『WarDocs - The Military Medicine Podcast』のカバーアート

WarDocs - The Military Medicine Podcast

WarDocs - The Military Medicine Podcast

著者： Doug Soderdahl Wayne Causey
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今ならプレミアムプランが3カ月 月額99円

2026年5月12日まで。4か月目以降は月額1,500円で自動更新します。

概要

 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. 衛生・健康的な生活 身体的病い・疾患
エピソード
  • Shield and Ship: Lt Col Charisma Evangelista, MD, on Combat Ocular Trauma, Refractive Readiness, and Her Journey Becoming a Hero of Military Medicine

    Shield and Ship: Lt Col Charisma Evangelista, MD, on Combat Ocular Trauma, Refractive Readiness, and Her Journey Becoming a Hero of Military Medicine
    2026/04/08
    This episode of WarDocs features Air Force Lieutenant Colonel, Dr. Charisma Evangelista, the Air Force’s leading voice on refractive surgery and an expert in ocular trauma. The conversation begins with her upbringing in the Philippines and her unique path to military medicine, driven by a desire for service and the supportive, collaborative culture she found at the Uniformed Services University. Dr. Evangelista explains her transition from a prospective general surgeon to an ophthalmologist, highlighting the precision of microscopic surgery and the profound impact of sight restoration. She provides a detailed look at the "shield and ship" protocol for managing ruptured globes in combat environments, emphasizing the critical importance of preventing further injury at the point of care. Dr. Evangelista also shares her experiences as the sole ophthalmologist deployed to Bagram, Afghanistan, where she managed severe, multi-system trauma cases while navigating limited resources. A pivotal moment in the interview occurs when she describes her own experience as a patient; she suffered a retinal detachment while performing surgery, an event that deepened her empathy for those facing vision loss and shaped her leadership style. Currently serving as the Refractive Surgery Consultant to the Air Force Surgeon General, she discusses the technological advancements in corneal collagen cross-linking and refractive standards that maintain pilot and warfighter readiness. The episode concludes with her leadership philosophy of trust, empathy, and perseverance, alongside her advice for the next generation of military physicians. This comprehensive discussion highlights the technical expertise, emotional resilience, and deep compassion required to protect the vision of the American warfighter, offering listeners an inspiring look at the intersection of high-stakes surgery and humanitarian service. Chapters (00:00-01:11) Introduction of Lt Col Charisma Evangelista, MD (01:12-05:13) Foundations in Medicine and the Choice of Ophthalmology (05:14-09:32) Specialized Training and Combat Deployment to Afghanistan (09:33-17:00) Ocular Trauma Protocols and Innovations in Refractive Surgery (17:01-22:35) Personal Resilience as a Patient and Leadership Philosophy (22:36-27:10) Advice for Future Medics and Defining a Military Hero Chapter Summaries (00:00-01:11) Introduction of Lt Col Charisma Evangelista, MD: The episode opens with a tribute to the delicate nature of eye surgery in combat. Host Dr. Doug Soderdahl introduces Dr. Charisma Evangelista as a deeply compassionate healer and a leading expert in military ophthalmology and refractive surgery standards. (01:12-05:13) Foundations in Medicine and the Choice of Ophthalmology: Dr. Evangelista shares her journey from a small town in the Philippines to the Uniformed Services University, highlighting the family-oriented culture of military medical training. She discusses her transition from general surgery to ophthalmology, sparked by a love for microscopic precision and the collaborative nature of the specialty. (05:14-09:32) Specialized Training and Combat Deployment to Afghanistan: The discussion follows Dr. Evangelista through her prestigious civilian fellowship and her subsequent deployment to Bagram Airfield. She details the challenges of serving as the sole ophthalmologist in a combat theater, managing severe ocular trauma and multi-system injuries with limited resources. (09:33-17:00) Ocular Trauma Protocols and Innovations in Refractive Surgery: This section focuses on the "shield and ship" protocol for point-of-injury care and the rewarding outcomes of sight-restoring surgeries. Dr. Evangelista also explains her role as a consultant for the Air Force Surgeon General, detailing how advancements like corneal collagen cross-linking keep service members mission-ready. (17:01-22:35) Personal Resilience as a Patient and Leadership Philosophy: Dr. Evangelista provides a moving account of her own retinal detachment and the traumatic recovery process that followed. She explains how being a patient informed her leadership at the Department of Defense's largest eye center, prioritizing trust, empathy, and perseverance. (22:36-27:10) Advice for Future Medics and Defining a Military Hero: In the final segment, Dr. Evangelista offers encouragement to pre-med and medical students, emphasizing the unique opportunities for growth in military medicine. She reflects on her "Hero of Military Medicine" recognition and her desire to leave a legacy of inspiration and compassionate service. Take Home Messages Protecting the Ruptured Globe: In cases of severe ocular trauma, the most critical step for non-specialists is the "shield and ship" protocol, which involves placing a hard, protective shield over the eye without applying any pressure to the globe. Preventing additional injury at the point of care is essential for giving specialists the best chance to restore a service ...
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    40 分
  • Revolutionizing Amputee Care and Rehabilitation- Restoring Wounded Warriors and Families: COL(R) Paul Pasquina, MD.

    Revolutionizing Amputee Care and Rehabilitation- Restoring Wounded Warriors and Families: COL(R) Paul Pasquina, MD.
    2026/04/01
    Following the events of 9/11, the United States military medical system faced an unprecedented challenge as casualties with devastating limb loss and complex polytrauma began arriving at Walter Reed. In this episode of WarDocs, Retired Army Colonel Dr. Paul Pasquina takes listeners behind the scenes of this critical era in military medicine. He details the rapid evolution of care from a perceived sprint to a long-term marathon, necessitating the creation of the world-renowned Military Advanced Training Center (MATC). Dr. Pasquina explains that medical leadership recognized that saving a life was only the beginning; the true mission was to restore the service member’s ability to live fully. The conversation explores the paradigm shift toward holistic care, where rehabilitation, behavioral health, and surgical interventions occur concurrently, starting on Day 1. Dr. Pasquina emphasizes the vital role of the family in the recovery process, explaining why housing and support services were integrated directly into the treatment plan to create a true team environment. Listeners will hear inspiring stories of resilience, including the evacuation of Senator Tammy Duckworth, and how high-profile visits from celebrities like Justin Timberlake and Ozzy Osbourne impacted morale. Beyond the historical retrospective, the episode delves into the future of rehabilitation technology. Dr. Pasquina discusses his collaboration with DARPA on the "Revolutionizing Prosthetics" program, the potential of brain-machine interfaces, and the balance between high-tech innovation and high-touch human compassion. He concludes with valuable advice for the next generation of military medical professionals, highlighting the unique leadership and research opportunities a military career offers. This episode is a testament to the unyielding spirit of wounded warriors and the dedicated providers who commit to their lifelong care. Chapters (00:00-06:32) Introduction to Dr. Pasquina and the Path to Military Medicine (06:33-15:42) Building the Military Advanced Training Center and Responding to 9/11 (15:43-24:51) Integrating Families and Creating Centers of Excellence for Comprehensive Care (24:52-37:59) Strategic Lessons on Long-Term Rehabilitation and Providing Holistic Restoration (38:00-41:13) Collaborating with DARPA and the Future of Advanced Prosthetics (41:14-44:38) Career Advice for Future Military Medical Professionals and Closing Thoughts Chapter Summaries (00:00-06:32) Introduction to Dr. Pasquina and the Path to Military Medicine Dr. Pasquina discusses his early inspiration to pursue a career in medicine, influenced by his mother’s nursing career and his time at West Point. He explains his journey through the Uniformed Services University and how he found his calling in Physical Medicine and Rehabilitation, with a focus on the neuromuscular and skeletal systems. (06:33-15:42) Building the Military Advanced Training Center and Responding to 9/11 This section covers the immediate response to the influx of casualties after 9/11 and the realization that the military needed to prepare for a "marathon" of care. Dr. Pasquina describes the formation of the Military Advanced Training Center (MATC) and the shift from dispersed care to a multidisciplinary team approach that consolidated resources for amputees. (15:43-24:51) Integrating Families and Creating Centers of Excellence for Comprehensive Care The discussion moves to the logistical and emotional importance of keeping families close during the recovery process, often housing them on-site to be part of the treatment team. Dr. Pasquina also recounts memorable interactions between wounded warriors and visiting celebrities, highlighting how these moments boosted morale and public awareness. (24:52-37:59) Strategic Lessons on Long-Term Rehabilitation and Providing Holistic Restoration Dr. Pasquina outlines the critical lesson that rehabilitation and behavioral health must begin immediately alongside acute medical care, rather than waiting for stabilization. He shares insights on the long-term commitment required to treat chronic conditions like TBI and limb loss, emphasizing that the goal is to restore lives, not just treat injuries. (38:00-41:13) Collaborating with DARPA and the Future of Advanced Prosthetics This chapter explores the intersection of military medicine and cutting-edge engineering, detailing collaborations with DARPA to develop robotic limbs and brain-machine interfaces. Dr. Pasquina explains how patient advocacy helped drive funding for these technologies and discusses the future potential of regenerative medicine. (41:14-44:38) Career Advice for Future Military Medical Professionals and Closing Thoughts In the final section, advice is offered to young medical professionals, encouraging them to see military service as a unique opportunity for leadership, research, and diverse clinical experiences. The episode concludes with final thoughts on the ...
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    50 分
  • Bringing Combat Whole Blood Pre-Hospital Protocols to Civilian Trauma- Dr. Don Jenkins and Dr. Alex Bowers

    Bringing Combat Whole Blood Pre-Hospital Protocols to Civilian Trauma- Dr. Don Jenkins and Dr. Alex Bowers
    2026/03/17
    In this compelling episode of the podcast, we explore the groundbreaking paradigm shift of bringing whole blood resuscitation from the combat zones of Afghanistan directly to civilian pre-hospital emergency care. For decades, standard civilian trauma protocols relied heavily on crystalloid fluids and component therapy, delaying crucial blood transfusions until a critically injured patient arrived at the hospital. However, hard-won lessons from military medical teams operating in austere environments proved that administering cold-stored, low-titer O-positive whole blood at or near the point of injury drastically increases survival rates for patients suffering from severe hemorrhagic shock. We are joined by two incredible guests who are spearheading this medical revolution. Dr. Donald Jenkins, a retired Air Force trauma surgeon and a driving force behind the Joint Trauma System, shares his firsthand experience administering the first whole blood to combat casualties over two decades ago. He details the massive logistical and institutional hurdles he and his colleagues faced when attempting to convince civilian blood banks and hospital administrators to abandon forty years of standard practice in favor of a whole-blood approach. Through relentless collaboration, they successfully built a highly efficient, low-waste pre-hospital whole blood distribution system in San Antonio, Texas, which now serves as a premier national model. We are also joined by Captain Alex Bowers, an Air Force general surgery resident and former enlisted medic who founded the Students, Residents, and Fellows Trauma Advocacy Coalition (SURF-TAC). Capt. Bowers discusses how his organization utilizes national traffic fatality data to advocate for state-level legislative funding. His data-driven approach recently helped secure ten million dollars from the Texas legislature to aggressively expand pre-hospital whole blood access to EMS agencies across nearly every county in the state. Together, our guests highlight the critical importance of military-civilian medical partnerships. These collaborations not only elevate the standard of care in our local communities but also ensure that military medical providers maintain their vital combat trauma skills during inter-war periods, successfully mitigating the "Walker Dip." From saving lives on the highway to unexpectedly revolutionizing obstetric hemorrhage protocols in the operating room, this episode provides a masterclass in how battlefield innovations are fundamentally rewriting the rules of modern emergency medicine. Chapters 00:00-10:13 The Origins of Whole Blood Resuscitation in Afghanistan 10:14-26:10 Building a National Model for Pre-Hospital Blood in San Antonio 26:11-32:10 Overcoming Donor Pool Limitations and Alloimmunization Risks 32:11-48:37 Data-Driven Advocacy and Securing Legislative Funding in Texas 48:38-59:04 Mitigating the Walker Dip Through Military-Civilian Partnerships Chapter Summaries (00:00-10:13) The Origins of Whole Blood Resuscitation in Afghanistan Faced with a complete lack of standard hospital blood components in early combat zones, military medical teams were forced to innovate by drawing walking blood bank whole blood from troops. They quickly realized that this whole blood produced a profoundly superior physiological response in severe trauma patients compared to traditional component therapy. (10:14-26:10) Building a National Model for Pre-Hospital Blood in San Antonio Bringing battlefield resuscitation tactics home required breaking decades of established blood banking protocols to arm EMS providers with cold-stored whole blood. By forging strong partnerships between hospitals and local EMS agencies, medical leaders created a highly efficient temperature-monitoring and rotation system that practically eliminated blood waste. (26:11-32:10) Overcoming Donor Pool Limitations and Alloimmunization Risks To ensure a sustainable supply of whole blood, researchers successfully challenged long-held assumptions about antibody risks that previously excluded women from donating. By proving that the risk of alloimmunization is remarkably low, the program safely expanded its donor pool while establishing best practices for pediatric and female trauma patients. (32:11-48:37) Data-Driven Advocacy and Securing Legislative Funding in Texas Medical coalitions are utilizing national traffic fatality data to prove the life-saving potential of pre-hospital whole blood to state lawmakers. This targeted advocacy recently resulted in a massive ten-million-dollar legislative appropriation to expand EMS blood access to hundreds of agencies across Texas. (48:38-59:04) Mitigating the Walker Dip Through Military-Civilian Partnerships Integrating military medical personnel into high-volume civilian trauma centers is essential for preventing the loss of combat trauma experience during peacetime. This vital symbiosis ensures that communities benefit from military ...
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    58 分
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