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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CAPT (R) James Cole, MD- Trauma Surgeon serves with Seal Team 6 in Iraq and as Marine Expeditionary Surgeon in Iraq and Afghanistan
COL Jeremy Pamplin, MD- Understanding How Telemedicine and Advanced Technology Augment Battlefield and Rural Medicine
COL (R) Sean Keenan, MD- Special Operations Doc: Training and Execution of Tactical Combat Casualty Care at the Point of Injury
MAJ (R) Bill Vasios, MPAS, APA-C - Special Operations Enlisted to Officer: Developing Ultrasound and Telemedicine for the Battlefield
Sergeant Rob Jones, USMC(Ret): SURVIVE-RECOVER-LIVE-A Wounded Warrior with Bilateral Above-Knee Amputations Reflects on his Journey From Injury to Recovery
COL(R) Charles R. Scoville, DPT- Applying Lessons Learned in War to Improve Amputee Care
LTC (Ret) Jim Reed, CRNA- Special Operations Nurse Anesthetist and Veteran Suicide Prevention Advocate
COL Kirby Gross, MD- Insights and Perspectives on the Deployed Trauma System From an Innovative and Humble Leader.
COL Kirby Gross, MD- 48-year-old General Surgeon calls an Army recruiter the day after the 9/11 attacks and becomes an Expert Expeditionary Trauma Surgeon
COL (Dr.) David Doman- Reconstructive Orthopedic Surgeon Supporting Special Operations
Military Medical Veterans and Volunteers- Making a Difference in Ukraine with the Global Surgical and Medical Support Group (GSMSG)
Major General (Ret) Richard A. Stone, MD- Transformational Leadership Providing Population Health Improvement within the Military Health System and the Veterans Health Administration.
CSM (Ret) Althea Green, Ph.D.- Army Medicine’s Most Senior Combat Medic Now Shapes Military Medicine through the Enlisted to Medical Degree Program
Major General (R) Elder Granger, MD- Leading a Multi-National Battlefield Health System in Iraq and Executing a $20+ Billion Worldwide Defense Health Program
CAPT(Ret) Peter Rhee, MD, MPH- Navy Trauma Surgeon Leading Innovation in Tactical Combat Casualty Care, Training, and Unit Design
COL Ramey Wilson, MD, MPH- Special Operations Command Surgeon: Understanding the Big Picture of Medical Support for Unconventional Missions
MG(R) Richard W. Thomas, MD, DDS- Surgeon, Soldier, Educator, Leader- Shaping the Future of Military Medicine
MG(R) George Weightman, MD- Commander, Command Surgeon- Optimizing Medical Support to Combat Units Across the Globe
Lt Gen (Ret) Bruce Green, MD- 20th Air Force Surgeon General Shapes Military Medicine using Crises Leadership Experience Gained in every Region of the World
Command Sergeant Major Diamond D. Hough- US Army Medicine’s Senior Soldier Medic Leverages Battlefield Experience to Influence the Next Generation of Combat Medics.
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