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 David R. King, MD, FACS- Trauma Surgeon Responds to the Boston Marathon Bombing and Provides and Innovates Surgical Critical Care for Special Operations and Civilian Trauma Patients.
Major General (RET) Gale S. Pollock: CRNA, First Female and First Nonphysician Army Surgeon General and 22nd Chief of the Army Nurse Corps
BG (R) Norvell “Van” Coots, MD Military Medicine Impacts in Eastern Europe and the Middle East; a Motivational Story of Perseverance, Ambition, and a Never Quit Attitude
COL(R) Kent E. Kester, MD- Important Impacts of Translational Research Medicine in Military and Global Healthcare
(Pt. 2) COL(R) John B. Holcomb, MD, FACS- Innovations in Hemorrhage Control and Transfusion Paradigms Redefining Trauma Combat Casualty Care Guidelines (2 of 2)
(Pt. 1) COL(R) John B. Holcomb, MD, FACS- Special Operations Surgeon uses Lessons Learned in Somalia to Revolutionize Combat Casualty Care in the Global War on Terrorism (1 of 2)
WarDocs-The Military Medicine Podcast- What Are We For? Our Origin Story and Mission
LTG(R) Eric B. Schoomaker, MD, PhD, FACP– Adapting to the Challenges of a Constantly Changing Strategic Landscape to Shape and Enhance Military Combat Care (Part 2 of 2)
LTG(R) Eric B. Schoomaker, MD, PhD, FACP – Excellence in Academic Medicine and Strategic Military Medical Leadership (Part 1 of 2)
COL (Ret.) Russ Kotwal, MD, MPH – Studying the Chaos of Battlefield Injuries in a Standardized Manner to Advance Battlefield Trauma Care (Part 2 of 2)
COL (Ret.) Russ Kotwal, MD, MPH – Ranger Battalion and Regimental Medical Care in Two Combat Jumps and 12 Operational Deployments (Part 1 of 2)
COL(R) Edward B. Lucci, M.D.- Disaster Preparedness and CBRN Defense Expert- Responses to 9/11, Anthrax, Ricin and More. Lessons Learned and the Way Forward.
Brigadier General Shan Bagby DMD, MHA – The Importance of developing a Diverse Military Medical Force and Leading through Tough Social Times and an Inside look at Deployed Dental Care (Part 2 of 2)
Brigadier General Shan Bagby DMD, MHA – Battlefield Dental Care, the Role of Dentists in Leading Military Medicine, and the Dual Military and Medical Professional (Part 1 of 2)
COL (R) Robert Adams, MD- Former Navy SEAL Joins Army Medicine- Adventures as the Delta Force Surgeon and Deployments with the 82nd Airborne Division.
RADM Bruce L. Gillingham MD- Pediatric Orthopedic Surgeon, Undersea Medical Officer and Current Surgeon General of the United States Navy.
Lieutenant General (Ret). Mark A. Ediger, MD- From Rural Family Medicine Physician to Flight Surgeon to Air Force Surgeon General
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.
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