177-Microcirculation in PFC with Zach Andrews

This week, Aebhric O’Kelly talks with Zach Andrews, a SOF medic, to discuss his journey through the MSc in Austere Critical Care, with a focus on his thesis on microcirculation in resource-limited settings. He shares insights into the challenges and learning experiences of his studies, the development of the AMSS score for assessing microcirculation, and his future aspirations in medicine, particularly in rural EMS and education.TakeawaysZach is on active duty in the U.S. Army as a SOF medic.He works as a critical care paramedic in a rural county.His thesis focused on microcirculation in resource-limited settings.He explored noninvasive methods for assessing microcirculation.Zach developed the mottling score to evaluate microcirculation.He emphasises the importance of basic medical skills.Zach plans to pursue a doctorate in the near future.He aims to validate his Microcirculatory Integrated Severity Scale (AMSS) in real-world settings.Zach believes in the significance of education in rural healthcare.He appreciates collaborative problem-solving in medical training.Chapters00:00 Introduction to Zach Andrews and His Journey06:08 Exploring the Master's Program in Osteo-Critical Care13:20 Thesis Topic: Microcirculation in Resource-Limited Environments20:24 Developing the Microcirculatory Integrated Severity Scale (AMSS)24:25 Future Plans and Advice for New Practitioners