WarDocs - The Military Medicine Podcast
Health & Fitness:Medicine
Get ready to embark on a captivating journey through the pages of military medicine history as we speak with retired Army Colonel Dr. Evan Renz on WarDocs. Dr. Renz, a seasoned General/Trauma Surgeon and Burn Specialist with a rich trove of experience unfolds the evolution of military wound care from the era of World War II to the present day. As we trace the progression from hemorrhage control and debridement to advancements in medications, Damage Control concepts, and the use of innovative wound care technologies, Dr. Renz champions the importance of learning from our past and integrating these lessons into future military medical training.
Drawing from his first-hand experience, Dr. Renz guides us through the intricate landscape of wound management in damage control resuscitation and surgery scenarios. We speak about the world of negative pressure wound therapy, starting from his initial use of a Wound Vac in 1997 to its evolution over the years. Experience the crux of Army Medicine as we venture into the crucial considerations surgeons must take when evaluating wounds where a tourniquet is applied to control bleeding and preserve the patient's hemodynamic stability.
Our exploration takes a detour to the US Institute of Surgical Research Burn Center in San Antonio, where Dr. Renz shares his valuable insights on complex burns and wound care management. The discussion reveals intriguing practices such as avoiding prophylaxis antibiotics for isolated burn injuries and the strategic use of negative pressure wound treatment. Learn more about the fine balance of initiating and adjusting fluid for patients, the crucial decision-making process involved in combat wound closure, and the pressing need to pass on knowledge and training in the advances of technology. We guarantee that this episode will leave you with a newfound respect for Military Medicine and those who dedicate their lives to its advancement. So, join us for an eye-opening journey into the world of military medicine with Dr. Renz!
Chapters:
(0:00:00) - Military Wound Care Evolution
(0:13:59) - Wound Management in Damage Control
(0:28:44) - Burn Center and Wound Care Management
(0:46:13) - Decisions in Combat Wound Closure
Chapter Summaries:
(0:00:00) - Military Wound Care Evolution (14 Minutes)
Retired Army Colonel Dr Evan Renz, a General/Trauma Surgeon with extensive experience in training and working at the US Institute of Surgical Research's Burn Unit in San Antonio, provides insights into the evaluation and treatment of complex wounds. He emphasizes the critical importance of documenting and learning from our past to help prepare us for future conflicts and to make sure that these lessons are included in military medical training opportunities. We discuss the changes in wound management from World War II to today, from the importance of hemorrhage control and debridement to advancements in medications and technologies improving wound care.
(0:13:59) - Wound Management in Damage Control (15 Minutes)
Dr. Evan Renz discusses the importance of wound management in damage control resuscitation. He shares his experience with his first use of a Wound Vac in 1997 and how the use of negative pressure wound therapy evolved over time. We explore the special considerations surgeons must take when evaluating a wound where a tourniquet is in place and how these decisions can help preserve the patient's hemodynamic stability.
(0:28:44) - Burn Center and Wound Care Management (17 Minutes)
Dr. Renz explains that isolated burn injuries do not require prophylactic antibiotics; however, traumatic combat wounds should be treated with an initial dose of antibiotics in addition to a Tetanus booster. Dr. Renz shares his experience with the use of the Wound Vac in the Burn Center and the key questions that he would ask when taking calls for burn management care. He also explains the importance of avoiding over-resuscitation and how to initiate and adjust fluid for the patient. Finally, he outlines the care that the patient would receive in regard to their wounds once they reach Role 4 or 5 facilities.
(0:46:13) - Decisions in Combat Wound Closure (7 Minutes)
Dr. Evan Renz shares his experience with the Emergency War Surgery manuals and the use of Wound Vacs in the field. We also discuss the importance of repeating a primary and secondary survey with each transfer of care and how to identify when a wound can or should be closed primarily or covered by a flap or graft. Finally, Dr. Renz speaks to the importance of passing on knowledge and training in the advances of technology so that it is not forgotten.
Take Home Messages:
Episode Keywords:
Military Medicine, Wound Care, Damage Control, Burn Center, Wound Management, Negative Pressure Wound Therapy, Tourniquet, Hemodynamic Stability, Prophylaxis Antibiotics, Image Control, Debridement, Fluid Management, Combat Wound Closure, War Surgery, Wound Vac, Technology Training
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #CombatWoundCare #DrEvanRenz #WarDogsPodcast #MedicalEvolution #MilitaryTraining #BurnInjuries #DamageControlResuscitation #WoundVacTherapy #BattlefieldMedicine
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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LTG(R) Ronald Blanck, DO – From Vietnam Battalion Surgeon to Surgeon General of The US Army
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COL(R) Charles R. Scoville, DPT- Applying Lessons Learned in War to Improve Amputee Care
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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
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