WarDocs - The Military Medicine Podcast

Navigating Operational Medicine Challenges in Military Medicine: COL(R) Jonathan Jaffin, MD

    We're honored to bring you a conversation with Dr. Jonathan Jaffin, an accomplished General Surgeon, a retired Colonel in the Army Medical Corps, and a Specialist Executive with Deloitte Consulting. Our dialogue circles the exciting advancements in operational medicine with an eye on austere environments, a topic that was the centerpiece of the 2023 Operational Medicine Symposium. We grapple with the shifting landscape of military operations, the emergence of near-peer competitors, and the potential for large-scale ground combat under resource constraints. Dr. Jaffin's insights into the challenges of maintaining readiness and the strains faced by individuals and caregivers are truly enlightening.
     Moving forward, we venture into the realm of future warfare and the preparation of surgeons for these unprecedented challenges. We explore the role of telemedicine and the promising Knowledge, Skills, and Abilities (KSA) project, a venture that Dr. Jaffin is no stranger to. His reflections on the KSA project provide a valuable insider's perspective into how training can be tailored to address specific knowledge and skill gaps. We delve into the crucial role of commanders in deployment readiness and the decisive impact of military medicine on these decisions. Dr. Jaffin also opens up about his military career, the unique relationships it has fostered, and the rewarding sense of contribution it offers. This episode provides a riveting glimpse into the evolving landscape of military medicine.
 
Chapters:
(00:00) Advancing Operational Medicine for Austere Environments
(05:47) Preparing Surgeons for Future Warfare
(15:45) Advantages of a Military Career
 
Chapter Summaries:
(00:00) Advancing Operational Medicine for Austere Environments
Dr. Jonathan Jaffin, a general surgeon and retired Colonel in the Army Medical Corps, speaks about his current work with Deloitte Consulting and his focus on social determinants of health. The importance of the 2023 Operational Medicine Symposium is discussed, along with the innovations and opportunities to advance the practice of medicine in austere environments. The impact of a near-peer competitor on operational medicine and the need to prepare for large-scale ground combat operations with limited resources is explored. A panel of military chiefs shares the challenges of maintaining readiness, trauma to individuals and caregivers, and how to make difficult decisions in the face of limited resources.
 
(05:47) Preparing Surgeons for Future Warfare
We discuss the challenges of maintaining surgical skills in an era of sub-specialization, how telemedicine can provide care in far-forward areas, and the Knowledge, Skills, and Abilities (KSA) project to ensure healthcare professionals are ready for deployment. Dr. Jaffin shares his experience with the KSA project, including how to structure training based on gaps in skills and knowledge. We also discuss the role of commanders in deciding who is ready to deploy, and how the medical department can inform their decision.
 
(15:45) Advantages of a Military Career
Dr. Jaffin shares his thoughts on the advantages of pursuing a military career and how it has helped him build close relationships. He reflects on the importance of contributing to the nation and the satisfaction from doing so. We also learn more about his current work with Deloitte Consulting and the role of telemedicine in providing care in remote locations.
Take Home Messages:
Advancements in operational medicine are crucial, especially for austere environments where resources may be limited.
The potential for large-scale ground combat with near-peer competitors presents a significant challenge for military medicine due to resource constraints.
Preparing surgeons for future warfare involves addressing skill gaps and ensuring readiness for unexpected situations.
Telemedicine can greatly aid medical care in remote locations, from diagnosis to expert consultations.
The Knowledge, Skills, and Abilities (KSA) project is key in tailoring training to address specific skill gaps in military healthcare professionals.
Commanders play a crucial role in deployment readiness and decisions, and military medicine can greatly inform these decisions.
Military medicine's mission extends beyond providing outstanding healthcare, it also includes preparing individuals for deployment.
Simulation technology for surgical training has significantly advanced, although there's still room for improvement, especially in simulating the feel of big procedures.
A military career can be gratifying, offering unique experiences, relationships, and the satisfaction of serving one's nation.
Meetings such as The 2023 Operational Medicine Symposium serve as essential platforms for discussing current issues and innovations in military medicine.
Episode Keywords:
Operational Medicine, Austere Environments, Military Operations, Near-Peer Competitors, Ground Combat, Readiness, Telemedicine, KSA Project, Training Gaps, Deployment Readiness, Military Career, Contribution, Deloitte Consulting, Telemedicine, Remote Locations
Hashtags:
#MilitaryMedicine #OperationalMedicine #DrJonathanJaffin #WarDocs #AustereEnvironments #MilitaryHealthcare #Telemedicine #FutureWarfare #KSAPproject #DeloitteConsulting #SurgeonPreparation #MilitaryCareer #ArmyMedicalCorps #OperationalMedicineSymposium #DeploymentReadiness #HealthcareInnovation #CombatCare #MilitarySurgeons #AdvancementsInMedicine #HealthcareTraining
 
 
Honoring the Legacy and Preserving the History of Military Medicine
 
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
 
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
 
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
 
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
 
  Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
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LinkedIn: WarDocs-The Military Medicine Podcast

Exploring Military and Diplomatic Medicine with State Department Regional Medical Officer Andrew P. Hyatt, DO, FAAFP

Imagine being a medical professional on the front lines of not just war but diplomacy as well. Our guest, Dr. Andrew Hyatt, has lived this life and is here to share his incredible journey from an Army Family Medicine physician to a Regional Medical Officer for the Department of State, serving in over 50 countries. He provides a behind-the-scenes look at his deployment in Hungary during Operation Joint Endeavour, where his medical skills were tested in the midst of Europe's transformation in the mid-90s. His story provides a unique lens into the world of Military Medicine and its instrumental role in foreign service.
 
     Transitioning from combat boots to diplomatic corridors, his responsibilities expanded to providing primary care to U.S. diplomats and their families across the globe. As he navigates us through these roles, Andy highlights the unique challenges of practicing medicine in unstable regions and the protocols that ensure the safety of medical personnel. He provides an illuminating look into the protocols and challenges of coordinating care with the Military system and even evacuating patients when necessary—ever wondered how the State Department ensures the safety of its medical personnel in dangerous locations? Dr. Hyatt's firsthand accounts give you an insider's understanding of the intricate network of Diplomatic Security Service, Marine Security Guards, and host nation protection that all work in unison to guarantee safety. Join us for this riveting discussion that takes you on an enthralling adventure into the life of a physician in the Department of State.
 
Chapters:
(0:00:00) - Military Medicine and Transition to the Department of State
(0:14:17) – Foreign Service Medical Care in the State Department
(0:27:46) - Safety in Dangerous Locations
 
Chapter Summaries:
0:00:00) - Military Medicine and Transition to the Department of State
(14 Minutes)
   Dr Andrew Hyatt shares his experiences of deploying to Hungary with the 67th CSH to support Operation Joint Endeavour, and then his subsequent deployments around the globe. He talks about the opportunities available for foreign medical service with the State Department and how prior service in Military Medicine provides an excellent preparation experience. We also discuss the state of Europe in the mid-90s, particularly as Military Medicine was poised to help the country.
 
(0:14:17) - Foreign Service Medical Care in the State Department (13 Minutes)
Dr. Hyatt relates his experiences as a Regional Medical Officer (RMO) for the Department of State, providing primary care to U.S. diplomats, family members, and other personnel in over 50 countries. He describes the different types of health care providers employed by the Department of State, as well as the protocols for evacuating a patient for specialty care. He also discusses the challenges of coordinating care with the military system when necessary.
 
(0:27:46) - Safety in Dangerous Locations (12 Minutes)
Dr. Hyatt served as a supervising Regional Medical Officer in Ukraine, and his Family Medicine background helped him recognize and manage mental health issues. He shares the complexity of providing medical care in unstable and dangerous areas and how the Department of State ensures the safety of its medical personnel and their families. Challenges of providing medical care in these contexts include the Diplomatic Security Service, Marine Security Guards, and host nation protection, all playing a role in keeping personnel safe.
 
Take Home Messages:
Military Medicine often serves as excellent preparation for roles in the diplomatic field, offering experiences in diverse environments and emergency situations.
As a Regional Medical Officer, one provides primary care to U.S. diplomats, their families, and other personnel in multiple countries. This position also involves coordinating care with the military system when necessary.
Transitioning from Military Medicine to diplomatic medicine involves changing roles from active combat to providing healthcare in diplomatic corridors. However, both roles require resilience, adaptability, and a commitment to serving others.
A Regional Medical Officer's role extends beyond primary care to include investigating relationships with local medical colleagues and assessing local facilities for the benefit of U.S. diplomats and their families.
In places with limited local specialty care, the Regional Medical Officer may need to arrange for patient evacuation to a location with the necessary medical facilities, even back to the U.S if necessary.
Working as a Regional Medical Officer involves decision-making about where a patient's needs will be best met, considering local capabilities, the urgency of the situation, and the patient's condition.
Diplomatic medical personnel are often stationed in unstable regions. Their safety is ensured through coordination with the Diplomatic Security Service, Marine Security Guards, and host nation protection.
The unique challenges of practicing medicine in unstable regions include coordinating with different security services and ensuring the safety of medical personnel and their families.
Providing medical care in dangerous areas often involves working with a small, close-knit group, which can foster a strong sense of camaraderie. The experience can be rewarding, despite the potential risks.
The interplay of medicine, military, and diplomacy provides unique opportunities and challenges. It's a testament to the adaptability and resilience of the medical field and those who choose to serve in these roles.
Episode Keywords:
Military Medicine, State Department, Operation Joint Endeavor, Regional Medical Officer, Primary Care, US Diplomats, Foreign Medical Service, Europe, Mid-90s, Mental Health, Diplomatic Security Service, Marine Security Guards, Host Nation Protection
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #DiplomaticMedicine #GlobalHealthcare #MedicalJourney #CombatToCorridors #MedicineOnTheFrontlines #MedicalDiplomacy #BattlefieldMedicine #HealthcareHeroes #MedicineAcrossBorders
 
 
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

Insights into Military Maternity Leave and Retention Rates: Lt. Col. Minette Herrick

    We're thrilled to welcome Air Force Lieutenant Colonel Minette Herrick on our latest episode of WarDocs. A Registered Dietician and international board-certified Lactation Consultant, Minette provides important insights on her compelling research, which draws from professional studies and personal experiences. The focus is on her enlightening article, 'Increasing Maternity Leave and Decreasing Attrition Rates of US Active Duty Women in the Prenatal and Immediate Postpartum Period.' She brings to the fore the critical issues surrounding maternity leave policies and their effect on the retention rates of female service members.
We take you through the intriguing journey of the Department of Navy's shift from a six-week maternity leave policy to an 18-week one. Explore with us how this transition has significantly impacted the recruitment and retention rates in the military sector. We also shed light on critical policies like the National Defense Authorization Act of 2008 and 2009 and the Secretary of Defense Leave Policy of 2016. Learn about the influence these policy shifts, including the Military Couples Caregiver Separation policy, have had on the experiences of Active-Duty married members. Join in and gain a broader understanding of the importance of family-friendly policies in the military.
Chapters:
(00:00) Extended Maternity Leave in the Military
(08:23) Military Maternity Leave and Retention Rates
 
Chapter Summaries:
(00:00) Extended Maternity Leave in the Military
Air Force Lieutenant Colonel Minette Herrick, a registered dietician and international board-certified lactation consultant, speaks about her article Increasing Maternity Leave and Decreasing Attrition Rates of US Active Duty Women in the Prenatal and Immediate Postpartum Period. Minette explains the reasons for her research, which included her personal experience of having four children while on active duty, and explores how providing paid parental leave can impact the organization. The results of the research show that women who are allotted six weeks of maternity leave had significantly greater odds of leaving the military, measured from the time of their initial prenatal visit to one year postpartum, than those who are entitled to 12 weeks of leave. We discuss the implications of these findings and the importance of health policy in positively impacting the health of people both inside and outside of the military.
 
(08:23) Military Maternity Leave and Retention Rates
We discuss the changes in the Department of Navy's maternity leave policy, from six weeks to 18 weeks, and the impact it has had on recruitment and retention of female service members. We shed light on the importance of the National Defense Authorization Act of 2008 and 2009, which first allowed for maternity leave, and the Secretary of Defense Leap Policy of 2016, which allowed for 12 weeks of parental leave for both birth parents after a period of convalescent leave. We explore the implications of the Military Couples Caregiver Separation policy, which gives active-duty married members the option to request caregiver separation. Finally, we discuss the findings of a retrospective cohort study of 67,281 active-duty women that found increased allotment of maternity leave from six weeks to 12 weeks was associated with decreased attrition rates.
 
 
Take Home Messages:
Maternity leave policies can have a significant impact on the retention rates of female service members in the military.
The shift from a six-week to an 18-week maternity leave policy in the Department of Navy has considerably influenced recruitment and retention rates.
The National Defense Authorization Act of 2008 and 2009 and the Secretary of Defense Leap Policy of 2016 have played a crucial role in shaping maternity leave policies in the military.
Policies such as the Military Couples Caregiver Separation policy have affected the experiences of active-duty married members.
Family-friendly policies are of paramount importance in the military, helping to foster a healthier and more supportive environment for service members.
Women who were allotted six weeks of maternity leave had significantly greater odds of leaving the military than those who received 12 weeks of leave.
The Department of Defense's policy change in 2016, which increased maternity leave from six to 12 weeks, was intended to encourage workforce recruitment and retention and help the well-being of military families.
Changes in maternity leave policy had the most significant retention benefit among junior enlisted and junior officers, emphasizing the importance of retaining talent among future leaders and innovators in the military.
The new parental leave policy implemented in 2023, providing 12 weeks of leave to both birth parents, should be studied further for its impact on attrition, family dynamics, and paternal bonding.
Family-friendly policies not only help retain talent but also send an essential message to military members and their families, affirming that the vitality of the military family is essential to mission success.
 
Episode Keywords:
Military Maternity Leave, Retention Rates, National Defense Authorization Act, Secretary of Defense Leap Policy, Military Couples Caregiver Separation, Prenatal Visit, Postpartum Period, Paid Parental Leave, Health Policy, Attrition Rates, Convalescent Leave, Retrospective Cohort Study
 
Hashtags:
#MilitaryMaternityLeave #PolicyShifts #RetentionRates #LieutenantColonelHerrick #MilitaryFamilies #WomenInMilitary #MaternityPolicyChange #FamilyFriendlyPolicies #ActiveDuty #MilitaryMedicine #WarDocsPodcast #ParentalLeave #NavyMaternityPolicy #MilitaryRetention #NationalDefenseAuthorizationAct #MilitaryRecruitment #MilitaryAttritionRates #MilitaryServiceMembers #MilitaryFamilySupport #PostpartumInMilitary
 
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 and Adaptability in Operational Medicine: BG(R) Richard Ursone.

Join us on WarDocs, the Military Medicine Podcast, as we share insightful conversations from the 2023 Operational Medicine Symposium. We sat down with key leaders in the field and discussed the latest innovations, challenges, and opportunities to advance medicine in expeditionary environments.
Imagine stepping into the world of Military Medicine, where innovation meets expeditionary challenges. Today, we bring you an insightful chat with retired Army Brigadier General Richard Ursone, a stalwart in medical logistics, who offers a firsthand perspective on technological evolution, adaptability, and resilience within the military health sector. We delve deep into the complexities of Large-scale Combat Operations and the ripple effect on Military Medicine, discussing potential massive casualties and their impact on medical services.
Further, we unpack the competencies required for medical service corps officers to succeed and the role they play in operational medicine. BG(R) Ursone candidly shares his concerns on the challenges ahead while also inspiring hope as we discuss the importance of leadership, team building, and effective communication. This episode is packed with rich insights from a seasoned professional ready to unravel the complex world of Military Medicine. Tune in for a captivating conversation that offers a new perspective on military healthcare, its challenges, and its triumphs.
Take Home Messages:
The evolution of medical logistics in the military has seen a significant shift from manual records to electronic databases and now to AI-enabled systems.
The rapid pace of technological advancements poses challenges to Military Medicine, necessitating continuous learning and adaptability.
Training officers for scenarios where technology might not be available is crucial for Military Medicine.
Medical service corps officers require a range of skills, including adaptability, quick thinking, agility, and a thorough understanding of how the Army operates.
Large-scale Combat Operations and Multi-Domain Operations pose significant challenges to military healthcare due to the potential volume of casualties and strain on medical services.
The implications of non-contiguous and non-linear battle environments present unique challenges to operational medicine.
Preparing for Large-scale Combat Operations includes the need for prolonged care and managing massive wounds in conditions where evacuation may not be possible.
The importance of leadership, teamwork, and communication within the medical service corps is emphasized.
For those stepping into leadership roles, it's crucial to listen, understand the skills and talents of team members, motivate them, provide rigorous training, and build trust.
The podcast emphasizes the value of continuous learning, attending conferences, and staying updated with the latest trends in military health systems.
 
Episode Keywords:
Military Medicine, Medical Logistics, Technological Advancements, Large-Scale Combat Operations, Military Healthcare, Leadership, Teamwork, Communication, Medical Service Corps, Operational Medicine, Expeditionary Environments, Adaptive Officers, Large-Scale Combat Operations, Prolonged Care Environment.
 
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #OperationalMedicine #WarDocs #MedicalLogistics #ArmyHealthcare #LeadershipInMedicine #LargeScaleCombat #MedicalChallenges #WarfighterHealth
 
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 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.
 
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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