# PFC Podcast: The Moment Prolonged Field Care Actually Begins

Page: https://stenobird.com/podcast/prolonged-field-care-podcast-3929124/pfc-podcast-the-moment-prolonged-field-care-actually-begins
Text version: https://stenobird.com/podcast/prolonged-field-care-podcast-3929124/pfc-podcast-the-moment-prolonged-field-care-actually-begins.md
Podcast: [Prolonged Field Care Podcast](https://stenobird.com/podcast/prolonged-field-care-podcast-3929124)
Published: 2026-05-14T04:01:00+00:00
Episode link: https://podcasters.spotify.com/pod/show/dennis3211/episodes/PFC-Podcast-The-Moment-Prolonged-Field-Care-Actually-Begins-e3j9lsa
Audio file: https://traffic.megaphone.fm/APO7693135774.mp3
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JSON: https://stenobird.com/v1/public/podcasts/prolonged-field-care-podcast-3929124/episodes/pfc-podcast-the-moment-prolonged-field-care-actually-begins
Duration seconds: 3937

## Resource

In this episode of the PFC Podcast, Dennis sits down with Kevin — a Nurse Anesthetist (CRNA) with deep experience in hospice/oncology floors, Level I trauma ICUs and ERs, military nursing, and years in austere environments, including a Role III in Baghdad. Kevin delivers straight talk on the most overlooked, time-consuming, and life-saving phase of Prolonged Field Care: nursing care . He answers the exact question every medic wants to know: When does nursing actually start? Then he walks through the full reality of what “nursing” means in the field — from relentless data gathering and charting, to turning patients, pulmonary toileting, skin care, oral care, managing the mess (yes, including bowel movements on litters), and preventing the downstream killers like pressure ulcers, ventilator-associated pneumonia, and sepsis that can undo even perfect damage-control surgery. You’ll get practical austere hacks (including Kevin’s legendary Barbasol shaving cream trick), training advice that actually works, how to know when the patient is truly stable, when to escalate to a provider, and why evacuation must remain the primary plan — not prolonged field care. Key Takeaways: PFC nursing starts the moment life-saving interventions (hemorrhage control, surgery, cric, chest tubes, etc.) are complete and the patient is stabilized — not during the gunfight or initial resuscitation. Skin care and turning patients prevents deadly complications — pressure ulcers, infections, and sepsis can kill a patient with otherwise survivable injuries. Austere game-changer: Barbasol shaving cream + washcloths cuts through blood, stool, grease, and debris without drying out skin. Bring cheap bottles. First hour priorities: frequent vitals/assessments, confirm stability, get fluids/sedation/maintenan…

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## Transcript

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