This week, Aebhric O’Kelly talks with Dennis Jarema from the Prolonged Field Care Working Group. They discuss his journey from military service to nursing, emphasising the importance of prolonged field care in austere environments. They discuss the challenges faced in military medicine, the evolution of medical practices, and the establishment of the Prolonged Field Care Working Group. The conversation highlights the need for seamless integration of nursing care in emergencies and the importance of training and communication in improving patient outcomes. This conversation delves into the evolving nature of mnemonics in prolonged field care, the challenges faced in conducting research in austere environments, and the need for better communication and collaboration among practitioners and researchers. The discussion highlights the importance of mastering basic skills, avoiding training scars, and engaging volunteers to enhance the effectiveness of the Prolonged Field Care Working Group. The speakers emphasise the necessity of practical training and the development of a clearinghouse for sharing knowledge and resources in the field of austere medicine.

Takeaways

How Dennis' military background shaped his approach to medicine.

The transition from Special Forces medic to nursing was driven by a desire for long-term patient care.

Nursing provides essential skills for prolonged field care in austere environments.

Understanding when to transition from emergency care to nursing care is crucial.

The Prolonged Field Care Working Group was established to address gaps in military medical training.

Training must include practical demonstrations of prolonged field care techniques.

Communication and a common language are vital in multi-agency medical responses.

The evolution of medical practices in the field reflects advancements in hospital medicine.

There is a need for a combined paramedic-nurse training program in the U.S.

Learning from international practices can enhance U.S. military medical training. Mnemonics in prolonged field care must evolve with practice.

Research in prolonged field care faces significant challenges.

There is a need for better communication between researchers and practitioners.

Feasibility studies are crucial for understanding prolonged field care.

Collaboration is essential for advancing research in austere medicine.

The PFC Working Group plays a vital role in the community.

Practical skills training is often lacking in current education.

Engaging volunteers is key to the success of the PFC Working Group.

Mastering the basics is fundamental for new practitioners.

Experience is critical for recognising early signs of patient distress.

Chapters

00:00 Introduction to Prolonged Field Care

00:45 Dennis' Military Journey

05:08 Transitioning to Nursing

10:52 The Importance of Nursing in Prolonged Care

17:11 Prolonged Field Care Working Group Origins

20:22 Challenges in Prolonged Field Care

26:35 Evolution of Medical Practices in the Field

29:58 Evolving Mnemonics in Prolonged Field Care

30:57 Challenges in Research for Prolonged Field Care

32:26 Bridging the Gap Between Research and Practice

34:52 The Need for Feasibility Studies

36:18 Collaboration in Prolonged Field Care Research

38:14 Establishing a Clearinghouse for Communication

40:36 Future Directions for the PFC Working Group

42:36 The Role of the PFC Working Group

44:03 Developing Practical Skills in Prolonged Field Care

45:32 Engaging Volunteers in the PFC Community

48:28 Mastering the Basics of Prolonged Field Care

50:55 Avoiding Training Scars in Medical Training

54:50 The Future of Prolonged Field Care Education

55:47 Advice for New Practitioners in Austere Medicine