Prolonged Field Care Podcast Podcast Por Dennis arte de portada

Prolonged Field Care Podcast

Prolonged Field Care Podcast

De: Dennis
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Become a Paid Subscriber: https://creators.spotify.com/pod/show/dennis3211/subscribe This podcast and website is dedicated to the healthcare professional who needs to provide high quality care in a very austere location. For more content: www.prolongedfieldcare.org Consider supporting us on: patreon.com/ProlongedFieldCareCollectiveDennis
Episodios
  • PFC Podcast 273: Coming Home – The Real Transition After Deployment
    Apr 6 2026
    In this raw, no-BS conversation, PFC Podcast host Dennis sits down with Justin Ball — licensed clinical social worker, former Green Beret, and one of the most insightful voices on military mental health — to unpack the often-ignored second war.Justin brings both battlefield experience and clinical expertise, while Dennis shares unfiltered war stories and hard-earned lessons. They draw on Homer’s Odyssey, Achilles in Vietnam, modern family systems theory, emotion-focused therapy (EFT), anthropology of tribal hunters returning to the village, and brutally honest spouse perspectives (shoutout to Angela Ball for the coffee-table truth bombs).This isn’t another “do these 5 things and you’ll be fine” checklist. It’s a real talk about why coming home is hard — for the service member, the spouse, the kids, and the whole damn family system — and how to navigate it with eyes wide open.Key Takeaways- The transition home starts **before** you leave the sandbox — unrealistic expectations (“If I can just make it home…”) set most people up for failure.- Anger is often the only “socially acceptable” emotion for warriors; underneath it usually lies fear, sadness, shame, or grief over missed time/missed life.- Military and home are **competing tribes** with conflicting values, boundaries, and shame triggers — yelling works at work, but it nukes the dinner table.- Spouses aren’t “just holding it down” — they’ve built an entire functioning system. Coming home = deliberate, careful re-entry, not storming the castle.- Chronic leaving-and-returning (TDYs, schools, exercises) is as damaging as combat deployments — families don’t care if it’s “just training”; absence is absence.- Healthy reintegration means **we** not **me** — appreciation, lowered expectations, co-regulation in traffic rage moments, and honest communication about what’s really happening emotionally.- There is no smooth road. The healthiest couples/families acknowledge it’s bumpy, forgive missteps quickly, and keep talking.Whether you’re an OGA guy with 15 TDYs, an infantryman coming off your first rotation, a spouse reading this description in tears, or a leader wondering why your guys are angry all the time — this episode is for you.Chapters - 00:26 – Justin returns; setting the stage for “coming home”- 03:16 – Evolution of post-deployment screening — what’s better now vs. then- 09:59 – Acute vs. chronic homecoming — one big event vs. a lifestyle of constant comings & goings- 13:18 – The spouse perspective (Angela drops truth bombs over coffee)- 19:46 – Don’t discount non-combat deployments or training risks — it’s all cumulative family stress- 22:38 – Emotion-Focused Therapy (EFT) basics — emotions are older than words- 27:05 – Anthropology: hunters leaving the tribe, returning changed, and the danger of re-meeting- 36:55 – Shame culture in the military vs. home — competing tribal expectations create anger & failure loops- 42:25 – Anger as secondary emotion — fear, sadness, shame underneath- 45:03 – Mismatched expectations on both sides (warrior welcome vs. “don’t touch my schedule”)- 50:31 – Operator syndrome vs. spouse high-stress reality — high stress is high stress- 54:29 – Ego check: coming home with an inflated “war hero” self vs. careful re-entry- 59:23 – The minivan road-rage story — tribal rules don’t switch off overnight- 01:05:35 – Building a culture of appreciation (Gottman style) without knife-handing it- 01:09:43 – Listening without fixing — emotional acknowledgment firstFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care
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    1 h y 14 m
  • SOMSA '25 - Medic Vignette
    Apr 2 2026

    This presentation was recorded during SOMSA '25. Register now to get your spot for SOMSA '26.

    https://specialoperationsmedicine.org/soma-2026/

    This conversation highlights a harrowing experience of combat medics during a mission, detailing the challenges faced during a life-threatening incident. The speakers share their personal accounts of injury, rescue, and the critical medical response that followed. They emphasize the importance of teamwork, humor, and training in high-stress situations, as well as the emotional and physical toll of such experiences. The discussion also touches on lessons learned for future operations and the significance of mental health in recovery.


    Takeaways

    The importance of highlighting the care delivered by medics in combat.

    Humor can be a vital tool in high-stress medical situations.

    Immediate response and teamwork are crucial in life-threatening scenarios.

    Training and preparedness can significantly impact outcomes in emergencies.

    The emotional toll of trauma affects both patients and medics.

    Effective communication is essential during medical emergencies.

    Cross-training among team members enhances operational effectiveness.

    Understanding the patient's perspective can improve care.

    The role of advocacy and support in recovery is critical.

    Future training should focus on pain management and patient comfort.


    Chapters

    00:00 Introduction to Heroism in Combat Medicine

    02:46 The Incident: A Life-Altering Explosion

    05:00 Immediate Response: Rescue and Treatment

    08:06 The Journey to Safety: Evacuation Challenges

    10:52 Reflections on Pain and Recovery

    13:50 Lessons Learned: Training and Preparedness

    16:39 The Role of Humor in High-Stress Situations

    19:39 Final Thoughts and Future Improvements


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    30 m
  • PFC Podcast 272: Experience from the Frontlines of Ukraine
    Mar 30 2026

    Discover key insights on medical evacuation and combat experiences from Maria Litha, a combat medic. Learn how to handle critical situations under fire and improve emergency response strategies.


    In a world where the realities of war often remain hidden, the experiences of those on the front lines reveal critical lessons that can save lives. In this post, we dive into the insights shared by Maria Litha, a combat medic who has been on the front lines since 2022, as she recounts her experiences in medical evacuation and the challenges faced in high-stress environments.


    The Reality of Medical Evacuations

    One of the most critical aspects of battlefield medicine is the evacuation process. Maria highlights the importance of understanding the environment in which evacuations take place. Conditions can vary significantly depending on the location and intensity of conflict.


    Case Study: Evacuating Leonid

    Maria recounts a harrowing case involving a patient named Leonid, who suffered a severe injury after stepping on a mine. After enduring 12 hours in a precarious position, he was finally evacuated under the cover of darkness. The challenges faced during this evacuation included:

    - Massive blood loss: Leonid required immediate attention due to his condition.

    - Road conditions: The evacuation vehicle had to navigate bombed-out and rugged terrain, complicating the medical team's efforts.

    - Limited resources: With only one bottle of plasma available, the team had to carefully manage Leonid’s care without exacerbating his injuries.


    Challenges Faced by Combat Medics

    Combat medics like Maria often face unique challenges that require quick thinking and adaptability. Some of the key issues include:

    - Drone and artillery threats: Medics must constantly be aware of their surroundings to avoid being targeted while providing care.

    - Equipment limitations: The unstable environment can render medical monitors ineffective, making it difficult to gauge a patient's condition accurately.

    - Time constraints: Evacuations must often be conducted rapidly, where every second counts.


    Strategies for Effective Evacuations

    To improve the success of medical evacuations, Maria shares several strategies:

    - Preparation: Understanding the layout of the battlefield and potential threats is crucial for planning safe evacuation routes.

    - Team coordination: Effective communication and teamwork can enhance the efficiency of care during emergencies.

    - Utilizing technology: Employing drone detection systems and other technological aids can help medics stay safe while performing their duties.


    Key Takeaways

    - Adaptability is vital: Each evacuation scenario presents its own unique challenges that require quick adjustments.

    - Collaboration is essential: Working closely with team members ensures that all aspects of patient care are addressed effectively.

    -Continuous learning: Combat medics must stay updated on new techniques and technologies to improve their response in the field.


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    38 m
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