{"podcast":{"title":"Prolonged Field Care Podcast","slug":"prolonged-field-care-podcast-3929124","podcast_index_feed_id":3929124,"rss_url":"https://anchor.fm/s/5b9ceba8/podcast/rss","website_url":"https://prolongedfieldcare.org/","image_url":"https://d3t3ozftmdmh3i.cloudfront.net/production/podcast_uploaded_nologo/15270106/15270106-1621298459872-7e4d2704ea9d.jpg","author":"Dennis","episode_count":603,"summary":"Become a Paid Subscriber: https://creators.spotify.com/pod/show/dennis3211/subscribe This podcast and website is dedicated to the healthcare professional who needs to provide high quality care in a very austere location. For more content: www.prolongedfieldcare.org Consider supporting us on: patreon.com/ProlongedFieldCareCollective","last_synced_at":"2026-06-11T14:19:28.843687+00:00","page_url":"https://stenobird.com/podcast/prolonged-field-care-podcast-3929124"},"episode":{"title":"PFC Podcast 280: Hantavirus in the Field: Cruise Ship Outbreak, Deadly Clues & Field-Ready Lessons Every Medic Must Know","slug":"pfc-podcast-280-hantavirus-in-the-field-cruise-ship-outbreak-deadly-clues-field-ready-lessons-every-medic-must-know","published_at":"2026-05-26T04:01:00+00:00","page_url":"https://stenobird.com/podcast/prolonged-field-care-podcast-3929124/pfc-podcast-280-hantavirus-in-the-field-cruise-ship-outbreak-deadly-clues-field-ready-lessons-every-medic-must-know","show_page_url":"https://stenobird.com/podcast/prolonged-field-care-podcast-3929124","url":"https://podcasters.spotify.com/pod/show/dennis3211/episodes/PFC-Podcast-280-Hantavirus-in-the-Field-Cruise-Ship-Outbreak--Deadly-Clues--Field-Ready-Lessons-Every-Medic-Must-Know-e3js8ni","audio_url":"https://traffic.megaphone.fm/APO5023049297.mp3","summary":"What happens when a sharp-eyed cruise ship doctor spots a hantavirus amid a sea of hangovers and flu symptoms? In this high-stakes episode of the Prolonged Field Care Podcast, Dennis sits down with Dr. Ryan Maves — combat-experienced infectious disease expert and military medicine veteran — to break down the shocking recent Andes virus outbreak. Far from the next global pandemic, hantaviruses are a real, rodent-borne threat that has hit soldiers before (Korean War, anyone?) and can strike deployed units in austere environments. Ryan delivers hard-hitting insights on rapid diagnosis, the “off-script” decompensation that screams hantavirus, supportive care when there’s no magic antiviral, and — most importantly — prevention strategies that actually work in the field. If you operate in rodent-infested buildings, set up in abandoned structures, or just want to trust your gut when a patient goes south fast, this episode is required listening. Real talk from the A-team who are currently managing these patients stateside. Key Takeaways Classic presentation : Flu-like prodrome (fever, fatigue, myalgias, GI upset) for a few days followed by sudden shock, respiratory failure, and decompensation. Bedside diagnostic gold : Thrombocytopenia (low platelets) + hemoconcentration (elevated hematocrit) in a previously healthy patient = major red flag. Treatment reality : Purely supportive — fluids, pressors, oxygen, renal support. No silver-bullet antiviral; ribavirin has limited data at best. Prevention beats everything : Humans are dead-end hosts. Avoid aerosolizing rodent urine/feces/droppings (no dry sweeping!). Use bleach, N95 (or equivalent), gloves, and gown. Human-to-human spread : Extremely rare except with Andes virus (this outbreak strain). Still, treat unknowns with respect.…","meta_description":"What happens when a sharp-eyed cruise ship doctor spots a hantavirus amid a sea of hangovers and flu symptoms? In this high-stakes episode of the Prolonge…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1981,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/prolonged-field-care-podcast-3929124/episodes/pfc-podcast-280-hantavirus-in-the-field-cruise-ship-outbreak-deadly-clues-field-ready-lessons-every-medic-must-know/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/prolonged-field-care-podcast-3929124/pfc-podcast-280-hantavirus-in-the-field-cruise-ship-outbreak-deadly-clues-field-ready-lessons-every-medic-must-know.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}