WarDocs - The Military Medicine Podcast
Health & Fitness:Medicine
Step into the vanguard of battlefield medicine with Dr. John M. Croushorn, an engineer-turned-emergency physician whose innovations are redefining trauma treatment. From his pivotal career switch of joining Army Medicine post-9/11 to creating the Abdominal Aortic Junctional Tourniquet (AAJT-S), this episode weaves together the personal and the technical, providing an intimate look at the challenges and triumphs of military medicine.
As we converse with Dr. Croushorn, you'll be transported to the front lines of tactical emergency medical solutions, where the origins of such practices in the military and law enforcement laid the groundwork for today's life-saving techniques. Discover the birth of the AAJT-S, spurred by tragedy and necessity, and how a chance encounter with a Special Forces Medic brought the device's development full circle. This narrative captures the essence of innovation — where creativity meets critical needs, and every step in the design process can mean the difference between life and death. The trenches of tactical medicine are filled with stories of lives saved and legacies forged, and each tale tightens the bond between trauma care advancements and those who stand ready at the front lines.
Dr. Croushorn continues to pull back the curtain on the dynamic field of military medicine, guiding us through the application of junctional tourniquets and their profound impact on saving lives in pre-hospital scenarios. We'll also cast an eye to the future, examining ongoing research and the global implications of these medical advancements. Hear tales of the AAJT-S's deployment in diverse environments, from the deserts of the Middle East to the conflict in Ukraine, and learn how this technology is not just a tool but a testament to human resilience and the relentless pursuit of advancing trauma treatment.
Chapters:
(00:00) Military Medicine and Trauma Treatment Innovation
(15:08) Developing Tactical Emergency Medical Solutions
(21:26) Junctional Tourniquets for Hemorrhage Control
(35:19) Junctional Tourniquet Application and Future Innovations
(45:38) Physiologic Effects of a Cardiac Device
Chapter Summaries:
(00:00) Military Medicine and Trauma Treatment Innovation
Former Army Medical Corps officer shares journey from engineering to military medicine, including deployment experiences and innovative contributions.
(15:08) Developing Tactical Emergency Medical Solutions
Tactical medicine's role in the FBI, development of the AAJT-S for pelvic bleeding, and a serendipitous encounter with a Special Forces Medic.
(21:26) Junctional Tourniquets for Hemorrhage Control
Junctional tourniquets are crucial in trauma care, effectively controlling hemorrhage in extremity-torso junctions and surpassing other methods.
(35:19) Junctional Tourniquet Application and Future Innovations
Versatile junctional tourniquet device for pediatric to 64-inch circumference patients, efficacy compared to REBOA, and use in trauma centers and NCTH.
(45:38) Physiologic Effects of a Cardiac Device
Innovative application of the AAJT-S has shown impressive results in traumatic cardiac arrest scenarios, leading to protocol changes and ongoing studies in Ukraine.
Take Home Messages:
Episode Keywords:
Military Medicine, Trauma Treatment, Emergency Medical Protocols, Abdominal Aortic Junctional Tourniquet, Tactical Medicine, Hemorrhage Control, Pre-hospital Setting, Medical Device Development, Special Forces Medic, Junctional Tourniquet, Extremities, Combat Gauze, Expandable Foams, Pediatric Patients, Non-compressible Torso Hemorrhage, Physiologic Effects, Traumatic Cardiac Arrest, Return of Spontaneous Circulation, Porcine Model, Emergency Protocols, Ukrainian Vascular Surgeon, Bakhmut Conflict, Military Medical Authorities
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicineInnovation #AbdominalAorticTourniquet #TacticalMedicineTech #TraumaCareBreakthroughs #LifesavingInventions
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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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.
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.
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