SOMA

🩸 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/Prolongedfield… @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/Prolongedfield… @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/Prolongedfield… @SpecOpsMedics @NARescue @NextGenComMed @armyemdoc

Managing a Zone 1 Neck injury. PFC Podcast 244: Penetrating Neck Injury Link tree linktr.ee/Prolongedfield… @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/Prolongedfield… @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/Prolongedfield… 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/Prolongedfield… 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/Prolongedfield… @PFCCollective24 @armyemdoc @TacmedAus @NextGenComMed @NARescue @DeltaDev_Team

Former Ranger Medic Victor, goes over his lessons learned while helping in Burma. Full of hard lessons working with the resistance. Link tree linktr.ee/Prolongedfield… @SpecOpsMedics @NextGenComMed @armyemdoc @GreenBeretMD @DeltaDev_Team @NARescue

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.org @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/Prolongedfield… @SpecOpsMedics @DeltaDev_Team @NARescue @NextGenComMed @armyemdoc @ATMA_Tactical @theCoROM @CommitteeonTCCC

Airway management is over after the time goes in. You have to have a plan to maintain it before you start. PFC Podcast 231: Emergence Link tree linktr.ee/Prolongedfield… @DeltaDev_Team @NARescue @SpecOpsMedics @NextGenComMed @armyemdoc @GreenBeretMD @ATMA_Tactical

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/Prolongedfield… @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/ProlongedField… Apple podcast podcasts.apple.com/sk/podcast/pro… Spotify open.spotify.com/show/3jf8IZONK…

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.org @PFCCollective24 @NextGenComMed @DeltaDev_Team @ResusPadawan @armyemdoc