Next Generation Combat Medic

Knowledge Weighs Nothing in the Rucksack

Prolonged Field Care

PFCLogo 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:

  • 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 […]
  • Blood Transfusions, Reactions, and More - “Colloids and Crystalloids don’t carry oxygen or clotting factors. As Combat Medics we stop hemorrhaging, so it only makes sense to replace the blood lost with blood, not clear fluid. Whole Blood is the superior fluid for the hemorrhagic shock casualty and the first choice for TCCC Fluid Resuscitation. This page is intended to be […]
  • U.S. Army Rangers use IV fluids to rehydrate 46 hours into the rescue mission following Operation Red Wings II, July 2005 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 out on […]
  • Scenario: Fluid Resuscitation for the Blast and Burn patient - Blast injury results in 42% TBSA burns and right upper extremity amputation bleeding initially uncontrolled with a  tourniquet, BP 68/42. Assuming 100kg patient… What is your fluid resuscitation strategy? Which fluid(s)? Which formula? Resuscitation goals? Be able to show your work. In addition, What are your other priorities on this patient? If the answer did […]
  • crush injury compartment syndrome crushed rhabdo urine output prolonged field care PFC USAISR US Army Institute of Surgical Research Clinical Practice Guidelines CPG fluid tourniquet albuterol The Crush Injury - “Medic!” After an explosion, one of your guys legs are trapped under heavy debris that can not be lifted by your team…
  • Marines fast rope from an MV-22B Osprey The Prone Trauma Patient / Airway - As your unit is assaulting an objective, one of your guys burns in during the fast rope and hits HARD.  “Medic!” As you descend you notice he is prone and not moving around. Once closer he complains of pain in his back and is grimacing. While not in CUF (yet), you certainly have the potential […]
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