WarDocs - The Military Medicine Podcast

By: Doug Soderdahl Wayne Causey Kevin Kniery
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  • Summary

  • Welcome to WarDocs! This is a podcast developed and hosted by 3 Army surgeons, Doug, Wayne and Kevin who all possess a passion to honor the legacy and preserve the oral history of Military Medicine and get the amazing stories of these healthcare heroes to our listeners. We will take a behind the scenes look into unique opportunities and experiences told firsthand from current and former military medical professionals and provide interesting and informative content about the mission, history, contributions, and achievements of Military Medicine from all the members of the team. You will better understand what Military Medicine does in deployed environments as well as the peacetime mission and how these healthcare providers train for the next conflict. You will also hear some incredible stories of how these WarDocs bring first class medical care from Level 1 Trauma Centers to the most austere of conditions in every corner of the globe Please visit our website at www.wardocspodcast.com to get additional information about our hosts and our guests and follow us on Facebook, Twitter and Instagram. If you like war stories and medical drama, WarDocs has you covered. Spread the word!
    Copyright 2021 All rights reserved.
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Episodes
  • Transforming Military Medicine with Data and AI- COL Jeremy C. Pamplin, MD, TATRC Commander

    Transforming Military Medicine with Data and AI- COL Jeremy C. Pamplin, MD, TATRC Commander
    Feb 13 2025
    Colonel Dr. Jeremy C. Pamplin, the dynamic commander of the Telemedicine and Advanced Technology Research Center (TATRC), joins us for a captivating exploration of the evolution of military medical technology. From its roots in the 1990s with remote teleradiology to its current cutting-edge focus on AI and automation in battlefield care, TATRC has undergone a remarkable transformation. Dr. Pamplin takes us through this journey, emphasizing the importance of technology and data governance in optimizing medical performance and casualty outcomes under the Medical Research and Development Command since 2021. Facing the challenges of future large-scale conflicts, we explore how technology can sustain quality casualty care amidst resource constraints and high casualty numbers. Our discussion highlights the critical role of mature and well-integrated technologies, drawing parallels with telemedicine and autonomous driving. The conversation emphasizes the necessity of quality data and robust governance as pivotal elements for revolutionizing combat casualty care and fostering a shared understanding within the military healthcare system about the value of data beyond traditional electronic records. In an exciting look at TATRC's innovative projects, the AutoDoc initiative stands out, aiming to revolutionize casualty care through autonomous documentation and human-machine collaboration. We discuss the potential of passive data collection systems, like sensors and wearables, to enhance clinical decision-making and patient care coordination. Dr. Pamplin also underscores the significance of military-private sector partnerships in technology development, stressing flexible contracting mechanisms and the role of simulation in preparing military personnel for deployment in challenging environments. This episode promises to be a fascinating exploration of the future of military medicine, where technology plays a pivotal role in enhancing battlefield care. Chapters: (00:04) - The Mission and Evolution of TATRC (08:49) - Transforming Healthcare Through Technology (15:30) - Value of Data in Patient Care (24:11) - Automation Stack in Healthcare Technology (35:22) - Future of Passive Data Collection (42:47) - Autonomous Documentation and Human-Machine Teams (48:52) - Military-Private Sector Partnership in Healthcare Chapter Summaries: The Mission and Evolution of TATRC (00:04) TATRC's mission is to optimize combat casualty care through technology, including AI and automation, with a focus on data governance and collaboration with the private sector. Transforming Healthcare Through Technology (08:49) Technology, data, and integration are crucial for sustaining positive outcomes in future conflicts and revolutionizing casualty care. Value of Data in Patient Care (15:30) EMRs contain outdated data, real-time data is needed, data governance and interoperability are important for medical data. Automation Stack in Healthcare Technology (24:11) Nature's automation stack in medical settings, leveraging AI for data collection, understanding, and decision-making to improve patient care. Future of Passive Data Collection (35:22) Passive and autonomous data collection systems in healthcare, parallels with police body cameras, potential for training and AI, and importance of comprehensive data tracking patient status. Autonomous Documentation and Human-Machine Teams (42:47) Autodoc project transforms casualty care through autonomous documentation and human-machine collaboration, using passive data collection and robotic support. Military-Private Sector Partnership in Healthcare (48:52) DOD partners with private sector and academia for military technology development, using flexible contracts and simulation to address challenges. Take Home Messages: Evolution of Military Medical Technology: The Telemedicine and Advanced Technology Research Center (TATRC) has played a pivotal role in transforming military medicine from its early days of remote teleradiology in the 1990s to the integration of AI and automation in modern battlefield care. This evolution highlights the importance of technology and data governance in optimizing medical performance and improving casualty outcomes.Challenges in Future Conflicts: As military operations anticipate future large-scale conflicts, the ability to sustain quality casualty care amidst resource constraints and high casualty numbers becomes crucial. The integration of mature technologies and quality data governance is essential to enhance human capabilities and revolutionize combat casualty care.Innovative Data Collection and Use: There is a critical need for real-time, passively collected data, such as sensor and wearable technology, to improve clinical decision-making and patient care coordination. Overcoming the limitations of traditional electronic medical records requires robust data governance and interoperability standards.Role of Automation and AI: The development ...
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    1 hr and 3 mins
  • Virtual Medicine in Modern Warfare- LTC Gary Legault, MD

    Virtual Medicine in Modern Warfare- LTC Gary Legault, MD
    Feb 6 2025
    What vital role does military medicine play in keeping our warfighters safe and healthy on the battlefield? Join us for an eye-opening conversation with Lieutenant Colonel Gary Legault, MD, an Army ophthalmologist. You’ll learn how advancements in eye protection have revolutionized care on the front lines, significantly reducing ocular trauma surgeries. Dr. Legault shares his firsthand experiences addressing the challenges of cultural differences in eye protection adherence and emphasizes the transformative impact of preventative measures in combat zones. Moreover, this episode highlights the groundbreaking initiatives within the Defense Health Agency's Virtual Medical Center, where Dr. Legault serves as Director. Since 2018, this innovative program has been breaking barriers by providing remote specialist care to service members worldwide. Discover the inner workings of the Advisor Hotline, a 24/7 lifeline offering urgent support from over 140 volunteer providers across 16 specialties. These efforts bridge the gap between technology and expertise, ensuring that critical medical support is available even in the most remote locations. Don't miss this engaging discussion that underscores the dedication and innovation propelling modern military medicine forward. Take Home Messages: Ophthalmologists in Combat Zones: Military ophthalmologists play a crucial role in managing ocular trauma on the battlefield, with enhanced eye protection significantly reducing the need for surgeries.Virtual Medicine's Impact: The Virtual Medical Center for the Defense Health Agency has revolutionized access to specialist care for service members worldwide, using technology to overcome geographical challenges.24/7 Medical Support: The Advisor Hotline offers around-the-clock urgent support across 16 specialties, ensuring that medical expertise is always accessible, even in the most remote locations.Innovations in Telemedicine: Despite technological limitations, the military is leveraging low-bandwidth solutions and emerging technologies like AI and wearables to improve remote medical support.Career Opportunities in Military Medicine: Joining the military medical team provides unique leadership opportunities and the privilege of serving a dedicated patient population committed to national service. HOW TO WATCH Check out the full episode featuring Dr. Legault on our YouTube channel: https://youtu.be/5_SwTWfOfmU Episode Keywords: Ophthalmologist, Battlefield, Ocular Trauma, Eye Protection, Combat Zones, Preventive Measures, Advanced Protective Gear, Virtual Medical Center, Defense Health Agency, Specialist Care, Technology, Geographical Gaps, Advisor Hotline, Military Medicine, Medics, Warfighters, Resilience Hashtags: #MilitaryMedicine #Ophthalmology #VirtualMedicine #ModernWarfare #EyeProtection #Telemedicine #WarDocsPodcast #SoldierSafety #MedicalInnovation #BattlefieldHealthcare Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast 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 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 YouTube Channel: https://www.youtube.com/@wardocspodcast
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    12 mins
  • Combat Medicine Insights: Lessons from Ukraine with John Quinn, MD, MPH, PhD, EMT-P

    Combat Medicine Insights: Lessons from Ukraine with John Quinn, MD, MPH, PhD, EMT-P
    Jan 30 2025
    What if the lessons learned from a conflict zone could transform military medicine worldwide? Join us as we promise to reveal groundbreaking insights into combat casualty care with John Quinn, MD, MPH, PhD, EMT-P, a leading voice in Emergency Medicine and Combat Casualty Care. Dr. Quinn shares his experiences and pivotal lessons from the war in Ukraine, providing an in-depth look at how military medical operations have evolved in response to the challenges faced in high-stakes environments. Gain valuable knowledge on damage control, resuscitation, and the strategic decisions made from the point of injury to more advanced medical roles. The complexities of combat medicine are not for the faint-hearted. In this compelling episode, we confront the realities of triage and care under fire, with medical personnel often working without senior guidance amidst the chaos of large-scale combat. Our discussion sheds light on the critical importance of Tactical Combat Casualty Care and the intricate decisions around tourniquet use when resources are stretched thin. Dr. Quinn emphasizes the skills required to manage such intense scenarios, ensuring listeners understand the vital balance between operational readiness and effective medical intervention. Handling pain management and blood supply logistics in conflict zones is no small feat. We explore the intricate challenges of ensuring adequate supplies and effective pain medication, particularly in the context of Ukraine's ongoing conflict. Dr. Quinn delves into the necessity of a robust supply of universal donor blood and the pressing need for improved clinical governance to support pre-hospital blood transfusion capabilities. The episode addresses the pressing issue of antimicrobial resistance and antibiotics' critical role in these settings, highlighting the need for structured guidance and oversight to navigate the complexities of treating diverse patient populations. Chapter Timestamps 00:02 Military Medicine and Operational Readiness 09:30 Combat Medicine and Triage Challenges 14:08 Challenges in Pre-Hospital Pain Management 17:43 Combat Medic Challenges and Solutions Chapters with Summaries (00:02) Military Medicine and Operational Readiness This chapter explores the insights and experiences shared by Dr. John Quinn, the lead author of a pivotal article on pre-hospital lessons from the war in Ukraine, focusing on damage control, resuscitation, and surgery from point of injury to role two. Dr. Quinn, with a background as a paramedic and emergency medicine physician, recounts his involvement in Ukraine since 2014, highlighting the evolution of military medical operations up to the large-scale invasion by Russia. We discuss the collaborative effort behind the article, featuring a diverse team of experts, including traumatology surgeons, paramedics, and academic figures, all working to enhance combat casualty care. Dr. Quinn emphasizes the importance of incorporating Ukrainian academics' insights and using NATO's terminology for lessons learned, providing a comprehensive look at the on-the-ground experiences and challenges faced in providing timely and effective medical care in conflict zones. (09:30) Combat Medicine and Triage Challenges This chapter addresses the complex challenges faced by medical personnel in large-scale combat operations, particularly in the context of the ongoing conflict involving Russian forces. We explore how medical workers, including international volunteers, are specifically targeted, necessitating unique approaches to operational security, communication, and personal protective equipment. The discussion emphasizes the importance of tactical combat casualty care, especially in making critical triage decisions without the guidance of senior clinical decision-makers. With an overwhelming number of patients and limited evacuation capabilities, medical personnel must navigate the intricacies of tourniquet use, balancing between preventative application and conversion to pressure dressings as per TCCC protocols. The chapter highlights the essential skills required to manage care under fire and the need for timely assessment by qualified providers to reduce morbidity and enhance force effectiveness in the battlefield. (14:08) Challenges in Pre-Hospital Pain Management This chapter addresses the challenges and intricacies of pain management and blood supply logistics in conflict zones, particularly focusing on the context of Ukraine. We explore the inadequacies of certain medications like Nalbuphine, which can complicate effective pain management when transitioning patients to higher levels of care. The importance of having access to more effective drugs such as ketamine and fentanyl is emphasized, although logistical challenges in their distribution are acknowledged. Additionally, we highlight the critical need for an ample supply of universal donor blood and low-titer O blood products during large-scale combat ...
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    30 mins

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