WarDocs - The Military Medicine Podcast Doug Soderdahl, Wayne Causey, Kevin Kniery

Join us as we celebrate and remember the amazing journey and life of Dr. Anthony Johnson, cornea specialist, researcher, leader, and teacher, and be prepared to be inspired through his own words recorded shortly before he passed after a courageous 20-month struggle with stage 4 gastric cancer. His story of resilience, ingenuity, and dedication begins with his childhood passion for medicine, maturing at West Point and at USUHS and leading to his innovative work in ophthalmology and impacting the lives of many in his sphere of influence.
Learn about the experiences that shaped Dr. Johnson's life, from the challenges and bonds he formed during his time at West Point to his innovative suturing techniques inspired by seasoned ophthalmologic mentors. The stories from his military deployment to Iraq are a testament to his ability to handle chaos and adversity - improvising with limited resources, conducting life-saving surgeries, and making an impact even in the most challenging of circumstances. The poignant reunion years later with patients he treated after the United Nations building bombing in Iraq adds an emotional depth to the amazing care he provided throughout his career.
In the final segment of our conversation, we explore Dr. Johnson's reflections on life and his career, his travels to the World Cornea Congress, and his instrumental role in updating equipment for deployable ophthalmology teams. Listen as he opens up about his time in the Army, his commitment to his faith and family, his zest for life, and his unwavering passion for his work. Don't miss this fascinating memorial to the life and career of a physician who dedicated his life to making a difference.
 
Chapters:
(0:00:00) - Becoming a Physician and Ophthalmologist
(0:07:43) - Suturing Techniques and Military Deployment Experience
(0:15:57) - Chaotic Deployment to Theater
(0:20:59) - Medical Mission in a War Zone
(0:32:59) - Medical Response to UN Building Bombing and Reunion with Patients Years Later
(0:44:15) - Career and Personal Reflections
(0:58:01) - Reflections on a Fulfilling Life
 
Take Home Messages:
A career in medicine can start from a young age, even if it seems impossible due to circumstances such as attending a military academy where only 2% go to medical school.
Camaraderie, shared experiences, and common values among classmates can create a lifelong fraternity that transcends professional boundaries.
The journey to becoming a specialized doctor, such as an ophthalmologist, can be full of twists and turns, including unexpected influences and opportunities.
War zones can present unique challenges for medical professionals, requiring ingenuity and resilience to provide care with limited resources.
Experiences from military deployments, such as treating victims of bombings, can be emotionally impactful and shape one's approach to medicine.
Reunions with former patients can provide meaningful moments of connection and demonstrate the lasting impact of medical care.
Sharing professional experiences through speaking engagements or teaching roles can contribute to the growth and development of the wider medical community.
Reflection on career milestones and personal experiences can provide insights and learnings for future endeavors in the medical field.
Facing and overcoming challenges in the medical field, such as handling multiple surgeries in a war zone, can lead to developing specialized skills and knowledge.
Pursuing a passion for healing can lead to a fulfilling career that not only impacts individual patients, but also contributes to the broader medical community and society as a whole.
 
Episode Keywords:
Cornea Specialist, Brooke Army Medical Center, Resilience, Ingenuity, Dedication, West Point Military Academy, Uniformed Services University of Health Sciences, Military Deployment, Iraq, UN Building Bombing, Reunion, Reflections, World Cornea Congress, Ophthalmology Teams, Teaching Faculty, Suturing Techniques, Life Lessons, Improvi

  Get ready for an awe-inspiring journey as we sit down with Air Force Reserve Trauma Surgeon Jeremy Cannon. Navigating his path from the Air Force Academy to Harvard Medical School, Dr. Cannon's trajectory is nothing short of incredible. His expertise in Trauma Surgery and Critical Care has seen him at the forefront of developing the Air Force's adult ECMO program and has landed him a vital role in the Excelsior Surgical Society, an organization focused on preserving combat casualty care lessons.
   Listen as Dr. Cannon unravels his deployment stories from Iraq and Afghanistan, revealing the unique challenges and life-altering experiences that inspired his specialization in Trauma Surgery. He shares a heart-wrenching tale of how he saved an Iraqi boy's life and reflects on the stark contrasts between the two war theaters. From his time as the Deputy Commander for Clinical Services in Bagram, Afghanistan, where he was entrusted with managing casualty flow and making critical evacuation decisions, Dr. Cannon's experiences are a testament to the resilience of the human spirit. Dr. Cannon pulls back the curtain on the unique challenges that inspired his interest in researching and improving Trauma Surgery and his vital work with the Excelsior Surgical Society.
   We explore Dr. Cannon's current position at the University of Pennsylvania and his civilian medical practice, drawing comparisons to his military experiences. We delve into his work at the David Grant Medical Center and his significant contributions to their research unit. As Dr. Cannon discusses the biggest concerns for trauma and Critical Care readiness in the Total Force, this episode offers a fascinating insight into the intersection of Medicine, Trauma Surgery, and Military Service. An episode not to be missed, especially for those involved in the world of Military Medicine and trauma care.
 
Chapters:
(0:00:00) - Military Medicine and Trauma Surgery Journey
(0:14:22) - Deployment Experiences and Lessons Learned
(0:22:52) - Military Medical Challenges and Innovations
(0:33:29) - Combat Casualty Care and Trauma Readiness
(0:50:28) – Leadership and Research Opportunities
 
Chapter Summaries:
(0:00:00) - Military Medicine and Trauma Surgery Journey (14 Minutes)
We speak with Air Force Reserve trauma surgeon Jeremy Cannon about his experiences in Military Medicine. He shares his journey from the Air Force Academy to medical school at Harvard, and his specialization in Trauma Surgery and Critical Care. We also discuss his research interests and his involvement in the Air Force's development of an adult ECMO program. Lastly, we explore the history of the military's Excelsior Surgical Society and its connection to the American College of Surgeons for capturing and preserving combat casualty care lessons.
 
(0:14:22) - Deployment Experiences and Lessons Learned (8 Minutes)
Dr. Cannon shares his deployment experiences as a combat surgeon with the 332nd Air Force Theater in Balad Iraq. He reflects on what he learned and how it inspired his specialty in Trauma Surgery, as well as an incredible story about saving the life of an Iraqi boy with a complex complication from injury. He also discusses his later deployment to Afghanistan, where he served as a trauma surgeon at the Craig Joint Theater Hospital. He reflects on the differences and similarities between the two theaters and their unique challenges.
 
(0:22:52) - Military Medical Challenges and Innovations (11 Minutes)
Jeremy Cannon shares his experience as the Deputy Director for Clinical Services for the Task Force MED-East in Bagram, Afghanistan. He explains how the responsibility of the role was different from his previous experiences in Trauma Surgery and the challenges he faced in managing casualty flow and making decisions on evacuations. He recounts an example of a call he received from a Role Two facility regarding a burn victim and the Air Force's decision to start the Adult Extracorporeal Life Suppo

   Prepare to be riveted as we journey through the invigorating world of Military Medicine, guided by the unique insights of Air Force Colonel Stacy Shackelford, MD, Trauma Surgeon, and the Defense Health Agency Trauma Medical Director. Our exploration starts with the Joint Trauma System, where Colonel Shackelford sheds light on how data from combat casualty care on the battlefield has been instrumental in enhancing evaluation and treatment strategies. Gain an understanding of Colonel Shackelford's first-hand experiences from her multiple deployments around the globe, her specialty in trauma surgery, and the achievements of the Joint Trauma System since 2005.  Imagine the possibilities as we delve into the world of data-driven treatment advancements and their significant impact on the field.
  This episode is not just about advancements but also evolution. We dive into the transformation of trauma care in the military, with Dr. Shackelford leading the discussion around the critical role of whole blood, component therapy, and medic training in improving casualty care. Hear her recount her time as the Joint Theater Trauma System Director in Afghanistan, where she proudly trained Air Force medical teams for deployment requirements. Get a glimpse of her first assignment at Shock Trauma in Baltimore and discover how it has shaped her career trajectory.
  The advancements in Military Medicine over the past two decades are nothing short of remarkable. We recount the incredible story of one casualty who was saved using nearly every single medical advance made during this era. This narrative illustrates the power and importance of pre-hospital care, en-route care, the various Roles of care, and the Joint Trauma System. We delve into the challenges faced in bettering combat casualty care and the resistance encountered from those with different priorities. Don't miss the chance to hear about the unyielding efforts to make continuous improvements in this critical field of medicine.
   This episode is a testament to the constant innovation in Military Medicine, the struggles, the triumphs, and the unforgettable human stories at its heart. So, buckle up, and get ready for a fascinating journey into the world of Military Medicine.
 
Chapters:
(0:00:00) - Joint Trauma System Development
(0:05:00) - Trauma Care in the Military Evolution
(0:18:36) - Advancements in Military Medicine
(0:26:14) - Military Medicine and Battlefield Experiences
 
Chapter Summaries:
(0:00:00) - Joint Trauma System Development (5 Minutes)
   Air Force Colonel Stacey Shackelford, MD, talks about the Joint Trauma System and how data from combat casualty care on the battlefield is used to guide improvements in evaluation and treatment strategies. We hear about Stacey's deployments around the globe, her specialty in trauma surgery, and the accomplishments of the Joint Trauma System since 2005. We also learn about the data-driven approach to improving care and how the JTTS was established under the National Defense Authorization Act.
 
(0:05:00) - Trauma Care in the Military Evolution (14 Minutes)
We explore the changes in trauma and how the military's use of whole blood, component therapy, and training of medics has vastly improved casualty care. Dr. Shackelford talks about her experience as the Joint Theater Trauma System Director in Afghanistan and her pride in training the Air Force medical teams to deploy. We also learn about her first assignment at Shock Trauma in Baltimore and the impact that has had on her career.
 
(0:18:36) - Advancements in Military Medicine (8 Minutes)
We discuss the amazing save of one casualty who was taken care of using nearly every advance in Military Medicine over the past two decades. We explore the importance of pre-hospital care, en route care, Roles of care, and the Joint Trauma System. We consider the impact of the military's use of whole blood, component therapy, and training of medics in vastly improving casualty car

Military Medicine & WarDocs present: "Insights and Take-Home Messages from the Author"
Article Title: United States Military Fatalities During Operation Inherent Resolve and Operation Freedom’s Sentinel
Military Medicine, Volume 188, Issue 9-10, September/October 2023, Pages 3045–3056
Link to Article: https://academic.oup.com/milmed/article/188/9-10/3045/6584429
Episode Summary:
      Join us as retired Army Colonel Dr. Russ Kotwal takes us through the complexities of analyzing military fatalities in combat operations discussing his recent article in Military Medicine. Drawing from his extensive experience and in-depth research, Dr. Kotwal breaks down how changes in military missions, resources, and roles of engagement over time can influence the outcome of these operations. You'll gain valuable insights into the significance of mortality reviews from previous major military operations in guiding injury prevention and future combat casualty care efforts. Also, we take time to clarify important terms such as 'DNBI' and 'Battle Injury', and their relevance to cause of death.
     In our discussion, we venture into the realm of military medical terminology used to define battle injuries and casualties. Listen in as we fully define terms like killed in action, died of wounds, injury survivability, and death preventability. To help you understand these terms and their meanings better, we explore the Joint Trauma System lexicon, an indispensable tool in military trauma care.
     Don't miss out as we dissect the case fatality rate for battle injuries in the context of combat casualty care. We look at data from World War II, Vietnam, Afghanistan, and Iraq, and draw comparisons between OIR and OFS. We also touch on the role of the Joint Trauma System and the Department of Defense Trauma Registry and their potential impact on the case fatality rate in large-scale combat operations. Our discussion extends to the examination of autopsy reports and the implications they carry for garrison care and the readiness of the medical force. Join us in this enlightening exploration of military trauma mortality and injury severity.
 
Episode Chapters:
(0:00:00) - Analyzing Military Fatalities in Combat Operations
Dr. Kotwal discusses military missions, resources, mortality reviews, DNBI and Battle Injury, and injury prevention for combat casualty care.
 
(0:05:29) - Military Trauma Care Medical Terms
We discuss military battle injuries, casualties, KIA/DOW, survivability, death preventability, and the joint trauma lexicon.
 
(0:21:07) - Analyzing Case Fatality Rates and Lessons
We compare case fatality rates of battle injuries in WW2, Vietnam, Afghanistan and Iraq, examining the Joint Trauma System, DoD Trauma Registry, and autopsy reports.
 
(0:30:22) - Military Trauma Mortality and Injury Severity
Hemorrhage, injury severity scores, blast and gunshot wounds, and future Mortality analysis projects are discussed.
**CORRECTION**-  The Army Air Corps vignette discussed at 37:55 in the podcast occurred in 1943.
 
Take Home Messages:
Understanding military missions, resources, and roles of engagement is crucial in analyzing the outcomes of combat operations and informing future casualty care efforts.
The terms 'DNBI' and 'Battle Injury' play a key role in understanding the cause of death in combat scenarios.
Military medical terminology such as 'killed in action', 'died of wounds', 'injury survivability', and 'death preventability' are critical in the analysis of military trauma care.
The Joint Trauma Lexicon is an invaluable tool that helps in understanding complex military medical terms and their meanings.
The case fatality rate for battle injuries has varied across different combat operations such as World War II, Vietnam, Afghanistan, and Iraq.
The Joint Trauma System and the Department of Defense Trauma Registry have significantly impacted case fatality rates in large-scale combat operations.
Autopsy reports play a critical r

    Get ready to experience a gripping journey to the intersection of combat and Military Medicine as we share an enriching conversation with Chad McCoy, a seasoned Air Force Pararescueman (PJ) with an astounding 17 combat deployments around the globe. Chad offers us a look at his life through a raw and authentic lens, recounting high-profile rescue missions, medical care under fire in challenging environments, and the profound journey to becoming a PJ. Buckle up and join us as we uncover the realities of combat, the complexities of military medicine, and the importance of high integrity and ethical standards in the PJ selection process. Chad's gripping tales of high-profile rescue missions and providing medical care in high-stress environments will keep you on the edge of your seat.
   We highlight Chad's unique career as a PJ where an U2 rescue mission early in his career shed light on his exceptional skills and how he could support complex missions. From deployments to the Philippines in the wake of 9/11 to the rigorous training required to join the elite 24th Special Tactics Squadron. He recounts some of his most challenging missions, including treating a Somali pirate with a hand injury during a hijacking attempt of a civilian vessel off the coast of East Africa.  Chad's riveting anecdotes provide an in-depth understanding of the diverse opportunities and experiences within the military healthcare team.  As we dig deeper, Chad unveils his most challenging missions, emphasizing the crucial role of contingency planning for medical supplies, team dynamics in providing medical care, and the ethical dilemmas that come with the territory.
   As we transition into Chad's post-military life, he enlightens us about his role as a co-founder of Firestorm Labs. We discuss his transition from military life, the importance of finding a new purpose, and the role technology plays in military operations. Chad's insights testify to his commitment to innovation, entrepreneurship, and his enduring legacy in military medicine. Join us for an engaging conversation that promises a rare glimpse into the life of a true war hero. Let Chad's insights into resilience, purpose, and the realities of combat inspire you.
 
Chapters:
(0:00:00) - Rescue Missions and Combat Experiences
(0:09:43) - Career in Special Tactics Squadron
(0:19:12) - Challenges and Lessons Learned in Combat
(0:29:03) - Military Medicine Pain Control and Equipment
(0:32:17) - Ethics and Challenges in Tactical Medicine
(0:42:05) - Medical Care in Challenging Environments
(0:49:23) - Military Life to New Purpose Transition
 
Chapter Summaries:
(0:00:00) - Rescue Missions and Combat Experiences (10 Minutes)
Chad McCoy, an Air Force Pararescueman (PJ) with 17 combat deployments around the globe, discusses his journey to becoming a PJ, his experiences providing medical care under fire in austere locations, and his passion for innovation and entrepreneurship in the military and civilian sectors. We also learn about the comprehensive medical training Chad went through to become a PJ and how the process has evolved since then. Tune in to learn more about Chad McCoy and gain insight into the mission, unique opportunities, and deployed experiences of the entire military healthcare team.
 
(0:09:43) - Career in Special Tactics Squadron (9 Minutes)
Chad speaks about his journey to becoming a PJ and the challenges he faced along the way. One of his formative missions was a U2 pilot rescue, and it was an experience that showed him the amazing skills he brought to the table. After 9/11, Chad was deployed to the Philippines where he performed search and rescue mission with the Filipinos. However, he decided he wanted to do more and experience combat.  He describes his pathway to joining the elite 24th Special Tactics Squadron.
 
(0:19:12) - Challenges and Lessons Learned in Combat (10 Minutes)
Chad McCoy, with 17 combat deployments, shares his experience of an intense mission whe

Join us as we sit down with former Army Surgeon General and Secretary of the VA, Retired Lieutenant General James T. Peake, MD, for a stimulating discussion on military medicine's current and future state. Dr. Peake shares his unique insights on the technological innovations poised to revolutionize the practice of medicine in expeditionary environments. Listen in as we explore lessons learned from previous combat operations, the importance of the timely provision of life-saving interventions on the battlefield, and the necessity of continuous learning and adaptation in the rapidly evolving field of military healthcare.
 
We also cover the importance of technology in military training and healthcare. Hear first-hand from Dr.  Peake on how leaders can stay ahead of rapidly changing technology and be prepared for various battlefield scenarios. We reflect on the transformative Army After Next War Games in the late 90s, which sparked discussions about the potential of robotics in medical care. Be sure to tune in for this enlightening discussion and get a glimpse of what the future holds for military medicine.
 
Take Home Messages:
 
The landscape of Military Medicine is constantly evolving, with advancements in technology playing a crucial role. The concept of the golden hour in combat environments and the potential for robotics in medical care are examples of how innovation continues to push boundaries.
 
Continuous learning and adaptation play a critical role in an era marked by rapid technological changes. It's crucial for leaders in Military Medicine to stay ahead of the tech curve and prepare for diverse battlefield scenarios.
 
The Army After Next War Games had a transformative impact on Military Medicine, igniting discussions about the potential of robotics in medical care. The outcomes of these war games have significantly influenced current and future medical practices on the battlefield.
 
Military Medicine has evolved significantly over the years, with advances like digital technology and simulation training becoming increasingly prevalent. However, there is still room for improvement and new opportunities for innovation, especially in creating more effective training methods and tools for field medics.
 
Despite the rapid pace of change and the uncertainty it brings, it's important for leaders to keep an open mind and maintain a sense of innovation. Embracing change and being adaptable is key to navigating the ever-evolving landscape of Military Medicine.
 
 
Episode Keywords:
Military Medicine, Technology, Golden Hour Concept, Counterinsurgency Operations, War Games, Robotics, Medical Care, Expeditionary Environments, Adaptation, Rapid Technological Changes, Continuous Learning, Battlefield Scenarios, Preparedness
 
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicineEvolution #FutureOfCombatCare #TechInBattlefieldHealthcare
 
 
Honoring the Legacy and Preserving the History of Military Medicine
 
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
 
 
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