WarDocs - The Military Medicine Podcast

Exploring the History and Evolution of Combat Wound Care- COL(R) Evan Renz, MD

    Get ready to embark on a captivating journey through the pages of military medicine history as we speak with retired Army Colonel Dr. Evan Renz on WarDocs. Dr. Renz, a seasoned General/Trauma Surgeon and Burn Specialist with a rich trove of experience unfolds the evolution of military wound care from the era of World War II to the present day. As we trace the progression from hemorrhage control and debridement to advancements in medications, Damage Control concepts, and the use of innovative wound care technologies, Dr. Renz champions the importance of learning from our past and integrating these lessons into future military medical training.
   Drawing from his first-hand experience, Dr. Renz guides us through the intricate landscape of wound management in damage control resuscitation and surgery scenarios. We speak about the world of negative pressure wound therapy, starting from his initial use of a Wound Vac in 1997 to its evolution over the years. Experience the crux of Army Medicine as we venture into the crucial considerations surgeons must take when evaluating wounds where a tourniquet is applied to control bleeding and preserve the patient's hemodynamic stability.
   Our exploration takes a detour to the US Institute of Surgical Research Burn Center in San Antonio, where Dr. Renz shares his valuable insights on complex burns and wound care management. The discussion reveals intriguing practices such as avoiding prophylaxis antibiotics for isolated burn injuries and the strategic use of negative pressure wound treatment. Learn more about the fine balance of initiating and adjusting fluid for patients, the crucial decision-making process involved in combat wound closure, and the pressing need to pass on knowledge and training in the advances of technology. We guarantee that this episode will leave you with a newfound respect for Military Medicine and those who dedicate their lives to its advancement. So, join us for an eye-opening journey into the world of military medicine with Dr. Renz!
 
Chapters:
(0:00:00) - Military Wound Care Evolution
(0:13:59) - Wound Management in Damage Control
(0:28:44) - Burn Center and Wound Care Management
(0:46:13) - Decisions in Combat Wound Closure
 
Chapter Summaries:
(0:00:00) - Military Wound Care Evolution (14 Minutes)
Retired Army Colonel Dr Evan Renz, a General/Trauma Surgeon with extensive experience in training and working at the US Institute of Surgical Research's Burn Unit in San Antonio, provides insights into the evaluation and treatment of complex wounds. He emphasizes the critical importance of documenting and learning from our past to help prepare us for future conflicts and to make sure that these lessons are included in military medical training opportunities. We discuss the changes in wound management from World War II to today, from the importance of hemorrhage control and debridement to advancements in medications and technologies improving wound care.
 
(0:13:59) - Wound Management in Damage Control (15 Minutes)
Dr. Evan Renz discusses the importance of wound management in damage control resuscitation. He shares his experience with his first use of a Wound Vac in 1997 and how the use of negative pressure wound therapy evolved over time. We explore the special considerations surgeons must take when evaluating a wound where a tourniquet is in place and how these decisions can help preserve the patient's hemodynamic stability.
 
(0:28:44) - Burn Center and Wound Care Management (17 Minutes)
Dr. Renz explains that isolated burn injuries do not require prophylactic antibiotics; however, traumatic combat wounds should be treated with an initial dose of antibiotics in addition to a Tetanus booster.  Dr. Renz shares his experience with the use of the Wound Vac in the Burn Center and the key questions that he would ask when taking calls for burn management care. He also explains the importance of avoiding over-resuscitation and how to initiate and adjust fluid for the patient. Finally, he outlines the care that the patient would receive in regard to their wounds once they reach Role 4 or 5 facilities.
 
(0:46:13) - Decisions in Combat Wound Closure (7 Minutes)
Dr. Evan Renz shares his experience with the Emergency War Surgery manuals and the use of Wound Vacs in the field.  We also discuss the importance of repeating a primary and secondary survey with each transfer of care and how to identify when a wound can or should be closed primarily or covered by a flap or graft. Finally, Dr. Renz speaks to the importance of passing on knowledge and training in the advances of technology so that it is not forgotten.
 
Take Home Messages:
Military medicine has evolved significantly from the World War II era to the present day, highlighting the importance of learning from the past to enhance future medical training.
Advances in medications and wound management techniques, such as leaving more wounds open and exteriorizing the bowel for abdominal injuries, have marked significant milestones in military medicine.
Negative pressure wound therapy has seen remarkable evolution over the years and plays a crucial role in wound management in damage control resuscitation.
Surgeons need to make critical considerations when evaluating a wound downstream from a tourniquet in order to preserve the patient's hemodynamic stability.
Burn centers play a crucial role in wound care management, with innovative practices like avoiding prophylaxis antibiotics for isolated burn injuries and the strategic use of wound vac.
Adjusting and initiating fluid for patients and making critical decisions on combat wound closure are part of the complex process in wound care management.
Knowledge and training in technological advances in wound care need to be passed on to future generations to ensure continuous improvement.
Initial wound care at the point of injury prioritizes hemorrhage control, as highlighted by the TCCC guidelines.
Wound management in damage control resuscitation involves the careful evaluation and treatment of wounds and extensive documentation of each treatment process to guide subsequent care.
Wound care management, especially in a resource-limited setting, requires a practical approach, including bedside care, ensuring proper lighting and pain control.
 
Episode Keywords:
Military Medicine, Wound Care, Damage Control, Burn Center, Wound Management, Negative Pressure Wound Therapy, Tourniquet, Hemodynamic Stability, Prophylaxis Antibiotics, Image Control, Debridement, Fluid Management, Combat Wound Closure, War Surgery, Wound Vac, Technology Training
 
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #CombatWoundCare #DrEvanRenz #WarDogsPodcast #MedicalEvolution #MilitaryTraining #BurnInjuries #DamageControlResuscitation #WoundVacTherapy #BattlefieldMedicine
 
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

A Deep Dive into the Rigorous Training of Combat Paramedics: LTC Brandi M. Dupoux, MSN, RN, CEN, ECCN

    Join us on a captivating journey behind the scenes of Military Medicine with our esteemed guest, Army Nurse LTC Brandi Dupoux. Listen in as Brandi opens up about her personal journey to the Army, the top-tier training provided to medics, and the equal access to healthcare that the military offers. She offers valuable insights into the disparities between military and civilian healthcare. She discusses the potential impact on those with chronic conditions such as diabetes and hypertension in obtaining needed and timely care.
   Our conversation with Brandi takes a closer look at the role of combat paramedics and the rigorous training they undergo. We discuss a 30-week Army Combat Paramedic training course that provides recognized certifications for individuals working in the military and civilian sectors. Brandi gives us a peek into the operational medicine scenarios a combat paramedic might encounter and the procedures they are expected to know and perform in the most austere environments.
Brandi shares how the Army is preparing for medical care on future battlefields using innovative technologies, emphasizing the importance of basic skills, medical maintenance, and adherence to clinical guidelines and SOPs. She provides an eye-opening account of delivering medical care in a battlefield environment with limited resources. This episode of WarDocs is a must-listen for anyone interested in Military Medicine, the unique challenges it presents, and the life-changing impact it can have. Tune in and get ready to be inspired!
 
Chapters:
(0:00:00) - Military Medicine
(0:04:44) - Differences in Military and Civilian Healthcare
(0:10:01) - Training and Role of Combat Paramedics
(0:21:57) - Unmanned Aircraft and Basic Medical Skills
 
Chapter Summaries:
0:00:00) - Military Medicine (5 Minutes)
Army Nurse Corps Officer LTC Brandi Dupoux shares how the Army provides top-tier training to medics for potential future conflicts, as well as her personal journey to Military Medicine. We learn about the differences between military and civilian healthcare, including the impacts of healthcare disparities and the equitable access to healthcare that the military provides.
 
(0:04:44) - Differences in Military and Civilian Healthcare (5 Minutes)
LTC Dupoux shares her experiences and insights to explain her observations on the differences between military and civilian medical care, and how both sectors can benefit from exposure to each other.  We examine the importance and balance of efficient throughput, training, autonomy, and oversight.  LTC Dupoux explains her role in the Combat Paramedic Program at Fort Sam Houston, which includes setting up the clinical experience for students and preparing them to challenge the NREMT examination. We also examine how the training differs from a civilian EMT paramedic course.
 
(0:10:01) - Training and Role of Combat Paramedics (12 Minutes)
We explore how the Army provides training for medics in a focused 30-week timeframe and how the course provides certifications that allows individuals to work in both the military and civilian sectors. We also discuss the role of a combat paramedic in operational medicine scenarios and the procedures they are expected to know and perform in the most austere of environments.
 
(0:21:57) - Unmanned Aircraft and Basic Medical Skills (10 Minutes)
The Army is preparing for future battlefields using innovative equipment and tactics, emphasizing the importance of maintaining basic critical skills, understanding medical maintenance, and finding ways to access and utilize cutting-edge technology.  She also shares Her personal experience of providing medical care in a battlefield environment with limited resources.
 
Take Home Messages:
Military Medicine provides top-tier training for medics, preparing them for various future conflicts and scenarios.
There are some differences in priorities between military and civilian healthcare, with Military Medicine focusing primarily on a Ready Medical Force and a Medically Ready Force
The role of combat paramedics is complex and intense, requiring them to undergo a rigorous 30-week training course.
Combat paramedics are expected to be proficient in a wide range of procedures and capable of dealing with individuals with chronic conditions.
The future of warfare will see an increase in the use of unmanned aircraft, emphasizing the importance of basic skills, medical maintenance, and technology access.
In battlefield environments with limited resources, the resilience and resourcefulness of Military Medicine are critical
Military medics must be ready to work under the most demanding circumstances, demonstrating bravery and dedication.
Despite technological advances, basic medical skills remain crucial and must be maintained, especially in situations where access to technology is limited.
The role of a flight nurse differs from that of a flight paramedic, with the former being more equipped to handle more critically injured patients during medical evacuations.
Pursuing a career in Military Medicine requires a realistic understanding of the demands and sacrifices involved, but it also offers unparalleled opportunities for personal and professional growth.
Episode Keywords:
Military Medicine, Civilian Healthcare, Combat Paramedics, Dialysis, Unmanned Aircraft, Basic Skills, Medical Maintenance, Technology Access, Army Nurse, Lieutenant Colonel, Training Program, Chronic Conditions, Diabetes, Hypertension, NREMT Examination, Operational Medicine, Battlefield Environment, Resourcefulness, Resilience
 
Hashtags:
#MilitaryMedicine #ArmyTraining #CombatParamedics #HealthcareDisparities #ChronicConditions #BraveryInBattlefield #UnmannedAircrafts #FutureOfWarfare #MilitaryHealthcare #InspiringHeroes
 
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
 

Combat Surgery Series: Blunt Abdominal Trauma with CAPT (R) Paul Roach

In this episode of War Docs, Dr. Paul Roach discusses the military-specific curriculum developed in partnership with Uniformed Services University and the American College of Surgeons. Dr. Roach, a retired Navy captain with expertise in complex surgical oncology, explains how the curriculum was developed based on the knowledge, skills, and abilities (KSAs) developed from the experiences of surgeons in the global wars on terror. Tune in to learn more about this important aspect of military medicine.
 
[00:01:43] The development of the military-specific curriculum.
[00:05:20] Blunt abdominal trauma.
[00:07:29] Diagnostic peritoneal lavage.
[00:13:43] Damage control surgery in austere locations.
[00:15:29] Basic principles of damage control surgery.
[00:19:07] Universal psychological aspect to military surgical care.
[00:22:28] Unique military medical training.

Combat Surgery Series: Hemorrhagic Shock and Damage Control Resuscitation with Col Jeremy Cannon

Listen in as we explore the world of military medicine, focusing on hemorrhagic shock and its relationship with damage control surgery and resuscitation. Joined by Colonel Dr. Jeremy Cannon, we unravel the dangers of time and shock to the human body, the importance of whole-blood resuscitation in combat casualty care, and how to diagnose and respond to severe cases of shock. The discussion also brings to light the ABC score, a helpful tool developed by Brian Cotton and Tim Nunez to distinguish between subtle and severe cases of shock.
 
In the second part of our discussion, we tackle the vital role of damage control resuscitation in treating hemorrhagic shock. We talk about the performance measures, the one-to-one-to-one ratio for blood products, the importance of calcium and TXA administration, and the benefits of using whole blood. Joined by Dr. Cannon, we also go through the opening sequence of surgery and the process of packing the four quadrants. As we wrap up, we take a look at the resources available for military surgeons and those interested in military medicine, highlighting WarDocs, a platform that showcases the gripping reality of war and medicine. Don't miss out on this enlightening discussion!
--------- EPISODE CHAPTERS ---------
(0:00:00) - Military Hemorrhagic Shock and Damage Control Principles
(0:12:40) - The Concept of Damage Control Resuscitation
(0:23:40) - Military Surgeons Curriculum and Resources

Exploring the Intricacies of Military Healthcare: MG(R) Brian C. Lein, MD, FACS

   Join us for a captivating discussion with our esteemed guest, Dr. Brian Lein, a retired Army Major General and General Surgeon with a storied Military Medicine career. Dr. Lein currently serves as Assistant Director for Healthcare Administration at the Defense Health Agency (DHA) and has a wealth of experience at the strategic levels of operational medicine. He peels back the layers of the complex world of military healthcare, shedding light on the intricacies that come with ensuring the health and readiness of military staff on and off the battlefield.
    In a thought-provoking conversation, we grapple with the ethical dimensions of battlefield medicine, the future implications of large-scale combat operations, and the role of advanced technology in training medics. Dr. Lein opens up about the vital conversations taking place within the Military Medical community regarding the ethical implications of new technologies and the tough decisions that come with limited resources in combat. We also glean insight into the DHA's role as a supportive entity, working to consolidate the efforts of the Army, Navy, Air Force, and Space Force Medicine. Hear all about the DHA's unwavering commitment to maintaining a balance between garrison healthcare and operational medicine and its mission to ensure the readiness of our armed forces.
 
The conversation was recorded at the 2023 Defense Strategies Institute's Operational Medicine Symposium.
Take Home Messages:
Military Medicine is a complex and multifaceted field, with challenges ranging from maintaining the health and readiness of military staff to navigating the ethical dimensions of battlefield medicine.
Large-scale combat operations could drastically change the nature of battlefield injuries, potentially resulting in more casualties and ethical dilemmas regarding resource allocation.
The Defense Health Agency (DHA) plays a crucial role in consolidating the efforts of the Army, Navy, Air Force, and Space Force Medicine, striking a balance between garrison healthcare and operational medicine.
Advanced technology and simulation are becoming increasingly important in training military medics, with the potential to use historical data to create virtual reality platforms for training.
There is a pressing need to engage in ethical discussions regarding using artificial organs and other life extenders and decisions related to resource allocation in large-scale combat operations.
The DHA serves as a synthesis of Army Medicine, Navy Medicine, and Air Force Medicine, providing support to these entities and ensuring the military's readiness.
Providing care for the families of military personnel is crucial, as it ensures that Soldiers, Sailors, Airmen, Guardians, and Marines can focus on their duties without worrying about the well-being of their loved ones.
The advancement of medical practice in expeditionary environments depends on the latest innovations and opportunities. These advancements require a collaborative effort among military medicine entities.
Military Medicine is facing a future where battlefield conditions and medical needs could drastically differ from past conflicts, necessitating adaptation and innovation.
There is a growing emphasis on ensuring that military healthcare professionals are prepared for the unique challenges they may face in battlefield conditions, including making difficult decisions under extreme pressure.
 
Episode Keywords:
Military Medicine, Defense Health Agency, Battlefield Medicine, Combat Operations, Advanced Technology, Training Medics, Ethical Implications, New Technologies, Limited Resources, Army, Navy, Air Force, Space Force Medicine, Garrison Healthcare, Operational Medicine, Readiness of Armed Forces
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #BattlefieldEthics #HealthcareInCombat #DefenseHealthAgency #WarDocs #OperationalMedicine #MilitaryHealthcare
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
 
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
 
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
 
  Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast

Leadership, Readiness and Taking Care of Warriors: Reflections from Navy TSG VADM(Ret) Matthew L. Nathan, MD, FACP, FACHE

     What if you could peek behind the curtain of Military Medicine, understand the unique leadership challenges it presents, and learn invaluable lessons from an experienced veteran in the field? That's precisely what you'll get in our fascinating conversation with retired Navy VADM Dr. Matthew L. Nathan. From sharing his journey into Military Medicine to the pivotal role of the Navy in global aid, Dr. Nathan unpacks his experiences in a way that's both insightful and engaging. He takes us on a voyage through his career, from his early days providing medical support for the Marine Corps during the Cold War to his vital role in the congressionally chartered Recovering Warrior Task Force as well as his experiences as the 37th Navy Surgeon General. He delves into his leadership style, the challenges he faced leading Navy Medicine, and the invaluable lessons he learned along the way.
   Learn about the pivotal role of Navy Medicine in supporting the Navy's mission of patrolling the seaways and their readiness to provide aid whenever required. He also dives into the challenges he faced as Navy Medical Corps Chief, especially when deploying medical staff to conflict zones and creating a supportive and communicative culture within the reserve force.
    We also navigate through his experiences leading Navy Medicine amidst the cultural differences and tactics of providing healthcare of the Navy, Army, Air Force, and Marines. Dr. Nathan shares his strategies for reducing purchase care costs, fostering cultural harmony, and ensuring unified standards for patient care across the military's different service branches.
    We wrap up with an exploration of Dr. Nathan's post-retirement leadership experiences in a large civilian hospital system and his participation in Harvard University's Advanced Leadership Initiative. Dr. Nathan imparts his wisdom on the importance of training, rank, accountability, and responsibility.  His reflections on his career, his commitment to warrior healthcare, and his dedication to making a positive impact on people's lives are truly inspiring - a testament to his remarkable journey and dedication in the Navy. Don't miss out on this insightful conversation with one of the Military Medicine's most esteemed veterans.
 
Chapters:
(0:00:00) - Military Medicine and Leadership Lessons
(0:07:47) - Battle Training in Marine Corps, Navy
(0:16:28) - Navy Medicine Challenges in Wartime
(0:26:08) - Managing Cultural Differences in Healthcare
(0:30:30) - Reducing Military Hospital Purchased Care Costs
(0:35:24) - Defense Health Agency and Warrior Task Force
(0:41:21) - Coordinating Care for Wounded Warriors
(0:46:55) - Challenges and Advocacy for Military Healthcare
(0:56:08) - Healthcare Challenges, Harvard, and Vaccine Hesitancy
(1:10:38) - Command and Leadership Lessons and Honors
(1:17:11) - Surgeon General's Reflections and Stories
(1:23:33) - Career and Dedication in the Navy
 
Chapter Summaries:
(0:00:00) - Military Medicine and Leadership Lessons
Retired Navy VADM Dr. Matthew L Nathan shares leadership lessons from multiple operational and strategic assignments, the merger of Bethesda Naval and Walter Reed Army Hospital, the Recovering Warrior Task Force, and civilian hospital system leadership.
 
(0:07:47) - Battle Training in Marine Corps, Navy
VADM(Ret) Nathan shares his experience in Military Medicine, cold weather training, and providing and managing medical care at sea on the USS Saipan and USS Blue Ridge while supporting the Navy's role in patrolling the seaways.
 
(0:16:28) - Navy Medicine Challenges in Wartime
VADM(Ret) Nathan discusses the challenges of sending medical staff to conflict zones, revitalizing, and refreshing those on the frontlines, memorializing experiences and knowledge, and finding champions within the reserve forces.
 
(0:26:08) - Managing Cultural Differences in Healthcare
Dr. Nathan shares his experience leading the Navy Medical Corps, navigating cultural differences, and establishing unified standards for patient care.
 
(0:30:30) - Reducing Military Hospital Purchased Care Costs
Dr. Nathan focused on patient care that puts the patient first and excelling at the Joint Commission Survey following the Bethesda Naval Hospital and Walter Reed AMC merger.
 
(0:35:24) - Defense Health Agency and Warrior Task Force
Dr. Nathan discussed reducing healthcare costs, the Defense Health Agency, and the high cost of US healthcare.
 
(0:41:21) - Coordinating Care for Wounded Warriors
VADM(Ret) Nathan navigated differences between the Navy, Army, and VA systems to reduce purchase care costs and create an integrated system for wounded Warriors.
 
(0:46:55) - Challenges and Advocacy for Military Healthcare
Dr Nathan advocated for Military Medicine, pushing for technological advances and operational risk management.
 
(0:56:08) - Healthcare Challenges, Harvard, and Vaccine Hesitancy
VADM(Ret) Nathan reconciled Navy, Army, and VA systems to provide the best care to warriors and caregivers, leveraging Harvard University and Advanced Leadership Initiative to address healthcare disparities. He reflects on vaccine development and implementation during the COVID-19 pandemic.
 
(1:10:38) - Command and Leadership Lessons and Honors
VADM(Ret) Nathan learned the value of training, rank, accountability, responsibility in leadership positions, and maintaining dignity and respect for fellow sailors.
 
(1:17:11) - Surgeon General's Reflections and Stories
VADM(Ret) Nathan shares his strategy to reduce purchase care costs, his work on the Recovering Warrior Task Force, and his advice on understanding the differences between the Navy, Army, and VA systems.
 
(1:23:33) - Career and Dedication in the Navy
Dr. Nathan emphasizes the need for excellence, shares a story of caring for an officer's wife that made a lasting impact, and advises listeners to strive for their best.
 
Take Home Messages:
Leading the Navy Medical Corps comes with a variety of challenges, such as navigating the cultural differences between the Navy, Army, Air Force, and Marines. It's important to foster a harmonious culture and unified, cohesive standards of patient care.
Serving in the military is more than just a job, it's a lifestyle that comes with responsibilities and privileges. The rank you hold comes with the expectation to respect and care for those under your command.
The Navy plays a crucial role in patrolling the seaways and providing aid at a moment's notice, demonstrating their dedication to service.
Lessons learned from military service can be extremely valuable in civilian roles, such as leading a large hospital system.
The congressionally chartered Recovering Warrior Task Force played a significant role in supporting Wounded Warriors and their families, highlighting the importance of coordination and integrated care systems.
It's essential to remember and memorialize the knowledge gained from wartime experiences to ensure that it doesn't evaporate and can be used for future reference.
A leader should always be prepared to face challenges, be it reducing purchase care costs or integrating diverse cultural teams. It's important to adopt strategies that benefit the team and the patients.
Serving in the military during war times is demanding and can take a toll on individuals. It's vital to ensure that servicemen and servicewomen are provided with the necessary support and care to recover and refresh.
Military medicine requires constant learning and adaptability, given the different operational and strategic assignments that one may have to take on.
Never take privileges for granted, and always strive to do your best, whether in the military or civilian life. Every role carries a responsibility that must be upheld.
Episode Keywords:
Military Medicine, Leadership Lessons, Marine Corps, Cold War, Bridgeport, California, USS Blue Ridge, USS Saipan, Navy Medical Corps, Cultural Differences, Healthcare, Joint Commission Survey, Defense Health Agency, Recovering Warrior Task Force, Wounded Warriors, Harvard University, Advanced Leadership Initiative, Command, Rank, Accountability, Responsibility, Vaccine Hesitancy, Memorializing Experiences, Champions, Reserve Force, Culture Wars, Unified Standards, Patient Care, Purchase Care Costs, Redundancies, One Best Standard, Distributed Virtual Care, Operational Risk Management, Social Impact, Disparities, Head of Line Privileges, Credibility, Executive Medicine, Positive Impact
 
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #LeadershipLessons #NavyLife #ValorAndService #HealthcareHeroes #WartimeChallenges #PatientCareStandards #VeteranInsights #FrontlineStories #ServiceAndSacrifice
 
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

Celebrating the Life of COL(R) Anthony Johnson, MD- An Amazing Man, A Remarkable Journey (1965-2022)

Join us as we celebrate and remember the amazing journey and life of Dr. Anthony Johnson, cornea specialist, researcher, leader, and teacher, and be prepared to be inspired through his own words recorded shortly before he passed after a courageous 20-month struggle with stage 4 gastric cancer. His story of resilience, ingenuity, and dedication begins with his childhood passion for medicine, maturing at West Point and at USUHS and leading to his innovative work in ophthalmology and impacting the lives of many in his sphere of influence.
Learn about the experiences that shaped Dr. Johnson's life, from the challenges and bonds he formed during his time at West Point to his innovative suturing techniques inspired by seasoned ophthalmologic mentors. The stories from his military deployment to Iraq are a testament to his ability to handle chaos and adversity - improvising with limited resources, conducting life-saving surgeries, and making an impact even in the most challenging of circumstances. The poignant reunion years later with patients he treated after the United Nations building bombing in Iraq adds an emotional depth to the amazing care he provided throughout his career.
In the final segment of our conversation, we explore Dr. Johnson's reflections on life and his career, his travels to the World Cornea Congress, and his instrumental role in updating equipment for deployable ophthalmology teams. Listen as he opens up about his time in the Army, his commitment to his faith and family, his zest for life, and his unwavering passion for his work. Don't miss this fascinating memorial to the life and career of a physician who dedicated his life to making a difference.
 
Chapters:
(0:00:00) - Becoming a Physician and Ophthalmologist
(0:07:43) - Suturing Techniques and Military Deployment Experience
(0:15:57) - Chaotic Deployment to Theater
(0:20:59) - Medical Mission in a War Zone
(0:32:59) - Medical Response to UN Building Bombing and Reunion with Patients Years Later
(0:44:15) - Career and Personal Reflections
(0:58:01) - Reflections on a Fulfilling Life
 
Take Home Messages:
A career in medicine can start from a young age, even if it seems impossible due to circumstances such as attending a military academy where only 2% go to medical school.
Camaraderie, shared experiences, and common values among classmates can create a lifelong fraternity that transcends professional boundaries.
The journey to becoming a specialized doctor, such as an ophthalmologist, can be full of twists and turns, including unexpected influences and opportunities.
War zones can present unique challenges for medical professionals, requiring ingenuity and resilience to provide care with limited resources.
Experiences from military deployments, such as treating victims of bombings, can be emotionally impactful and shape one's approach to medicine.
Reunions with former patients can provide meaningful moments of connection and demonstrate the lasting impact of medical care.
Sharing professional experiences through speaking engagements or teaching roles can contribute to the growth and development of the wider medical community.
Reflection on career milestones and personal experiences can provide insights and learnings for future endeavors in the medical field.
Facing and overcoming challenges in the medical field, such as handling multiple surgeries in a war zone, can lead to developing specialized skills and knowledge.
Pursuing a passion for healing can lead to a fulfilling career that not only impacts individual patients, but also contributes to the broader medical community and society as a whole.
 
Episode Keywords:
Cornea Specialist, Brooke Army Medical Center, Resilience, Ingenuity, Dedication, West Point Military Academy, Uniformed Services University of Health Sciences, Military Deployment, Iraq, UN Building Bombing, Reunion, Reflections, World Cornea Congress, Ophthalmology Teams, Teaching Faculty, Suturing Techniques, Life Lessons, Improvising, Life-Saving Surgeries, Zest for Life, Passion for Work
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MedicineJourney #USMA #USUHS #DrAnthonyJohnson #WestPointGrad #OphthalmologyInnovator #ResilienceInMedicine #WarZoneMedicine #InspiringDoctors #MedicalInnovation #CorneaSpecialist #IraqDeployment
 
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 Intersection of Military Service and Trauma Surgery- Air Force Reserve Colonel Jeremy W. Cannon, MD, FACS

  Get ready for an awe-inspiring journey as we sit down with Air Force Reserve Trauma Surgeon Jeremy Cannon. Navigating his path from the Air Force Academy to Harvard Medical School, Dr. Cannon's trajectory is nothing short of incredible. His expertise in Trauma Surgery and Critical Care has seen him at the forefront of developing the Air Force's adult ECMO program and has landed him a vital role in the Excelsior Surgical Society, an organization focused on preserving combat casualty care lessons.
   Listen as Dr. Cannon unravels his deployment stories from Iraq and Afghanistan, revealing the unique challenges and life-altering experiences that inspired his specialization in Trauma Surgery. He shares a heart-wrenching tale of how he saved an Iraqi boy's life and reflects on the stark contrasts between the two war theaters. From his time as the Deputy Commander for Clinical Services in Bagram, Afghanistan, where he was entrusted with managing casualty flow and making critical evacuation decisions, Dr. Cannon's experiences are a testament to the resilience of the human spirit. Dr. Cannon pulls back the curtain on the unique challenges that inspired his interest in researching and improving Trauma Surgery and his vital work with the Excelsior Surgical Society.
   We explore Dr. Cannon's current position at the University of Pennsylvania and his civilian medical practice, drawing comparisons to his military experiences. We delve into his work at the David Grant Medical Center and his significant contributions to their research unit. As Dr. Cannon discusses the biggest concerns for trauma and Critical Care readiness in the Total Force, this episode offers a fascinating insight into the intersection of Medicine, Trauma Surgery, and Military Service. An episode not to be missed, especially for those involved in the world of Military Medicine and trauma care.
 
Chapters:
(0:00:00) - Military Medicine and Trauma Surgery Journey
(0:14:22) - Deployment Experiences and Lessons Learned
(0:22:52) - Military Medical Challenges and Innovations
(0:33:29) - Combat Casualty Care and Trauma Readiness
(0:50:28) – Leadership and Research Opportunities
 
Chapter Summaries:
(0:00:00) - Military Medicine and Trauma Surgery Journey (14 Minutes)
We speak with Air Force Reserve trauma surgeon Jeremy Cannon about his experiences in Military Medicine. He shares his journey from the Air Force Academy to medical school at Harvard, and his specialization in Trauma Surgery and Critical Care. We also discuss his research interests and his involvement in the Air Force's development of an adult ECMO program. Lastly, we explore the history of the military's Excelsior Surgical Society and its connection to the American College of Surgeons for capturing and preserving combat casualty care lessons.
 
(0:14:22) - Deployment Experiences and Lessons Learned (8 Minutes)
Dr. Cannon shares his deployment experiences as a combat surgeon with the 332nd Air Force Theater in Balad Iraq. He reflects on what he learned and how it inspired his specialty in Trauma Surgery, as well as an incredible story about saving the life of an Iraqi boy with a complex complication from injury. He also discusses his later deployment to Afghanistan, where he served as a trauma surgeon at the Craig Joint Theater Hospital. He reflects on the differences and similarities between the two theaters and their unique challenges.
 
(0:22:52) - Military Medical Challenges and Innovations (11 Minutes)
Jeremy Cannon shares his experience as the Deputy Director for Clinical Services for the Task Force MED-East in Bagram, Afghanistan. He explains how the responsibility of the role was different from his previous experiences in Trauma Surgery and the challenges he faced in managing casualty flow and making decisions on evacuations. He recounts an example of a call he received from a Role Two facility regarding a burn victim and the Air Force's decision to start the Adult Extracorporeal Life Support Lung Rescue Program.
 
(0:33:29) - Combat Casualty Care and Trauma Readiness (17 Minutes)
Jeremy Cannon's role as the combat casualty care investigator at David Grant Medical Center at Travis Air Force Base in Vacaville, California is discussed. His experience and knowledge helped the research unit there. His current role as a trauma surgeon at the University of Pennsylvania and his civilian medical practice is also explored, and how it is similar to what he experienced in the military. The Navy Trauma Training Team at his hospital is examined, and the biggest concern for trauma and Critical Care readiness in the total force is discussed.
 
(0:50:28) - Leadership and Research Opportunities (1 Minute)
Jeremy talks about his deployment experiences as a combat surgeon with the 332nd Air Force Theater in Balad Iraq, his role as Deputy Director for Clinical Services for the Task Force MEDD-East in Bagram, Afghanistan, and his experience as the combat casualty care investigator at David Grant Medical Center at Travis Air Force Base in Vacaville, California. We are inspired by his stories and grateful for his service.
 
Take Home Messages:
Military medicine and trauma surgery offer unique challenges and experiences that can be both rewarding and demanding.
A significant part of the journey in military medicine involves being able to adapt and navigate through diverse situations, such as deployments to war zones like Iraq and Afghanistan.
The resilience of the human spirit is a common thread in the stories of military surgeons, often seen in the face of difficult circumstances and life-altering experiences.
The ability to draw parallels between military service and civilian medical practice can provide valuable insights and enrich both fields.
Significant contributions to research in military medicine, particularly in areas such as trauma surgery and critical care, are vital for improving combat casualty care.
Organizations like the Excelsior Surgical Society play a key role in preserving lessons from combat casualty care, contributing to the progress and development of military medicine.
The experiences and expertise of military surgeons can greatly benefit civilian medical practices, especially in trauma and critical care.
Continuous commitment to maintaining trauma readiness in peacetime is crucial for preserving the lessons learned and capabilities developed during periods of conflict.
Learning from history and retaining the lessons from past experiences are essential for improving future practices in combat casualty care.
Military medicine is not only about treating injuries and saving lives, but also about nurturing resilience, innovating in the face of challenges, and contributing to a larger cause.
 
Episode Keywords:
Military Medicine, Trauma Surgery, Air Force Reserve, Jeremy Cannon, Harvard Medical School, ECMO Program, Excelsior Surgical Society, Deployment Stories, Iraq, Afghanistan, Clinical Services, Bagram, Combat Casualty Care, University of Pennsylvania, David Grant Medical Center, Research Unit, Navy Trauma Training Team, Total Force Readiness
 
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #TraumaSurgery #DeploymentStories #CombatMedicine #WarzoneChallenges #TraumaBayLife #CriticalCare #AirForceJourney #MedicalInnovations
 
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