@CrisisMedicine* breaks down the ins and outs of our Prolonged Field Care Handbook—what #medics need to know when the mission goes long, resources run thin, and care must continue under fire. *CrisMedicine and Dr. Mike Shertz had no role in writing the book and do not receive any direct benefit from sales of the PFC manual. #PFC #ProlongedFieldCare #TACMED #CombatMedicine

Behold the Golden Hour — it lives. If it has to happen at 30,000 ft in the air or 100 ft underground, we can do it. The most elite DCR/DCS teams on the planet. No backup. No infrastructure. No excuses. We bring the OR to the point of injury. #GSMSG #ProlongedFieldCare #DCR #DCS #AustereMedicine #SOFmedicine

🩸 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

Tourniquet conversion is a necessary knowledge for prolonged field care, and it’s something we teach in class. Come to class. Upcoming courses: Train The Trainer Nov 9th-11th Responder 1,2,&3 April 16th-17th #refugemedical #refugetraining #tqconversion #prolongedfieldcare #tccc #tecc

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

No bird. No truck. No backup. Just you, the casualty, and the clock. In drone-saturated warfare, you are the medevac. Train like lives depend on it — because they do. #ProlongedFieldCare #LSCO #GetOffTheX #GSMSG @Forsvarsmakten @DefenceU @Team_Wendy

At GSMSG, we’ve fought in these wars. Now we train our partners (SSO GUR) to survive them. Because freedom isn’t self-sustaining. It requires action, sacrifice—and a refusal to look away when evil advances. #GSMSG #Ukraine #SOF #ProlongedFieldCare #CombatMedicine #TrainToFight

How the Russo-Ukrainian war is transforming military medicine — and why NATO models are no longer enough? Answers are in the new article in Military Medicine co-authored by 🇺🇦 frontline experts: shorturl.at/jKjch #FrontlineMedics #ProlongedFieldCare #LelekaFoundation

Muista: • Pään suojaaminen (suurin lämpöhäviö) • Estä hypotermia = paranna selviytymistä #lääkintämies #combatmedic #TCCC #hypotermia #trauma #kuolemantimantti #TSTEA #Taistelupelastaja #ProlongedFieldCare #PFC #sotilaslääkintä #lethaltriad

⚠️Polttotaisteluaineet ovat äärimmäisen vaarallisia ja vaikeasti hallittavia⚠️ Suojaa. 🛡️ Tunnista. 🔬 Hoida. ⛑️ – nopeasti⏳ #tstea #tstpelastaja #taistelupelastaja #lääkintämies #combatmedic #Fieldmedicine #TCCC #kenttälääkintä #ProlongedFieldCare #PCF #BurnInjuryCare

⚠️Lääkintämies on koko joukon terveyden asiantuntija⚠️ #fieldmedic #combatmedic #TCCC #kenttähygienia #PFC #ProlongedFieldCare #sotilaslääkintä #taistelukyky #finmedic

#fieldmedic #combatmedic #TCCC #ProlongedFieldCare #lethaltriad #kuolemantimantti #PFC #sotilaslääkintä #trauma #hypotermia #TXA #verensiirto

2 years in the making! The long-awaited PFC Field Handbook makes its debut at the 2025 SOMA symposium. Set a reminder to purchase your copy at the JSOM booth #633. Available to ship worldwide May 12th exclusively from jsomonline.org #ProlongedFieldCare #PFC #medicine #austeremedicine @PFCCollective24 @SpecOpsMedics

kun se on välttämätöntä potilaan hengen pelastamiseksi. #FieldMedic #CombatMedic #ProlongedFieldCare #PFC #bloodtransfusion #kenttälääkintä #lääkintämies #TCCC

Yhteenveto: Intranasaalinen lääkkeenanto on monipuolinen ja käytännöllinen vaihtoehto kenttä- ja hätätilanteisiin, erityisesti silloin, kun nopeus ja helppous ovat tärkeitä. #FieldMedicine #Intranasaalinen #CombatMedic #prolongedfieldcare

Haittojen hallinta: 1. Midatsolaami: Rauhoittaa dissosiaatiota, ahdistusta ja hallusinaatioita (pieninä laskimonsisäisinä annoksina). 2. Ketamiiniannoksen säätö: Käytä pienempiä tai toistuvia annoksia. ENDEX/🧵 #Taistelulääketiede #fieldmedic #combatmedic #prolongedfieldcare #PFC

Valitse antoreitti olosuhteiden mukaan: IV/IM, jos mahdollista, mutta suun kautta (PO) on hyvä vaihtoehto evakuoinnin aikana. #fieldmedic #combatmedic #Prolongedfieldcare

Check lists are vital in Pre-Hospital care. Whether you are sedating a patient during prolonged field care or performing a blood transfusion, you MUST always prepare and follow your guidelines. #Trauma #TCCC #ProlongedFieldCare #PFC #NSOCM #CombatMedic #SOFmed #Tacevac #Medic