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Combat Medicine Insights: Lessons from Ukraine with Dr. John Quinn

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    Dr. Quinn brings a wealth of experience from his extensive work in military medicine, particularly in the context of the ongoing conflict in Ukraine. As the lead author of a significant article on pre-hospital lessons from the war, he offers a unique perspective on the evolution of combat medical operations, drawing from his experiences since 2014 and through the large-scale Russian invasion.

 

Exploring Military Medicine and Operational Readiness

    The episode starts with an in-depth discussion about military medicine and operational readiness. Dr. Quinn shares his journey and involvement in Ukraine, highlighting the collaborative efforts of a diverse team that includes traumatology surgeons and academics. Together, they have worked to enhance combat casualty care, emphasizing the importance of incorporating Ukrainian insights and using NATO's terminology to derive valuable lessons. This chapter provides a comprehensive look at the challenges medical personnel face in providing timely and effective care in conflict zones.




 

Combat Medicine and Triage Challenges

     Dr. Quinn delves into the complex challenges medical personnel face in large-scale combat operations. The discussion touches on the unique operational security measures required when medical workers are specifically targeted. Tactical combat casualty care is emphasized, particularly in making critical triage decisions amidst overwhelming numbers of patients and limited evacuation capabilities. Dr. Quinn highlights the essential skills needed to manage care under fire, ensuring force effectiveness on the battlefield.

 

Overcoming Challenges in Pre-Hospital Pain Management

  Other critical areas Dr. Quinn addresses is the intricacies of pain management and blood supply logistics in conflict zones. The discussion reveals the inadequacies of certain medications like Nalbufin and stresses the need for more effective drugs such as ketamine and fentanyl. The episode also highlights the critical need for a robust supply of universal donor blood, advocating for improved clinical governance to enable broader pre-hospital blood transfusion capabilities.

 

Combat Medic Challenges and Solutions

      Dr. Quinn emphasizes the significance of antibiotics in deployed medical settings, particularly in combating antimicrobial resistance. He explores the complexities of treating diverse age groups and the importance of structured antimicrobial guidance systems. Dr. Quinn also underscores the necessity of clinical governance to ensure that medical personnel operate under proper oversight and standards. The episode concludes with Dr. Quinn identifying three top priorities for improvement: ensuring an unlimited supply of low-titer universal donor blood, enhancing training and clinical decision-making, and leveraging data for effective medical logistics.

 

Key Takeaways

Throughout the episode, Dr. Quinn shares invaluable lessons learned from the frontline of combat medicine. His insights provide a foundational understanding for anyone involved in military medicine, offering a playbook of practical solutions to enhance readiness and care in challenging environments. As listeners, we are reminded of the importance of learning from past experiences to improve outcomes and support the lethality of our forces through good medicine.


HOW TO LISTEN AND WATCH

The episode featuring Dr. John Quinn is available on YouTube and all major podcast platforms.  Here are some popular links that will bring you directly to the episode:


Article Citation:

Quinn J et al. Prehospital Lessons From the War in Ukraine: Damage Control Resuscitation and Surgery Experiences From Point of Injury to Role 2. Mil Med. 2024 Jan 23;189(1-2):17-29. doi: 10.1093/milmed/usad253. PMID: 37647607.


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