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
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast

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

Physician to the Commander-in-Chief: COL(R) Dr. Kevin O’Connor’s Amazing Journey

Join us for an intriguing conversation with our guest, Dr. Kevin O'Connor, a retired Army Colonel and Physician to the President of the United States. We journey through the corridors of Military Medicine, tracing Dr. O'Connor's inspirational journey from medical school to the White House, with stints in operational medicine at Fort Bragg and Womack Army Medical Center. We dig into his deployment experiences, delve into tales of the transition from military to executive medicine, and bask in the glow of stories of his role as the caretaker of the nation's Commander-in-Chief.
  We traverse Dr. O'Connor's career progression, from his days as a resident in World War II barracks to his time serving the nation's top executives. We discuss the importance of trust, the necessity of worst-case scenario planning, and how medical emergencies are handled in remote locations. We underscore the value of honesty and straightforwardness in executive medicine, even when delivering unwelcome news, and illuminate the day-to-day life of the White House medical team, casting a new light on a fundamentally crucial role.
  Finally, we pull back the curtain on the day-to-day interactions with the President, revealing the challenges of maintaining a team of doctors and nurses for the President, First Lady, and Vice President. Shining a light on the importance of continuity of care, we also discuss the need for change and fresh perspectives. Trust us, you won't want to miss Dr. O'Connor's valuable advice for those interested in a similar career path, as well as his insightful reflections on his own journey.
 
Chapters:
(00:00) Dr. Kevin O'Connor's Military Medicine Career
(06:18) Military Life and Career Development
(12:56) Deployment Experiences and Career Transition
(20:04) Transitioning to Physician to President Role
(29:34) Executive Medicine
(36:28) Honest Communication in Executive Medicine
(39:53) Presidential Medical Care and White House Physician
(44:49) Daily Interactions With the President
 
Chapter Summaries:
(00:00) Dr. Kevin O'Connor's Military Medicine Career
This chapter of WarDocs features a conversation with retired Army Colonel and current physician to the President of the United States, Dr. Kevin O'Connor. Dr. O'Connor shares his journey into Military Medicine, from being inspired by his father's military service to receiving ROTC scholarships and completing medical school. He also discusses his assignments at Fort Bragg  (Now Fort Liberty) before and after 9/11, where he worked with troop medical clinics and Womack Army Medical Center. Dr. O'Connor reflects on feeling prepared for his role as a medical corps officer and shares some important insights and lessons learned about delivering executive medicine in both the military and civilian sector. He also provides advice for those interested in pursuing a similar career. Tune in to hear more about Dr. O'Connor's distinguished career and experiences.
 
(06:18) Military Life and Career Development
This chapter explores Kevin's experience working in a Troop Medical Clinic. Kevin shares his first job as a resident, taking care of young soldiers in a World War II barracks. He also talks about his engagement and being a geographic bachelor while his fiancée was in New Jersey. Kevin then shares how he met a young doctor who gave him valuable advice on expressing his interest in the military. Kevin was assigned to a PROFIS unit in the 504 Parachute Infantry Regiment, where he met the brigade commander, Colonel David Petraeus. Kevin proudly shares how he introduced himself to the commander and expressed his desire to train with them before the balloon goes up. The conversation ends with Kevin being called to jump by the CSM.
 
(12:56) Deployment Experiences and Career Transition
This chapter explores the experiences of a military unit during the 9/11 attacks and their subsequent deployment to Afghanistan and Iraq. We discuss their initial reactions to the attacks and their preparations for potential retaliation. The participants share their experiences during their deployments, including a humorous incident involving a meteor shower mistaken for enemy fire. We also touch on the differences and similarities between the two theaters of war. I also ask about any interesting clinical cases during the deployments, to which the guest shares their pride in avoiding cases of diarrhea due to their strict hygiene practices.
 
(20:04) Transitioning to Physician to President Role
This chapter explores the journey of Dr. Kevin O'Connor, a military physician who became the physician to the President and Vice President of the United States. We hear about his experience as part of the White House medical team and how he earned the nickname "bone cracker" from President Bush. Dr. O'Connor also discusses the flawed system of selecting the physician to the President and his belief that the President should have a say in the selection process. He emphasizes the importance of remaining apolitical in his role and highlights the peaceful transition of power between administrations.
 
(29:34) Executive Medicine
This chapter explores the unique challenges and responsibilities of being a physician in the White House, particularly when traveling with the president and vice president to third world countries. We discuss the importance of presenting oneself as a lesser to gain trust and have candid conversations with others. We also touch on the preparation and contingency plans in place for medical emergencies during these trips, emphasizing the need to be a pessimist and constantly think of worst-case scenarios to mitigate risks. The chapter highlights the role of the advanced team in planning every movement of the president and vice president during their travels. In austere locations with limited medical facilities, we explain how the situation is handled by quietly augmenting with assets from the Department of Defense. Overall, this chapter provides valuable insight into the responsibilities and strategies of a physician in the White House.
 
(36:28) Honest Communication in Executive Medicine
This chapter emphasizes the importance of honesty and straightforwardness in executive medicine when dealing with patients, even if it means delivering unwelcome news. The host shares a personal experience with a high-ranking patient who insisted on traveling despite being ill, and how they had to stand their ground and convince the patient to prioritize their health. The conversation underscores the need for doctors to always prioritize their patients' well-being and maintain their professional integrity.
 
(39:53) Presidential Medical Care and White House Physician
This chapter provides insight into the unique and important role of the White House physician. We explore the daily responsibilities of serving the President and their family, including the decision-making process for medical procedures. We also discuss the significance of expressing interest in joining the White House medical unit and the distinction between military beneficiaries and civilian care. Additionally, we get a behind-the-scenes look at the average day or week of a physician to the President. Overall, this chapter sheds light on the crucial role of the White House physician and the intricacies of their work.
 
(44:49) Daily Interactions With the President
This chapter provides insight into the daily routine of the White House doctors and nurses, specifically their interactions with the President. We speak with David L, a White House doctor, who explains how the President's morning routine includes a stop at the doctor's office. This is not only for medical assessments, but also for strategic reasons, as it is easier to monitor the President's health and avoid media speculation. We also discuss the call schedule and the challenges of maintaining a team of doctors and nurses for the President, First Lady, and Vice President. The importance of continuity of care is emphasized, but also the need for change and new perspectives. Overall, this chapter sheds light on the unique role of the White House medical team and the challenges they face in providing care for the nation's leaders.
 
Take Home Messages:
The journey from Military Medicine to presidential healthcare involves an interesting and unique career path, filled with diverse experiences and assignments.
Trust, honesty and worst-case scenario planning are critical elements in the practice of executive medicine, particularly when serving as a physician to top-level officials such as the President of the United States.
Deployment experiences and transitions between different theaters of war provide valuable lessons and insights that can be beneficial in any medical career.
The role of a physician to the President requires an ability to handle medical emergencies in remote locations and a commitment to maintaining the health and well-being of the nation's leader.
It's important for a physician in executive medicine to always prioritize their patients' well-being and maintain professional integrity, even when delivering unwelcome news.
The daily routine of White House doctors and nurses involves close interaction with the President and maintaining a team of healthcare professionals for the President, First Lady, and Vice President.
The continuity of care is vital in the role of a White House physician, but there's also a need for change and fresh perspectives.
The transition from a military physician to the role of physician to the President is a unique journey that offers invaluable lessons and experiences.
The selection process of the physician to the President should be apolitical, emphasizing the importance of the peaceful transition of power between administrations.
The physician to the President needs to constantly think of worst-case scenarios and have contingency plans in place to mitigate risks during the President's travels, highlighting the responsibilities and strategies of a physician in the White House.
 
Episode Keywords:
Military Medicine, Executive Medicine, White House Physician, Presidential Medical Care, Career Development, Deployment Experiences, Transitioning, Trust, Worst-Case Scenario Planning, Honest Communication, Continuity of Care, Medical Emergencies, Remote Locations, Military Beneficiaries, Civilian Care, Daily Interactions, Team of Doctors and Nurses, Fresh Perspectives, Valuable Advice, Inspirational Journey
 
Hashtags:
#PresidentialHealthcare #DrKevinOConnor #MilitaryMedicine #WhiteHouseMedicine #ExecutiveMedicine #ArmyMedicine #PresidentialPhysician #HealthcareHeroes #MilitarytoMedicine #NationLeadersHealthcare
 
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

Special Operations Forces to School of Medicine (SOF to SOM): Ricky Ditzel

Hear an inspiring journey from elite special operations flight paramedic to medical school. Our guest, Ricky Ditzel, a 160th flight paramedic, shares his unique pathway from an unstable home life to becoming a medical student. Ricky speaks about his time as a young Ranger, his path to becoming a flight paramedic, and his experiences during the COVID-19 pandemic. He also discusses the responsibility that comes with his role and the importance of precision and care for pilots, crew chiefs, and special operators.
Turning challenges into opportunities, Ricky recounts his experience of building a field hospital in response to the pandemic. He emphasizes the importance of understanding anatomy for pre-hospital traumatic brain injury management and shares the difficulties of transitioning from military to medical school. Listen as Ricky discusses his nonprofit that provides support and resources for people making a similar transition and his belief in the power of networking and mentorship in reaching one's goals.
Get ready to be inspired by an incredible testament to resilience and dedication. Ricky shares his journey, struggles, and contribution to military healthcare. His message echoes the significant impact of military personnel in the healthcare industry. This episode is not just about Ricky’s journey but is an inspiring story of determination, resilience, and the will to make a difference. Tune in and get ready to be inspired!
 
 
Chapters:
(0:00:00) - Pathway to Special Operations Medicine
(0:07:42) - Military Medicine and Redemption in Early Career
(0:14:57) - Aviation and Paramedic Roles and Responsibilities
(0:26:24) - Flight Medic Procedures and Challenges
(0:33:44) - Military to Medical School
(0:45:05) - Medical School and Brain Injury Management
(0:55:53) - Supporting Special Operators in Medical School
(1:00:13) - Medical School Challenges and Military Legacy
 
 
Chapter Summaries:
(0:00:00) - Pathway to Special Operations Medicine
Ricky shares his journey from JROTC to military medicine, offering advice for similar transitions.
(0:07:42) - Military Medicine and Redemption in Early Career
Ricky recounts his journey from Ranger to flight paramedic, taking control of his career and finding success.
(0:14:57) - Aviation and Paramedic Roles and Responsibilities
Ricky shares his journey from military to flight paramedic, SOCCM, Green Platoon selection, special operations aviation medical indoctrination, survival training, and the 160th's mission of serving special operators.
(0:26:24) - Flight Medic Procedures and Challenges
Ricky shares stories of responding to urgent calls, preparing for flight, providing medical treatments, and the importance of quick decisions.
(0:33:44) - Military to Medical School and COVID
Ricky transitioned from military to medical school during the COVID-19 pandemic, building a 216-bed field hospital named after Navy Seal Ryan Larkin.
(0:45:05) - Medical School and Brain Injury Management
Ricky reflects on transitioning from military to medical school, the importance of anatomy for TBI management, networking, and the Pat Tillman Foundation's aid.
(0:55:53) - Supporting Special Operators in Medical School
Ricky is helping military personnel transition to medical school with resources, cognitive assessments, MCAT support, and publication assistance.
(1:00:13) - Medical School Challenges and Military Legacy
Ricky emphasizes teamwork, leadership, integrity, and values, encouraging listeners to find a balance and new passion.
 
Take Home Messages:
Resilience and perseverance are key to overcoming challenges.
Military personnel play an impactful role in the healthcare industry.
Understanding anatomy is crucial for pre-hospital traumatic brain injury management.
Transitions from the military to medical school can be complicated but are achievable.
Precision and care are vital in positions such as a flight paramedic.
Building a field hospital during a pandemic presents unique challenges and lessons.
Networking and mentorship can significantly aid in transitions from military service to medical school.
Military medicine provides a unique perspective and skill set in medical school.
Nonprofits can provide crucial support for those transitioning from military to medical school.
Balance and clear thinking are important when dealing with high-stress environments.
 
 
Episode Keywords:
Military Medicine, Flight Paramedic, JROTC, Cerebral Palsy, Special Operations, Aviation, Pre-Hospital Traumatic Brain Injury, Medical School, COVID-19 Field Hospital, Networking, Mentorship, Anatomy, MCAT, Leadership Gap, Nonprofit, Military Transition
 
Hashtags:
#MilitaryToMedicine #Resilience #HealthcareHeroes #InspiringJourneys #FromWarzoneToMedSchool #SpecialOperations #FlightParamedic #MedicalSchool #TransitionStories #HealthcareLeadership
 
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

Exploring the Intersection of Civilian and Military Medicine: A Story of Dedication and Leadership- MG(R) Joseph Caravalho, Jr. M.D.

From the azure waters of Hawaii to the bustling corridors of Washington's power centers, Dr. Joseph Carvalho has navigated a fascinating journey. This retired Army Major General has dived deep into the world of military medicine, and this week, we bring you an intriguing conversation about his experiences. His story starts in Hawaii, takes him to Gonzaga University on an ROTC scholarship, and then to the Uniform Services University of the Health Sciences, where he earned his medical degree. Along the way, he's held roles as an Internist, Nuclear Medicine Physician, and Cardiologist, as well as Commander of several important military medical Commands and as Joint Staff Surgeon advising the Chairman of the Joint Chiefs of Staff. He now serves as the president and CEO of the Henry M Jackson Foundation.
 
Dr. Carvalho doesn't just share his story, he unpacks what it means to serve in the medical arena of the military. Get ready for a deep exploration into the career paths, diversity of roles, and leadership challenges medical officers face in combat environments. We talk about his time commanding medical units during wartime, managing wounded warriors at major military hospitals like BAMC and Walter Reed, and the intricacies of military healthcare. We also delve into the factors that make military medical facilities stand out, the importance of military medical research, and the recent developments in transgender acceptance in the military.
 
We round up our conversation with a spotlight on the Henry M Jackson Foundation, where Dr. Carvalho now serves as the president and CEO. As we navigate this chapter of his journey, we discover the role this foundation plays in bridging the gap between civilian and military medicine. We dissect the needed balance between medical research and addressing human frailty in healthcare. So, join us as we traverse through the exciting, complex, and critical world of military healthcare. Don't miss this opportunity to gain insights from an expert who's been on the frontlines, and don't forget to bring your curiosity along for the ride.
 
Take Home Messages:
 
The path to a successful career in Military Medicine is a multifaceted one, requiring a combination of rigorous academic training, diverse professional experiences, and adaptability in different roles and environments.
Military Medicine goes beyond clinical practice and includes roles such as a joint staff surgeon and leading a major foundation focused on advancing military healthcare.
Working in different roles within Military Medicine, such as commanding deployed and CONUS medical units during wartime, offers unique insights into the leadership challenges faced by medical officers in combat environments.
The intricacies of military healthcare can be seen in the distinct experiences of managing wounded warriors at major Army hospitals like BAMC and Walter Reed.
The intersection of civilian and Military Medicine is crucial in advancing healthcare. One such instance is the Henry M. Jackson Foundation's work in bridging this gap.
The diversity of roles within Military Medicine extends to working with different military groups such as Special Forces and Ranger Regiment soldiers, each with unique healthcare needs.
San Antonio's medical facilities stand out due to the availability of resources, a Level 1 Trauma designation, the proximity to other medical facilities, and a supportive local community.
Military medical research plays a vital role in enhancing the healthcare provided to soldiers, with a focus on meeting unique requirements and adapting to the speed of the warfighter's needs.
The recent developments in transgender acceptance in the military highlight the ongoing evolution of military healthcare in line with societal changes.
Navigating a career in Military Medicine requires personal resilience, a deep sense of service, and a willingness to continually learn and adapt to new environments and challenges.
 
 
Episode Keywords:
 
Military Healthcare, Medical Officer, Combat Environments, Leadership, Trauma Center, Wounded Warriors, Military Hospitals, Medical Research, Transgender Acceptance, Henry M. Jackson Foundation, Military Medicine, Army Surgeon General, Jointness, Zika Outbreak, Human Frailty, Veterans, Medical Research, Human Frailty, Healthcare
 
Hashtags:
 
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #DrJosephCaravalho #HealthcareJourney #HenryMJacksonFoundation #CombatMedicine #ROTC #MilitaryHealthcare #LeadershipChallenges #MedicalResearch #MilitaryLife
 
 
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
YouTube- @wardocspodcast

Charting Unconventional Career Paths: From Navy Enlisted to America’s Medical School- ENS Alexius Russell

     When we think about the journey to a fulfilling career, we often ignore the fact that the route isn't always linear. Our special guest in today's episode can tell you all about it! Navy ENS Alexius Russell gracefully navigated through her path from an enlisted Navy personnel to her current role as a third-year medical student at USUHS, serving as a beacon of inspiration for many. Alexius opens up about her voyage, dishing out pearls of wisdom for those intending to embark on a similar journey. Her experiences as an Intercommunication Electrician, her commitment to excel in every role, and her belief in the power of mentorship form the cornerstone of our conversation.
    We further venture into Alexius' participation in the EMDP2 program, shining a light on the cruciality of setting tangible goals and embracing a well-rounded approach to success. She articulates her journey in the military medical field, her experiences with uniform and field training, and her aspiration towards a surgical specialty. Alexius also unfolds her intentions to establish a non-profit organization to aid aspiring medical students, reinforcing the importance of relentless dedication in every endeavor. So, gear up for an episode filled with inspiring narratives, insightful advice, and a fresh perspective on pursuing a career in military medicine.
 
Chapters:
(00:00) Enlisted Soldier to Physician
(14:16) Enlisted to Medical Degree Preparation Program
(27:19) Military Medicine and Career Goals
 
Chapter Summaries:
(00:00) Enlisted to Doctor
We chat with Ensign Alexius Russell, a third-year medical student at USUHS, about her pathway to military medicine. Alexius shares her story, her experiences as an enlisted Navy personnel and her process of joining the military. She also gives excellent advice for those wanting to pursue a career in medicine. Alexius emphasizes the importance of giving your best in any position you are put in and surrounding yourself with medical mentors to guide you. She shares stories of her job as an Intercommunication Electrician and her involvement in different extra-curriculars on the ship, ultimately leading to her attending medical school.
 
(14:16) Enlisted to Medical Degree Preparation Program
Ensign Alexius Russell, a third-year medical student at USUHS, emphasizes the importance of having tangible goals and being well-rounded for success. She also stresses the importance of having mentors and understanding the requirements of the programs you want to apply for. Lastly, Alexius shares what it's like to be a student in the EMDP2 program and the importance of putting in the work to succeed.
 
(27:19) Military Medicine and Career Goals
Alexius Russell's journey to military medicine and the importance of being open-minded is discussed. She speaks about the uniform and field training required of medical students at USUHS and the surgical specialty she is interested in pursuing. The importance of putting in full effort into every activity, no matter how big or small, is highlighted and Alexius shares her plans to create a nonprofit to assist applicants in the medical school process.
 
Take Home Messages:
The journey to a fulfilling career is often not linear; it requires adaptability, resilience, and an open mind to navigate the twists and turns.
Excelling in any role you're put in, regardless of whether it aligns with your ultimate career goal, demonstrates your work ethic and integrity.
Surrounding yourself with mentors, particularly in the medical field, can provide invaluable guidance and advice on the pathway to becoming a doctor.
Setting tangible goals and embracing a well-rounded approach to success is crucial in any career, including medicine.
The military offers numerous programs that assist enlisted personnel in achieving their career goals, particularly in the healthcare field.
Regardless of the program or career path you choose, it's important to remain dedicated and hardworking. Success requires more than just having the right tools; you must also put in the work.
It's important to be adaptable and willing to take extra steps or classes to achieve your career goals. Humility can be a great asset in this process.
A well-rounded applicant for any medical program should possess not only good academic records but also leadership skills, empathy, and a strong commitment to the mission of military medicine.
There are various paths to becoming a doctor in the military, and it's crucial to research and understand these different routes before deciding on the best one for you.
The experience of being a medical student, particularly in the military, can be challenging due to the demanding schedule and frequent moves. However, the end goal of becoming a doctor makes the hard work worthwhile.
Episode Keywords:
Military Medicine, Ensign Alexius Russell, USUHS, Intercommunication Electrician, EMDP2 Program, Tangible Goals, Mentorship, Uniform Training, Field Training, Surgical Specialty, Non-Profit Organization, Medical School Process, Medical Mentors, Extra-Curriculars, Career Pathway, Relentless Dedication
 
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd, #MilitaryMedicine #CareerPathways #MedicalJourney #EnlistedToDoctor #NavyEnlisted #MedicalStudent #Mentorship #USUHS #EMDP2Program #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

Perfect Practice: A Navy Captain’s Surgical Journey: CAPT (Ret) Paul B. Roach, MD, FACS

    Listen in as we explore the journey of retired Navy Captain Paul B. Roach, MD, FACS, where he shares his valuable deployment experiences that led to significant improvements in combat casualty care.  From his early deployments as a flight surgeon in Okinawa to his gritty 14-month stint in Afghanistan, Dr. Roach offers a riveting account of combat surgery that will captivate and enlighten.  There, he learned the delicate dance of trauma algorithms and rhythms of combat surgery.
    Dr. Roach explains his motivations to capture his experiences, trials, and triumphs in his memoir, Citizen Surgeon. His deeply moving recollections underscore the critical importance of training and preparation for those deployed, and his mantra of "perfect practice makes perfect" will leave lasting impressions. In an in-depth discussion, we delve into the American College of Surgeons' military-specific curriculum and how it prepares surgeons for the realities of the battlefield.
  Finally, we navigate the evolution of Military Medicine through Dr. Roach's lens. His career trajectory showcases not just the rigors of deployment but also the harsh reality of transitioning home and the importance of family support. As a Navy Medical Corps Officer, a physician, and a mentor preparing the next generation of Military Medical professionals, Dr. Roach's narratives are an essential listen for anyone interested in the converging worlds of medicine and the military. This episode promises a wealth of insights and real-world experiences from the frontline of Military Medicine.
 
Chapters:
(0:00:00) - Early Military Medical Experiences
(0:07:06) - Surgical Oncology Career Path & Specialization
(0:15:38) - Combat Surgery
(0:29:18) - Military Specific Curriculum for Combat Surgeons
(0:34:46) - The Evolution of Military Medicine
 
Chapter Summaries:
(0:00:00) - Early Military Medical Experiences (7 Minutes)
We talk with retired Navy Captain Paul B. Roach, MD, FACS about his experiences from deployments and the important lessons learned that have led to improvements in combat casualty care. We also discuss his memoir Citizen Surgeon and his work to prepare the next generation of military medical professionals, as well as his work with the American College of Surgeons. Dr Roach also recounts his experience as a flight surgeon in Okinawa with the Marines, including a medevac mission he was involved with.
 
(0:07:06) - Surgical Oncology Career Path & Specialization (9 Minutes)
Dr.  Roach's deployments and the lessons he learned from them have shaped his career. He transitioned from his military service back to training and offers advice for those returning to their residencies after a break. His assignment to NAS Sigonella, Italy, gave him a unique opportunity. He decided to do fellowship training in complex surgical oncology.
 
(0:15:38) - Combat Surgery (14 Minutes)
Dr. Roach recounts his experience from his 14-month deployment in Afghanistan. He explains how his training in surgical oncology prepared him for any area he was called upon to work in and how he had to adjust to the trauma algorithms and rhythms of combat surgery. He shares his experience of writing his memoir, Citizen Surgeon, as a way to process his experience and to understand his deployment. He dealt with situations that were outside of his comfort zone, such as pediatric gunshot wounds, and used his med school and residency training to remind himself that he was capable of carrying out the mission.
 
(0:29:18) - Military Specific Curriculum for Combat Surgeons (5 Minutes)
Dr. Roach's experience with the American College of Surgeons' military-specific curriculum and exam is discussed. He explains how his training and practice prepared him for his deployments, including his stance on providing care to enemy combatants. He shares how his team was able to handle the Mass Casualty drills, even with members who were new to the experience, and his mantra of "perfect practice makes perfect" and the importance of training and preparation for those deployed.
 
(0:34:46) - The Evolution of Military Medicine (12 Minutes)
Paul shares his own journey from being a medical student dressed as a Naval Officer to becoming a Naval oOficer who happens to be a physician. He also explains how the transition home from deployment can be difficult and how his family has been his anchor. We explore the differences between Role 2 and Role 3 facilities and how to best prepare for deployment in either scenario. Finally, we discuss the importance of tumor boards in the care of cancer patients and how a multidisciplinary team can craft an individualized solution for each patient.
Take Home Messages:
Transitioning from point-of-injury battlefield care to an operating room requires immense adaptability and resilience, as both environments demand unique skill sets and mental preparedness.
Military medicine plays a crucial role in shaping an individual's career, especially when they transition from military service to civilian life.
A compelling narrative of frontline experience can provide valuable insights and lessons, contributing to improvements in combat casualty care.
The importance of 'perfect practice' is highlighted as a key to achieving excellence in the medical field, especially in high-pressure situations.
The evolution of military medicine has seen a convergence of medical expertise and military discipline, which has led to more effective healthcare for both military and civilian populations.
Multidisciplinary tumor boards play a vital role in cancer patient care, emphasizing the importance of a team-based approach to healthcare.
Continuous training and preparation are crucial for medical professionals, particularly those deployed in combat zones.
Writing and sharing personal experiences can help medical professionals process their experiences and understand their roles better.
Deployed medical professionals face unique challenges and require certain skill sets that differ from those used in traditional hospital settings.
The transition from military service to civilian life can be difficult, underscoring the importance of having strong support systems in place.
Episode Keywords:
Military Medicine, Combat Surgery, Surgical Oncology, Mass Casualty Drills, Flight Surgeon, Medevac Mission, Okinawa, American College of Surgeons, Role 2 Facilities, Role 3 Facilities, Multidisciplinary Team, Tumor Boards, Combat Casualty Care, Perfect Practice, Memoir Citizen Surgeon, Transition Home, Deployment Preparation
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #CombatSurgery #MedicalJourney #FromBattlefieldToOperatingRoom #CitizenSurgeon #DrPaulRoach #MilitaryToMedicine #NavyCaptain #MedicalExcellence #OncologyTraining
 
 
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