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!
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Episodes
Episodes
Friday Jun 09, 2023
Friday Jun 09, 2023
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
Friday Jun 02, 2023
Friday Jun 02, 2023
Episode Summary:
In this episode, we enjoyed exploring the world of military medicine with Lieutenant General Robert I Miller, MD, Surgeon General of the US Air Force and US Space Force. We discussed his journey into Air Force Medicine, the importance of pediatrics in military medicine, and the unique challenges of ensuring a ready medical force prepared for future conflicts. We also delved into the continuous learning in military leadership roles, the challenges and accomplishments of the Defense Health Agency, and the groundbreaking mission of the Air Force Medical Service. Additionally, we explored the future of Air Force Medicine, including the development of wearables and the use of virtual medicine for patient care in various environments. Join us in this fascinating conversation as we uncover valuable insights from Lt. Gen. Miller's distinguished career.
Chapters:
(0:00:00) - Serving in Air Force Medicine
(0:03:24) - Pediatricians and GME in Air Force Medicine
(0:11:59) - Continuous Learning in Military Leadership Roles
(0:20:40) - Air Force Medic Readiness
(0:33:11) - Trusted Care in Air and Space
(0:39:12) - Air Force Medicine Impact
Chapter Summaries:
(0:00:00) - Serving in Air Force (3 Minutes)
In this episode, we explore the life and career of Lieutenant General Robert I. Miller, the Surgeon General of the US Air Force and the US Space Force. Dr. Miller shares his journey into Air Force Medicine, his clinical and leadership lessons, and his experiences as a flight surgeon and in command during contingency operations worldwide. He also discusses his top priorities as Surgeon General and the unique challenges of ensuring a ready medical force prepared for future conflicts, including multi-domain operations (MDO). Join us as we delve into the fascinating world of military medicine with Dr. Miller and gain valuable insights from his distinguished career.
(0:03:24) - Pediatricians in Air Force Medicine (9 Minutes)
We discuss the importance of pediatrics in military medicine and the various opportunities for pediatric residencies and fellowships in Air Force Medicine. The conversation also covers the training and responsibilities of a flight surgeon and how they differ between the Air Force, Army, and Navy. Additionally, we delve into personal experiences and memories from the front lines, including serving as a Flight Surgeon in conflict zones and the challenges of providing medical care in difficult conditions. Finally, we touch on the expeditionary medical system (EMEDS) and its role in providing life-saving surgery and care in the field.
(0:11:59) - Continuous Learning in Military Leadership Roles (9 Minutes)
As we delve into the impact of 9/11 on military medicine, we discuss the importance of readiness and continuous learning in leadership roles. We also explore the relevance of strategic studies and MBAs for military physicians, as well as the role of the defense health agency in supporting medical education and training. Additionally, we touch on the unique challenges faced in deployments, such as dealing with non-battle injuries and the experience of working with the US Africa Command to create stability through health initiatives.
(0:20:40) - Air Force Medic Readiness (13 Minutes)
We examine the challenges and accomplishments of the Defense Health Agency (DHA) and its role in training enlisted medical professionals. We also discuss the partnership between the Uniformed Services University and the DHA, which helps young medics earn degrees and certifications for their military and post-military careers. The conversation then shifts to the relationship between the DHA and the Air Force Medical Operation Agency in providing healthcare benefits and focusing on a ready medical force.
(0:33:11) - Trusted Care in Air and Space (6 Minutes)
In this section, we explore the groundbreaking mission of the Air Force Medical Service (AFMS) to provide trusted care anytime, anywhere, including the potential challenges of medical care in space. The MEDIC X program, created to develop multi-capable medics for various situations, is discussed along with the importance of supporting the mental health and resiliency of medics. We also touch on the significant role of medics during the COVID-19 pandemic and other recent crises, highlighting the importance of their trusted care in various challenging situations.
(0:39:12) - Air Force Medicine Impact (13 Minutes)
We explore the future of Air Force Medicine, including the development of wearables such as the Battlefield Assisted Trauma Distributed Observation Kit (BATDOK) and the use of virtual medicine for patient care in various environments. We also discuss the importance of the Air Force Medical Service's air evacuation mission and the role of the total force, including the Guard and Reserve, in providing lifesaving care. Additionally, we touch on the value of reading and mentorship for personal and professional growth and the significance of developmental and behavioral pediatrics in supporting military families.
Episode Keywords:
Military Medicine, Air Force Medicine, Lieutenant General Robert I. Miller, Surgeon General, US Air Force, US Space Force, Pediatrics, Flight Surgeon, Continuous Learning, Military Leadership, Defense Health Agency, Air Force Medical Service, Medical Readiness, Expeditionary Medical System, MEDIC X Program, Trusted Care, Battlefield Assisted Trauma Distributed Observation Kit Virtual Medicine, Air Evacuation Mission
#AirforceMedicine #MilitaryMedicine
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 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
Friday May 26, 2023
Friday May 26, 2023
EPISODE SUMMARY
Hear about the complexities of Military Medicine and mental health with our distinguished guest, retired Army Colonel Dr. Robert D. Forsten, DO, a renowned Military Psychiatrist with 26 years of military experience. Uncover the power of mentorship and relationships as Dr. Forsten shares his unique journey into the military and medicine.
Struggle and survival are not just physical battles in the military. We discuss the stigma surrounding mental health in the Special Operations community, the psychological effects of extended deployment, and the challenges of transitioning to civilian life. Discover the intricacies of training military psychiatrists and the future of the field, along with the emerging concepts of 'Operator Syndrome' and 'Post-enablement Distress Syndrome.'
Throughout the episode, Dr. Forsten shares his experiences and research, providing valuable lessons for future military medical healthcare professionals and a lasting impact on those who serve. From the importance of psychological testing at the recruitment stage to overcoming stress in overwhelming situations, this conversation offers an in-depth look into the world of Military Medicine and the lasting impact it has on those who serve. Don't miss this fascinating and insightful episode with COL(R) Robert D. Forsten, DO.
EPISODE CHAPTERS
(0:00:00) – Pathway to Military Medicine
(0:12:10) - Psychiatry in Special Operations
(0:16:17) - Psychiatric Challenges in Military Deployment
(0:28:26) - Military Service and Civilian Transition
(0:33:27) - Overcoming Stress in Overwhelming Situations
(0:42:59) - Military Medicine and Legacy
CHAPTER SUMMARIES
(0:00:00) - Pathway to Military Medicine (12 Minutes)
We are joined by Dr Robert Forsten, a retired Army Psychiatrist, whose 26 years of experience brings first-hand insights into the tactical, operational and strategic medical leadership experience within both Conventional and Special Forces. We learn about his journey to the military and his passion for medicine, as well as the importance of mentorship and relationships in both the military and in life. Bob shares his own experiences and research in PTSD, TBI, substance use disorders, and adult ADHD, providing valuable lessons for future military medical health care professionals.
(0:12:10) - Psychiatry in Special Operations (4 Minutes)
Dr. Forsten discusses the stigma surrounding mental health in the Special Operations community and the importance of understanding how to build trust with service members. We explored the unique issues facing the soldiers deployed to Operation Iraqi Freedom One and the clinical examples of how my psychiatric expertise was needed in 2003.
(0:16:17) - Psychiatric Challenges in Military Deployment (12 Minutes)
Dr. Forsten explores the psychological effects of extended deployment on military personnel. We discussed the spike in suicides after the realization that soldiers were being deployed for a year, and how the cohesiveness of the unit was an important factor in helping to mitigate the psychological effects of deployment. We also discussed the purpose of setting up a downrange mental health unit and the goal of returning as many soldiers to their units as possible. We also discussed the difficulty of predicting which soldiers may respond to stress and the importance of psychological testing at the recruitment stage.
(0:28:26) - Military Service and Civilian Transition (5 Minutes)
Dr. Forsten describes the difficulty of transitioning from the military after spending many years in service. We explore the psychological effects of extended deployment and the struggles of coming to terms with the love and hatred of the military. We also discuss the unique challenges of training a Military Psychiatrist and the potential changes in the field in the future. We highlight the stress and PTSD that many of our service members struggle with and the impact that witnessing the worst of humankind can have on them. Finally, we look at the concept of 'Operator Syndrome' and 'Post-enablement Distress Syndrome' and how it affects our service members.
(0:33:27) - Overcoming Stress in Overwhelming Situations (10 Minutes)
We discussed mental health issues in the military, the stigma surrounding it, and the psychological effects of extended deployments. We highlighted the importance of understanding how to transition from the military, the difficulty of that process, and the effects of the spike in suicides after the wars in Iraq and Afghanistan. We also explored the implications of a three-star command, the need for medical evaluation boards, and the impact of broadly reported scandals in the Military.
(0:42:59) - Military Medicine and Legacy (8 Minutes)
We discuss the challenges of maintaining mental health while in the military and explore the importance of understanding how to take care of oneself, the psychological effects of extended deployment on military personnel, and the difficulty of transitioning from the military. We also discuss the stigma surrounding mental health in the Special Operations community, mental health issues in the military, and how Dr. Forsten was the first psychiatrist assigned to Special Operations.
EPISODE KEYWORDS
Military Medicine, Mental Health, Retired Army Colonel, Psychiatry, Mentorship, Relationships, Special Operations, Deployment, Suicides, Operator Syndrome, Post-Enablement Distress Syndrome, Transitioning, Psychological Testing, Recruitment, Stress, Overwhelming Situations
#military #medicine #podcast #psychiatry #SOCOM #veteran #PTSD #TBI #Suicide #mentalhealth #stress #wardocs #specialoperations
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
Friday May 19, 2023
Friday May 19, 2023
Episode Summary:
In this episode of WarDocs, we had the privilege of speaking with retired Navy Rear Admiral Dr. Colin Chinn about his journey into Navy medicine, the clinical and leadership lessons he learned throughout his distinguished career, and groundbreaking research in military medicine. We discussed Dr. Chinn's experiences as a Navy gastroenterologist, his role in supporting military medicine and healthcare delivery, and the importance of global health engagement. We also touched on the challenges of military medicine and the importance of graduate medical education in maintaining the quality of healthcare professionals in the Navy. Join us as we explore the world of military medicine and the incredible impact it has on the lives of Service Members and their families.
Chapters:
(0:00:00) – Introduction to Episode and Dr. Chinn
(0:05:12) - Operational Assignments for Navy Physicians
(0:17:56) - Military Graduate Medical Education
(0:29:30) - Regenerative Medicine Research
(0:42:56) - Global Health Engagement
(0:49:20) - Military Medicine Legacy
Chapter Summaries:
(0:00:00) - Introduction to Episode and Dr. Chinn (5 Minutes)
In this episode of WarDocs, we explore the journey of retired Navy Rear Admiral Dr. Colin Chinn, his pathway into Navy medicine, and the many clinical and leadership lessons he has learned throughout his distinguished career. Dr. Chinn shares his experiences providing medical support for Marine Corps units and how Navy Medicine utilizes medicine subspecialists in deployment roles. He also discusses groundbreaking research in military medicine and the importance of global health engagement. Additionally, Admiral Chinn talks about the role of the Joint Staff Surgeon and what it's like providing expert and timely medical advice to the Chairman of the Joint Chiefs of Staff and the Secretary of Defense.
(0:05:12) - Operational Assignments for Navy Physicians (13 Minutes)
In this portion of WarDocs, we delve into Dr. Colin Chin'ns experiences as a Navy gastroenterologist, including memorable clinical cases and his role in supporting military medicine and healthcare delivery. We also discuss how Navy physicians get assigned to support the Marine Corps and the transition from clinical medicine to executive leadership. Additionally, we touch on the importance of being a student of leadership and understanding how the Navy and operational and CONUS medical units function in order to excel in executive roles within Navy Medicine.
(0:17:56) - Military Graduate Medical Education (12 Minutes)
In this part of the interview, we discuss the challenges of Military Medicine and the importance of Graduate Medical Education in maintaining the quality of healthcare professionals in the Navy. We also explore the role of contractors like TriWest in supporting remote medical facilities and the challenges they face in ensuring adequate medical care in these locations. Additionally, we touch upon the responsibilities and challenges faced by Dr. Colin Chin during his tenure as the US Pacific Command Surgeon and the Navy MC Chief, as well as interesting projects he worked on in military medical research and development.
(0:29:30) - Regenerative Medicine Research (13 Minutes)
We explore the significant advances in regenerative medicine conducted by military medical researchers in collaboration with major academic centers. We discuss the importance of looking beyond the injuries of past conflicts and focusing on potential injuries from future conflicts. We also hear about Dr. Colin Chinn's experiences as the Joint Staff Surgeon and his role as the chief medical adviser to the Chairman of the Joint Chiefs of Staff. Additionally, we touch on the importance of global health engagement and how the uniform service university is preparing individuals for this crucial aspect of military medicine.
(0:42:56) - Global Health Engagement (6 Minutes)
We examine the role of global health engagement (GHE) in military medicine, its significance in building relationships with allies and partners, and its potential impact on future military endeavors. We discuss the Center for Global Health Engagement's courses and programs, as well as its support for various military operations. Additionally, we reflect on two examples of GHE's effectiveness in opening doors and building trust, one involving Burma and the other concerning Vietnam. Lastly, we consider the challenges GHE practitioners face in navigating their scope of care in limited resource environments.
(0:49:20) - Military Medicine Legacy (6 Minutes)
We highlight the importance of providing sustainable medical care during military global health engagements, ensuring that host nations can maintain and manage the care provided. We also address potential challenges in austere environments, where medics may be required to perform procedures outside their scope of practice. Lastly, we reflect on the legacy of service, emphasizing the value of being open, honest, and accessible to those seeking guidance and mentorship in military medicine.
Episode Keywords:
Military Medicine, Navy Medicine, Dr. Colin Chin, Navy Gastroenterologist, Global Health Engagement, Graduate Medical Education, Regenerative Medicine, Marine Corps, Joint Staff Surgeon, Healthcare Professionals, Medical Support, Medical Research, Operational Assignments, Navy Physicians, Clinical Medicine, Executive Leadership, US Pacific Command Surgeon, Medical Corps Chief, Uniformed Services University, Military Medical Legacy
#Military #Medicine #Podcast #Navy #Marines #GlobalHealth #Research #Mentorship
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 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
Monday May 15, 2023
Monday May 15, 2023
Military Medicine & WarDocs present: "A Ready Medical Force Special Collection"
MILMED-D-22-00478R1: “An Analysis of Head and Neck Surgical Workload During Recent Combat Operations from 2002-2016”
EPISODE SUMMARY
Discover the critical insights from Dr. Caryn Stern and CDR Shane Jensen, MD on the prevalence of head and neck trauma cases managed by deployed surgeons during recent conflicts. This episode dives into their Military Medicine paper, which analyzes head and neck surgical workload at forward MTF’s spanning 2 decades, and the importance of their findings for our military healthcare teams. Learn how this valuable information can be used to improve training and skill sustainment initiatives for future operations.
We discuss the essential knowledge and skills that general surgeons need to have when deploying, such as those identified in the Individual Critical Task List (ICTL) and the Knowledge Skills and Abilities (KSA) project. We stress the importance of having an airway plan for facial fractures, securing an airway for mid-phase instability, and using external fixation for most fractures. We also explore what medics can be trained to do in head and neck injuries requiring a tracheostomy or lateral canthotomy, and the goal of getting life-saving treatment within an hour.
Lastly, we examine the need for specialized teams of head and neck surgeons and the equipment they require to provide comprehensive support to Role 3 Military Treatment Facilities. We discuss the challenges of providing this specialized care, including the need for rapid telehealth support and feedback to those at Roles 1 and 2 MTFs. Don't miss this fascinating episode as we analyze the next steps needed to improve the training and equipping of units for managing head and neck trauma, and the importance of data collection and documentation in making informed decisions.
EPISODE CHAPTERS
(0:00:01) – Trauma Data Collection in Recent Conflicts
(0:13:34) - Combat Medical Procedures and Training
(0:19:18) - Head & Neck Trauma Care in Combat
(0:29:31) – Improving Head & Neck Trauma Care
EPISODE CHAPTER SUMMARIES
(0:00:01) - Trauma Data Collection in Recent Conflicts
We explore the prevalence of head and neck trauma cases managed by deployed surgeons during recent conflicts and how this information can be used to improve training and skill sustainment initiatives for future operations. The authors describe how they gathered data from the Department of Defense Trauma Registry, and how they divided the procedures into five groups: dental, ophthalmologic, airway, ear, face, mandible maxilla, neck, and oral. They discuss how these injuries are prevalent in theater and the importance of their findings.
(0:13:34) - Combat Medical Procedures and Training (6 Minutes)
We discuss the knowledge and skills that general surgeons need to have when deploying, such as the tasks identified in the Individual Critical Task List (ICTL) and the Knowledge Skills and Abilities (KSA) project. We bring up the importance of having an airway plan for facial fractures, securing an airway for mid-phase instability, and using external fixation for most fractures. We also touch on the goal of getting life-saving treatment within an hour and explore what medics can be trained to do in head and neck injuries requiring a tracheostomy or lateral canthotomy.
(0:19:18) - Head & Neck Trauma Care in Combat (10 Minutes)
We look at the need for specialized teams of head and neck surgeons and the equipment they require in order to provide comprehensive support to Role 3 MTFs. We discuss the challenges of providing this specialized care, including the need for rapid telehealth support and feedback to those at Role 1 and 2 MTFs. We then focus on the importance of data collection and documentation and the impact this has on the ability of epidemiologists to access the data needed to make informed decisions. Finally, we analyze the next steps needed to improve the training and equipping of units for managing head and neck trauma.
(0:29:31) - Improving Head & Neck Trauma Care
We discuss the importance of medical evacuation teams and their role in providing care to injured service members. We examine the impact of recent conflicts on the availability of resources for head and neck trauma cases and how this has necessitated the use of specialized teams and equipment. We also look at the training requirements for medical evacuation teams and the need for increased coordination between different branches of the military.
EPISODE KEYWORDS
Head & Neck Trauma, Military Medicine, Deployed Surgeons, Individual Critical Task List, Knowledge Skills & Abilities, Airway Plan, Mid-Phase Instability, External Fixation, Tracheostomy, Specialized Teams, Telehealth Support, Data Collection, Documentation, Medical Evacuation Teams, Training Requirements, Coordination, Military Branches
#Military #Medical #Podcast #WarDocs #HeadandNeckTrauma #SurgicalTeams #ICTLS #KSAs #MilitaryMedicine #Telemedicine #Training #AustereEnvironments #JointTraumaSystem #JTS
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
Monday May 15, 2023
Monday May 15, 2023
Military Medicine & WarDocs present: "A Ready Medical Force Special Collection"
MILMED-D-21-00296: Lessons Learned During Prolonged Care of Combat Casualties by a Minimally Manned Surgical Team
EPISODE SUMMARY
Discover the realities of providing medical care in combat zones with our special guest, Army Lieutenant Colonel Richard Lesperance, MD, an Active Duty Trauma Surgeon who has faced the unique challenges of working in austere Role II facilities. Learn from Rich's invaluable experiences as we discuss his paper, "Lessons Learned During Prolonged Care of Combat Casualties by a Minimally Manned Surgical Team," published in the Journal of Military Medicine, and uncover the crucial insights gained from these high-pressure situations.
In this eye-opening conversation, we delve into the world of Crisis Standards of Care and their application in the battlefield setting, comparing their usage during the COVID pandemic to their role in deployed environments with limited resources. Join us as we explore how to prepare junior team members for life-or-death scenarios, approach after-action reviews, and equip surgical teams to handle prolonged care scenarios in the future. Don't miss this compelling and insightful discussion with LTC Richard Lesperance, MD as we reveal the crucial lessons learned from the frontlines of combat medicine.
EPISODE CHAPTERS
(0:00:01) - Prolonged Care in Combat Zones
(0:12:16) - Preparing for Prolonged Casualty Care
EPISODE CHAPTER SUMMARIES
(0:00:01) - Prolonged Care in Combat Zones (12 Minutes)
Army Lieutenant Colonel Richard Lesperance, MD, an Active Duty Trauma Surgeon with a wealth of experience in working in austere Role II facilities, joins us to explore the concerns that arise when a small surgical team is required to provide prolonged casualty care in an austere environment, and the importance of lessons learned from such experiences. Rich shares his paper in the Journal of Military Medicine titled "Lessons Learned During Prolonged Care of Combat Casualties by a Minimally Manned Surgical Team". He explains what an FRSD (Forward Resuscitative Surgical Detachment) is, and how they are prepared to care for critically injured patients. Rich shares two cases from his deployment in Afghanistan, and how his team had to extend care beyond the expected evacuation time frame.
(0:12:16) - Preparing for Prolonged Casualty Care (7 Minutes)
We explore the role of Crisis Standards of Care and how they are applied in an FST on the battlefield. We examine how the concept of Crisis Standards of Care was used during the COVID pandemic and how that is applied to a deployed environment with limited resources. We discuss how to prepare junior team members for patients who may not survive due to lack of resources, and how to approach after-action reviews. Ultimately, we look at how to better equip teams for prolonged care scenarios and how to properly train for the future.
EPISODE KEYWORDS
Combat Medicine, Trauma Surgeon, Prolonged Care, Austere Environments, Crisis Standards of Care, Minimally Manned Surgical Team, Journal of Military Medicine, Forward Surgical Team, COVID Pandemic, Limited Resources, Junior Team Members, After-Action Reviews, Life-or-Death Scenarios, Preparing for Prolonged Care, Training for the Future
#Military #Medical #Podcast #WarDocs #ProlongedFieldCare #SurgicalTeams #Trauma #MilitaryMedicine #Telemedicine #Training #AustereEnvironments #JointTraumaSystem #JTS #CrisisCareStandards
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
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Monday May 15, 2023
Monday May 15, 2023
Military Medicine & WarDocs present: "A Ready Medical Force Special Collection"
MILMED-D-22-00390R1: “The Impact of The Maritime Deployment Cycle on the Surgeon’s Knowledge, Skills, and Abilities”
EPISODE SUMMARY
Discover the intricacies of maritime deployment cycles and their impact on surgeons' knowledge, skills, and abilities in our engaging conversation with Navy Captain and Trauma Surgeon Matthew D. Tadlock, MD. As Chair of the Joint Trauma System Committee on Surgical Combat Casualty Care, Matt shares his expertise on pre-deployment training for maritime surgical teams and its effects on their practice in Military Treatment Facilities (MTFs). We also delve into the three primary surgical teams deployed in maritime environments: Aircraft Carrier Surgical Teams, Fleet Surgical Teams, and the Expeditionary Resuscitative Surgical System (ERSS).
Learn how Navy Medicine is leveraging teleconsultation and telemedicine to support less experienced surgeons on deployments and bridge gaps in training. We uncover innovative solutions for junior surgeons to gain experience in rare cases such as ectopic pregnancies and testicular torsions, including providing colleague support from larger MTFs. Furthermore, we discuss the Maritime Surgery Quality Improvement Program, which collects crucial data to help improve training for maritime deployments.
Matt highlights the importance of robust MTFs and military-civilian partnerships for delivering top-notch care in trauma, burn, and critical care. We discuss the potential of simulation training in scenario-based environments and the need for a maritime-specific curriculum to prepare surgeons before deployment. Emphasizing the distinction between training and clinical skill sustainment, our guest underscores the significance of maintaining optimum performance in austere environments. Don't miss this insightful episode with Navy Captain Matthew D. Tadlock!
EPISODE CHAPTERS
(0:00:01) - Maritime Deployment's Impact on Surgeons
(0:15:11) - Improving Surgical Teams for Maritime Deployment
(0:20:52) - Improving Clinical Opportunities for Military Surgeons
EPISODE CHAPTERS SUMMARIES
(0:00:01) - Maritime Deployment's Impact on Surgeons (15 Minutes)
We speak with Navy Captain and Trauma Surgeon Matthew D. Tadlock, MD, Chair of the Joint Trauma System Committee on Surgical Combat Casualty Care, about his paper discussing the impact of maritime deployment cycles on surgeons' knowledge, skills, and abilities. We explore the pre-deployment training for maritime surgical teams and how it affects their practice in the MTF. We discuss the three main surgical teams that deploy in the maritime environment, such as the Aircraft Carrier Surgical Teams, the Fleet Surgical Teams, and the Expeditionary Resuscitative Surgical System (ERSS). We learn how maritime deployments can impact the Navy's readiness, and how practical solutions can be implemented to address gaps in knowledge, skills, and abilities.
(0:15:11) - Improving Surgical Teams for Maritime Deployment (6 Minutes)
We discuss the need for more experienced surgeons to go on deployments and how Navy Medicine utilizes teleconsultation and telemedicine. We explore ways junior surgeons can gain experience with rare cases, such as ectopic pregnancies and testicular torsions, by connecting with colleagues at a military treatment facility. We also look at the Maritime Surgery Quality Improvement Program, which collects data to help mitigate gaps in training for maritime deployments. Potential solutions for improvement include developing a single customizable maritime surgical team and creating more military-civilian partnerships to ensure a ready medical force.
(0:20:52) - Improving Clinical Opportunities for Military Surgeons (6 Minutes)
Navy Captain and Trauma Surgeon Matthew D. Tadlock talks about the Maritime Surgery Quality Improvement Program, designed to help military surgeons stay up to date with their skills. He emphasizes the importance of having robust Military Treatment Facilities and military-civilian partnerships in order to provide the best possible care in trauma, burn, and critical care. He also highlights the potential of simulation to provide training in scenario-based environments and the importance of developing a maritime-specific curriculum to prepare surgeons before they deploy. Finally, he stresses the need to make a distinction between training and clinical skill sustainment and why it is essential for the care of any patient in an austere environment.
EPISODE KEYWORDS
Maritime Deployment, Surgeons, Pre-Deployment Training, Surgical Teams, Aircraft Carrier Surgical Teams, Fleet Surgical Teams, Expeditionary Resuscitative Surgical System, Teleconsultation, Telemedicine, Ectopic Pregnancies, Testicular Torsions, Maritime Surgery Quality Improvement Program, Military Treatment Facilities, Military-Civilian Partnerships, Simulation Training, Scenario-Based Environments, Maritime-Specific Curriculum, Clinical Skill Sustainment, Austere Environments
#Military #Medical #Podcast #WarDocs #MaritimeDeployment #SurgicalTeams #NavyMedicine #MilitaryMedicine #Telemedicine #Training #AustereEnvironments #JointTraumaSystem #JTS
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
Monday May 15, 2023
Monday May 15, 2023
Military Medicine & WarDocs present: "A Ready Medical Force Special Collection"
MILMED-D-22-00154: “Ascertaining the Readiness of Military Orthopaedic Surgeons: A Revision to the Knowledge, Skills, and Abilities Methodology”
EPISODE SUMMARY
Discover the crucial factors for Military Orthopedic Surgeon readiness in our thought-provoking discussion with retired Air Force Colonel and Orthopedic Trauma Surgeon, Dr. Patrick Osborn. Together, we explore the updated revision of the Knowledge, Skills, and Abilities (KSA) methodology, examining the KSA project's concerning findings and the process of generating KSA scores to measure readiness in Military Medicine. We also discuss ways to eliminate and realign CPT codes for a more accurate assessment of Military Orthopedic Surgeon readiness.
We dive deeper into the challenges of integrating high-acuity cases from trauma centers into military treatment facilities (MTFs) and how off-duty employment data can be unreliable. Dr. Osborn shares insights on the KSA project's measurement of reps and procedures deemed important and ways to evaluate surgeon competence beyond CPT codes. Our conversation highlights the significance of military medical training, especially in the area of wound debridement, and the roles experience and confidence play in decision-making.
Lastly, we emphasize the need for readiness training for medical personnel and the importance of team experience in developing a Ready Medical Force. Dr. Osborn stresses the necessity for local community buy-in and commitment to supporting an ACS-designated trauma center. Join us in this vital conversation as we uncover the key aspects of improving Military Orthopedic Surgeon readiness and ensuring the competence of our medical forces in times of crisis.
EPISODE CHAPTERS
(0:00:01) - Improving Military Orthopedic Surgeon Readiness
(0:09:04) - Military Facility Readiness & Surgeon Competency
(0:17:33) - Building a Ready Medical Force
(0:24:18) - Future Improvements
EPISODE CHAPTER SUMMARIES
(0:00:01) - Improving Military Orthopedic Surgeon Readiness (9 Minutes)
Col(R) Patrick Osborn, MD discusses his Military Medicine paper: “Ascertaining the Readiness of Military Orthopaedic Surgeons: A Revision to the Knowledge, Skills, and Abilities Methodology” He discusses why the KSA project's findings were concerning; the process by which KSA scores are generated and used to measure readiness in Military Medicine; and how to decide which CPT codes to eliminate and realign to better measure the readiness of Military Orthopedic Surgeons.
(0:09:04) - Military Facility Readiness & Surgeon Competency (8 Minutes)
We discuss the difficulties of bringing high acuity cases from trauma centers into MTFs and how data can be unreliable regarding off-duty employment and moonlighting. We also look at the KSA project and how it measures the number of reps or procedures deemed important, and how we can measure the competence of surgeons beyond the number of CPT codes generated over a period of time
(0:17:33) - Building a Ready Medical Force (7 Minutes)
Dr. Osborn explains the importance of focused military medical training, particularly in the area of wound debridement after combat injuries. We discussed the need to do simple procedures well and how experience and confidence play a role in decision-making. We also discussed the need for readiness training for medical personnel and the importance of team experience in developing a Ready Medical Force. Lastly, we discussed the need for local community buy-in and commitment to support a trauma center.
(0:24:18) – Future Improvements (1 Minute)
We discussed the challenges of bringing high acuity cases from trauma centers into MTFs and how data can be unreliable regarding off-duty employment. We also discussed the need to update the Knowledge-Based Learning System to include the latest developments in trauma medicine.
EPISODE KEYWORDS
Military Orthopedic Surgeon Readiness, KSA Methodology, CPT Codes, Trauma Centers, MTFs, Off-Duty Employment, Reps and Procedures, Debridement, Readiness Training, Team Experience, Local Community Buy-In, Knowledge-Based Learning System, Trauma Medicine
#Military #Medical #Podcast #WarDocs #Orthopedics #Surgeon #SurgicalTeams #MilitaryMedicine #Readiness #Training #Knowledge #Skills #Abilities #KSAs
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