Prolonged Field Care Podcast

Dennis

Become a Paid Subscriber: https://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

  1. SOMSA 2025: Former Ranger Medic's Lessons Learned

    3 DAYS AGO

    SOMSA 2025: Former Ranger Medic's Lessons Learned

    This was my Favorite Presentation from SOMSA '25. Check back for the latest updates from SOMSA '26. In this episode of the PFC Podcast, Victor, a former Ranger medic, shares his experiences and lessons learned from a mass casualty event during a humanitarian mission in Burma. He discusses the historical context of the conflict, the challenges faced in providing medical support, and the innovative solutions developed in a denied environment. The conversation emphasizes the importance of training, adaptability, and building sustainable medical practices to empower local medics in future conflicts. Takeaways Victor shares his experiences as a former Ranger medic. The humanitarian mission in Burma faced severe challenges. The conflict in Burma has historical roots dating back to World War II. Training focused on hemorrhage control and casualty extraction techniques. Two casualty collection points were established during the operation. The team had to adapt to carrying casualties over long distances. Blood transfusions were successfully conducted in the field for the first time. Building sustainable medical practices is crucial for future operations. Empowering local medics is essential for effective care. The mission was guided by a sense of love and purpose. Chapter 00:00 Introduction to the Humanitarian Mission 02:54 The Conflict in Burma: Historical Context 05:52 Training the Rangers: Preparing for Combat 08:55 The Medical Support Operation: Initial Challenges 11:49 Casualty Management: Triage and Evacuation 14:55 Adapting to the Battlefield: Lessons Learned 17:54 Blood Transfusions in the Field: A New Capability 20:45 Building Sustainable Medical Practices 23:48 Empowering Local Medics: The Future of Care For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

    30 min
  2. PFC Podcast 276: Critical Strategies For Subterranean Rescue

    6 DAYS AGO

    PFC Podcast 276: Critical Strategies For Subterranean Rescue

    What happens when the battlefield drops 30 feet underground into a collapsed building, ancient tunnel system, or booby-trapped basement? You don’t just “clear” it — you assess it like a critical trauma patient while everything tries to kill you. In this raw, no-fluff episode, Dennis sits down with Sean McKay — 20+ year veteran of dynamic high-threat rescue, nonlinear physics guy, and the man who turns “impossible” subterranean ops into repeatable TTPs. Fresh off 48 hours with zero sleep (and still caffeinated to the gills), Sean drops a masterclass on why underground environments are exponentially more dangerous than anything on the surface. From atmospheric sucker punches (O₂ depletion, CO₂ buildup, toxic off-gassing) to structural collapses, comms blackouts, mental exhaustion, and the brutal reality of casualty extraction in spaces tighter than a coffin, this episode is packed with battlefield-proven principles you won’t find in any manual. If you run rescue, work in SOF, or just want to understand what happens when the fight goes subterranean — this is required listening. Key Takeaways 1. Treat the subterranean environment like a patient — use the exact same rapid/ongoing assessment template medics already know by heart. 2. Atmospheric threats (O₂ depletion, CO₂, displacement gases) are silent killers; monitor early and often. 3. Speed is security, but only after deliberate recon — one small “worm” goes first, the team enlarges behind him. 4. Improvise like your life depends on it: rubble, wood studs, high-lift jacks, and building debris become your cribbing and shoring. 5. Plan for mental exhaustion — 45 minutes underground feels like 8 hours; isolation and darkness will mess with your head. 6. Always identify safe havens and load-bearing walls as you move; never trust foreign engineering. 7. Casualty extraction multiplies complexity exponentially — every medical intervention costs time and movement. 8. Worst-case heuristics save lives: assume the worst, then back out from there. 9. Geology and soil type tell you whether a collapsed structure is worth occupying or a death trap. 10. Best practices are written in blood — create your own on the spot using context and innovation. Chapters - 03:10 – Why Subterranean Is the Ultimate Nonlinear Nightmare - 05:29 – Real-World Examples: Afghanistan Karez, Tunnels, Collapses - 07:25 – Atmospheric & Environmental Pathology (The Silent Killers) - 09:09 – Structural Collapse, Shoring & Improvised Solutions - 11:41 – Scenario: Occupying a Collapsed Multi-Story Basement - 13:36 – Patient-Assessment Template for the Environment - 15:31 – Tunnel Rat Recon Tactics & Atmospheric Monitoring - 17:56 – Sustainment, Mental Exhaustion & Comms Hell - 20:22 – Heuristics, Worst-Case Planning & Spidey Sense - 23:16 – Real Heuristic Examples from the Field - 26:11 – Destabilization, Cribbing & Load-Bearing Principles - 27:19 – Fire Chief Mindset – Maintaining Global Awareness - 29:45 – Safe Havens, Injuries & Team Support - 30:56 – Gases, Ventilation & Natural Airflow Hacks - 35:12 – Fans, Vertical Ventilation & Building Features - 38:52 – When to Walk Away – Red Flags & Geology Clues - 41:31 – Water, Electrical & Urban Subterranean Hazards - 44:48 – Casualty Extraction in Confined Spaces - 48:39 – Creating Best Practices on the Fly For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

    53 min
  3. PFC Podcast: Setting Up a Walking Blood Bank: From Talking to Transfusion

    23 APR

    PFC Podcast: Setting Up a Walking Blood Bank: From Talking to Transfusion

    If you’ve ever said “We’ll just set up a walking blood bank when we need it,” this episode will make you rethink everything. Dennis and Andrew Fisher drop straight fire on how to actually build, stock, train, and run a real walking blood bank on a FOB, Firebase, or any austere base — not just theory, but the exact steps special operators and conventional medics are using right now to save lives when the next mass casualty hits. No fluff. No “somebody else will handle it.” Just battle-tested, practical guidance on turning your team (and the units around you) into a living blood bank that can deliver fresh whole blood in under 30 minutes. Key Takeaways You Can Use Tomorrow Pre-type every donor (especially O’s) and keep the roster with key leaders and medics — Medpros + secondary confirmation beats dog tags every time.Distribute kits across the team so one casualty doesn’t wipe out all your supplies.Practice full collections with non-medics — they can (and will) be your force multipliers.Have donor questionnaires filled out in advance for anyone outside your unit; do Eldon cards in calm conditions, never under fire.Plan for 20–30 minutes from alert to transfusion — that window dictates how long you have to bridge with other resuscitation tools.Principles over perfection: good stick + patent line + practiced team beats fancy equipment every single time.Chapters 00:00 – Welcome & Why Most Walking Blood Banks Stay TheoreticalThe dangerous gap between “we have a plan” and actually practicing it.02:30 – Preferred Blood & ABO Typing Your Entire ForceLow-titer O whole blood, Medpros screening, lab vs. Eldon cards, and why you double-type.08:45 – Eldon Cards: When They Work (and When They Don’t)Calm pre-mission testing vs. chaos — real talk on reliability.13:20 – Supplies & Logistics: Bags, Kits, Refrigeration & Cold ChainFenwal vs. Terumo, how many kits to order, and smart storage hacks.19:10 – Point-of-Injury Kits & Load DistributionWhat medics carry, what teammates carry under plates, and spreading risk.24:40 – IV Technique, Saline Locks & Point-of-Care TestingWhy 18-gauge + PRN adapter wins, donor screening, and host-nation considerations.31:15 – Donor Questionnaires & Pre-ScreeningWhen to use them, multilingual options, and why you do this before the fight.35:50 – Selling It to Commanders & Multi-Unit CoordinationRisk-benefit talk that actually works: mutual support, 100+ years of history, and 10,000+ units transfused.41:20 – Real Timelines: 20–30 Minutes from Call to TransfusionTraining goals, the 15-minute bag-fill rule, and why practice beats classroom speed.47:30 – Closing Principles & Final ThoughtsForce multiplication, non-medics stepping up, and adapting under pressure. Whether you’re ODA, Ranger, conventional, or just preparing for the next deployment — this is the episode that turns “we should do a walking blood bank” into “here’s exactly how we’re doing it.” For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

    45 min
  4. PFC Podcast 275: Mastering Pelvic Fracture Management

    20 APR

    PFC Podcast 275: Mastering Pelvic Fracture Management

    In this episode of the PFC Podcast, Dennis is joined by Dr. Brigham Au — 10-year orthopedic trauma surgeon, former Parkland trauma faculty, and fellowship-trained at the Florida Orthopaedic Institute — for a no-fluff masterclass on pelvic fractures. From high-energy MVCs and falls to sneaky low-energy geriatric injuries, Dr. Au breaks down exactly what matters in the prehospital/prolonged field care environment: stability, pain control, binders, and what actually saves lives. Whether you’re a combat medic, critical care paramedic, or wilderness provider, this is the episode that turns pelvic fractures from “scary” to “manageable.” Takeaways Physical exam beats imaging every time in the field — Gross manipulation is overrated; gentle leg positioning and pain response tell you more than you think.Pelvic binders WORK. Institutional protocols using them early cut mortality in half. Stop quoting tiny European studies — read the full papers.Simple field hack: Pull both ankles together, internally rotate, and secure the legs (sheet, belt, ACE wrap, buddy-tape style). Uses the good leg to splint the bad one and dramatically cuts pain during movement.Don’t hesitate — if you even suspect an unstable pelvis (or the patient is hemodynamically unstable), slap the binder on tight over the greater trochanters. Life > skin necrosis in the first 24–48 hours.Geriatric ground-level falls are DEADLY — higher mortality than many gunshots once they decompensate. Treat them like the sickest patient in the room.Read beyond the abstract. Small studies make for great Instagram soundbites but terrible clinical decisions.Improvised binders? Belt around the trochanters, cut pant legs, or a rolled sheet — just get it low and tight. Patient comfort during movement is your best feedback.The cowboy with the 20–30-year-old open-book pelvis whose plates kept breaking because “his pelvis didn’t want to close.”Why Dr. Au stopped doing aggressive stress exams after the 8-pound ankle test story.Why binders should be first-line, not optional — and exactly when/how to loosen them in austere environments.Brutal reality check on geriatric pelvic fracture mortality vs. modern gunshot wounds.Chapters 00:00 – Welcome & Dr. Brigham Au intro (Parkland + trauma fellowship)01:27 – High-energy vs. low-energy pelvic fractures (what you’re actually seeing)02:40 – Open book, closed book, lateral compression, vertical shear — why mechanism still matters04:31 – Field assessment & why physical exam is king06:25 – Yes, patients can still walk with a pelvic fracture (don’t get fooled)08:02 – What “gross manipulation” actually means (and how little you need to do)11:51 – Leg-positioning trick that reduces pain and acts like a temporary binder14:31 – The pelvic binder debate: evidence, myths, and why Dr. Au is a huge believer20:08 – Improvised binders, proper placement & tension (even without a commercial device)23:41 – When and how to loosen/remove a binder (especially in prolonged care)25:43 – One thing Dr. Au wants every field provider to do better28:17 – Real risks of binders (and why you still shouldn’t hesitate)29:27 – Final thoughts + why reading full studies matters For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

    30 min
  5. PFC Podcast: EVACUATION MASTERY – Secrets for Handovers & Critical Care Transport

    16 APR

    PFC Podcast: EVACUATION MASTERY – Secrets for Handovers & Critical Care Transport

    “Nothing gets easier in flight.”That single line from today’s guest says it all. Dennis is joined by Rich — SOF medic and flight medicine veteran — for a no-fluff masterclass on preparing patients for rotary-wing, ground, or even submarine evacuation. From rotor wash nightmares to 48-hour critical care handovers, this episode is pure gold for medics who want their patients to survive the bird, not just board it. Whether you’re a ground medic with 30 seconds to hand off or a flight crew managing vents at altitude, these lessons will tighten your game, cut preventable errors, and keep aircraft off the deck longer than they need to be. KEY TAKEAWAYS YOU CAN USE TOMORROW Accurate MIST saves airframes and lives — over-triage or fake intel has real consequences.Document what the flight medic can’t see (drugs, last dose/time, hidden injuries).Get access and secure everything on the ground — nothing magically gets easier at 500 feet and 120 knots.Stage 5–10 minutes early when possible. Headspace + rehearsed handover beats chaos every time.Redundancy is king in prolonged/critical care handovers: bring backups to the backups.Trend vitals and nursing care — clean the patient, position them, prevent DVT, manage contamination.Know your receiving asset — a vented patient handed to someone who’s never touched one is now your problem again.Balance speed vs. life-saving interventions — don’t skip a finger thoracostomy just because the bird is 30 seconds out.CHAPTERS 00:00 – Welcome back to the PFC Podcast00:06 – Introducing Rich: soft medic & flight medicine expert01:44 – The brutal environment of rotary-wing medicine (lost senses, airspace surveillance, cable chaos)04:08 – Classic ground-medic mistakes (and how to stop making them)06:24 – Why accurate MIST actually matters (and how bad intel wastes lives & airframes)09:05 – The moped-vs-gunfight story every medic needs to hear13:55 – Standard aircraft loadout + what “special equipment” really means17:39 – Bare-minimum documentation when rotors are inbound (what to write in 30 seconds)20:02 – Handover acronyms that actually work (MIST vs. CIT-D + physical pointing trick)22:28 – Trust but verify: how flight medics reassess once the patient is aboard24:28 – Why ground access & securing lines is non-negotiable26:45 – Staging early, litter drills, and not racing to the rotor wash30:40 – Prolonged field care → critical care transport handovers31:30 – Is the patient ever “too unstable” to fly? (battlefield reality check)34:41 – Prepping the patient like you’re handing off an ICU bed37:08 – Self-evac gear philosophy: treat the patient as if nothing was done yet41:32 – Pain management in the air — when to bump vs. load long-acting44:31 – Monitoring in flight (what still works when your senses are gone)46:58 – Over-optimizing for transport: trending, nursing care, contamination control49:25 – Know who you’re handing off to (and why it matters for the truck ride)49:58 – Outro & resources For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

    50 min
  6. PFC Podcast 274: Rapid Innovation And Reshaping Battlefield Medicine

    13 APR

    PFC Podcast 274: Rapid Innovation And Reshaping Battlefield Medicine

    This interview with Aryna, a tactical medic with extensive experience in Ukraine, explores the rapid evolution of battlefield medicine amidst the ongoing Ukraine conflict. Topics include changes in medic training, gear, drone warfare, blood transfusions, and prolonged field care. This podcast was recorded in partnership with Leleka Foundation, an American-Ukrainian charitable initiative committed to helping frontline medics in Ukraine save lives. This project creates a vital platform for Ukrainian frontline medics to share firsthand trauma care experience from the battlefield with their American counterparts, strengthening knowledge exchange.  Key topics Changes in medic training due to war dynamics Impact of drone warfare on medical evacuation Advancements in blood transfusion techniques in combat Prolonged field care and long-term casualty management Gear and vehicle protection improvements for medics Chapters 00:00 Introduction to Tactical Medicine and Personal Background 06:04 Adapting to Modern Warfare: Drones and Medical Evacuations 11:59 Prolonged Field Care: Challenges and Strategies For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

    43 min
  7. SOMSA'25 - Consideration For Maritime IW Medicine

    9 APR

    SOMSA'25 - Consideration For Maritime IW Medicine

    In this episode of the PFC Podcast, Noel discusses the complexities and challenges of maritime medicine, emphasizing the importance of training, knowledge, and operational flexibility. He shares insights from his extensive experience, highlighting the unpredictable nature of the ocean and the necessity of effective communication and integration with host nation partners. Noel advocates for a focus on practical training and the need for a forward-thinking approach to tackle operational challenges in a collaborative manner. Takeaways Courage in the absence of fear is stupidity.Training should focus on knowledge, not just equipment.The ocean's unpredictability complicates operations.Effective communication is crucial in maritime environments.Over-planning can lead to operational failures.Training is essential for operational success.Integrating with host nation partners enhances effectiveness.Technology should be a last resort solution.Operational flexibility is key in dynamic environments.A joint effort is necessary for tackling complex challenges. Chapters 00:00 Introduction and Context of the Mission 02:53 Challenges in Maritime Operations 05:38 Operational Planning and Flexibility 08:30 Communication Strategies in Maritime Environments 11:15 Training and Integration with Host Nation Partners 14:12 Operational Autonomy and Cross-Training 16:50 Emphasizing Training Over Technology 19:25 Conclusion and Call to Action For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

    23 min
  8. PFC Podcast 273: Coming Home – The Real Transition After Deployment

    6 APR

    PFC Podcast 273: Coming Home – The Real Transition After Deployment

    In this raw, no-BS conversation, PFC Podcast host Dennis sits down with Justin Ball — licensed clinical social worker, former Green Beret, and one of the most insightful voices on military mental health — to unpack the often-ignored second war. Justin brings both battlefield experience and clinical expertise, while Dennis shares unfiltered war stories and hard-earned lessons. They draw on Homer’s Odyssey, Achilles in Vietnam, modern family systems theory, emotion-focused therapy (EFT), anthropology of tribal hunters returning to the village, and brutally honest spouse perspectives (shoutout to Angela Ball for the coffee-table truth bombs). This isn’t another “do these 5 things and you’ll be fine” checklist. It’s a real talk about why coming home is hard — for the service member, the spouse, the kids, and the whole damn family system — and how to navigate it with eyes wide open. Key Takeaways - The transition home starts **before** you leave the sandbox — unrealistic expectations (“If I can just make it home…”) set most people up for failure. - Anger is often the only “socially acceptable” emotion for warriors; underneath it usually lies fear, sadness, shame, or grief over missed time/missed life. - Military and home are **competing tribes** with conflicting values, boundaries, and shame triggers — yelling works at work, but it nukes the dinner table. - Spouses aren’t “just holding it down” — they’ve built an entire functioning system. Coming home = deliberate, careful re-entry, not storming the castle. - Chronic leaving-and-returning (TDYs, schools, exercises) is as damaging as combat deployments — families don’t care if it’s “just training”; absence is absence. - Healthy reintegration means **we** not **me** — appreciation, lowered expectations, co-regulation in traffic rage moments, and honest communication about what’s really happening emotionally. - There is no smooth road. The healthiest couples/families acknowledge it’s bumpy, forgive missteps quickly, and keep talking. Whether you’re an OGA guy with 15 TDYs, an infantryman coming off your first rotation, a spouse reading this description in tears, or a leader wondering why your guys are angry all the time — this episode is for you. Chapters - 00:26 – Justin returns; setting the stage for “coming home” - 03:16 – Evolution of post-deployment screening — what’s better now vs. then - 09:59 – Acute vs. chronic homecoming — one big event vs. a lifestyle of constant comings & goings - 13:18 – The spouse perspective (Angela drops truth bombs over coffee) - 19:46 – Don’t discount non-combat deployments or training risks — it’s all cumulative family stress - 22:38 – Emotion-Focused Therapy (EFT) basics — emotions are older than words - 27:05 – Anthropology: hunters leaving the tribe, returning changed, and the danger of re-meeting - 36:55 – Shame culture in the military vs. home — competing tribal expectations create anger & failure loops - 42:25 – Anger as secondary emotion — fear, sadness, shame underneath - 45:03 – Mismatched expectations on both sides (warrior welcome vs. “don’t touch my schedule”) - 50:31 – Operator syndrome vs. spouse high-stress reality — high stress is high stress - 54:29 – Ego check: coming home with an inflated “war hero” self vs. careful re-entry - 59:23 – The minivan road-rage story — tribal rules don’t switch off overnight - 01:05:35 – Building a culture of appreciation (Gottman style) without knife-handing it - 01:09:43 – Listening without fixing — emotional acknowledgment first For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

    1hr 14min

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