WarDocs - The Military Medicine Podcast

The Role of the Reserves in Military Medicine: USAR BG Jennifer A. Marrast Host, MD

   Step into the boots of Army BG Jennifer A. Marrast Host, our guest on this episode of WarDocs, the Military Medicine podcast. From her origins in Grenada to her current role as Deputy Commanding General Professional Services for the 807th Medical Command deployment support, BG Marrast Host’s journey will leave you astounded and inspired. The insights she shares about the battlefield hardships and the immense emotional toll of her profession are both gripping and poignant.
Get a firsthand account of her time with the 452nd Hospital in Afghanistan and the graphic trauma cases she encountered. Feel the palpable intensity as she narrates the heartbreaking memory of a young burn victim she couldn't save, and how that experience informs her work today. As we traverse through her tenure as a battalion surgeon in Iraq and her time at Task Force Victory in Afghanistan, you'll get an insider view of the daunting challenges of military medical decision-making and how rank plays into it all.
Towards the end of our discussion, BG Marrast Host turns the spotlight onto future military medics. She imparts her wisdom on maintaining balanced dedication between civilian and military commitments and shares invaluable leadership lessons. Wrapping up, she expresses her hopes for her legacy and the future of Army medicine. Regardless of whether you're considering a military medical career or are simply intrigued by the intricate world of military medicine, this episode promises a deeply insightful journey. Don't miss out!
 
 
Chapters:
(00:00) Military Medicine and Leadership Lessons
(09:00) 452nd Hospital Experiences in Afghanistan
(13:14) Challenges in Afghanistan and Iraq
(19:56) Challenges in Military Medicine and Readiness
(39:03) Legacy of Military Medicine
 
Chapter Summaries:
(00:00) Military Medicine and Leadership Lessons
BG Jennifer A Marrast Host shares her journey from Grenada to medical school and the military, discussing the role of reserves in medical missions and leadership lessons for military medical careers.
 
(09:00) 452nd Hospital Experiences in Afghanistan
BG Marrast Host shares her experiences of treating severe trauma in austere conditions in Afghanistan.
 
(13:14) Challenges in Afghanistan and Iraq
Jennifer’s experiences in Afghanistan and Iraq, including medical decision-making, care of soldiers, and setting up an MC4 system, are discussed.
 
(19:56) Challenges in Military Medicine and Readiness
BG Jennifer A. Marrast Host shares her experience of a heartbreaking case in Afghanistan and how it taught her to debrief her team after trauma cases, as well as the challenges of balancing civilian and military jobs.
 
(39:03) Legacy of Military Medicine
BG Marrast Host’s legacy includes her passion for caring for soldiers and modernizing Army medicine.
Listeners Will…..
Embark on a journey from immigrant background to high-ranking military status.
Gain a deep understanding of emotional and physical challenges encountered on the battlefield.
Gain a complex perspective on military medicine, emphasizing the role of leadership, decision-making, and adaptability.
Understand the role and significance of military reserves in medical missions and preparation for large-scale combat operations.
Gain insight into the emotional strain of military medicine through the recounting of a young burn victim in Afghanistan.
Understand the demanding balance between civilian careers and military obligations for reserve medical personnel.
Learn valuable leadership lessons applicable in various contexts.
Recognize the need for military medical personnel to maintain combat skills alongside medical expertise.
Get a glimpse of the aspirations and dedication required to improve care and prepare the next generation of military medics.
Use the podcast as an informative and inspiring resource for anyone considering a career in military medicine or interested in gaining insights into the demands of front-line healthcare.
Episode Keywords:
Military Medicine, Army Brigadier General, Jennifer A. Marrast Host, 807th Medical Command, 452nd Hospital, Afghanistan, Iraq, Trauma Cases, Burn Victim, Battalion Surgeon, Task Force Victory, Medical Decision-Making, Rank, MC4 System, Comfort, Pain Relief, Reserve Component, Modernize Army Medicine, Combat, Fighting Strength
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #BrigGenMarrastHost #WarDocsPodcast #BattlefieldMedicine #LeadershipLessons #TraumaCare #MilitaryHealthcare #CombatMedics #VeteranStories
 
Honoring the Legacy and Preserving the History of Military Medicine
 
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
 
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
 
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
 
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
 
  Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
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LinkedIn: WarDocs-The Military Medicine Podcast
YouTube Channel: WarDocs-The Military Medicine Podcast

Medical Decision Making Under Fire: Military Medical Ethics in War Zones- LTC Jeanne Krick, MD.

   Join the conversation with Lieutenant Colonel Dr. Jeanne Krick, as she brings the weighty world of medical ethics into focus, sharing her journey from Neonatology to being the Army Surgeon General's consultant for Medical Ethics. Our discussion orbits the moral quandaries that surface in military medicine, dissecting the intricate balance between patient autonomy and the rigors of military policy and regulations. Dr. Krick provides a riveting narrative on the daily impact of ethical decision-making and the burgeoning field of bioethics.  Join us for a candid discussion about what it takes to make life-and-death decisions when duty, honor, and humanity intersect.
   As we unpack the layers of Dr. Krick's expertise, the fabric of military medical ethics is revealed in its full complexity. The establishment and significance of ethics committees take center stage, as we navigate through complex scenarios where commanders and medical professionals must align on treatment decisions for service members. Dr. Krick's role in shaping policies at a non-deployed level juxtaposes the high-stakes ethical calls required in active war zones, sparking a conversation on the critical need for robust ethical guidelines and training.
    The forecast for military medical ethics is a combination of change, challenges, and innovation as we look to the horizon where artificial intelligence and human enhancement technologies promise to redefine the boundaries of healthcare. Dr. Krick's insights on the ethical dimensions of AI in medicine, the military's stance on pandemic responses, and the intricacies of cultural sensitivity within patient confidentiality offer a guide for navigating these uncharted waters. Her perspective underscores the importance of early ethicist involvement in policy-making and the role of shared decision-making in aligning medical actions with patients' values.  For medical professionals, ethicists, or anyone intrigued by the moral challenges of healthcare, this episode is an indispensable look into the courageous work of those who serve in medicine's toughest arenas.
 
Chapters:
(00:00) Exploring Medical Ethics and Consultations
(10:21) Military Medical Ethics and Committees
(18:23) Ethics in Healthcare and Deployed Settings
(30:28) Cultural Differences and Patient Confidentiality
(36:19) AI Impact on Medical Ethics
(44:54) Medical Ethics and Decision-Making Challenges
(50:03) Future of Military Medical Ethics
 
Chapter Summaries:
(00:00) Exploring Medical Ethics and Consultations
Dr. Jeanne Krick discusses the impact of her bioethics training and education on her problem-solving approach in military medicine and the evolving horizon of medical ethics.
(10:21) Military Medical Ethics and Committees
Military medical ethics, diverse committees, and educational opportunities for ethical training within the military healthcare system.
(18:23) Ethics in Healthcare and Deployed Settings
Patient-centered care, organizational ethics, resource allocation, and treatment of enemy combatants in deployed environments.
(30:28) Cultural Differences and Patient Confidentiality
Cultural differences in medical ethics, patient autonomy, confidentiality, and military readiness are discussed with real-life scenarios.
(36:19) AI Impact on Medical Ethics
Ethical considerations in AI healthcare, human enhancement in the military, and balancing autonomy and mission readiness during pandemics.
(44:54) Medical Ethics and Decision-Making Challenges
Equipping medical students with ethical tools, understanding principles and care, reconciling legal constraints, and debating neonatology.
(50:03) Future of Military Medical Ethics
Future of medical ethics in military medicine, involving ethicists in policy-making, rapid decision-making in emergencies, and balancing guidance with patient wishes.
Take Home Messages:
Medical ethics in the military setting require balancing individual autonomy with military protocol, highlighting the unique ethical challenges faced by military medical professionals.
The journey from neonatology to a consultant for the Army Surgeon General underscores the importance of interdisciplinary backgrounds and analytical thinking in navigating complex ethical decisions in military medicine.
The role of ethics committees in military medical treatment facilities is critical, offering diverse perspectives and aiding in difficult decision-making processes when commanders and medics must align on service member treatment.
Ethical training and guidelines are essential for military healthcare providers, particularly in deployed settings where high-pressure situations demand rapid and morally sound decision-making.
Cultural sensitivity and confidentiality issues present unique ethical dilemmas in military medicine, necessitating careful consideration of cultural relativism and the intent behind sharing medical information within the command structure.
The advent of artificial intelligence and human enhancement technologies in healthcare brings forth new ethical dimensions that require transparency and the involvement of ethicists to ensure moral foundations are integrated.
The COVID-19 pandemic has highlighted the need for robust ethical frameworks in military medicine, particularly regarding vaccinations and individual autonomy versus mission readiness.
Early ethicist involvement in policy-making and shared decision-making processes is key to aligning medical actions with patients' values, ensuring that care remains patient-centered even amidst rapid changes in the medical landscape.
Medical students, especially those in military programs, must be equipped with a strong ethical toolkit to face the challenges of contemporary and future medical practice, including varying treatment approaches and legal constraints.
The future of military medical ethics points towards an increase in formal ethics training and the early incorporation of ethical considerations in policy-making to better prepare for complex situations such as pandemics and large-scale combat operations.
 
Episode Keywords:
Medical Ethics, Military Medicine, Bioethics, Ethical Decision-Making, Patient Autonomy, Military Protocol, Ethics Committees, Artificial Intelligence, Cultural Sensitivity, Patient Confidentiality, Healthcare, Ethics Consultations, Military Healthcare System, Ethical Training, Organizational Ethics, Resource Allocation, Combat Operations, Cultural Relativism, AI Algorithms, Human Enhancement, Informed Consent, Pandemic Response, Vaccinations, Harm Principle, Ethical Toolkit, Ethics of Care, Legal Constraints, Neonatology, Formal Ethics Training, Shared Decision-Making, Emergency Situations, Guidance
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicalEthics #DrJeanneKrick #BioethicsInUniform #HealthcareOnTheFrontlines #EthicalDecisionMaking #ArtificialIntelligenceEthics #PatientAutonomy #MedicalEthicsTraining #NeonatologyEthics #CulturalSensitivityInMedicine
 
Other Medical Ethics Resources:
-DoD Medical Ethics Center- https://www.usuhs.edu/research/centers/dmec The DMEC is situated out of USUHS and has several resources for those in uniform on medical ethics (I am a little embarrassed that I forgot to mention them in the actual interview last night...). Their website has a link to their internal training course, which is really a series of YouTube videos that cover some basic bioethics topics. They also have an app (I believe it's available through all the usual sources and on all devices) that is free to download and has plenty of resources. The app could be a great resource for folks looking for more material, especially in austere environments. 
 
-American Society for Bioethics and Humanities- https://asbh.org/ This is the main organization for medical ethics within the US. There are links to many helpful resources on their site, including professional development, endorsed meetings, and guidelines/standards for clinical ethics consultation. 
 
Honoring the Legacy and Preserving the History of Military Medicine
 
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
 
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
 
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
 
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
 
  Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast

LTG Telita Crosland, MD- Keys to Successful Mentorship- What Should a Mentor Know?

      Dr. Crosland is a graduate of West Point and the Uniformed Services University of Health Sciences.  She is board-certified by the American Board of Family Medicine and is a Fellow of the American Academy of Family Physicians. She has held many significant responsibilities in her Army Medicine Career.  She currently serves as the Director of the Defense Health Agency. 
   On this episode of our Military Medical Mentorship Moments Series, LTG Crosland focuses on important things that successful mentors know.  You will hear her provide insightful answers to the following questions:
How do you choose a Mentee?
What are the characteristics of effective mentors?
How many Mentees should you have? Does it matter?
What are some Mentor competencies?
What “process skills” are necessary for Mentors
How do you know you are ready to be a Mentor?
How do you prepare to be a mentor?
What are some “Don’ts” for a Mentor
What do you do if the relationship is not working out or you just want out?
Personal Reflections on Mentorship
Who was your most influential mentor? Why
What was the best advice you got from a mentor?
What do you know now that you wish you would have learned much earlier?
What characterizes a “good” or “not so good” mentorship relationship from your experience? Provide examples
What is some practical advice for someone interested in mentoring or being mentored? What are the next steps to take?
Telita shares many insights and mentorship lessons learned over a distinguished career. You don’t want to miss this special episode!
 
Take Home Messages
Mentorship in military healthcare is a critical aspect of professional development, with nuances unique to the armed forces environment.
Effective mentors within the military medicine context are approachable, self-aware, and invested in the growth and development of their mentees.
A successful mentor-mentee relationship requires clear communication, commitment from both parties, and the alignment of career guidance with personal aspirations.
Mentors in military healthcare often have to navigate their mentees' professional paths while considering work-life balance and family commitments.
One key to effective mentorship is the mentor's ability to provide honest feedback and advocate for their mentees when necessary.
It's essential for mentors to avoid imposing their own career ambitions on mentees, as this can strain the relationship and hinder the mentee's individual growth.
Mentorship is a dynamic process, and the readiness to mentor comes when one becomes genuinely excited about aiding in the development of others.
Mentors should proactively reach out to potential mentees they believe they can help, showcasing the proactive nature of mentorship in fostering future leaders.
Both mentors and mentees can benefit from formal mentorship programs, but the most impactful relationships are often organic and based on mutual respect and investment.
Mentorship is not just about climbing the ranks; it's about lifting others as you go, embodying the ethos of leadership within the military healthcare system.
 
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
 
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
 
  Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
 

Military Medicine and Leadership: A Conversation with Retired Navy RADM Terry Moulton

     Ever wondered what it takes to lead in one of the world’s most challenging environments, the US Navy? Do you find yourself intrigued by the thought of making critical decisions under immense pressure? Then this episode is for you. As we sit down with retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton, we uncover a lifetime of leadership lessons, critical decision-making insights, and stories from his remarkable 37-year-long career. Admiral Moulton shares his experiences deployed during Operation Desert Storm to the heart of the Pentagon on one of the darkest days in US history.
 In our conversation, Admiral Moulton delves into the challenges he faced during his deployment on the USS Nimitz, his time in Okinawa, and the unforgettable experience of being in the Pentagon on 9/11. His accounts of these events, woven with lessons on leadership, draw a vivid picture of the realities of Military Medicine. You will hear about the intuitive decisions Admiral Moulton made to handle patient safety concerns, his performance-based approach to promotions, and the importance he placed on trusting his staff. His story illustrates the courage, resilience, and dedication necessary to thrive in high-stakes environments.
   RADM (Ret) Moulton opens up about his time leading the Tidewater Multiservice Market Office. His unique perspective on uniting the three Services, aligning with the needs of the MHS, and managing dual responsibilities offers invaluable advice for those navigating leadership roles within similar structures. Whether you're a veteran, on active duty, or simply interested in learning about leadership from a unique perspective, this episode promises a wealth of wisdom and a deeper understanding of Military Medicine. Terry's wisdom and advice, combined with his fascinating experiences, make this episode a must-listen for anyone seeking inspiration and leadership guidance.
Chapters:
(0:00:00) - Lessons From Early Years in Navy Medicine
(0:05:28) - Military Assignments, Mentoring, and Medical Readiness
(0:12:08) - Military Experience Around 9/11
(0:19:04) - Leadership Challenges in Okinawa and During Deployment
(0:26:18) - Leadership Approach in Multiservice Market
 
Chapter Summaries:
(0:00:00) - Lessons From Early Years in Navy Medicine (5 Minutes)
We speak with retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton. Admiral Moulton shares his story of joining the Navy, his deployment lessons learned aboard the USS Nimitz, and the experience of being in the Pentagon on 9-11. He provides advice to those advancing in roles with increased levels of accountability and responsibility. Admiral Moulton also shares his understanding of how enhanced multi-service markets and managed care support contractors can enable a ready medical force and a medically ready force. We discuss his early years and his early assignments, his roles and responsibilities, and the leadership lessons he learned. Join us as we explore these topics and more with Admiral Moulton.
 
(0:05:28) - Military Assignments, Mentoring, and Medical Readiness (7 Minutes)
Retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton reflects on his experience joining the Navy and the people who had a lasting impact on his career. He recounts his deployment on the USS Nimitz during Operation Desert Storm, and his efforts to ensure medical readiness on the ship. Finally, Admiral Moulton shares how the USS Midway Fire After-Action Report informed his approach to medical readiness.
 
(0:12:08) - Military Experience Around 9/11 (7 Minutes)
RADM (Ret) Moulton recalls his time serving in the Pentagon on 9/11. He reflects on the events of that day and how staying in the Pentagon to help set up a triage station transformed his future medical and military service. He speaks about the training he had done in the past that prepared him for this moment and the leadership challenges he faced when he was put in command roles.
 
(0:19:04) - Leadership Challenges in Okinawa and Navy (7 Minutes)
RADM (Ret) Moulton reflects on his leadership challenges in Okinawa. He discusses how he addressed patient safety concerns and relied on his intuition when making decisions. Admiral Moulton also shares his involvement in the planning for the evacuation of US citizens from mainland Japan and his role in ensuring their safe arrival to Okinawa. He emphasizes the importance of trusting his staff and the performance-based approach to promotion boards.
 
(0:26:18) - Leadership Approach in Multiservice Market (17 Minutes)
Terry speaks about his experience leading the Tidewater Multiservice Market Office. Admiral Moulton shares his approach to leading the three services with a focus on unity of effort and alignment with what the MHS needed. He then offers advice to the nine DHA directors and MTF directors on how to effectively communicate direction and understand their dual-hatted responsibilities. Lastly, Admiral Moulton counsels those in leadership positions on resolving conflicts between the hats they are wearing.
 
Take Home Messages:
Leadership often involves tackling difficult situations with honesty and integrity, whether it's addressing patient safety concerns or making critical decisions in high-pressure situations.
Trusting your staff and adopting a performance-based approach to promotions are key leadership principles in any organization.
When leading diverse teams, it's crucial to unite everyone with a common vision and align them with the organization's needs.
Good leaders communicate effectively, providing clear direction and follow-ups. They ensure their teams understand what is important and what needs to be executed.
It's essential for leaders to understand their dual responsibilities and roles, particularly in complex organizations where they might be wearing different 'hats.'
Effective leadership requires an understanding of when to delegate tasks and when to be directly involved, often trusting one's gut instinct to make this decision.
In challenging times, such as the evacuation of citizens during a crisis, leaders must make quick decisions, trust their staff, and have a plan in place to ensure safety and security.
In healthcare, patient safety and quality of care should always be the top priorities. Leaders should pay close attention to these aspects and act promptly on any concerns.
Mentorship is a valuable tool in leadership. It's important to learn from senior leaders and, in turn, guide those who are new to the organization or role.
Embracing change and adaptability are critical to leadership. With changing scenarios, leaders must be ready to adapt their strategies and reassure their teams about the future.
Episode Keywords:
Navy, Medical Service Corps, Terry J Moulton, USS Nimitz, Operation Desert Storm, Pentagon, 9/11, Leadership Challenges, Medical Readiness, Military Assignments, Mentoring, Evacuation of US Citizens, Performance-Based Approach, Multiservice Market, DHA Directors, MTF Directors, Unity of Effort, Alignment with MHS, Effective Communication, Dual-Hatted Responsibilities, Conflict Resolution, Local Civilian Medical Providers, Quality Care for Veteran Patients, Leadership Impact
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #NavyLeadership #MilitaryMedicine #TerryMoulton #RearAdmiralInsights #Pentagon911 #LeadershipPrinciples #TidewaterMultiservice #MilitaryCareer #LeadershipChallenges #DHAAdvice
 
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

The Cutting Edge of Military Medicine in Sports- From the Deck to the Field: CAPT(R) Matthew Provencher, MD, MBA

Episode Summary:
   Retired Navy Captain Dr. Matthew Provencher shares his incredible journey from the decks of the USNS Mercy to the sidelines with the New England Patriots, revealing the profound connections between military orthopedics and sports medicine. His stories take us from the skies he once dreamed of conquering as a fighter pilot to the operating rooms where he honed his skills in orthopedics sports medicine, ultimately shaping the future of musculoskeletal injury research. Dr. Provencher's unique perspective not only discusses his transformative work in developing the Special Forces Tactical Athlete Program but also delves into the global impact of military medicine on orthopedic care. His stories will captivate you, revealing the profound impact of military medicine both in the field and on the homefront.
     Feel the ocean's swell as we set sail on the USNS Mercy, where Dr. Provencher once led surgical teams on life-saving missions. He recounts the evolution of these floating hospitals, detailing their critical role in disaster relief and humanitarian aid. As we navigate through his experiences, the leadership lessons gleaned from his tenure resonate with anyone seeking to foster accountability, integrity, and inclusive environments—whether at sea or in any professional setting. The lessons learned extend far beyond the operating room, spotlighting the core values of accountability and integrity that resonate in any high-pressure environment. His accounts of international collaboration and safety-forward medical practices on these ships underscore military medicine's extraordinary capabilities and adaptability.
     The podcast wraps up with Dr. Provencher transitioning from the high-stakes world of the NFL to providing second opinions for athletes across the sports spectrum. He reflects on pioneering surgical approaches born from the battlefield that have advanced orthopedic practices, sharing an anecdote involving Coach Bill Belichick that perfectly encapsulates the nexus of military service and professional sports. Through these discussions, Dr. Provencher illuminates the ever-present thread of innovation and excellence that military medicine weaves throughout the fabric of societal health and well-being.
 
Chapters:
(00:00) Military Medicine and Orthopedic Training
(09:49) Military Sports Medicine and Humanitarian Missions
(17:10) Leadership Lessons From a Hospital Ship
(23:21) Ophthalmology, Cataract Surgery, and Military Orthopedics
(31:08) The Evolution of Military Fitness Programs
(44:50) Sports Medicine and Military Orthopedics Advances
(50:00) Military Medicine and NFL Experiences
 
Chapter Summaries:
(00:00) Military Medicine and Orthopedic Training
Retired Navy Captain Dr. Matthew Provencher's journey from Naval Academy to medical career, experiences as orthopedic surgeon, and contributions to research.
 
(09:49) Military Sports Medicine and Humanitarian Missions
Military sports medicine, treating complex battlefield injuries, innovative techniques, collaborative efforts, humanitarian missions, rewarding aspects.
 
(17:10) Leadership Lessons from a Hospital Ship
US Navy's hospital ships, their capabilities and operations, evolution of use, leadership challenges, and importance of safety in medical operations.
 
(23:21) Ophthalmology, Cataract Surgery, and Military Orthopedics
Nature's challenges in performing cataract surgeries in equatorial regions, the importance of ophthalmology in medical diplomacy, and the establishment of the Military Orthopedic Tracking Injuries Network (MOTION).
 
(31:08) The Evolution of Military Fitness Programs
The evolution of the Tactical Athlete Program for Special Warfare personnel, collaborative efforts to enhance soldier readiness and resilience, and strategies for preventing and treating common injuries.
 
(44:50) Sports Medicine and Military Orthopedics Advances
Sports medicine advancements, military lessons, and SOMOS collaborations enhance orthopedic care and research for athletes.
 
(50:00) Military Medicine and NFL Experiences
Transition from NFL to medical second opinions, military case of ankle bone in shoulder reconstruction, and intersection of sports and military service.
 
Take Home Messages:
Military discipline can significantly influence and improve sports medicine practices, fostering a culture of accountability and precision.
The integration of military medical techniques in sports medicine has been transformative, especially in the development of programs for elite athletes like those in the NFL.
Hospital ships such as the USNS Comfort and Mercy play a crucial role in disaster relief and humanitarian aid, highlighting the adaptability of military medicine.
Leadership skills honed in military environments, including accountability and creating inclusive workspaces, are invaluable in any professional setting.
The evolution of military fitness programs has led to a reduction in injury rates and improved recovery processes, benefiting the broader military and potentially civilian populations.
Innovations in orthopedic surgery and treatment, such as the bridge-type repair for tendon injuries and the use of biologics, have been spurred by military medical research.
Collaboration between military and civilian surgeons through organizations like the Society of Military Orthopedic Surgeons is critical for advancing orthopedic care and research globally.
Military medicine's focus on fundamental training, such as thorough histories and physical exams, is essential for diagnosing and treating injuries when advanced technology is not available.
The importance of comprehensive fitness, wellness, and rehabilitation programs in professional sports has roots in military medicine practices.
The episode underscores the continuous thread of innovation, excellence, and global impact that military medicine contributes to societal health and well-being.
 
Episode Keywords:
Military Medicine, Orthopedic Training, Sports Medicine, Humanitarian Missions, Leadership Lessons, Hospital Ships, Ophthalmology, Cataract Surgery, Military Orthopedics, Military Fitness Programs, Tactical Athlete Program, Special Warfare, Sports Injuries, Biologics, Professional Sports, NFL, Second Opinions, Military Service, WarDocs Podcast
 
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #SportsMedicine #DrMatthewProvencher #OrthopedicSurgery #NavyToNFL #TacticalAthleteProgram #USNSMercy #LeadershipLessons #InjuryPrevention #HumanitarianMissions
 
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

Saving Lives on the Battlefield: Pioneering Progress in Combat Care- Col(Ret) Warren Dorlac, MD

   This podcast contains remarks from a JUN 23 presentation by Dr. Warren Dorlac to the Excelsior Surgical Society.
    Prepare to be enlightened as we embark on an insightful journey into the world of combat casualty care with trauma surgeon and military veteran Dr. Warren Dorlac. With his firsthand experience from multiple deployments and active role in the American College of Surgeons, Dr. Dorlac offers an unparalleled perspective on the evolution of battlefield medicine over the past two decades. We explore impactful initiatives like the Ranger Regiment's life-saving mission to eliminate preventable deaths and the profound influence of Secretary Gates' mandate to expedite surgical care for combat patients. Prepare to delve into the complexities of paramedic involvement in the battlefield and the vital importance of continuous in-route care.
   Dr. Dorlac puts the spotlight on extremity trauma management and the multitude of challenges it presents in military settings, from temporary vascular shunts to the alarming rise in osteomyelitis cases in long-term patient follow-ups. He focuses on the high re-operation rates in major lower extremity amputations and the game-changing role of initiatives like the Integrated Orthotic Rehabilitation Initiative in returning our brave service members to duty. He also reflects on the critical role of CCATT in military casualty care and how it's revolutionizing the field.
   Wrapping up his discussion, Dr. Dorlac delves into the remarkable advancements in military trauma care from 1993 to 2012 and covers the courageous efforts of the Ukrainian military's tactical healthcare initiatives in their ongoing conflict with Russia. He highlights the indispensable role of education, collaboration, and technological innovations in this field, with a special mention of the groundbreaking REBOA catheter. From the pivotal development of the Acute Lung Rescue Team to the enriching insights brought by civilian surgeons through the Senior Visiting Surgeon Program, Dr. Dorlac leaves no stone unturned. This enlightening episode is a must-listen for anyone interested in the intricate world of military medicine, where lives are saved on the front lines every day.
 
Chapters:
(00:00) Innovations in Combat Casualty Care
(17:01) Vascular Shunts, Infections, Amputations, Rehabilitation
(25:29) Advancements in Military Trauma Care
(30:48) Ukrainian Military's Tactical Healthcare Initiatives
 
Chapter Summaries:
(00:00) Innovations in Combat Casualty Care
   Combat casualty care advancements and challenges, eliminating preventable deaths, in-route care, and need for paramedics in the field.
 
(17:01) Vascular Shunts, Infections, Amputations, Rehabilitation
   Nature's extremity trauma management in military settings, including vascular shunts, venous repair, transport time, infections, amputations, irrigation, orthosis, and rehabilitation.
 
(25:29) Advancements in Military Trauma Care
   Advancements in military trauma care from 1993-2012, including transport challenges, education, collaboration, and technological innovations, leading to decreased case fatality ratio.
 
(30:48) Ukrainian Military's Tactical Healthcare Initiatives
   Military medical care in conflict zones: tactical combat training, rethinking traditional practices, damage control, continuity of care, and evacuation challenges.
 
Take Home Messages:
Battlefield medicine has undergone significant evolution over the past two decades, with considerable advancements in combat casualty care.
The Ranger Regiment has been at the forefront of efforts to eliminate preventable deaths in pre-hospital settings on the battlefield, highlighting the importance of mastery and continuous rehearsal of basic life-saving skills.
The mandate to deliver surgical care to combat patients within an hour has substantially improved survival rates, underscoring the critical nature of rapid medical intervention in combat zones.
Continuous in-route care and the presence of paramedics in the field are vital for improving outcomes for military personnel who sustain injuries during combat.
The management of extremity trauma, particularly in military settings, presents unique challenges that have led to innovations like temporary vascular shunts and increased focus on preventing osteomyelitis in long-term patient care.
Rehabilitation initiatives, such as the Integrated Orthotic Rehabilitation Initiative, are transformative in helping service members return to duty and maintain unit cohesion and operational readiness.
The introduction of CCATT (Critical Care Air Transport Teams) has revolutionized the transport of critically injured service members, ensuring they receive the necessary care during transport from the combat zone to medical facilities.
Military trauma care from 1993 to 2012 witnessed remarkable advancements, with a decrease in case fatality ratios despite an increase in the severity of injuries, demonstrating improved effectiveness of trauma care systems.
Education, collaboration, and technological innovations are crucial in advancing military medicine and enhancing the ability to save lives in combat scenarios, as seen with tools like the REBOA catheter.
Tactical healthcare initiatives, such as those adopted by the Ukrainian military, illustrate the ongoing need to adapt and improve combat casualty care in response to different conflict environments and challenges.
Episode Keywords:
Combat Casualty Care, Trauma Surgeon, Military Veteran, American College of Surgeons, Battlefield Medicine, Preventable Deaths, Secretary Gates, Surgical Care, Paramedic, Extremity Trauma Management, Vascular Shunts, Osteomyelitis, Lower Extremity Amputations, Integrated Orthotic Rehabilitation Initiative, CCATT, Advancements, Military Trauma Care, Ukrainian Military, Tactical Healthcare Initiatives, Education, Collaboration, Technological Innovations, Acute Lung Rescue Team, Senior Visiting Surgeon Program, Conflict Zones, Targeted Attacks, Medical Personnel, Military Damage Control Techniques, Continuity of Care, Evacuation
Hashtags:
#BattlefieldMedicine #CombatCasualtyCare #MilitaryTrauma #LifeSavingInnovations #TraumaSurgery #MilitaryMedics #WarriorHealth #TacticalHealthcare #MedicalAdvancements #VeteranSurgeons
 
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
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Combat Surgery Series Episode 3: Pediatric Trauma Care in Military Medicine with COL John Horton

Get ready to be captivated as we sit down with COL Dr. John Horton, Chief of Pediatric Surgery at Madigan Army Medical Center and Deputy Consultant to the US Army Surgeon General for General Surgery. This episode is packed with insights, as Dr. Horton lifts the veil on the realities and complexities of pediatric trauma care within military confines. Embrace the opportunity to discover the unique curriculum designed by the American College of Surgeons specifically for the military, and examine how pediatric trauma cases accounted for 7% of US military hospital admissions during recent conflicts. Learn why treating these fragile young patients can induce a sense of guilt among the medical staff.
Our conversation with Dr. Horton takes a fascinating turn as we delve into his experiences of telecommunication surgery using FaceTime, and the wisdom he shares during these crucial interactions. Listen closely as he narrates the intricate processes of an infant's complex surgery, highlighting the hurdles faced surgical care in maintaining the baby's airway and IV access. This episode underscores the central role of decisive action and confidence, particularly when one is operating outside of their comfort zone. At the heart of the discussion lies the invaluable advice for anyone preparing for deployment in pediatric trauma care. Join us for this illuminating episode that underscores the critical role of pediatric trauma care in military medicine.
--------- EPISODE CHAPTERS ---------
(0:00:00) - Pediatric Trauma Care in the Military
Dr John Horton discusses pediatric trauma care in the military, the American College of Surgeons' curriculum, and his approach to pediatric patient care.
(0:15:10) - Pediatric Trauma Surgery Challenges & Preparation
Dr John Horton provides telecommunication surgery advice, discussing an infant's atresia, airway maintenance, ventilator removal, and decision-making in pediatric trauma care.
 

Innovations in Hemorrhage Control- Inside the World of Tactical Medicine: John M. Croushorn, MD, FACEP

   Step into the vanguard of battlefield medicine with Dr. John M. Croushorn, an engineer-turned-emergency physician whose innovations are redefining trauma treatment. From his pivotal career switch of joining Army Medicine post-9/11 to creating the Abdominal Aortic Junctional Tourniquet (AAJT-S), this episode weaves together the personal and the technical, providing an intimate look at the challenges and triumphs of military medicine.
  As we converse with Dr. Croushorn, you'll be transported to the front lines of tactical emergency medical solutions, where the origins of such practices in the military and law enforcement laid the groundwork for today's life-saving techniques. Discover the birth of the AAJT-S, spurred by tragedy and necessity, and how a chance encounter with a Special Forces Medic brought the device's development full circle. This narrative captures the essence of innovation — where creativity meets critical needs, and every step in the design process can mean the difference between life and death. The trenches of tactical medicine are filled with stories of lives saved and legacies forged, and each tale tightens the bond between trauma care advancements and those who stand ready at the front lines.
  Dr. Croushorn continues to pull back the curtain on the dynamic field of military medicine, guiding us through the application of junctional tourniquets and their profound impact on saving lives in pre-hospital scenarios. We'll also cast an eye to the future, examining ongoing research and the global implications of these medical advancements. Hear tales of the AAJT-S's deployment in diverse environments, from the deserts of the Middle East to the conflict in Ukraine, and learn how this technology is not just a tool but a testament to human resilience and the relentless pursuit of advancing trauma treatment.
 
Chapters:
(00:00) Military Medicine and Trauma Treatment Innovation
(15:08) Developing Tactical Emergency Medical Solutions
(21:26) Junctional Tourniquets for Hemorrhage Control
(35:19) Junctional Tourniquet Application and Future Innovations
(45:38) Physiologic Effects of a Cardiac Device
 
Chapter Summaries:
(00:00) Military Medicine and Trauma Treatment Innovation
Former Army Medical Corps officer shares journey from engineering to military medicine, including deployment experiences and innovative contributions.
 
(15:08) Developing Tactical Emergency Medical Solutions
Tactical medicine's role in the FBI, development of the AAJT-S for pelvic bleeding, and a serendipitous encounter with a Special Forces Medic.
 
(21:26) Junctional Tourniquets for Hemorrhage Control
Junctional tourniquets are crucial in trauma care, effectively controlling hemorrhage in extremity-torso junctions and surpassing other methods.
 
(35:19) Junctional Tourniquet Application and Future Innovations
Versatile junctional tourniquet device for pediatric to 64-inch circumference patients, efficacy compared to REBOA, and use in trauma centers and NCTH.
 
(45:38) Physiologic Effects of a Cardiac Device
Innovative application of the AAJT-S has shown impressive results in traumatic cardiac arrest scenarios, leading to protocol changes and ongoing studies in Ukraine.
 
Take Home Messages:
The tragic events of 9/11 inspired a shift in career from electrical engineering to Military Medicine, highlighting the profound impact significant historical events can have on individual life choices.
The development of the Abdominal Aortic Junctional Tourniquet (AAJT-S) marked a significant advancement in pre-hospital trauma care, particularly for severe hemorrhage control in areas where traditional tourniquets are ineffective.
Innovation in military medical devices can stem from unexpected places, including the adaptation of materials like bike shop inner tubes, demonstrating resourcefulness in the face of challenges.
Collaboration between medical professionals and those with hands-on battlefield experience, such as Special Forces Medics, is crucial for the practical development of life-saving medical technologies.
Tactical emergency medical solutions, like the AAJT-S, have evolved to meet the specific needs of military and emergency response situations, including combat scenarios and disaster relief efforts.
The versatility of junctional tourniquets makes them a critical tool not only for the military but also for civilian emergency services, as evidenced by their use by air ambulance services and fire departments.
Emergency Medicine is continually advancing, with a focus on developing solutions for non-compressible torso hemorrhage, which presents new challenges in the field of trauma care.
Groundbreaking research into the physiologic effects of medical devices in traumatic cardiac arrest scenarios is paving the way for updated emergency protocols and potentially higher survival rates.
The global impact of military medical innovations can be seen in various international settings, including conflict zones like Ukraine, where they play a vital role in saving lives on the battlefield.
Effective hemorrhage control, particularly in junctional areas, is essential for improving survival rates in trauma patients, emphasizing the importance of continuous innovation and application of medical devices in pre-hospital settings.
 
Episode Keywords:
Military Medicine, Trauma Treatment, Emergency Medical Protocols, Abdominal Aortic Junctional Tourniquet, Tactical Medicine, Hemorrhage Control, Pre-hospital Setting, Medical Device Development, Special Forces Medic, Junctional Tourniquet, Extremities, Combat Gauze, Expandable Foams, Pediatric Patients, Non-compressible Torso Hemorrhage, Physiologic Effects, Traumatic Cardiac Arrest, Return of Spontaneous Circulation, Porcine Model, Emergency Protocols, Ukrainian Vascular Surgeon, Bakhmut Conflict, Military Medical Authorities
 
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicineInnovation #AbdominalAorticTourniquet #TacticalMedicineTech #TraumaCareBreakthroughs #LifesavingInventions
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