🩸 MENTAL STATUS IS YOUR #1 BLOOD TRIGGER 🧠 Trauma surgeon Max on PFC Podcast 252. “Change in mental status? HEMORRHAGE until you PROVE otherwise. Don’t blame drugs or TBI first—prove it.” ⏰ From the SECOND you get the patient: 👉 “Where you from?” 👉 “Favorite movie?” 👉 “What’d you eat today?” 👿NOT just “You okay, buddy? → Ask random, thought-provoking Qs to test higher brain function. ✅ Coherent & fast? → Brain’s perfused. ❌ Slow, quiet, confused, “drunk”? → START BLOOD NOW. 🚨 This beats waiting for BP to tank. Mental decline = brain starving = about to CRASH. Your Protocol: Talk non-stop from contact → evacuation. Re-check mental status with every intervention. Any drop? → Transfuse EARLY. 🎙️ Full ep: ProlongedFieldCare.org 📲 Tag a medic. Train this. Save a life. #MentalStatus #HemorrhagicShock #GiveBloodEarly #ProlongedFieldCare #TCCC #CombatMedicine #TraumaResus #FOAMed #MedTwitter @GreenBeretMD @SpecOpsMedics @DeltaDev_Team @NARescue @CeloxMedical

Posting tomorrow... PFC Podcast 252: Prolonged Tourniquet Conversion Posting tomorrow... PFC Podcast 252: Prolonged Tourniquet Conversion 🚨 Battlefield Hack: Convert Tourniquets Early to Save Limbs! 🩹 In the chaos of Ukraine's front lines, up to 75% of tourniquets applied pre-hospital were unnecessary in hindsight. But for those that are? Delaying conversion can lead to deadly ischemia-reperfusion injury – think kidney failure from potassium overload. From the latest Ukrainian study (via @prolongedfieldcare podcast): 🔹 Focus on the "middle group" – stable patients where surgeons fight to save the limb. 🔹 Key tip: Convert ASAP at the aid station. Success rate? 50-75%! 🔹 Winter woes: Extra layers make wound assessment tougher – double-check those bleeds. Watch the full breakdown with Dr. John Holcomb on PFC Podcast Ep. 255. Link in bio! What's your go-to TQ conversion strategy? Drop it below 👇 #TacticalMedicine #TourniquetTraining #UkraineWarLessons #ProlongedFieldCare #CombatMedic #SOFMed #AustereMedicine #PFCpodcast @SpecOpsMedics @GreenBeretMD @armyemdoc @DeltaDev_Team @NARescue

Posting tomorrow... PFC Podcast 251: Hemorrhagic Shock Progression. 🚨 Don’t Wait for the Crash: Act Smart in Hemorrhagic Shock 🚨 In the heat of trauma care, guidelines like TCCC are critical, but they’re NOT the law. On the latest PFC Podcast, trauma surgeon Max drops a vital truth: **Don’t hang your patient’s life on an algorithm.** Here’s how to make life-saving decisions in hemorrhagic shock: 🩺 Trust Your Instincts: If hemorrhage control feels shaky and vital signs are trending wrong—rising heart rate, narrowing pulse pressure, worsening mental status, or heavier breathing—don’t wait for a blood pressure drop to act. That trigger might come too late. 🔍 Key Signs to Watch: - Sympathetic Tone: Is it ramping up? That’s your body fighting to compensate. - Pulse Pressure: Narrowing means trouble’s brewing. - Mental Status & Breathing: Changes here scream urgency. 💡 Why It Matters: In Class 2 shock, patients can look “fine” but be on the edge of decompensation. If you’re not a surgeon or can’t intervene further, act early to prevent a crash into Class 3 or 4. 🛠️ Pro Move: Use at least two data points (e.g., heart rate mental status) to guide decisions. One data point can mislead; two confirm the trend. Be proactive—stop the bleed, reassess, and act fast. 🎧 Dive deeper into real-world trauma care at ProlongedFieldCare.org. Learn to read the signs, trust your gut, and save lives! 💪 #HemorrhagicShock #CombatMedicine #TraumaCare #MedicTraining #ProlongedFieldCare #TCCC #EmergencyMedicine #BattlefieldMedicine

PFC Podcast 251: Hemorrhagic Shock Progression 🚨 Understanding Hemorrhagic Shock: Key Insights from the PFC Podcast 🚨 In our latest PFC Podcast episode, Dennis and trauma expert Max dive deep into hemorrhagic shock—a critical topic for medics, first responders, and anyone in high-stakes trauma care. Here’s what you need to know: 🩺 Classes of Shock Simplified: - Class 1: Up to 750cc blood loss (~15%). Your body compensates by mobilizing venous reserves. Vital signs? Normal. Think "first gear." - Class 2: 750-1500cc (~15-30%). Heart rate spikes, pulse pressure narrows, and breathing gets heavy. You’re in high gear, but still compensating. - Class 3 & 4: Over 1500cc (30-40% ). The wheels come off—blood pressure drops, organs lose perfusion, and you’re in uncompensated shock. Act fast! ⚠️ Key Takeaway: Young, healthy individuals (like military operators) can mask severe blood loss, staying in Class 2 until they crash into Class 4. Don’t wait for a blood pressure drop to intervene! 🩹 When to Act: 1. Hemorrhage Control: Stop the bleeding first—check extremities, abdomen, chest, pelvis, and thighs. 2. Trend Vital Signs: Look for worsening tachycardia, narrowing pulse pressure, or mental status changes. Two red flags? Time to act, even if systolic BP is above 100. 3. Don’t Rely on Guidelines Alone: Algorithms like TCCC are guides, not law. Trust your assessment. 🎧 **Listen to the full episode** at ProlongedFieldCare.org for a masterclass in trauma care from real-world experience. Stay sharp, save lives! 💪 #CombatMedicine #HemorrhagicShock #TraumaCare #MedicTraining #ProlongedFieldCare #TCCC #EmergencyMedicine

Don't burn patients need to "Swell to get Well"? Posting tomorrow... PFC Podcast 247: Plasma for Burns Link tree linktr.ee/Prolongedfieldcare… @SpecOpsMedics @NextGenComMed @NARescue @DeltaDev_Team @GreenBeretMD @armyemdoc @ATMA_Tactical @emcrit @FlightBridgeED

Take the airway before it's too late. PFC Podcast 244: Penetrating Neck Injury Link tree linktr.ee/Prolongedfieldcare… @SpecOpsMedics @GreenBeretMD @armyemdoc @NARescue @NextGenComMed @DeltaDev_Team @ATMA_Tactical @CommitteeonTCCC @CeloxMedical @TacticalMedical @TacmedAus

You have to know what you're doing, before getting the gear to help you do it. You can't just buy your way to victory. Out now... PFC Podcast 246: Maritime IW Medicine Deep dive. Link tree linktr.ee/Prolongedfieldcare… @SpecOpsMedics @NARescue @NextGenComMed @armyemdoc

Managing a Zone 1 Neck injury. PFC Podcast 244: Penetrating Neck Injury Link tree linktr.ee/Prolongedfieldcare… @SpecOpsMedics @GreenBeretMD @NARescue @NextGenComMed @CommitteeonTCCC @CeloxMedical @ATMA_Tactical @FlightBridgeED @armyemdoc @DeltaDev_Team

PFC Podcast 238: End of Life Care...Out now. If we don't train for making these kinds of medical decisions, how do we believe we will perform when it happens? Link tree linktr.ee/Prolongedfieldcare… @SpecOpsMedics @armyemdoc @DeltaDev_Team @NARescue @CeloxMedical

Tourniquets can't fix everything. Probably should train on that scenario. PFC Podcast 236: Hemostatic Agents Out now... Link tree linktr.ee/Prolongedfieldcare… Listen ad free on Spotify, Apple Podcast, or Patreon @SpecOpsMedics @DeltaDev_Team @CeloxMedical @NARescue

Posting tomorrow... PFC Podcast 236: Hemostatic Agents Dennis and Michael discuss the critical role of hemostatic agents in hemorrhage control. Link tree linktr.ee/Prolongedfieldcare… Listen ad free with premium membership on Spotify, Apple Podcast, or Patreon. @SpecOpsMedics

Don't complain, do something about it. PFC Podcast 234: SOMA Link tree linktr.ee/Prolongedfieldcare… @PFCCollective24 @armyemdoc @TacmedAus @NextGenComMed @NARescue @DeltaDev_Team

RT @PFCCollective24: Former Ranger Medic Victor, goes over his lessons learned while helping in Burma. Full of hard lessons working with th…

DNBI is very common, but should combat medics spend the majority of their time on this? This presentation and many more available on SOMA's LMS. Become a member and enjoy whenever you want. @PFCCollective24 @armyemdoc @NextGenComMed

DNBI pops up whenever... Whenever This presentation and many more are available now on SOMED. specialoperationsmedicine.or… @armyemdoc @NextGenComMed @PFCCollective24

Posting tomorrow...Rick asks us if we're focused on the right outcomes in our medic courses. SOMSA'25 - Squaring the Foundations Link tree linktr.ee/Prolongedfieldcare… @SpecOpsMedics @DeltaDev_Team @NARescue @NextGenComMed @armyemdoc @ATMA_Tactical @theCoROM @CommitteeonTCCC

RT @PFCCollective24: Airway management is over after the time goes in. You have to have a plan to maintain it before you start. PFC Podcast…

Suction is the one thing that you can't reproduce. ALWAYS, have a suction device as part of your airway kit... ready to go. PFC Podcast 231: Emergence linktr.ee/Prolongedfieldcare… @SpecOpsMedics @NextGenComMed @NARescue @DeltaDev_Team @cromedical @ATMA_Tactical @armyemdoc

You sedated for the procedure, what's your plan for after? PFC Podcast 231: Emergence... Posting tomorrow PFC Website: prolongedfieldcare.org Patreon: patreon.com/ProlongedFieldCa… Apple podcast podcasts.apple.com/sk/podcas… Spotify open.spotify.com/show/3jf8IZ…

Pushing best practices to extreme environments always presents new challenges. SOMSA is where collaborations begin. This presentation and many others available now on SOMED. specialoperationsmedicine.or… @PFCCollective24 @NextGenComMed @DeltaDev_Team @ResusPadawan @armyemdoc