145-Origins of SHEEP VOMIT with Jason Jarvis

This week, Aebhric O'Kelly speaks with Jason Jarvis, a former Special Forces medic and current PhD student, about his experiences in military medicine, the evolution of prolonged field care, and the development of the 'SHEEP VOMIT' mnemonic for patient care in austere environments. They discuss the importance of nursing care, the practical applications of medical knowledge in the field, and the challenges medical practitioners face in remote settings. This conversation delves into critical aspects of patient care, particularly in prolonged field care settings. It emphasises the importance of managing pressure points, understanding vital signs, monitoring core temperature, maintaining oral hygiene, preventing DVT, and ensuring proper input and output monitoring. The discussion also highlights the significance of turning, coughing, and deep breathing for patient recovery, culminating in the legacy of the 'sheep vomit' concept in medical training.TakeawaysJason Jarvis has a master's in infectious disease and is pursuing a PhD.Military experiences shaped his interest in tropical medicine.Prolonged field care is a systematic approach to patient care in remote settings.The 'SHEEP VOMIT' mnemonic was developed to aid in prolonged field care.Skin protection is crucial in austere environments.Hypothermia prevention is a key focus in field care.Patient mobility and exercises are essential for recovery.Checklists help ensure comprehensive patient care.The evolution of medical mnemonics reflects advancements in field medicine. Pressure sores develop in specific areas when supine.Vital signs must be documented and trended over time.Core temperature is crucial for assessing trauma patients.Oral hygiene prevents infections that can lead to pneumonia.DVT prevention is essential for immobilised patients.Urine output is a key indicator of hydration and health.Turning and coughing help maintain lung function.The 'SHEEP VOMIT' concept aids in prolonged field care training.Training should prepare providers for practical challenges.Community impact is a goal of medical training.Chapters00:00 Introduction to Jason Jarvis 00:46 Jason Jarvis: Background and Current Work02:37 Military Experiences and Deployments05:58 Transitioning to Civilian Life and DMI09:52 Prolonged Field Care: Concepts and Evolution13:45 Developing the Sheep Vomit Mnemonic18:35 Understanding the Sheep Vomit Mnemonic21:58 Practical Applications of Prolonged Field Care26:12 Exercises and Patient Mobility29:35 Managing Pressure Points in Patient Care30:05 Understanding Vital Signs and Their Importance31:10 The Role of Core Temperature in Patient Assessment32:40 Oral Hygiene and Its Clinical Significance36:02 Preventing Deep Vein Thrombosis (DVT) in Immobilised Patients40:44 Monitoring Input and Output: A Vital Sign49:04 The Importance of Turning, Coughing, and Deep Breathing55:00 The Legacy of Sheep Vomit in Medical Training