Education and issues for military flight medics.
Hoist AAR Part 2
Here's the second part of our interview with Joel. Listen as he describes conducting multiple hoists in combat, and listen for some valuable lessons learned. Joel talks about PACE planning, patient handoff techniques, and we explore the dogma that surrounds the transport of deceased patients.
Have a listen, and let us know what you think. Our comments section, DMs, and email are always open!
Hoist AAR Part 1
We begin with a remembrance of our fallen Navy comrades.
Today's episode is the start of our second AAR series. We talk with Joel, an Army flight medic who conducted a hoist mission in combat. His experience is important for several reasons, not least of which because we have a very frank discussion of what can happen when hoist training and maintenance is de-prioritized.
Have a listen and let us know what you think!
College of Remote and Offshore Medicine
Aebhric O’Kelly from the College of Remote and Offshore Medicine joins Max and Morgan to discuss medical training and education for austere settings. CoROM is a unique educational institution with many military alumni. Aebhric discusses opportunities at CoROM, including some important information on the number of credits required to apply (hint: you probably already have enough). The conversation progresses to austere critical care pearls, the importance of knowing how to treat disease and non-battle injury, and what is arguably the greatest medical mnemonic ever: SHEEPVOMIT.
CoROMs website is at corom.edu.mt, and they are active on social media as well.
Have a listen, and let us know what you think!
Hoist Part 2
Rob Munday from Blackcomb Helicopters & SR3 Rescue Concepts, Jon, and Wayne wrap up their discussion of hoist techniques. This episode focuses on safety, training, and emergency procedures. It's a must-listen for pilots, hoist operators, and hoist riders alike, because the discussion has the potential to change your perspective on what makes a safe hoist both in training and during operations.
Hoist Part 1
Rob Munday from Blackcomb Helicopters & SR3 Rescue Concepts joins Wayne and Jon to discuss hoist techniques. Riding the hoist makes great social media posts, but behind the cool pictures is a skill that must be continuously honed and refined. The Army Hoist SOP is a relatively progressive document, but too many units ignore the important information in the SOP because of an ill-informed "belief there is greater risk involved." Setting aside certain hoist techniques as only suitable for combat is a surefire way to guarantee that we don't have the right skills when they're needed in the next fight. If your unit is only training static hoists at IGE altitudes, this episode is for you. Wayne and Jon give great perspective coming from the Navy and Coast Guard, and Rob's expertise is definitely worth a listen.
Dr. Steven Schauer joins us to discuss supraglottic airways. These devices are often considered to be 'rescue' adjuncts for a 'failed' airway, but this discussion may change the way you approach out-of-hospital airway control. Listen as Dr. Schauer talks about the types of patients who should receive SGAs, tips and tricks for using them, and the importance of training on these devices now matter how simple they appear.
Dr. Schauer discusses why SGAs aren't prevalent yet in the furthest forward units and describes research done by his own team:
Schauer, S. G., Naylor, J. F., Uhaa, N., April, M. D., & De Lorenzo, R. A. (2020). An Inventory of the Combat Medics' Aid Bag. Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 20(1), 61–64.While discussing pitfalls of using SGAs, Dr. Schauer also mentions a very recent study discussing misplaced SGAs:
Norii, T., Makino, Y., Unuma, K., Hatch, G. M., Adolphi, N. L., Dallo, S., ... & Braude, D. (2021). Extraglottic airway device misplacement: a novel classification system and findings in postmortem computed tomography. Annals of Emergency Medicine, 77(3), 285-295.Trevor makes reference to the AIRWAYS II Trial...:
Benger, J. R., Kirby, K., Black, S., Brett, S. J., Clout, M., Lazaroo, M. J., Nolan, J. P., Reeves, B. C., Robinson, M., Scott, L. J., Smartt, H., South, A., Stokes, E. A., Taylor, J., Thomas, M., Voss, S., Wordsworth, S., & Rogers, C. A. (2018). Effect of a Strategy of a Supraglottic Airway Device vs Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome: The AIRWAYS-2 Randomized Clinical Trial. JAMA, 320(8), 779–791. https://doi.org/10.1001/jama.2018.11597...and he also mentions very well designed checklists in Airway Management in Prolonged Field Care, CPG 80.
Have a listen and let us know what you think!