WarDocs - The Military Medicine Podcast

COL(R) Kimberlie Biever, MS, RN, ANP-BC, ACNP-BC, CCNS, CCRN- Nursing Considerations in Operational Medicine- Past, Present and Future

   Join us as we engage in an enlightening conversation with retired Army Colonel Kim Biever, a seasoned medical professional with vast experience in critical care nursing. Listen in as Kim discusses the emerging need for large-scale combat operations preparation in the current operational environment. She shares invaluable insights on the importance of readying medical personnel for the future and the urgency to tailor training to the right level of provider. We also touch on the necessity of reflecting on past events and experiences for lessons learned and innovative ways to simplify tasks for medical professionals on the battlefield.
Later, Kim highlights the weight of kindness and flexibility when leading others and sheds light on the various roles in nursing, emphasizing that there's something for everyone in this noble field. Learn from her experiences of creating positive outcomes through the simple act of being kind to people and gain insights into the diverse opportunities available in the nursing field.
 
Chapters:
(0:00:00) - Preparing for Large-Scale Medical Operations
(0:11:31) - Leadership Lessons and Nursing Advice
 
Chapter Summaries:
(0:00:00) - Preparing for Large-Scale Medical Operations (12 Minutes)
We hear from retired Army Colonel Kim Biever, a Critical Care Nurse, Nurse Practitioner, and Clinical Nurse Specialist. We discuss the current operational environment and the need to prepare for large-scale combat operations. Kim shares her insights on the importance of preparing medical personnel for the future and the need to bring training to the right level of provider. We also explore the need to look back at past events and experiences to apply lessons learned and how to innovate and make things easier for medical professionals on the battlefield.
 
(0:11:31) - Leadership Lessons and Nursing Advice (6 Minutes)
Kim found her passion in nursing. She realized that taking a moment to be kind to people can be highly beneficial in creating positive outcomes. Kim shares the importance of kindness and flexibility when leading others. She also explains the variety of nursing roles and how there is something for everyone in the nursing field.
Episode Keywords:
Medical Operations, Combat Operations, Training, Provider Proficiency, Past Experiences, Lessons Learned, Innovations, Kindness, Flexibility, Nursing Roles, Army Colonel, Critical Care Nurse, Nurse Practitioner, Clinical Nurse Specialist
Hashtags:
#wardocs #military #medicine #podcast #CombatMedicine #MilitaryNursing #BattlefieldInsights #PowerOfKindness #NursingLeadership #OperationalMedicine #RetiredMilitary #HealthcareHeroes #ArmyMedics
 
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

Battles, Bandages and Beyond- The Evolution of Military Medicine from an AF Medic’s Perspective- CMSgt (Ret) Steve Cum

      Picture this - you're in the middle of a war zone, your resources are limited, and lives hang in the balance. Now you're starting to grasp the reality of retired Air Force Chief Master Sergeant Steve Cum's three-decade-long career in the Air Force. In this episode, Steve recounts his remarkable journey, sharing insights on how medical training has evolved over the years, his time in special ops, and his firsthand experiences during the 9-11 deployments, all while highlighting the crucial role of medical personnel in the world's most challenging environments.
  As Steve takes us through his time as an aeromedical specialist, the challenges he faced in the demanding Independent Duty Technician Course, and his experiences in the Special Operations community, we can't help but marvel at his resilience and dedication to the cause. When he talks about his experience in Afghanistan, his tales of patient care under extreme conditions, and the complex logistics of patient evacuation, you'll feel the tension of life on the frontlines, the adrenaline rush, and the immense responsibility that comes with it.
 Steve shares valuable leadership lessons that he's picked up from his deployments, his passion for training medical personnel, and the invaluable experiences he gained from his time deployed around the globe. He offers valuable advice to young Air Force airmen looking to make a career in military medicine while reminiscing over the changes he has seen in Air Force Medicine during his illustrious career and contemplating the legacy he hopes to leave in military medicine. Join us as we navigate the highs and lows of a military medic's life with retired Chief Master Sergeant Steve Cum.
Chapters:
(0:00:00) - Air Force Medic Training and Journey
(0:05:20) - Aeromedical Specialist and Independent Duty Medical Technician
(0:12:10) - Medical Response to 9-11 Deployments
(0:18:52) - Medical Response in War Zone
(0:23:38) - Special Operations Medical Training Lessons Learned
(0:36:30) - Leadership Lessons and Memorable Deployments
(0:40:17) - Success in Military Medicine
 
Chapter Summaries:
(0:00:00) - Air Force Medic Training and Journey (5 Minutes)
Retired Chief Master Sergeant Steve Cum shares his story of joining the Air Force, as well as the unique opportunities and experiences he encountered throughout his 30 years of Active Duty service. We discuss how the training of Air Force medics has changed from the 1990s to now and the clinical skills they must have to be successful. Steve also shares valuable leadership advice from his distinguished career in Special Operations and at the top strategic echelons of military medicine.
 
(0:05:20) - Aeromedical Specialist and Independent Duty Medical Technician (7 Minutes)
Steve describes his first assignment as an Aeromedical Specialist, the challenges of the Independent Duty Technician Course, and his experiences in the Special Operations community. He talks about the various schools he attended in the pre-911 era and explains what motivated him to pursue each one.
 
(0:12:10) - Medical Response to 9-11 Deployments (7 Minutes)
We discuss the real-world patient experiences and 9-11 story of Chief Master Sergeant Steve Cum. We explore the planning process for missions and trips, the activation of medical personnel after 9-11, and the priority of establishing medical care at an abandoned Russian airfield. Steve shares his experience coordinating a forklift and setting up a small clinic with limited resources. We learn how the Air Force secured the airfield and how they managed patient movement without vehicles.
 
(0:18:52) - Medical Response in War Zone (5 Minutes)
Chief Master Sergeant Steve Cum shares his experience as a medic in Afghanistan. He tells the story of a patient who went into the OR with severe internal bleeding and the process of collecting blood from fellow Soldiers and Airmen. He explains how the team managed to get the patient evacuated for further treatment and shares his story of responding to a JDAM mass casualty. He also discusses the evacuation process for patients and the different types of missions the team flew on.
 
(0:23:38) - Special Operations Medical Training Lessons Learned (13 Minutes)
We hear from Chief Master Sergeant Steve Cum about the lessons learned during his deployments, the value of TCCC and Prolonged Field Care in the Special Operations community, and his experience in medical exercises and deployments. We also hear about Steve's passion for training medical personnel and his mission as the Chief of the Medical Enlisted Force for the Air Force Special Operations Command.
 
(0:36:30) - Leadership Lessons and Memorable Deployments (4 Minutes)
Chief Master Sergeant Steve Cum recounts his most memorable deployment story from Haiti. He shares the experience of working with the media in the wake of the Haiti earthquake, as well as the process of transporting a patient who had jumped out of a two-story hotel window. We hear about the challenges of getting the man to an appropriate medical facility and how medics play a critical role in en-route care. We also consider the value of this experience in terms of learning about leadership and growing up.
 
(0:40:17) - Success in Military Medicine (6 Minutes)
Chief Master Sergeant Steve Cum shares the advice he provides to young Air Force airmen looking to make a career in Military Medicine, the most essential leadership lesson he learned, and the remarkable changes he noticed in Air Force Medicine over his 30-plus year career. He also shares his thoughts on the remarkable young medics coming into the service, as well as the legacy he hopes to leave in Military Medicine.
 
Episode Keywords: Air Force, Medical Training, Special Ops, 9-11 Deployments, War Zone, Aeromedical Specialist, Independent Duty Medical Technician, Patient Care, Logistics, Patient Evacuation, Leadership Lessons, Haiti Earthquake, Military Medicine, Young Medics, Air Force Airmen, TCCC, Prolonged Field Care, Media, JDAM Mass Casualty
 
Hashtags: #MilitaryMedicine #AirForceJourney #MedicOnFrontlines #WarZoneExperiences #SpecialOpsMedics #LeadershipLessons #MilitaryService #AirForceMedic #AirForceTraining
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

Major General Tim Hodgetts, CBE, KHS, OStJ, MBBS, PhD, MBA- UK Surgeon General: Transforming Battlefield Medical Care and Leading Change in Military Medicine

    Discover the powerful journey of Major General Tim Hodgetts, the Surgeon General of the United Kingdom Defense Medical Services, in revolutionizing military Emergency Medicine, as he shares his experience in leading a contemporary revolution in combat casualty care, his principles for leadership, and the many benefits of a continuing partnership. In this fascinating conversation, Major General Hodgetts recounts how he demonstrated that the outcomes of a mixed military and civilian hospital in Kosovo were the same as those of a civilian hospital and how he established a telephone conference of all deployed Medical Treatment Facilities (MTFs), paving the way for advancements in Military Medical care.
Uncover Major General Hodgetts' unique insights into multinational collaboration, the importance of interoperability, and standardization in the Armed Services as you listen to his experiences learning Danish and studying International Cultural Theory. Learn how he developed resilience for younger military personnel through sports psychology and mindfulness techniques and how he uses poetry and journaling in his personal life. Also, discover his innovative approach to setting up a Field Hospital simulation using actors to create realistic casualties.
Finally, explore the essential collaboration between the military and civilian sectors as Major General Hodgetts delves into the NATO Medical Support Capstone Concept and its potential impact on the National Health Service's Major Incident and Mass Casualty Guidelines. Listen in as he discusses how these guidelines were implemented and he reflects on his proudest career accomplishments and future plans. Don't miss this captivating and inspiring conversation with one of the most influential figures in Military Medicine.
EPISODE CHAPTERS
(0:00:00) - Military Medicine and Emergency Care
(0:10:01) - Revolutionizing Military Emergency Medicine
(0:21:52) -Multinational Collaboration
(0:28:06) - Military Medicine and Coping Mechanisms
(0:39:24) - Preparing for Civilian-Military Collaboration in Wartime
 
EPISODE CHAPTER SUMMARIES
(0:00:00) - Military Medicine and Emergency Care (10 Minutes)
 Major General Tim Hodgetts, the Surgeon General of the United Kingdom Defense Medical Services, is an expert in Emergency and Disaster Medicine and is the most senior uniformed medical officer within the UK armed forces. Major General Hodgetts shares how he led a contemporary revolution in combat casualty care, his principles for leadership, the similarities and differences between US and UK military health systems, and the many benefits of the continuing partnership. He also shares an inspiring story about the challenges he faced in developing the specialty of Military Emergency Medicine and his most memorable clinical case.
(0:10:01) - Revolutionizing Military Emergency Medicine (12 Minutes)
Major General Tim Hodgetts demonstrated that the outcomes of a mixed military and civilian hospital in Kosovo were the same as those of a civilian hospital. He established a telephone conference of all the deployed Medical Treatment Facilities (MTFs), and a process for an acute clinician to attend post-mortem autopsies and coroner inquests. He was also able to push for changes in vehicle and personal protection and develop a trauma registry to review lessons learned in real time. George Bernard Shaw's quote of “progress is only made by unreasonable people” can be applied to the advancements made in Military Medical care.
(0:21:52) -Multinational Collaboration (6 Minutes)
Major General Tim Hodgetts shares his experience of learning Danish and studying International Cultural Theory to better understand the differences between nations. He also outlines the need for interoperability across the Armed Services of our own nations and the need for standardization in tactics, techniques, equipment, drugs, and treatment guidelines. Finally, we discuss the implications of Brigadier General David Ward's statement that there is no safe place on the battlefield and ways to cope with the stress of seeing horrific things.
(0:28:06) - Military Medicine and Coping Mechanisms (11 Minutes)
Major General Tim Hodgetts reflects on the importance of keeping a war diary and shares a piece of his own poetry. He also discusses the introduction of sports psychology and mindfulness techniques to develop resilience for younger personnel in the military. He further shares his experiences of setting up a Field Hospital simulation and using actors to create realistic casualties.
(0:39:24) - Preparing for Civilian-Military Collaboration in Wartime (8 Minutes)
Major General Tim Hodgetts shares the NATO Medical Support Capstone Concept and how the civilian sector may need to rely on the military for support. He discusses how the military has informed the National Health Service's Major Incident and Mass Casualty Guidelines, and how they have been implemented. Major General Hodgetts reflects on his proudest career accomplishments and plans for the future.
EPISODE KEYWORDS
Military Medicine, Emergency Medicine, Disaster Medicine, Combat Casualty Care, Leadership, Partnership, Multinational Cooperation, Interoperability, Standardization, Mindfulness, Field Hospital Simulation,  NATO Medical Support Capstone, National Health Service, Mass Casualty Guidelines, Tourniquet
#Military #Medicine #Podcast #WarDocs #MilitaryMedicine #EmergencyMedicine #CombatMedicine #BattlefieldCare #MilitaryLeadership #TraumaRegistry #MilitaryInnovation #UnitedKingdom #Leadership #LessonsLearned
 
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing Military Medicine career opportunities, experiences, and achievements.
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

Battlefield Transfusion Medicine: Evolution, Lessons, and Future of Hemostatic Resuscitation- LTC(R) Philip C. Spinella, MD

How does Military Medicine learn lessons and overcome barriers in trauma resuscitation?
How have transfusion practices on the battlefield evolved?
Tune in and find out!   
Intro:  WarDocs had the pleasure of discussing the evolution of transfusion medicine on the battlefield with LTC(R) Philip C. Spinella, MD, a Professor in the Departments of Surgery and Critical Care Medicine and Co-director of the Trauma and Transfusion Medicine Research Center at the University of Pittsburgh. We delved into the history of blood transfusion practices during the Vietnam War, the shift from using whole blood to a mixture of red cells and crystalloids, and the lessons learned from Iraq and Afghanistan. We also explored the concept of damage control resuscitation, the transition from component therapy to whole blood therapy, and the barriers faced in developing high-level evidence through randomized controlled trials. Additionally, we touched on life-threatening hemorrhage in pediatric patients, the differences between adult and pediatric populations, and the future of therapy for life-threatening hemorrhage. Don't miss this fascinating episode highlighting the importance of having various tools in the "toolbox" to ensure the best care for patients experiencing life-threatening hemorrhage.
 
Chapters:
(0:00:00) - Transfusion Medicine on Battlefield
(0:09:12) - The Evolution of Hemostatic Resuscitation
(0:18:24) - Damage Control Resuscitation
(0:28:10) - Trauma Care
(0:37:08) - Precision Transfusion Medicine
 
Chapter Summaries:
(0:00:00) - Transfusion Medicine on Battlefield (9 Minutes)
In this episode, we explore the evolution of transfusion medicine on the battlefield with LTC(R) Philip C. Spinella, MD, a Professor in the Departments of Surgery and Critical Care Medicine and Co-director of the Trauma and Transfusion Medicine Research Center at the University of Pittsburgh. We discuss how strategies for hemostatic resuscitation have moved from component therapy to whole blood transfusion. Dr. Spinella shares his experiences deploying to Baghdad in 2004 and working with the 31st Combat Support Hospital.
(0:09:12) - The Evolution of Hemostatic Resuscitation (9 Minutes)
We dive into the history of blood transfusion practices during the Vietnam War and the shift from using whole blood to a mixture of red cells and crystalloids. The conversation highlights the lessons learned from Iraq and Afghanistan and the importance of keeping this knowledge alive for future conflicts. The discussion also covers the role of transfusion ratios in improving outcomes, the origin of the one-to-one-to-one ratio, and the use of recombinant activated factor VIIa in trauma resuscitation. Dr. Philip C Spinella shares the fascinating story behind these developments and the importance of considering a bundle of care for optimal patient outcomes.
(0:18:24) - Damage Control Resuscitation (10 Minutes)
We discuss the concept of damage control resuscitation and the transition from component therapy to whole blood therapy with the various barriers that needed to be overcome. Focusing on the importance of safety in transfusion medicine, we explore the challenges in developing high-level evidence through randomized controlled trials and the alternative approach of focused empiricism. We also examine the three main barriers to whole blood use in hemostatic resuscitation: ABO specificity, leukocyte reduction, and cold storage platelets.
(0:28:10) - Trauma Care (9 Minutes)
In this conversation, we examine life-threatening hemorrhages in pediatric patients and the differences between adult and pediatric populations. We discuss an NIH-sponsored prospective observational study that found a higher mortality rate in children with massive bleeding compared to adults. We also explore the types of whole blood, their nuances, and how they differ from component therapy. Additionally, we touch on the role of freeze-dried plasma in transfusion options and the current state of synthetic blood products. Ultimately, we emphasize the importance of having various tools in the "toolbox" to ensure the best care for patients experiencing life-threatening hemorrhage.
(0:37:08) - Precision Transfusion Medicine (9 Minutes)
We delve into the development of a dry artificial whole-blood product and its potential applications for various types of bleeding. This project, funded by DARPA, aims to create custom-made whole blood-like products specific to a patient's coagulopathy. We also discuss the challenges and barriers in conducting clinical trials in transfusion medicine, emphasizing the importance of funding, access to blood products, and the need for precision transfusion medicine. The conversation also touches on the future of therapy for life-threatening hemorrhage, focusing on metabolism-reducing agents to salvage patients in shock.
Episode Keywords:
Transfusion Medicine, Battlefield, Hemostatic Resuscitation, Whole Blood Therapy, Component Therapy, Damage Control Resuscitation, Vietnam War, Iraq and Afghanistan, Trauma Care, Life-Threatening Hemorrhage, Pediatric Patients, Blood Transfusion Practices, ABO Specificity, Leukocyte Reduction, Cold Storage Platelets, Freeze-Dried Plasma, Synthetic Blood Products, Precision Transfusion Medicine, Coagulopathy, Metabolism-Reducing Agents
 
#wardocs #military #medicine #podcast #TransfusionMedicine #BattlefieldMedicine #HemostaticResuscitation #WholeBloodTherapy #DamageControlResuscitation #PediatricHemorrhage #TransfusionResearch #MilitaryMedicine #BloodTransfusionEvolution #LifeSavingMedicine
 
Honoring the Legacy
and Preserving the History of Military Medicine
The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements.
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

RADM Pamela C. Miller, DO, MHA- Leadership, Mentorship, Innovation: Providing Medical Support to the US Marine Corps Around the Globe

In this episode, we had the privilege of speaking with Rear Admiral Pamela C. Miller, DO, about her journey into military medicine and the clinical and leadership lessons she learned throughout her distinguished career. We discussed her experiences providing medical support for Marine Corps Units, the unique relationship between the Navy and Marine Corps in healthcare, and the evolution of the Forward Resuscitative Surgical Systems (FRSS) Team. We also explored the role of Navy Emergency Medicine Physicians in various situations, the priorities and challenges in operational medicine for the Navy and Marines, and the importance of Military Medicine, specifically Navy/Marine medicine. Additionally, we touched on the value of mentorship and the potential impact of future innovations like shelf-stable blood products, wearables, telemedicine, and AI-assisted medical decision-making. Join us for an insightful conversation about the realities of Military Medicine, the dedication of those who serve in this field, and the unique opportunities and challenges it presents.
 
Chapters:
 
(0:00:00) - The Pathway to a Military Medicine Career
(0:05:08) - Career Progression in Military Medicine
(0:15:07) - Preparing for a Future Fight
(0:27:17) - Preparing for Military Combat
(0:35:59) - The Benefits of Military Medicine
(0:43:52) - Making a Difference in Military Medicine
(0:49:51) - The Privilege of a Lifetime
 
Chapter Summaries:
 
(0:00:00) - The Pathway to a Military Medicine Career (5 Minutes)
In this episode, we explore Rear Admiral Pamela C. Miller's journey into Military Medicine and the clinical and leadership lessons she has learned throughout her distinguished career. Dr. Miller talks about her experiences providing medical support for Marine Corps units and how Navy Medicine supports the Marines at the tip of the spear worldwide. She also discusses her experience being deployed and also as the Command Surgeon for the US Indo-Pacific Command and how Navy and Marine Medicine are preparing for the next conflict, which will likely be very different from recent counterinsurgency operations.
 
(0:05:08) - Career Progression in Military Medicine (10 Minutes)
In this conversation, we delve into Dr. Miller's decision to pursue Emergency Medicine and the impact of prior military and healthcare experience during her residency. The discussion also covers the unique relationship between the Navy and Marine Corps in providing healthcare support and the experience of deploying the first Forward Resuscitative Surgical Systems Team into combat operations. Furthermore, we examine the evolution of the FRSS personnel lineup and the development of the Mobile Shock Trauma Platoon
 
(0:15:07) - Preparing for a Future Fight (12 Minutes)
We examine the role of Navy Emergency Medicine physicians in various situations, such as the Mobile Shock Trauma Platoon and its personnel, mobile capabilities for emergency response, and memorable clinical cases from deployments. We also explore where these physicians are positioned in the battle space, supporting Navy and Marine units, and the various types of ships with Emergency Medicine physicians on board. Additionally, we discuss the priorities and challenges in operational medicine for the Navy and Marines, including ensuring a ready medical force, responding to contingency and crisis situations, and addressing concerns about contested logistics and patient movement.
 
(0:27:17) - Preparing for Military Combat (9 Minutes)
We focus on the priorities of military medicine and the importance of integrating the unique capabilities of each Service within the Joint Health Service support construct. We discuss the challenges of prolonged field care, the logistics of moving patients and resources, and the need for innovative training and planning to prepare for large-scale combat operations. We also address the importance of collaboration between Services and preparing for worst-case scenarios, emphasizing the need for continuous improvement and adaptability in the face of an ever-evolving environment.
 
(0:35:59) - The Benefits of Military Medicine (8 Minutes)
We discuss the importance of Military Medicine, specifically Navy/Marine medicine, and the dedication of those who serve in this field. The sense of family and connectedness among Military Medicine professionals is emphasized, as well as the readiness to care for the nation's service members in times of conflict. We also explore the value of mentorship, the role it has played in Rear Admiral Miller's career, and the importance of fostering diverse mentoring relationships. Additionally, we offer advice to those considering a career in medicine, particularly Military Medicine, and the importance of understanding the realities of the field.
 
(0:43:52) - Making a Difference in Military Medicine (6 Minutes)
We explore the unique opportunities and challenges Military Medicine offers and how it can make a difference in people's lives. We also discuss the future of battlefield care, highlighting the potential impact of shelf-stable blood products, wearables, telemedicine, and AI-assisted medical decision-making. Lastly, we reflect upon the personal legacy one hopes to leave in the field of Military Medicine, emphasizing the desire to make a positive difference in patient care and overall healthcare outcomes.
 
(0:49:51) - The Privilege of a Lifetime (1 Minute)
We discuss the privilege of serving in the military and how it has shaped Dr. Miller’s life.
 
Thank you for tuning into the Wardocs podcast and supporting our nonprofit organization through your tax-deductible donations, subscriptions, ratings, and reviews. Find out more about our show and guests at wardocspodcast.com, and be sure to share with your friends on social media.
Episode Keywords:
Military Medicine, Rear Admiral Pamela Miller, Navy Medicine, Marine Corps, Forward Resuscitative Surgical Systems, Emergency Medicine, Operational Medicine, Navy Marine Medicine, Mentorship, Telemedicine, AI-Assisted Medical Decision-Making, Battlefield Care, Healthcare Support, Mobile Shock Trauma Platoon, Prolonged Field Care, Patient Movement, Contested Logistics, Joint Health Service Support, Career Progression, Wardocs Podcast
 
Honoring the Legacy and Preserving the History of Military Medicine
 
The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements.
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 100% of donations 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

LTC Christian A. Labra, MD- Warfighter to Healer: A Soldier’s Inspiring Journey from Injury to Medical Practice

   After a life-altering injury in Iraq, Lieutenant Colonel Christian Labra, MD, FAAFP, found himself on the other side of the Military Health System, navigating treatment and recovery as a patient. In this eye-opening conversation, Dr. Labra shares his first-hand experiences of evacuation, treatment in a war zone, and the challenges and triumphs he encountered along the way. Join us as he opens up about his journey and how it ultimately inspired him to pursue a medical career.
  From the point of injury to rehabilitation, Dr. Labra's story highlights the incredible work of healthcare professionals in difficult situations, as well as the importance of advocacy and understanding for patients within the Military Health System. As a family physician, he shares how his time as a patient influenced his approach to practicing medicine and the role primary care physicians play in advocating for their patients and providing continuity of care.
   Don't miss out on this unique perspective from a physician who has experienced both sides of the Military Healthcare System. Dr. Labra's experience offers invaluable insights into the challenges faced by patients and healthcare providers in a war zone and how his journey has shaped his approach to medicine. Tune in to hear his inspiring story and learn more about the importance of patient advocacy and continuity of care.
Chapters:
(0:00:00) - Combat Experience and Military Healthcare
(0:03:57) - Military Health Care and Deployment Injuries
(0:11:33) - War Zone Evacuation and Medical Care
(0:19:19) - Injury Treatment and Recovery Experience
(0:30:26) - From Warfighter to Doctor
(0:36:41) - Career in Military Medicine
 
Chapter Summaries:
(0:00:00) - Combat Experience and Military Healthcare (4 Minutes)
We welcome LTC Christian Labra MD, FAAFP to WarDocs to discuss his unique experience of encountering the Military Health System as a patient when he was injured as a Field Artillery officer on a patrol in Iraq. We hear about his care from the point of injury through evacuation to treatment, recovery, and rehabilitation, and how this experience led him to pursue a career in medicine and impacted his perspective and caring for Wounded Warriors. We also discuss how his journey to joining the Army and how the world changed after 9-11 impacted his career.
 
(0:03:57) - Military Health Care and Deployment Injuries (8 Minutes)
Dr. Labra's experience with the Military began at West Point and continued on active duty. He was assigned to a Field Artillery battalion in Baumholder, Germany, and later deployed to Iraq in 2003. He shares the story of his injury while on the deployment and the circumstances that led up to it.
 
(0:11:33) - War Zone Evacuation and Medical Care (8 Minutes)
Dr. Labra's experience with the Military Health System as a patient is discussed. From the initial diagnosis by a medic in the field to the care he received at the Baghdad ER, the unique circumstances of his evacuation and treatment are explored. The challenges of being a patient in a war zone and the impact of the lack of pain medication and medical records are discussed. The effects of his injuries, the measures taken to treat them, and the care he received in the operating room are also discussed.
 
(0:19:19) - Injury Treatment and Recovery Experience (11 Minutes)
Chris shares his experience with the Military Health System as a patient. He begins with his care in Baghdad and the surgeries he had in Germany. He speaks of the kindness of healthcare workers like Parker Hahn, and Ann Shields, the labor and delivery nurse whose daughter attended West Point and helped sponsor his family, as well as his surgeon John Friedland. He reflects on his unique experience of staying at Baumholder, which was both a gift and a challenge. We explore the system's blind spots and the casualties of the process when providing medical care abroad.
 
(0:30:26) - From Warfighter to Doctor (6 Minutes)
Chris shares his unique experience with the Military Health System as a patient. He was called to help, giving him purpose and a sense of being helpful. A series of unfortunate events led to him becoming an expert in the medical evacuation process. His surgeon came back to Landstuhl, and he spent a month there, which opened up many opportunities for him. He felt so indebted to the Military Health System and wanted to follow in the footsteps of his mentors to pursue a career in medicine.
 
(0:36:41) - Career in Military Medicine (12 Minutes)
We discuss how Dr. Labra’s injury led him to pursue family medicine over orthopedic surgery or urology and the advantages of being a primary care physician when it comes to providing continuity of care and advocating for patients. He shares his perspective on PTSD, the hospital system, and how being a patient gave him a level of skepticism and protection from falling into medical traps. Finally, we discuss his assignment at Landstuhl and how it gave him a chance to take care of evacuations from the theaters of war.
 
Episode Keywords: Military Healthcare, Patient Advocacy, Injury Treatment, Recovery Experience, Evacuation, Wounded Warrior, War Zone, Medical Care, Primary Care Physicians, Continuity of Care, PTSD, Hospital System, Combat Experience, Deployment Injuries, West Point, Baghdad ER, Landstuhl, Orthopedic Surgery, Urology
Hashtags: #wardocs #military #medicine #podcast #MilitaryHealthcare #WarZoneMedicine #PatientAdvocacy #ContinuityOfCare #InspiringJourney #HealingWarriors #PhysicianPerspective #FromInjuredToHealer #WoundedWarrior
 
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

SCPO David Shepardson: Expert Advice on Training Medics and Corpsmen for Real-World Scenarios

   Discover the world of Marine Corps medicine as we engage in a powerful conversation with Senior Chief Petty Officer David Shepardson, a Navy Corpsman currently serving as the senior enlisted leader for the Sixth Marines at Camp Lejeune, North Carolina. Alongside guest host Chief Peter McGuire, an active-duty independent duty Corpsman and Senior Enlisted Leader with the 2nd Reconnaissance Battalion, we delve into Senior Chief Shepardson's journey to joining the Navy, his deployments with Marine units and the unique role of a Hospital Corpsman in Marine units.
   Listen in as SCPO Shepardson shares his valuable experiences and insights into Corpsmen's challenges and the importance of medical knowledge. Learn how foundational courses like Corps School and Field Med training prepared him for Marine Corps culture and the demands of being a Corpsman. We also address the loyalty challenge that arises when faced with situations outside their scope of practice and explore the most critical areas that need to be trained to prepare medics and Corpsmen for real-world prolonged field care scenarios.
  SCPO Shepardson emphasizes the importance of creating a warfighting mindset and the physical and mental challenges of training Corpsmen. We also explore the role of mentorship in shaping mindsets and ensuring success, as well as the significance of work-life synergy for maintaining balance in the demanding world of military medicine. Don't miss this captivating conversation full of invaluable lessons and advice for anyone interested in the field.
 
Chapters:
(0:00:00) – Personal Pathway to Military Medicine
(0:06:11) - Military Med Training for Corpsmen
(0:16:41) - Preparing Corpsmen for Field Care
(0:22:16) - Training for a Warfighting Mindset
(0:32:08) - Navy Chiefs' Role in Warfighting
(0:44:48) - Leadership and Work-Life Synergy
 
Chapter Summaries:
(0:00:00) - Personal Pathway to Military Medicine (6 Minutes)
We're joined by Senior Chief David Shepardson, a Navy Corpsman serving as the Senior Enlisted Leader for the Sixth Marines at Camp Lejeune, North Carolina. Dave shares his pathway to joining the Navy, his deployments with Marine units, his leadership philosophy, and the role of a Hospital Corpsman with Marine units. We also welcome guest host Chief Peter McGuire, an active duty Independent duty Corpsman and current Senior Enlisted Leader with the 2nd Reconnaissance Battalion. Together, we explore the mission, opportunities, and deployed experiences of the military healthcare team, from state-of-the-art hospitals in the US to austere environments around the globe.
 
(0:06:11) - Military Med Training for Corpsmen (10 Minutes)
Senior Chief Shepardson shares his experiences of going through Corps School and Field Med training. He explains how these foundational courses prepared him for Marine Corps culture and the expectations of being a Corpsman. Dave also provides insight into the role of a Corpsman in a Marine unit and how he was trained by his squad leaders, fire team leaders, and seniors to use his skills in combat.
 
(0:16:41) - Preparing Corpsmen for Field Care (6 Minutes)
Dave shares his experiences and insights into the unique challenges of being a Corpsman. We discuss the importance of medical knowledge and the need for corpsmen to seek out knowledge and stay engaged in their roles continually. We also explore the loyalty challenge corpsmen face when confronted with situations that are out of their scope of practice. Lastly, Chief Shepardson shares his opinion on what are the most critical areas that need to be trained to prepare medics and Corpsmen for real-world prolonged field care scenarios. He emphasizes the importance of mastering the basics of Tactical Combat Casualty Care and the need for humility and knowledge in order to be ready for the future fight.
 
(0:22:16) - Training for a Warfighting Mindset (10 Minutes)
Dave discusses the importance of creating a warfighting mindset and how it is essential for buy-in in the line of work. We also explore the trauma lanes and the physical and mental challenges of training corpsmen. Finally, we stress the importance of mentorship in order to create an asset and the need to shape mindsets and help to create buy-in.
 
(0:32:08) - Navy Chiefs' Role in Warfighting (13 Minutes)
SCPO Shepardson leveraged his knowledge and experience to help support the warfighter and teach others. He took what he learned in the infantry and adapted it to the clinic, and he talks about how mentors took him under their wing and showed him how to be successful.  We cover the leadership philosophy of situation-based servant leadership, and Dave shares his perspective on the uniqueness of the Chief Petty Officer.
 
(0:44:48) - Leadership and Work-Life Synergy (11 Minutes)
Senior Chief David Shepardson shares some memorable experiences of being a Corpsman, exploring the unique challenges associated with the role. He recounts getting a tattoo with his fellow Marines as a way of connecting to their mission and how the phrase 'Die When I'm Done' became a badge of honor for the group. He also talks about the best leadership advice he's ever been given and his key to living a balanced life in a job that can be so consuming and has serious risks and costs associated with it. He emphasizes the importance of work-life synergy, and how leaders should prioritize their people over themselves and strive to provide them with whatever they need to be successful.
 
Episode Keywords: Navy Corpsman, Marine Corps Medicine, Chief David Shepardson, Chief Peter McGuire, Corps School, Field Med Training, Warfighting Mindset, Tactical Combat Casualty Care, Trauma Lanes, Mentorship, Leadership Philosophy, Work-Life Synergy, Die When I'm Done, Second Buried Division, Military Healthcare Team, Austere Environments, Prolonged Field Care, State-of-the-Art Hospitals, Loyalty Challenge
 
Hashtags: #wardocs #military #medicine #podcast #MedEd #MarineCorpsMedicine #NavyCorpsmen #MilitaryMedicine #FieldCare #WarfightingMindset #CorpsmanTraining #ProlongedFieldCare #Leadership #WorkLifeSynergy
 
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

COL(R) Laura R. Brosch, PhD, RN: Ethical Challenges and Advancements in Combat Casualty Care Research

Explore the fascinating world of Military Medicine research and ethics with our special guest, retired Army Nurse Corps Colonel Dr. Laura Brosch. As the Assistant Vice President of Research Initiatives and Compliance at the Uniformed Services University of the Health Sciences, Dr. Brosch shares her journey into Military Medicine and experiences developing ethical protocols for conducting research in combat theaters. From the development of Theater Clinical Practice Guidelines to the introduction of novel treatment modalities for combat casualty care, you'll gain incredible insight into the challenges and advancements in Military Medicine.
Discover how the Special Medical Augmentation Response Team (SMART) and the military's use of Investigational New Drugs (INDs) are crucial in modern Military Medicine. Dr. Brosch discusses the importance of regulatory compliance when administering these drugs and highlights the advancements in surgical products like combat gauze, Chitosan powder, and much more. Learn how these products were safely fielded in high OP TEMPO environments and understand the unique challenges faced when setting up a research capability in theater.
Join us as we delve into the Joint Trauma System and the Theater Clinical Practice Guidelines developed under Colonel Paul Cordts’ guidance. Dr. Brosch shares the ethical considerations taken into account when deciding which protocols to implement, such as DVT prophylaxis, tourniquet use, hypothermia prevention, and concussion awareness. Hear about the challenges of collecting data in the chaos of combat and the processes used to obtain DOD-required waivers and approvals for hospital trauma research. This conversation offers a unique perspective on the complex ethical considerations of conducting medical research in the military. Don't miss this enlightening discussion!
Chapters:
(0:00:00) - Military Medicine Research and Ethics
(0:10:11) - Medical Research in Theater
(0:26:40) - Trauma Research Guidelines and Waivers
(0:41:14) - Military Medical Research and Ethics
 
Chapter Summaries:
(0:00:00) - Military Medicine Research and Ethics (10 Minutes)
We speak with Dr. Laura Brosch, a retired Army Nurse Corps Colonel and Assistant Vice President of Research Initiatives and Compliance at the Uniformed Services University of the Health Sciences. We discuss her pathway into Military Medicine and how she became the nursing research consultant to the Surgeon General. She shares how the Medical Research And Material Command played an early role in OAF and OEF, and how a plan was developed to ethically conduct research in combat theaters. Laura also explains how Theater Clinical Practice Guidelines were developed and how they've evolved over the past 20 years, and how the military brings novel treatment modalities for combat casualty care to the battlefield.
 
(0:10:11) - Medical Research in Theater (16 Minutes)
Dr Laura Brosch and I discussed the Special Medical Augmentation Response Team (SMART) and the military's use of Investigational New Drugs (INDs). We explored the responsibility of SMART and the importance of regulatory compliance when administering these drugs. We also examined the advancements made in surgical products like combat gauze, Chitosan powder, and other products, and how they were safely fielded in a high OP TEMPO environment. Lastly, we talked about the need to set up a research capability in theater and the unique challenges this presented.
 
(0:26:40) - Trauma Research Guidelines and Waivers (15 Minutes)
We discuss the Joint Trauma System and the Theater Clinical Practice Guidelines they developed, Colonel Paul Cordts’ involvement in bringing these guidelines to life, and the ethical considerations taken into account when deciding which protocols to implement. Specific protocols such as DVT prophylaxis, tourniquet use, hypothermia prevention, and concussion awareness are discussed. The challenges of collecting data in the chaos of combat and the processes used to obtain DOD-required waivers and approvals for hospital trauma research are also discussed.
 
(0:41:14) - Military Medical Research and Ethics (7 Minutes)
We talk with Dr Laura Brosch about the complex ethical considerations of conducting medical research. We explore the protocol she developed to allow the use of investigational products in the event of combat casualties. We discuss the regulation changes and how our research community has become more sophisticated. We also discuss the special rules for military service regarding research protections, and Laura shares her experiences as Assistant Vice President of Research Initiatives and Compliance at the Uniformed Services University of the Health Sciences. Finally, we reflect on her contributions to Military Medicine and the importance of ethical conduct in research.
 
Episode Keywords:
Military Medicine, Research Ethics, Army Nurse Corps, Uniformed Services University, SMART, Investigational New Drugs, Combat Gauze, Chitosan Powder, Joint Trauma System, Theater Clinical Practice Guidelines, DVT Prophylaxis, Tourniquet Use, Hypothermia Prevention, Concussion Awareness, Regulatory Compliance, Research Capability, DOD Waivers, Research Protections
Hashtags:
#wardocs #military #medicine #podcast #MilitaryMedicine #CombatCasualtyCare #ResearchEthics #SMARTteam #InvestigationalNewDrugs #SurgicalAdvancements #JointTraumaSystem #CombatMedicine #Research
 
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