WarDocs - The Military Medicine Podcast
Health & Fitness:Medicine
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:
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.
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CSM (Ret.) Rudolfo (Rudy) Delvalle- Combat Ranger Medic to Command Sergeant Major of Walter Reed Army Medical Center: Soldier Medic Leading the Way.
Major General (Ret.) Phillip Volpe, D.O.- Lessons learned from operational medicine experience in Panama, Somalia, Haiti, Korea, Southwest Asia and additional undisclosed locations.
CAPT Christine Sears, M.D.- A Navy Urologist Commanding on the USNS COMFORT and Maintaining Resiliency While Supporting Critical DoD Medical Missions Across the Globe.
BG (Dr.) Mary V. Krueger- Leveraging Character, Training and Experience For Mission Success.
COL Michael Wirt, M.D., Ph.D: Radiology on the Battlefield, Neuroradiology, and Commanding a Level 1 Trauma Center during the COVID pandemic.
COL Will Bimson, D.O.- Combat Cardiologist, Ranger Qualified- Supporting COVID Missions at Home in the USA and Deployments Across the Globe
Dr. Benjamin Starnes- Surgeon Stepping Up to Lead During 9/11 and in Austere Locations Across the Globe
COL(R) Dr. Peter Napolitano- OB/GYN WarDoc- Improving Surgical Patient Safety on the Battlefield and Beyond.
COL(R) Dr. Matthew Hepburn- Military Infection Disease Doc Uniquely Prepared for Operation Warp Speed and Global Pandemic Response.
Lt. Gen. (Ret) Dr. Paul K. Carlton Jr.-Evolution of Critical Care in the Air- Past, Present and Future
Major General (Ret) Dr. Sean L. Murphy- Taking Care of Military Members and their Families from the Far East to Europe to the Pentagon
CAPT (Dr.) Joel Schofer- Deputy Chief of the Navy Medical Corps- Coaching and Mentoring Physicians in Career Development both Online and In-person.
The Journey to Zero Harm- Exploring Quality and Safety in Military Medicine- COL(Ret) Evan Renz, MD, MPH (Part 2 of interview)
COL(Ret) Dr. Evan Renz: From Jumpmaster in the 82nd Airborne Division to Burn/Critical Care Surgeon Extraordinaire.
COL(Ret) Alfonso “Al” Alarcon: Orthopedic Surgery and Military Medical Leadership Around the Globe
Dr. Kevin C. Kiley: 41st Army Surgeon General- Loyalty Down and Choosing the Harder Right- Reflections from a Distinguished Career
Colonel Paul Parker- British Army Surgeon: Drones, Advanced Tourniquets and Blood Products-Future Combat Care Innovations at the Tip of the Spear.
Major General (Dr.) Jeff Clark MC Mission Lessons- Desert Storm to Kosovo to Katrina to Abu Ghraib
Major General Daniel Walrath- Combat Casualty and Inspirational Leader: An Inside look at the Military Medical System from Point of Injury to Recovery
Center for the Intrepid: Lessons Learned from Combat Injuries Have Revolutionized Rehabilitation Care (with Dr. Alderete)
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