COL Richard Lesperance, MD FACS - Prolonged Care Challenges in Combat Medicine

Military Medicine & WarDocs present: "A Ready Medical Force Special Collection" MILMED-D-21-00296: Lessons Learned During Prolonged Care of Combat Casualties by a Minimally Manned Surgical Team EPISODE SUMMARY Discover the realities of providing medical care in combat zones with our special guest, Army Lieutenant Colonel Richard Lesperance, MD, an Active Duty Trauma Surgeon who has faced the unique challenges of working in austere Role II facilities. Learn from Rich's invaluable experiences as we discuss his paper, "Lessons Learned During Prolonged Care of Combat Casualties by a Minimally Manned Surgical Team," published in the Journal of Military Medicine, and uncover the crucial insights gained from these high-pressure situations. In this eye-opening conversation, we delve into the world of Crisis Standards of Care and their application in the battlefield setting, comparing their usage during the COVID pandemic to their role in deployed environments with limited resources. Join us as we explore how to prepare junior team members for life-or-death scenarios, approach after-action reviews, and equip surgical teams to handle prolonged care scenarios in the future. Don't miss this compelling and insightful discussion with LTC Richard Lesperance, MD as we reveal the crucial lessons learned from the frontlines of combat medicine. EPISODE CHAPTERS (0:00:01) - Prolonged Care in Combat Zones (0:12:16) - Preparing for Prolonged Casualty Care   EPISODE CHAPTER SUMMARIES (0:00:01) - Prolonged Care in Combat Zones (12 Minutes) Army Lieutenant Colonel Richard Lesperance, MD, an Active Duty Trauma Surgeon with a wealth of experience in working in austere Role II facilities, joins us to explore the concerns that arise when a small surgical team is required to provide prolonged casualty care in an austere environment, and the importance of lessons learned from such experiences. Rich shares his paper in the Journal of Military Medicine titled "Lessons Learned During Prolonged Care of Combat Casualties by a Minimally Manned Surgical Team". He explains what an FRSD (Forward Resuscitative Surgical Detachment) is, and how they are prepared to care for critically injured patients. Rich shares two cases from his deployment in Afghanistan, and how his team had to extend care beyond the expected evacuation time frame.   (0:12:16) - Preparing for Prolonged Casualty Care (7 Minutes) We explore the role of Crisis Standards of Care and how they are applied in an FST on the battlefield. We examine how the concept of Crisis Standards of Care was used during the COVID pandemic and how that is applied to a deployed environment with limited resources. We discuss how to prepare junior team members for patients who may not survive due to lack of resources, and how to approach after-action reviews. Ultimately, we look at how to better equip teams for prolonged care scenarios and how to properly train for the future.   EPISODE KEYWORDS Combat Medicine, Trauma Surgeon, Prolonged Care, Austere Environments, Crisis Standards of Care, Minimally Manned Surgical Team, Journal of Military Medicine, Forward Surgical Team, COVID Pandemic, Limited Resources, Junior Team Members, After-Action Reviews, Life-or-Death Scenarios, Preparing for Prolonged Care, Training for the Future   #Military #Medical #Podcast #WarDocs #ProlongedFieldCare #SurgicalTeams #Trauma #MilitaryMedicine #Telemedicine #Training #AustereEnvironments #JointTraumaSystem #JTS #CrisisCareStandards   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes  Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.           Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast