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Prolonged Field Care Podcast

Dennis
Prolonged Field Care
Military Medicine
Trauma Care
Emergency Medicine
Ketamine
Ukraine
Combat Medicine
Triage
Cardiac Arrest
Medical Training
Austere Medicine
Tactical Combat Casualty Care
Special Operations Forces
Airway Management
Telemedicine
Battlefield Medicine
Tension Pneumothorax
Healthcare
Pain Management
Hemorrhage Control

Become a Paid Subscriber: creators.spotify.com/pod/show/dennis3211/subscribe This podcast and website is dedicated to the healthcare professional who needs to provide high quality care in a very austere location. For more content: www.prolongedfieldcare.org Consider supporting us on: patreon.com/ProlongedFieldCareCollective

PublishesTwice weeklyEpisodes618Founded5 years ago
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Education

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Artwork for Prolonged Field Care Podcast

Latest Episodes

In this essential episode of the Prolonged Field Care Podcast, Dennis sits down with pediatric intensivist Dr. Sara Bibbens to tackle one of the most challenging and anxiety-inducing scenarios in austere medicine: pediatric burns. From initial trauma... more

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In this presentation, we take a deep dive into the 300-year history of mobile surgery supporting land campaigns — from Dominique Larrey’s ambulance volantes through the Letterman system, Arnhem, the Falklands, Mali, and the current Russia-Ukraine war... more

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In this episode of the Prolonged Field Care Podcast, Dennis sits down with Alex, CEO of Shannon Mechanics, a Ukrainian company that has produced more than 8,000 drag stretchers and over 330,000 immobilization splints for the front line since the full... more

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In this episode of the Prolonged Field Care Podcast, Dennis sits down with J.R. Pickett — unpack the controversial and high-stakes topic of what used to be called excited delirium.

They dig into the history of the syndrome (Bell’s mania, acute exhau... more

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Key Facts

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Recent Guests

JR Pickett
Paramedic turned ER physician and EMS medical director
City of Austin EMS (EMS medical director; former tactical EMS chair for NTOA)
Episode: Managing the Combative Patient: Hyperactive Delirium with Severe Agitation, Ketamine & Field Reality
Jennifer Gurney
Army Surgeon, Chief of the Joint Trauma System
United States Army
Episode: War Wounds Unfiltered: Cleaning, Debridement & Why You Shouldn’t Close Early
Pac Peck
Anesthetist with extensive military and NSOCOM experience; discussed S-ketamine in austere environments
Danish Special Forces / European NSOCOM trainers
Episode: S Ketamine Mastery in Austere Care: S-Ketamine Dosing, Tricks, and TCCC Updates
John McClellan
Surgeon with the Joint Medical Unit at Fort Liberty, North Carolina
Joint Medical Unit, Fort Liberty
Episode: PFC Podcast: TXA - 2g Slam and other myths busted
David Plaster
Former US Army combat nurse, medic and nurse with Ukraine experience
Anomaly TechMed
Episode: PFC Podcast 283: Underground Manufacturing - Ukraine’s Shadow Factories Saving Lives
Mark Shapiro
Trauma surgeon; 18D/SEAL-era experience; developed medical proficiency training for SF
Ground surgical teams; Ragged Edge
Episode: PFC Podcast: Velocity Kills - Wound Ballistics, Shotguns & Unpredictable Trauma in Prolonged Field Care
John Wightman
EMT turned Air Force emergency physician with extensive experience in blast injuries
U.S. Air Force (retired); emergency medicine physician
Episode: PFC Podcast 282: Blast Lung - Expert Tactics for Blast Lung Injury in Prolonged Field Care
Reagan Lyon
Emergency medicine physician with Air Force background and experience with Special Operations Surgical Teams
Emergency medicine physician; former Special Operations Surgical Teams; affiliated with the Naval Postgraduate School
Episode: PFC Podcast: Guerrilla Hospitals - How to Actually Build Medical Systems When Evacuation & Resupply Are Gone
Thad Snyder
Hospitalist; former 18 Delta instructor; experienced in palliative and crisis care discussions
John City, Tennessee; former Delta medic
Episode: PFC Podcast 281: Crisis Standards of Care: The Hardest Conversations Medics and Teams Must Have

Host

Dennis
Host of the Prolonged Field Care Podcast

Reviews

4.9 out of 5 stars from 169 ratings
  • Mind Blown On a Sunday Morning

    Just found this podcast on Insta and am loving it! Every reel I scrolled through I was getting more and more excited! Great stuff!

    Apple Podcasts
    5
    mcbkatn
    United States9 months ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Listeners consistently praise the practical, field-ready takeaways that translate to real-world care.
Episodes are data-driven and rich with clinical and operational detail that aid training and planning.
Feedback highlights the host's experience and the depth of guest expertise as major strengths.

Talking Points

Recent interactions between the hosts and their guests.

Managing the Combative Patient: Hyperactive Delirium with Severe Agitation, Ketamine & Field Reality
Q: What role do law enforcement and medical teams play in managing these cases?
Law enforcement may be involved for safety and restraint in the field, but the medical team should drive treatment decisions. The episode emphasizes treating the medical emergency rather than prioritizing custody, while acknowledging the broader context of criminalization and accountability in high-profile cases.
Managing the Combative Patient: Hyperactive Delirium with Severe Agitation, Ketamine & Field Reality
Q: What are the key considerations when sedating a severely agitated patient in the field?
Key considerations include ensuring safety, having a plan, evaluating the patient even if limited, continuous monitoring after sedation, preparing for potential apnea, and choosing agents like ketamine for rapid action while understanding risks and the need for airway and ventilation support.
Managing the Combative Patient: Hyperactive Delirium with Severe Agitation, Ketamine & Field Reality
Q: What is excited delirium and how is it different from a guy being a jerk?
Excited delirium is a historically used term describing a disturbed mental state with delirium, violent behavior, and physiologic signs like hypertension and tachycardia. It is not a formal diagnosis with consistent criteria, but it highlights a medical emergency requiring evaluation and safe management, often in the field, with consideration of underlying medical or toxic causes.
S Ketamine Mastery in Austere Care: S-Ketamine Dosing, Tricks, and TCCC Updates
Q: How should dosing be adapted for non-IV routes in austere settings?
When not using IV, doses must be increased proportionally to account for reduced bioavailability (e.g., IM, intranasal, rectal), with careful monitoring for emergence phenomena and readiness to reverse or sedate if needed.
S Ketamine Mastery in Austere Care: S-Ketamine Dosing, Tricks, and TCCC Updates
Q: What is the key difference between R-ketamine and S-ketamine in field use?
S-ketamine is more potent per milliliter, allowing lower doses to achieve similar effects, but the onset, duration, and side effects depend on the route of administration and patient factors; practical use emphasizes dosing to achieve specific clinical endpoints rather than chasing potency alone.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

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Frequently Asked Questions About Prolonged Field Care Podcast

What is Prolonged Field Care Podcast about and what kind of topics does it cover?

A practical, field-focused show that centers on high-stakes medical care in austere environments. Across episodes, listeners get hands-on guidance about prolonged field care, blood transfusion logistics, airway management in children, fentanyl and multimodal analgesia in combat settings, and evacuation/handovers. The host and expert guests share real-world tactics, from hemorrhage control to telemedicine support, with an emphasis on preparing for non-hospital care and sustaining patients over hours to days. A standout is the consistent pairing of clinical depth with operational realism, plus a willingness to discuss ethics, leadership, and human factors under pressure. This program likely appeals to healthcare professionals working in tacti... more

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Which podcasts are similar to Prolonged Field Care Podcast?

These podcasts share a similar audience with Prolonged Field Care Podcast:

1. The World’s Okayest Medic Podcast
2. EMCrit FOAM Feed
3. EMS 20/20
4. Journal of Special Operations Medicine - Podcasts
5. The Resus Room

How many episodes of Prolonged Field Care Podcast are there?

Prolonged Field Care Podcast launched 5 years ago and published 618 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Prolonged Field Care Podcast?

Recent guests on Prolonged Field Care Podcast include:

1. JR Pickett
2. Jennifer Gurney
3. Pac Peck
4. John McClellan
5. David Plaster
6. Mark Shapiro
7. John Wightman
8. Reagan Lyon

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