https://stream.echo6.co/videos/watch/bafafda8-2354-41a6-93f4-4fe99927927f In this hard-hitting episode of the PFC Podcast, Dennis sits down with Doug, a cardiothoracic ICU physician, for a no-fluff deep dive into ACLS with a heavy focus on pulseless VT and VFib in austere, military, and prolonged field care environments. From deciding when CPR is worth it under fire or in a mass casualty scenario, to running a lean team code with minimal personnel, nailing high-quality BLS, working the H’s and T’s under chaos, post-ROSC pitfalls, antiarrhythmics, and the gut-wrenching decision of when to call it — this conversation delivers practical, experience-based wisdom you won’t find in standard ACLS class. Whether you’re a medic, PA, physician, or team leader operating far from a hospital, this episode gives you the mental framework and tactical edge to give your teammate the best possible shot at survival. Key Takeaways: Scene safety and triage realities — when not to start CPR How one knowledgeable person can effectively run an entire code by delegating roles (CPR rotations, timer, airway, meds, defibrillator) Prioritizing actions in resource-limited environments: early high-quality CPR + epi everything else When and how to practically apply the H’s and T’s (especially hypovolemia, acidosis, hypoxia, and tension pneumo) Post-ROSC critical care: preventing rearrest, airway management, sedation, and treating the “two patients” (heart + brain) Amiodarone vs Lidocaine — when to use what Realistic termination of resuscitation guidelines, the difference between witnessed vs unwitnessed arrest, and the value of objective outside input (telemedicine) The power of bringing the team in for closure when the fight is over Chapters 00:00 – Intro & Welcome 00:57 – Can you really do CPR in the field? Safety, triage, and mass casualty realities 02:57 – Running a code with minimal trained personnel – how one leader directs chaos 06:02 – Essential team roles: CPR rotation, AED/pads, airway, access, and early epi 09:08 – Making the H’s and T’s actually useful (hypovolemia, acidosis, hypoxia, tension physiology) 16:53 – Post-ROSC care: Preventing rearrest, airway security, sedation, and neuroprotection 20:41 – Antiarrhythmics – Amiodarone vs Lidocaine, dosing, and post-arrest infusions 22:53 – The hard call: When to terminate resuscitation (witnessed vs unwitnessed, resources, hypothermia exception) 28:19 – Emotional reality of coding teammates and giving families/teammates closure 33:21 – Final pearls: Telemedicine, ultrasound/video for handoff, STEMI considerations, and medevac prep 36:03 – Closing thoughts & resources For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠ Wed, 10 Jun 2026 07:05:06 GMT https://validator.w3.org/feed/docs/rss2.html PeerTube - https://stream.echo6.co https://stream.echo6.co/client/assets/images/icons/icon-512x512.png https://stream.echo6.co/videos/watch/bafafda8-2354-41a6-93f4-4fe99927927f All rights reserved, unless otherwise specified in the terms specified at https://stream.echo6.co/about and potential licenses granted by each content's rightholder.