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.
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Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
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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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Col (Ret) Todd E. Rasmussen, MD: Vascular Surgeon Leveraging Combat Deployment Experience to Improve Care on the Battlefield and Beyond
SSG(R) Adam Bardwell: Special Operations Medical Sergeant: Maintaining a Readiness Mindset
LTG(R) James Peake, MD- US Army Surgeon General on 9/11: From Infantry Platoon Leader in Vietnam to Strategic Leadership in Military Medicine and at the Dept. of Veterans Affairs.
CAPT(R) Eric Elster MD: USUHS Dean and Experienced Navy Transplant Surgeon Optimizing Combat Casualty Care Knowledge and Skills and Preparing the Next Generation of Medical Professionals.
COL(R) Douglas W. Soderdahl, MD- Military Urologist and Combat Surgery Multiplier
Lieutenant General (Ret). Mark A. Ediger, MD- Keys to Successful Mentorship- Defining Mentorship Relationships and Helping them Develop and Flourish.
CMC(Ret) Tyrone Willis: Shipboard Medicine Insights and Positively Impacting Military Careers and Organizations
MG(R) Joseph Caravalho Jr., M.D. Operational Expertise Enhances Strategic Medical Leadership in the Joint Force Environment
MG(R) Jonathan Woodson, MD- Shaping the Future of Military Medical Education and Research
BG Mary V. Krueger, DO- Successful Mentorship- Keys for a Mentee- Military Medical Mentorship Moments Series
CAPT Robert A. Liotta, MD – Deployed Navy Flight Surgeon and Cardiothoracic Radiologist Serves as Recruitment and Admissions Associate Dean at USUHS
Colonel Edward Horvath Jr, MD - Good Medicine, Hard Times: Experiences of a Reserve Physician in Combat
LTC (R) Steve Peth- Former Vietnam Medevac Pilot serves Wounded Soldiers at Walter Reed as a Red Cross Volunteer
MG(R) David Rubenstein, FACHE- Keys to Successful Mentorship- The Mentorship Relationship- Military Medical Mentorship Moments Series
Chief Hospital Corpsman Peter McGuyer: Navy Special Operations Independent Duty Corpsman Training Combat Medic Sustainment Skills and Focusing on Wellness
COL Andrew Morgan, MD- Army Special Operations Emergency Medicine Physician and NASA Astronaut
MG Telita Crosland, MD- Keys to Successful Mentorship- What Should a Mentor Know? Military Medical Mentorship Moments Series
LTC(R) Steve Peth- MEDEVAC Pilot in Vietnam discusses Casualty Evacuation and Training Pilots for Combat Missions
Col (Ret) Donald Jenkins, MD – Air Force Trauma Surgeon leading the way with the Joint Trauma System and Clinical Practice Guidelines for Trauma.
LTG(R) Ronald Blanck, DO – From Vietnam Battalion Surgeon to Surgeon General of The US Army
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