Combat Surgery Series Episode 3: Pediatric Trauma Care in Military Medicine with COL John Horton

Get ready to be captivated as we sit down with COL Dr. John Horton, Chief of Pediatric Surgery at Madigan Army Medical Center and Deputy Consultant to the US Army Surgeon General for General Surgery. This episode is packed with insights, as Dr. Horton lifts the veil on the realities and complexities of pediatric trauma care within military confines. Embrace the opportunity to discover the unique curriculum designed by the American College of Surgeons specifically for the military, and examine how pediatric trauma cases accounted for 7% of US military hospital admissions during recent conflicts. Learn why treating these fragile young patients can induce a sense of guilt among the medical staff.

Our conversation with Dr. Horton takes a fascinating turn as we delve into his experiences of telecommunication surgery using FaceTime, and the wisdom he shares during these crucial interactions. Listen closely as he narrates the intricate processes of an infant's complex surgery, highlighting the hurdles faced surgical care in maintaining the baby's airway and IV access. This episode underscores the central role of decisive action and confidence, particularly when one is operating outside of their comfort zone. At the heart of the discussion lies the invaluable advice for anyone preparing for deployment in pediatric trauma care. Join us for this illuminating episode that underscores the critical role of pediatric trauma care in military medicine.

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(0:00:00) - Pediatric Trauma Care in the Military

Dr John Horton discusses pediatric trauma care in the military, the American College of Surgeons' curriculum, and his approach to pediatric patient care.

(0:15:10) - Pediatric Trauma Surgery Challenges & Preparation

Dr John Horton provides telecommunication surgery advice, discussing an infant's atresia, airway maintenance, ventilator removal, and decision-making in pediatric trauma care.