What’s in the “Old Man’s” Medical Bag?

What’s in the “Old Man’s” Medical Bag?

What’s in the “old man’s” medical bag? So, a frequent question that I get asked, is what do I carry in my medic bag… Here is my break down: Airway- 4- Surgical Cric kits (make them myself) includes a 6.0 ETT cut down 1” above the pilot balloon, 550 cord stripped for...

When Bubbles Go Down!

When Bubbles Go Down!

As children, we're taught some very basic rules about physics. For starters, water is heavy, and bubbles go up. We learn about bubbles from a young age, starting in the bath tub. As we get older and become SCUBA divers, we learn that due to Boyle's Law, as pressure is...

Boyle’s Law in Bubbles!

Boyle’s Law in Bubbles!

As an anesthesia provider, I learned about Boyles Gas Law (P1V1=P2V2). “The absolute pressure exerted by a given mass of an ideal gas is inversely proportional to the volume it occupies if the temperature and amount of gas remain unchanged within a closed system….as...

Capt. Hook’s MTAC is Making Us A Better Dive Operation

Capt. Hook’s MTAC is Making Us A Better Dive Operation

Ever since we have started Capt. Hook’s MTAC (Medical Training in Austere Conditions) we have become obsessed with becoming an even better dive operation. We have some of the finest instructors in the Florida Keys and therefore the world.  To be able to teach divers...

Re-defining Golden Hour

Re-defining Golden Hour

Redefining golden hour! MTAC’s tagline is getting quite a buzz. So, time to explain… After years of serving in military medicine and teaching at both civilian and military medical and nursing schools, one theme became apparent. We teach our future providers how to...

Oxygen Math! Part Two…

Oxygen Math! Part Two…

But what about cube space? H-cylinders less cube space, but heavier, E-cylinder more cube space, but lighter So now you have to ask yourself, is it reasonable to bring 44 E-cylinders? If not, what is the risk? How much risk are you willing to take? So here are some...

Oxygen Math! Part Two…

Oxygen Math! Part One…

You are planning an excursion that will have an evacuation time of 2 days. You are located on a research vessel in the pacific ocean. You have been assigned as the Medical Officer. You do not have a chamber accessible, but was informed that you could bring oxygen...

You Must Keep the Patient Warm!

You Must Keep the Patient Warm!

Ok, the diver’s bleeding is controlled with 2 tourniquets, the airway is being managed with an OPA and BVM, but is laying a pool of water and still has on his clothes. Being a good steward of training, you deployed the MARCH algorithm and when you reach the “H” you...

Air Must Go In and Out!

Air Must Go In and Out!

We all have been taught the new CAB algorithm, however, remember in the austere environment there are a few times that A comes before B and C. Lightning strikes, avalanche burial and immersion hypothermia to name a few. But, we are here to talk about this diver. He...

Saving a Life is as Easy as 1,2,3!

Saving a Life is as Easy as 1,2,3!

This is a three part series on how to save a life at point of injury. After years on a Special Mission Unit, I have developed a simplified check list that will be explained throughout this series. www.gomtac.com is a company that we developed to take the guesswork out...