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/
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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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Pamela B. Andreatta, EdD, PhD - Managing Upper Extremity Vascular Injuries: Training and Readiness for Military Surgeons
MSG(R) Samuel Rodriguez- Saving Lives at the Tip of the Spear-Battlefield Care in Unconventional Warfare and Innovations in Special Operations Medicine
MAJ Joshua Anchan, MD-Critical Care in the Skies: Military Neonatal Transport Teams
POCUS in Military Medicine: Applications, Challenges, and the Future of Combat Casualty Care-COL Cristin Mount, MD, and LTC(P) Scott Grogan, DO
VADM(Ret) Raquel Cruz Bono, MD, MBA, FACS- (Part 2 of 2) Navy Trauma Surgeon- Innovating, Influencing, and Inspiring at all Leadership Levels in Military Medicine.
VADM(Ret) Raquel Cruz Bono, MD, MBA, FACS- (Part 1 of 2) Navy Trauma Surgeon- Innovating, Influencing, and Inspiring at all Leadership Levels in Military Medicine.
RADM(Ret) Carol A. Romano, PhD, RN- Advancing Nursing Practice and Leadership in the Federal Health System and Training the Next Generation at USU.
LTC(R) Matt Welder, DNP, CRNA, FAWM- Operational Medicine Expert Discusses the Joint Trauma System Drowning CPG and how to Prepare and Provide Optimal Dive Medical Care
MG(R) Richard A. Stone, MD- “Save Every Life You Can”- Lessons Learned From COVID-19 Leading the Veterans Health Administration
COL Arthur Yeager, MOT- Army Aviator, Combat Stress Expert, Occupational Therapist, Inventor, and Experienced Rehabilitation Professional
LTC(R) Matt Welder, DNP, CRNA, FAWM- Operational Medicine Expert: Optimizing Physiology in Abnormal Conditions and Applications for Military Missions
Benjamin Hall- Veteran Fox News War Correspondent Injured in Ukraine: Amazing Rescue, Recovery, and Rehabilitation Assisted by Military Medicine Expertise Across the Globe
Col (ret) David Carmack MD MBA – Air Force Orthopedic Trauma Surgeon Providing Hands-on Training for Expeditionary Medicine
Col (Ret) Donald Taylor- US and in Combat Zones Healthcare- Leading the Team, Caring for High Profile Casualties, and Managing Limited Resources
MG(R) Barbara R. Holcomb- Nursing in Military Medicine and Providing the Best Possible Care in Austere Environments and at Home
Major General (Ret) Philip Volpe, DO- Keys to Successful Mentorship- Setting the Ground Rules and Starting a Mentorship Relationship
RADM Bruce L. Gillingham, MD- Keys to Developing Successful Mentorship Relationships in Military Medicine during a Career and for Life
Brigadier General (R) Richard Ursone- Keys to Successful Mentorship- Defining mentorship relationships and explaining why they are critical to mission success
VADM(Ret) C. Forrest Faison III, MD- 38th Navy Surgeon General- Providing Medical Support to Combat Operations and Humanitarian Missions Across the Globe: Defeating the Tyranny of Distance
Col (Ret) Todd E. Rasmussen, MD: Advances and Innovations in Vascular Surgery During Wartime (Part 2 of interview)
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