we discuss how the retractor can be adapted for upward lift, enhancing visibility in deep pelvic or upper abdominal procedures.
(31:10) Future Innovations in Trauma Surgery
This chapter focuses on the anticipated changes in military medical operations, drawing parallels with historical conflicts such as World War II and emphasizing the necessity for adaptability in modern warfare environments. We discuss the likelihood of increased casualties, the need for prolonged field care, and the possibility of surgeons re-operating on patients due to limited evacuation options. Additionally, we cover the Navy's evolving role and the potential shift toward more mobile surgical teams at sea. In terms of trauma surgery advancements, we touch on the ongoing efforts to improve blood product availability and the challenges faced by trainees with the transition from open to minimally invasive surgery. The conversation also highlights the importance of enhancing operating room efficiency, particularly through innovations in surgical retractors, lighting, and integration of suction to improve patient outcomes and the overall surgical experience.
**This Episode was supported in part by a generous educational grant from Advanced Surgical Retractor Systems, INC.**
Take Home Messages:
Military trauma surgery experiences have significantly contributed to the development and innovation of surgical technology, particularly in the design of surgical retractors optimized for battlefield conditions.
The evolution of surgical retractors has been influenced by the necessity to operate efficiently under resource-limited conditions, with historical designs like the Balfour and Bookwalter retractors laying the foundation for modern advancements.
A surgeon's ability to adapt and operate quickly in austere environments can have life-saving implications, underscoring the importance of equipment that is both effective and transportable.
Bringing a new medical device from concept to global commercialization involves collaboration with engineers, navigating the patenting process, fundraising, and obtaining feedback from medical professionals to refine the design.
The design of the discussed innovative surgical retractor system aims to address common frustrations, such as incorrect assembly, while providing rapid and secure placement, adaptability to different incision sizes, and compatibility with existing surgical components.
Future innovations in trauma surgery are anticipated to include improved blood product availability, more efficient operating room technologies, and training adjustments to accommodate the transition from open to minimally invasive surgery.
Military medical operations are likely to face changes with increased casualty numbers, necessitating adaptable and mobile surgical teams capable of prolonged field care and re-operation on patients.
Enhancements in surgical tools can lead to better patient outcomes by improving exposure and efficiency in the operating room, even under combat or emergency conditions.
Surgeons must balance maintaining traditional techniques with embracing new, potentially life-saving technologies, and training is essential for the successful adoption of innovative surgical devices.
Operating room efficiency is critical not only in civilian trauma centers but also in military operations, with technological advancements being crucial to adapting to future combat environments and potentially high-casualty scenarios.
Episode Keywords:
Military Trauma Surgery, Surgical Retractors, Innovation, Battlefield, Austere Conditions, Surgical Technology, Resilience, Resourcefulness, Operating Room Efficiency, Medical Entrepreneurship, Trauma Care, Navy, Surgical Teams, Blood Product Availability, Minimally Invasive Surgery, Operating Room Integration, Suction, Patient Outcomes
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #TraumaSurgery, #SurgicalInnovation, #MilitaryMedicine, #CombatSurgeon, #MedicalBreakthroughs, #OperatingRoomTech, #SurgicalRetractor, #MedicalEntrepreneurship, #TraumaCare, #MilitaryHealthcare
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
YouTube Channel: WarDocs-The Military Medicine Podcast
Friday Mar 01, 2024
Friday Mar 01, 2024
Step into the boots of Army BG Jennifer A. Marrast Host, our guest on this episode of WarDocs, the Military Medicine podcast. From her origins in Grenada to her current role as Deputy Commanding General Professional Services for the 807th Medical Command deployment support, BG Marrast Host’s journey will leave you astounded and inspired. The insights she shares about the battlefield hardships and the immense emotional toll of her profession are both gripping and poignant.
Get a firsthand account of her time with the 452nd Hospital in Afghanistan and the graphic trauma cases she encountered. Feel the palpable intensity as she narrates the heartbreaking memory of a young burn victim she couldn't save, and how that experience informs her work today. As we traverse through her tenure as a battalion surgeon in Iraq and her time at Task Force Victory in Afghanistan, you'll get an insider view of the daunting challenges of military medical decision-making and how rank plays into it all.
Towards the end of our discussion, BG Marrast Host turns the spotlight onto future military medics. She imparts her wisdom on maintaining balanced dedication between civilian and military commitments and shares invaluable leadership lessons. Wrapping up, she expresses her hopes for her legacy and the future of Army medicine. Regardless of whether you're considering a military medical career or are simply intrigued by the intricate world of military medicine, this episode promises a deeply insightful journey. Don't miss out!
Chapters:
(00:00) Military Medicine and Leadership Lessons
(09:00) 452nd Hospital Experiences in Afghanistan
(13:14) Challenges in Afghanistan and Iraq
(19:56) Challenges in Military Medicine and Readiness
(39:03) Legacy of Military Medicine
Chapter Summaries:
(00:00) Military Medicine and Leadership Lessons
BG Jennifer A Marrast Host shares her journey from Grenada to medical school and the military, discussing the role of reserves in medical missions and leadership lessons for military medical careers.
(09:00) 452nd Hospital Experiences in Afghanistan
BG Marrast Host shares her experiences of treating severe trauma in austere conditions in Afghanistan.
(13:14) Challenges in Afghanistan and Iraq
Jennifer’s experiences in Afghanistan and Iraq, including medical decision-making, care of soldiers, and setting up an MC4 system, are discussed.
(19:56) Challenges in Military Medicine and Readiness
BG Jennifer A. Marrast Host shares her experience of a heartbreaking case in Afghanistan and how it taught her to debrief her team after trauma cases, as well as the challenges of balancing civilian and military jobs.
(39:03) Legacy of Military Medicine
BG Marrast Host’s legacy includes her passion for caring for soldiers and modernizing Army medicine.
Listeners Will…..
Embark on a journey from immigrant background to high-ranking military status.
Gain a deep understanding of emotional and physical challenges encountered on the battlefield.
Gain a complex perspective on military medicine, emphasizing the role of leadership, decision-making, and adaptability.
Understand the role and significance of military reserves in medical missions and preparation for large-scale combat operations.
Gain insight into the emotional strain of military medicine through the recounting of a young burn victim in Afghanistan.
Understand the demanding balance between civilian careers and military obligations for reserve medical personnel.
Learn valuable leadership lessons applicable in various contexts.
Recognize the need for military medical personnel to maintain combat skills alongside medical expertise.
Get a glimpse of the aspirations and dedication required to improve care and prepare the next generation of military medics.
Use the podcast as an informative and inspiring resource for anyone considering a career in military medicine or interested in gaining insights into the demands of front-line healthcare.
Episode Keywords:
Military Medicine, Army Brigadier General, Jennifer A. Marrast Host, 807th Medical Command, 452nd Hospital, Afghanistan, Iraq, Trauma Cases, Burn Victim, Battalion Surgeon, Task Force Victory, Medical Decision-Making, Rank, MC4 System, Comfort, Pain Relief, Reserve Component, Modernize Army Medicine, Combat, Fighting Strength
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #BrigGenMarrastHost #WarDocsPodcast #BattlefieldMedicine #LeadershipLessons #TraumaCare #MilitaryHealthcare #CombatMedics #VeteranStories
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
YouTube Channel: WarDocs-The Military Medicine Podcast
Friday Feb 23, 2024
Friday Feb 23, 2024
Join the conversation with Lieutenant Colonel Dr. Jeanne Krick, as she brings the weighty world of medical ethics into focus, sharing her journey from Neonatology to being the Army Surgeon General's consultant for Medical Ethics. Our discussion orbits the moral quandaries that surface in military medicine, dissecting the intricate balance between patient autonomy and the rigors of military policy and regulations. Dr. Krick provides a riveting narrative on the daily impact of ethical decision-making and the burgeoning field of bioethics. Join us for a candid discussion about what it takes to make life-and-death decisions when duty, honor, and humanity intersect.
As we unpack the layers of Dr. Krick's expertise, the fabric of military medical ethics is revealed in its full complexity. The establishment and significance of ethics committees take center stage, as we navigate through complex scenarios where commanders and medical professionals must align on treatment decisions for service members. Dr. Krick's role in shaping policies at a non-deployed level juxtaposes the high-stakes ethical calls required in active war zones, sparking a conversation on the critical need for robust ethical guidelines and training.
The forecast for military medical ethics is a combination of change, challenges, and innovation as we look to the horizon where artificial intelligence and human enhancement technologies promise to redefine the boundaries of healthcare. Dr. Krick's insights on the ethical dimensions of AI in medicine, the military's stance on pandemic responses, and the intricacies of cultural sensitivity within patient confidentiality offer a guide for navigating these uncharted waters. Her perspective underscores the importance of early ethicist involvement in policy-making and the role of shared decision-making in aligning medical actions with patients' values. For medical professionals, ethicists, or anyone intrigued by the moral challenges of healthcare, this episode is an indispensable look into the courageous work of those who serve in medicine's toughest arenas.
Chapters:
(00:00) Exploring Medical Ethics and Consultations
(10:21) Military Medical Ethics and Committees
(18:23) Ethics in Healthcare and Deployed Settings
(30:28) Cultural Differences and Patient Confidentiality
(36:19) AI Impact on Medical Ethics
(44:54) Medical Ethics and Decision-Making Challenges
(50:03) Future of Military Medical Ethics
Chapter Summaries:
(00:00) Exploring Medical Ethics and Consultations
Dr. Jeanne Krick discusses the impact of her bioethics training and education on her problem-solving approach in military medicine and the evolving horizon of medical ethics.
(10:21) Military Medical Ethics and Committees
Military medical ethics, diverse committees, and educational opportunities for ethical training within the military healthcare system.
(18:23) Ethics in Healthcare and Deployed Settings
Patient-centered care, organizational ethics, resource allocation, and treatment of enemy combatants in deployed environments.
(30:28) Cultural Differences and Patient Confidentiality
Cultural differences in medical ethics, patient autonomy, confidentiality, and military readiness are discussed with real-life scenarios.
(36:19) AI Impact on Medical Ethics
Ethical considerations in AI healthcare, human enhancement in the military, and balancing autonomy and mission readiness during pandemics.
(44:54) Medical Ethics and Decision-Making Challenges
Equipping medical students with ethical tools, understanding principles and care, reconciling legal constraints, and debating neonatology.
(50:03) Future of Military Medical Ethics
Future of medical ethics in military medicine, involving ethicists in policy-making, rapid decision-making in emergencies, and balancing guidance with patient wishes.
Take Home Messages:
Medical ethics in the military setting require balancing individual autonomy with military protocol, highlighting the unique ethical challenges faced by military medical professionals.
The journey from neonatology to a consultant for the Army Surgeon General underscores the importance of interdisciplinary backgrounds and analytical thinking in navigating complex ethical decisions in military medicine.
The role of ethics committees in military medical treatment facilities is critical, offering diverse perspectives and aiding in difficult decision-making processes when commanders and medics must align on service member treatment.
Ethical training and guidelines are essential for military healthcare providers, particularly in deployed settings where high-pressure situations demand rapid and morally sound decision-making.
Cultural sensitivity and confidentiality issues present unique ethical dilemmas in military medicine, necessitating careful consideration of cultural relativism and the intent behind sharing medical information within the command structure.
The advent of artificial intelligence and human enhancement technologies in healthcare brings forth new ethical dimensions that require transparency and the involvement of ethicists to ensure moral foundations are integrated.
The COVID-19 pandemic has highlighted the need for robust ethical frameworks in military medicine, particularly regarding vaccinations and individual autonomy versus mission readiness.
Early ethicist involvement in policy-making and shared decision-making processes is key to aligning medical actions with patients' values, ensuring that care remains patient-centered even amidst rapid changes in the medical landscape.
Medical students, especially those in military programs, must be equipped with a strong ethical toolkit to face the challenges of contemporary and future medical practice, including varying treatment approaches and legal constraints.
The future of military medical ethics points towards an increase in formal ethics training and the early incorporation of ethical considerations in policy-making to better prepare for complex situations such as pandemics and large-scale combat operations.
Episode Keywords:
Medical Ethics, Military Medicine, Bioethics, Ethical Decision-Making, Patient Autonomy, Military Protocol, Ethics Committees, Artificial Intelligence, Cultural Sensitivity, Patient Confidentiality, Healthcare, Ethics Consultations, Military Healthcare System, Ethical Training, Organizational Ethics, Resource Allocation, Combat Operations, Cultural Relativism, AI Algorithms, Human Enhancement, Informed Consent, Pandemic Response, Vaccinations, Harm Principle, Ethical Toolkit, Ethics of Care, Legal Constraints, Neonatology, Formal Ethics Training, Shared Decision-Making, Emergency Situations, Guidance
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicalEthics #DrJeanneKrick #BioethicsInUniform #HealthcareOnTheFrontlines #EthicalDecisionMaking #ArtificialIntelligenceEthics #PatientAutonomy #MedicalEthicsTraining #NeonatologyEthics #CulturalSensitivityInMedicine
Other Medical Ethics Resources:
-DoD Medical Ethics Center- https://www.usuhs.edu/research/centers/dmec The DMEC is situated out of USUHS and has several resources for those in uniform on medical ethics (I am a little embarrassed that I forgot to mention them in the actual interview last night...). Their website has a link to their internal training course, which is really a series of YouTube videos that cover some basic bioethics topics. They also have an app (I believe it's available through all the usual sources and on all devices) that is free to download and has plenty of resources. The app could be a great resource for folks looking for more material, especially in austere environments.
-American Society for Bioethics and Humanities- https://asbh.org/ This is the main organization for medical ethics within the US. There are links to many helpful resources on their site, including professional development, endorsed meetings, and guidelines/standards for clinical ethics consultation.
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
Thursday Feb 15, 2024
LTG Telita Crosland, MD- Keys to Successful Mentorship- What Should a Mentor Know?
Thursday Feb 15, 2024
Thursday Feb 15, 2024
Dr. Crosland is a graduate of West Point and the Uniformed Services University of Health Sciences. She is board-certified by the American Board of Family Medicine and is a Fellow of the American Academy of Family Physicians. She has held many significant responsibilities in her Army Medicine Career. She currently serves as the Director of the Defense Health Agency.
On this episode of our Military Medical Mentorship Moments Series, LTG Crosland focuses on important things that successful mentors know. You will hear her provide insightful answers to the following questions:
How do you choose a Mentee?
What are the characteristics of effective mentors?
How many Mentees should you have? Does it matter?
What are some Mentor competencies?
What “process skills” are necessary for Mentors
How do you know you are ready to be a Mentor?
How do you prepare to be a mentor?
What are some “Don’ts” for a Mentor
What do you do if the relationship is not working out or you just want out?
Personal Reflections on Mentorship
Who was your most influential mentor? Why
What was the best advice you got from a mentor?
What do you know now that you wish you would have learned much earlier?
What characterizes a “good” or “not so good” mentorship relationship from your experience? Provide examples
What is some practical advice for someone interested in mentoring or being mentored? What are the next steps to take?
Telita shares many insights and mentorship lessons learned over a distinguished career. You don’t want to miss this special episode!
Take Home Messages
Mentorship in military healthcare is a critical aspect of professional development, with nuances unique to the armed forces environment.
Effective mentors within the military medicine context are approachable, self-aware, and invested in the growth and development of their mentees.
A successful mentor-mentee relationship requires clear communication, commitment from both parties, and the alignment of career guidance with personal aspirations.
Mentors in military healthcare often have to navigate their mentees' professional paths while considering work-life balance and family commitments.
One key to effective mentorship is the mentor's ability to provide honest feedback and advocate for their mentees when necessary.
It's essential for mentors to avoid imposing their own career ambitions on mentees, as this can strain the relationship and hinder the mentee's individual growth.
Mentorship is a dynamic process, and the readiness to mentor comes when one becomes genuinely excited about aiding in the development of others.
Mentors should proactively reach out to potential mentees they believe they can help, showcasing the proactive nature of mentorship in fostering future leaders.
Both mentors and mentees can benefit from formal mentorship programs, but the most impactful relationships are often organic and based on mutual respect and investment.
Mentorship is not just about climbing the ranks; it's about lifting others as you go, embodying the ethos of leadership within the military healthcare system.
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
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