www.prolongedfieldcare.org is the official site of the Prolonged Field Care Working Group. Some of the members of NGCM are also involved with PFC.
Prolonged Field Care should not be attempted until mastery of TCCC is attained. While the content is mainly geared towards Special Operations and Forces medics, the basics is what saves lives and there is plenty of applicable information.
The podcasts are good to listen to, and afterward head to “Downloads” and you’ll have plenty to save, print and laminate to help with training, as well as put in the aid bag and aid station.
Posts about PFC:
Acute Respiratory Distress Syndrome and Extracorporeal Membrane Oxygenation - Extracorporeal membrane oxygenation (ECMO) use in combat is usually reserved for a Critical Care Air Transport Teams (CCATT) like team. These ECMO teams are specially trained to perform this skill. As as military medic, you may find yourself assisting or eventually part of the care team for a patient on ECMO. Like many other medical advancements ECMO […]
Alternative Hydration Options - Replacing fluids during resuscitation whilst working in a remote clinic can be challenging. The best option, of course, is whole blood followed by various intravenous solutions. Few remote locations have whole blood outside of the walking blood bank option which is still a hot top in the industry and unfortunately, not widely accepted. Once you […]
Anti-venom research: A response to the venomous article by The Guardian and TBIJ - The intent of this article is to affirm to military providers and medics that the JTS Envenomation CPG and Antivenoms it suggested are efficient and data backed. We remind medics to be cautious of medical claims with no supported evidence. Recently, The Guardian & TBIJ articles collaborated with a scientist (Not Doctor), Juan Calvete, who […]
Scenario: Eye trauma with worsening vision - A 35-year-old active duty male presents with sudden onset of pain and decreased vision of the right eye, after he was in an altercation (but you can also see this in blast injuries or other objects hitting in this area.)
Blood Transfusions, Reactions, and More - This article was last reviewed in December 2018 and is based on research available at that time. We will attempt to update this page as new evidence and best practice becomes available. “Colloids and Crystalloids don’t carry oxygen or clotting factors. As Combat Medics we stop hemorrhaging, so it only makes sense to replace the […]
Cricothyroidotomy Training Guide for Military Medics: Ragged Edge of the Scalpel - Cric Training Guide for Military Medics and their Instructors
Ketamine Toolkit: Questions & Answers for your Medical Director - The goal of this page is to give the medic a resource for engaging with their battalion PA or Surgeon regarding the use of ketamine.
Neurological Assessment - There are many reasons and many ways to perform a neuro exam. Whether one of your Soldiers was hit by an explosion or experienced an emergency while diving, a thorough neurological assessment is indicated. At very least, a solid neuro exam will establish a baseline from which you can trend recovery. This post was based […]
Oral or I.V. fluid for Heat Casualties and Dehydration on extended patrols? - On multiple occasions, missions have taken longer than previously thought. (Shocking, I know.) When briefed that it’s only a few hours some may take less (or even no) water on mission to ‘stay lighter’, and then the mission can end up taking days instead of hours. This is a situation the Medic going […]
Pharmacology Resources - Videos This playlist from the University of Hawai’i’s Maui College covers a basic intro to pharmacology skip to videos 3-5 to get right into it. https://www.youtube.com/watch?v=OawHxPiGBio&list=PLA60863814382D93D&index=3 Books There are few, if any, free online pharmacology textbooks. Here are some top recommendations for textbooks to purchase. Lippincott Illustrated Reviews: Pharmacology 6th edition ($50) Bertram Katzung’s Basic […]

