176-Nutrition in Prolonged Field Care from the JTS CPG

This week, Aebhric O’Kelly, Bill Vasios, and Rhod Jordan lead an open discussion examining the critical role of nutrition in prolonged field care. The conversation explores enteral and parenteral feeding modalities, outlining their respective indications, benefits, and practical limitations in austere and resource-constrained environments. Particular emphasis is placed on the value of early nutritional intervention in supporting physiological recovery, including practical techniques for nasogastric tube placement and for identifying and managing feeding-related complications. The discussion further considers the challenges of maintaining nutritional support during patient transport. It highlights the importance of interdisciplinary collaboration, including consultation with nutrition specialists, to develop safe and effective nutritional care plans.TakeawaysNutrition is crucial in prolonged field care.Enteral nutrition is less invasive and safer.Early feeding improves healing and recovery.Consult a nutritionist for feeding plans.NG tubes can reduce complications in feeding.Monitor for complications during feeding.Parenteral nutrition may be necessary in some cases.Feeding techniques can vary based on patient condition.Understanding nutritional needs is essential for care.Future discussions will focus on advanced topics.Chapters00:00 Introduction to Prolonged Field Care and Nutrition02:40 Understanding Enteral and Parenteral Nutrition04:53 Benefits of Early Nutritional Support07:47 Indications and Contraindications for Feeding09:32 Practical Considerations for Feeding in Austere Environments11:51 Calculating Nutritional Requirements14:30 Challenges in Nutritional Support During Transport17:16 Techniques for NG Tube Placement20:00 Monitoring and Managing Feeding Complications22:19 Discussion on Parenteral Nutrition24:41 Conclusion and Future Topics