39 min

Military Experience Promotes Medical Advancement and Innovation- CDR (Ret) Ramon Cestero, MD, MBA, FCCM WarDocs - The Military Medicine Podcast

    • Medicine

    Retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero joins us to share his remarkable journey from the front lines to the forefront of surgical innovation. Imagine the battlefield's high stakes where every second counts, and the tools at your disposal can mean the difference between life and death. His tales of life-saving speed and adaptability in the most austere conditions reveal the genesis of his revolutionary contribution to surgical technology—a battlefield-optimized surgical retractor. Our conversation with Dr. Cestero isn't just a walk through his experiences; it's a masterclass in the resilience and resourcefulness required in military and civilian trauma surgery.
    Throughout the episode, we witness the evolution of surgical retractors over the past few centuries, from their rudimentary origins to the state-of-the-art devices we see today. From the necessity that birthed his new retractor system to the behind-the-scenes look at transforming a concept into a globally utilized device, the narrative is as engaging as it is instructive. Dr. Cestero's insights into balancing the demands of a full-time surgical career with medical entrepreneurship are a candid reflection on the challenges and triumphs of innovation.
     As we round out the discussion, Dr. Cestero doesn't just rest on his laurels; he casts a strategic eye toward the future of trauma surgery. With a nod to the lessons of past conflicts, we discuss the dynamic nature of military medicine and the implications for surgeons in rapidly evolving combat environments. We get into the Navy's shifting strategies, the importance of adaptable surgical teams, and the next wave of advancements set to revolutionize trauma care. It's a riveting exploration of how technologies like Dr. Cestero's retractor, along with advancements in operating room efficiency and training, stand to elevate patient care in both military operations and civilian trauma centers. Prepare to be inspired by the potential that lies ahead, as we uncover the innovations set to revolutionize the experience of patients and surgeons alike.
Chapters:
(00:04) Military Trauma Surgeon's Innovative Approach
(08:07) Innovating Surgical Retractors
(13:51) From Idea to Global Commercialization
(19:06) Innovative Surgical Retractor System Design
(31:10) Future Innovations in Trauma Surgery
 
Chapter Summaries:
(00:04) Military Trauma Surgeon's Innovative Approach
This chapter features retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero, who shares insights from his multiple global deployments, emphasizing the importance of proper equipment, speed, and adaptability in trauma surgery under austere conditions. I discuss with him how these experiences led to his development of a battlefield-optimized surgical retractor and the challenges of bringing such innovations to widespread use. Dr. Cestero also reflects on the unique aspects of serving as a trauma surgeon in the Navy Reserves, highlighting the balance between maintaining military connection and civilian practice, and offers suggestions for enhancing reserve surgeons' team experience and training. We explore the current gaps in trauma surgery research and what future innovations Dr. Cestero envisions.
(08:07) Innovating Surgical Retractors
This chapter uncovers the pressing need for innovation in surgical equipment, specifically retractors, through a surgeon's experiences working in both austere military settings and a Level 1 trauma center. I discuss the challenges faced during surgeries without adequate resources, such as the absence of platelets and the struggle for exposure in critical procedures, which can lead to life-threatening delays. The narrative is anchored by a poignant case of a young soldier with severe injuries, whose outcome might have been different with better surgical tools. We explore the history of surgical retractors, from their evolution in the Renaissance to modern table-mounted systems, and the inspir

    Retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero joins us to share his remarkable journey from the front lines to the forefront of surgical innovation. Imagine the battlefield's high stakes where every second counts, and the tools at your disposal can mean the difference between life and death. His tales of life-saving speed and adaptability in the most austere conditions reveal the genesis of his revolutionary contribution to surgical technology—a battlefield-optimized surgical retractor. Our conversation with Dr. Cestero isn't just a walk through his experiences; it's a masterclass in the resilience and resourcefulness required in military and civilian trauma surgery.
    Throughout the episode, we witness the evolution of surgical retractors over the past few centuries, from their rudimentary origins to the state-of-the-art devices we see today. From the necessity that birthed his new retractor system to the behind-the-scenes look at transforming a concept into a globally utilized device, the narrative is as engaging as it is instructive. Dr. Cestero's insights into balancing the demands of a full-time surgical career with medical entrepreneurship are a candid reflection on the challenges and triumphs of innovation.
     As we round out the discussion, Dr. Cestero doesn't just rest on his laurels; he casts a strategic eye toward the future of trauma surgery. With a nod to the lessons of past conflicts, we discuss the dynamic nature of military medicine and the implications for surgeons in rapidly evolving combat environments. We get into the Navy's shifting strategies, the importance of adaptable surgical teams, and the next wave of advancements set to revolutionize trauma care. It's a riveting exploration of how technologies like Dr. Cestero's retractor, along with advancements in operating room efficiency and training, stand to elevate patient care in both military operations and civilian trauma centers. Prepare to be inspired by the potential that lies ahead, as we uncover the innovations set to revolutionize the experience of patients and surgeons alike.
Chapters:
(00:04) Military Trauma Surgeon's Innovative Approach
(08:07) Innovating Surgical Retractors
(13:51) From Idea to Global Commercialization
(19:06) Innovative Surgical Retractor System Design
(31:10) Future Innovations in Trauma Surgery
 
Chapter Summaries:
(00:04) Military Trauma Surgeon's Innovative Approach
This chapter features retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero, who shares insights from his multiple global deployments, emphasizing the importance of proper equipment, speed, and adaptability in trauma surgery under austere conditions. I discuss with him how these experiences led to his development of a battlefield-optimized surgical retractor and the challenges of bringing such innovations to widespread use. Dr. Cestero also reflects on the unique aspects of serving as a trauma surgeon in the Navy Reserves, highlighting the balance between maintaining military connection and civilian practice, and offers suggestions for enhancing reserve surgeons' team experience and training. We explore the current gaps in trauma surgery research and what future innovations Dr. Cestero envisions.
(08:07) Innovating Surgical Retractors
This chapter uncovers the pressing need for innovation in surgical equipment, specifically retractors, through a surgeon's experiences working in both austere military settings and a Level 1 trauma center. I discuss the challenges faced during surgeries without adequate resources, such as the absence of platelets and the struggle for exposure in critical procedures, which can lead to life-threatening delays. The narrative is anchored by a poignant case of a young soldier with severe injuries, whose outcome might have been different with better surgical tools. We explore the history of surgical retractors, from their evolution in the Renaissance to modern table-mounted systems, and the inspir

39 min