1 00:00:04,880 --> 00:00:07,640 Hello everyone and welcome to the Quorum podcast. 2 00:00:07,640 --> 00:00:11,320 This is where academic medicine meets remote, austere and 3 00:00:11,320 --> 00:00:18,360 resource limited areas. Welcome back to the podcast. 4 00:00:18,360 --> 00:00:21,920 This is Avrico Kelly. This week we are with Robert 5 00:00:21,920 --> 00:00:27,240 Yedrick from Poland. He has been the forefront of 6 00:00:27,240 --> 00:00:32,159 prolonged field care learning in Central and Eastern Europe. 7 00:00:32,320 --> 00:00:35,120 And Robert, welcome to the podcast. 8 00:00:35,120 --> 00:00:36,360 Hello. Thank you every. 9 00:00:36,360 --> 00:00:39,040 Hello. So tell us a bit about yourself 10 00:00:39,080 --> 00:00:42,720 and what's keeping you busy. OK, my name is Robert Iandri. 11 00:00:42,840 --> 00:00:47,000 I'm from 21 years. I'm paramedic. 12 00:00:47,200 --> 00:00:51,000 I have been involved in emergency medicine, tactical 13 00:00:51,000 --> 00:00:54,200 medicine and medical training for many years. 14 00:00:55,120 --> 00:01:02,000 Mine areas are TCC, tech, PHDLS and from the last year also 15 00:01:02,000 --> 00:01:04,720 emergency course. Emergency course, sorry. 16 00:01:04,800 --> 00:01:09,920 And in simple terms my work is about preparing people to work 17 00:01:09,920 --> 00:01:13,680 in the situation. It's difficult, it's far from 18 00:01:13,840 --> 00:01:16,880 ideal and they are in big stress. 19 00:01:16,920 --> 00:01:21,720 I train medic, first responders, Polish Army, Polish 20 00:01:21,720 --> 00:01:25,840 counterterrorism units, Polish Border guard and our another our 21 00:01:25,840 --> 00:01:30,120 government units. We keep what keep me busy right 22 00:01:30,120 --> 00:01:34,440 now is training, developing education programme and build a 23 00:01:34,440 --> 00:01:40,440 practical standard for the best teaching which we can give for 24 00:01:40,440 --> 00:01:43,800 this moment. For me the goal is not just for 25 00:01:43,800 --> 00:01:47,480 someone to complete a course or receive a certificate. 26 00:01:47,600 --> 00:01:53,240 The real goals is for them to be able able to make good decision 27 00:01:53,240 --> 00:01:55,280 under pressure, in real condition. 28 00:01:55,360 --> 00:01:58,640 Yeah, it's it's little about me. Nice, nice. 29 00:01:58,720 --> 00:02:01,840 And, and, and a couple weeks ago you attended the SOMSA 30 00:02:01,840 --> 00:02:05,920 conference for the first time. But we, we first met in Poland 31 00:02:06,040 --> 00:02:10,680 last year and you set up the first Auster emergency care 32 00:02:10,680 --> 00:02:13,160 training programme in Poland. Yes. 33 00:02:13,160 --> 00:02:16,120 And you've been running the AEC course for a year now. 34 00:02:16,320 --> 00:02:18,080 How? How is that going for you? 35 00:02:18,320 --> 00:02:23,000 In my opinion, AEC is very important project for me because 36 00:02:23,000 --> 00:02:28,400 it's focused on areas that we often under limited and we stay 37 00:02:28,440 --> 00:02:33,280 with our patient in our service condition and we don't have 38 00:02:33,280 --> 00:02:38,560 enough rapid evacuation. After one year of running the 39 00:02:38,560 --> 00:02:42,320 course, I can clearly see that there is real needs for this 40 00:02:42,320 --> 00:02:45,120 kind of training. Our courses come with strong 41 00:02:45,120 --> 00:02:49,640 medical knowledge or strong tactical experience and but AC 42 00:02:49,760 --> 00:02:54,080 give for them some new skills and they start understanding 43 00:02:54,080 --> 00:02:58,480 that AC or prolonged fit care. It's not only medicine, it's a 44 00:02:58,480 --> 00:03:04,000 lot of more more skills like communication like hook of the 45 00:03:04,000 --> 00:03:09,920 team can be good leader and how prepare good team to work in 46 00:03:09,920 --> 00:03:12,720 hostile environment. The school is not only about 47 00:03:13,000 --> 00:03:16,640 procedure, it's about clinical thinking, characterization, 48 00:03:16,640 --> 00:03:21,040 patient monitoring, commendation, decision making 49 00:03:21,040 --> 00:03:23,680 when condition are far from perfect. 50 00:03:23,880 --> 00:03:28,840 For me these schools is very important because for four years 51 00:03:28,880 --> 00:03:33,880 we have war close to our country and I think in this moment a lot 52 00:03:33,880 --> 00:03:38,160 of not only army medics, but every civilian medics it's 53 00:03:38,160 --> 00:03:41,280 needs. It's very important to know some 54 00:03:41,320 --> 00:03:45,480 basis basics about Pfc. Yeah, because I think if 55 00:03:45,480 --> 00:03:49,840 something bad happened in our country, it's very similar 56 00:03:49,840 --> 00:03:54,240 situation back in Ukraine. Indeed, and you're seeing a lot 57 00:03:54,240 --> 00:03:58,320 of that that conflict in Poland. You're having tonnes of people 58 00:03:58,320 --> 00:04:02,200 coming from wounded and non wounded coming from Ukraine into 59 00:04:02,200 --> 00:04:06,560 Poland. Yes, we have a lot casualty from 60 00:04:06,560 --> 00:04:12,400 Ukraine become here and our our medical health system and give 61 00:04:12,400 --> 00:04:15,200 support for this these people. Nice. 62 00:04:15,400 --> 00:04:18,440 So Robert, you started a training company in Poland. 63 00:04:18,440 --> 00:04:23,080 Tell us about that. Yeah, I from 6016 years, I 64 00:04:23,080 --> 00:04:26,880 provide the government system, my training company and we are 65 00:04:26,880 --> 00:04:32,040 certificate man that centre for TCC, pH, DLS and Tech. 66 00:04:32,040 --> 00:04:36,480 And from last year, we are specialist medical standard 67 00:04:36,480 --> 00:04:41,400 certificate centre to provide our sort of emergency care 68 00:04:41,400 --> 00:04:44,840 course. Nice you you run T Triple C as a 69 00:04:44,840 --> 00:04:49,240 civilian organisation because isn't there a requirement from 70 00:04:49,240 --> 00:04:53,680 an AEM T to only allow military to teach T triple C? 71 00:04:53,680 --> 00:04:58,400 But you you teach T triple C. Yes, we teach triple C for 72 00:04:58,400 --> 00:05:04,600 civilian people because in last year's in Poland start a lot of 73 00:05:04,680 --> 00:05:08,720 government support to train civilian people with basic 74 00:05:08,720 --> 00:05:12,600 combat medicine. Yeah, we provide TCC course, but 75 00:05:12,600 --> 00:05:16,240 it's, it's not a certificate, but not from 90. 76 00:05:16,240 --> 00:05:19,320 It's our our company. It's only our company 77 00:05:19,560 --> 00:05:26,080 certificate and we don't we teach only it's more similar 78 00:05:26,080 --> 00:05:28,800 like tag. But you know, not everybody in 79 00:05:28,800 --> 00:05:33,360 our country understand different between tech or TCC. 80 00:05:33,360 --> 00:05:36,960 Because if we speak about combat medicine, everybody knows what 81 00:05:36,960 --> 00:05:39,440 TCC is almost only combat medicine. 82 00:05:39,440 --> 00:05:43,360 Yeah, they then don't know that for civilian people it's better 83 00:05:43,360 --> 00:05:46,360 to provide tech. That's why they always ask or 84 00:05:46,360 --> 00:05:50,600 call for my company and they they looking for TCC course. 85 00:05:50,720 --> 00:05:55,760 And we give only our company certificate because a lot of a 86 00:05:55,760 --> 00:06:00,760 lot of people from government units, it's not from military 87 00:06:00,760 --> 00:06:04,320 and it's like civilian like critical infrastructure units. 88 00:06:04,320 --> 00:06:08,120 And they don't understand that TCC is only for army. 89 00:06:08,200 --> 00:06:12,560 They looking for information in Internet combat medicine Is TCC 90 00:06:12,560 --> 00:06:14,440 OK? We need to buy this course, 91 00:06:14,440 --> 00:06:15,120 Yeah. Nice. 92 00:06:15,960 --> 00:06:20,680 This past week we had an affiliate faculty from the NAMT 93 00:06:20,680 --> 00:06:25,480 here in, in Pretty Bay and they were going through our AMLS and 94 00:06:25,480 --> 00:06:29,040 PSTLS programmes and they, they've given us approval to run 95 00:06:29,040 --> 00:06:30,520 them. And it was interesting that, 96 00:06:30,520 --> 00:06:33,440 that your, your comment with, but this is something we talked 97 00:06:33,440 --> 00:06:35,920 about as well. The difference between T triple 98 00:06:35,920 --> 00:06:39,160 C and TECC. And there needs to be a 99 00:06:39,160 --> 00:06:43,240 development within NEMT for the TEC pathway because we're at the 100 00:06:43,240 --> 00:06:46,760 moment there's just TECC and that's the only thing that 101 00:06:46,760 --> 00:06:50,960 really is equal to the TCCC course. 102 00:06:50,960 --> 00:06:54,080 But there's nothing for CMC level within it. 103 00:06:54,400 --> 00:06:58,880 The TCC programme or this or the is there a need? 104 00:06:58,880 --> 00:07:01,760 Do you think you've been running TCC for a while? 105 00:07:01,960 --> 00:07:05,840 Do you think there's a need for a combat medic corpsman level 106 00:07:06,040 --> 00:07:10,200 for the civilians? Yes, I think every, every 107 00:07:10,200 --> 00:07:14,760 civilian medic, paramedic, nurse, doctor in this situation 108 00:07:14,880 --> 00:07:18,840 needs some basic information about combat medicine. 109 00:07:18,880 --> 00:07:23,160 And if we are on the level of medical personnel, I think the 110 00:07:23,160 --> 00:07:27,000 good course is CMC. Of course that can be CMC 111 00:07:27,000 --> 00:07:31,360 course, of course, without the first phase like car under fire, 112 00:07:31,360 --> 00:07:35,480 because civilian medic, if he's in the car under fire, he must 113 00:07:35,480 --> 00:07:37,520 go somewhere to to hide. Yeah. 114 00:07:37,520 --> 00:07:42,360 And that's why I think we can it's good idea to prepare some 115 00:07:42,560 --> 00:07:47,440 special version or addition CMC course for civilian medics. 116 00:07:47,600 --> 00:07:49,600 Yeah. That was the discussion that we 117 00:07:49,600 --> 00:07:54,040 had with the affiliate faculty from NAMT, that there hasn't 118 00:07:54,040 --> 00:07:55,960 been a movement in that direction yet. 119 00:07:56,000 --> 00:07:59,000 And are you seeing the same thing in Poland, that there 120 00:07:59,000 --> 00:08:02,480 needs to be more than just the TECC course? 121 00:08:02,560 --> 00:08:05,400 Yes, I think I see the same situation. 122 00:08:05,400 --> 00:08:11,640 And because a lot of people they are on the they understand they 123 00:08:11,640 --> 00:08:15,000 don't have enough knowledge about combat medicine, how to 124 00:08:15,000 --> 00:08:19,920 work in which zone and what type of equipment we need to provide 125 00:08:19,920 --> 00:08:21,880 professional help on the battlefield. 126 00:08:21,920 --> 00:08:28,000 Of course a lot of people become to PHDLS and our CMC and we 127 00:08:28,000 --> 00:08:32,559 provide some CMC version for civilian medics, but without 128 00:08:32,559 --> 00:08:35,840 certificate Manta yeah. And I think it's very good idea 129 00:08:35,840 --> 00:08:40,679 to prepare some some type of these schools that that can be 130 00:08:40,720 --> 00:08:44,560 the same course, the same programme, of course, without 131 00:08:44,680 --> 00:08:48,640 this car under fire, this first phase when we have fire 132 00:08:48,640 --> 00:08:53,800 superiority, when we have fight tactics and a lot of combat 133 00:08:53,840 --> 00:08:56,240 elements. Yeah, because they don't know 134 00:08:56,240 --> 00:08:59,240 this. But I think the idea about some 135 00:08:59,240 --> 00:09:03,360 like we have TCC and tech and maybe it's good to prepare 136 00:09:03,360 --> 00:09:07,240 advanced tech for like CMC or something like that. 137 00:09:07,280 --> 00:09:10,560 I think there's a need for it because if we are going to 138 00:09:10,560 --> 00:09:14,880 prepare the population for the risk of a coming conflict, 139 00:09:15,120 --> 00:09:17,080 they're not going to be taking T Triple C. 140 00:09:17,080 --> 00:09:20,000 They're going to be in the civilian environment. 141 00:09:20,000 --> 00:09:24,680 So maybe having a tactical emergency casualty care pathway 142 00:09:24,880 --> 00:09:28,640 like the T Triple C does. So they have the 2 day T triple 143 00:09:28,640 --> 00:09:32,200 C, they have the five day combat lifesaver and then the 63 hour 144 00:09:32,360 --> 00:09:36,000 combat medic corpsman and then the brand new combat paramedic, 145 00:09:36,000 --> 00:09:40,000 which I believe is four months. So and obviously in a civilian 146 00:09:40,000 --> 00:09:44,200 world we have our paramedic. So we have that in place. 147 00:09:44,200 --> 00:09:48,200 What we don't have is the combat medic corpsman equivalent in 148 00:09:48,200 --> 00:09:51,160 TECC. Yeah, I think it's very good 149 00:09:51,160 --> 00:09:57,040 idea and I hope if you speak with, I feel faculty in from the 150 00:09:57,040 --> 00:10:01,440 IMDb about this, maybe they can start this course, about this 151 00:10:01,440 --> 00:10:04,520 course, Yeah. Yeah, and you've been an NAMT 152 00:10:04,640 --> 00:10:06,440 training centre longer than we have. 153 00:10:06,440 --> 00:10:11,440 We're this is day 2 for our college, so you have a lot more 154 00:10:11,440 --> 00:10:16,080 experience on how that works and you've run TECC and we are still 155 00:10:16,240 --> 00:10:18,080 in the beginning process of that. 156 00:10:18,080 --> 00:10:21,080 So it'll be interesting to talk about that as we move forward. 157 00:10:21,160 --> 00:10:26,640 Yeah, I think it's very, very important because from I provide 158 00:10:26,640 --> 00:10:33,000 my company from 2010 and every civilian shooter, every police, 159 00:10:33,600 --> 00:10:38,920 police officer and a lot of guys from Army, they know only TCC 160 00:10:38,920 --> 00:10:41,960 course yeah, they know it's combat medicine, It's TCC. 161 00:10:42,080 --> 00:10:46,520 A lot of times when the people ask me, OK, I'm from civilian 162 00:10:46,600 --> 00:10:50,880 company, I need combat medicine, I want to join to TCC. 163 00:10:50,880 --> 00:10:55,400 And I told OK, if you are not in Army and maybe it's better to 164 00:10:55,400 --> 00:10:58,840 you can join in tech. And a lot of answer is what is 165 00:10:58,840 --> 00:11:00,880 tech? I don't know nothing about the 166 00:11:00,880 --> 00:11:03,920 tech. I think this is because TCC is 167 00:11:03,920 --> 00:11:07,120 more better marketing in in the market. 168 00:11:07,120 --> 00:11:11,680 Yeah more more people know this this name of this course and 169 00:11:11,680 --> 00:11:14,680 it's it's hard to change the decision. 170 00:11:14,680 --> 00:11:18,640 Yeah, sometimes I can do this. Of course, when the people they 171 00:11:18,640 --> 00:11:22,480 have time to explain what is different between this course 172 00:11:22,480 --> 00:11:26,320 and the second one and they they thinking, OK, you could write 173 00:11:26,320 --> 00:11:28,560 Robert, it's better for me to join to tech. 174 00:11:28,560 --> 00:11:32,680 Yeah, because they don't, in my opinion, it's without science to 175 00:11:32,680 --> 00:11:37,800 train civil people in TCC because they don't know tactic, 176 00:11:38,000 --> 00:11:41,560 they don't know how to combat, how to shooting in tactical 177 00:11:41,560 --> 00:11:44,600 situation. And I think a lot of company 178 00:11:44,600 --> 00:11:46,760 when provide this training in Poland. 179 00:11:46,800 --> 00:11:50,120 And when they start scenario, OK, you have contact. 180 00:11:50,120 --> 00:11:53,240 Now the contact is over and you have casual. 181 00:11:53,600 --> 00:11:55,840 And this is type of scenario, a lot of scenario. 182 00:11:55,840 --> 00:11:59,440 And in my opinion, it's not TCC scenario, it's more tech. 183 00:11:59,440 --> 00:12:03,480 Yeah, because it's finished. As valid point, so you've been 184 00:12:03,600 --> 00:12:06,920 running the AEC course, the prolonged field care course from 185 00:12:06,920 --> 00:12:09,640 specialised medical standards for a while now. 186 00:12:09,640 --> 00:12:13,000 And I would like to hear about your experiences with that. 187 00:12:13,000 --> 00:12:17,720 And then how you see the prolonged field care training 188 00:12:17,720 --> 00:12:22,520 affecting Poland or how is the improvement from your your, your 189 00:12:22,680 --> 00:12:25,560 training? I think it's very important in 190 00:12:25,560 --> 00:12:28,440 this moment. Like I told you, it's good 191 00:12:28,440 --> 00:12:35,680 because AC is certificate tool, Yeah, like PHDLS, like TCC. 192 00:12:35,720 --> 00:12:40,040 And it's good because if every humanics know this tool, if 193 00:12:40,040 --> 00:12:43,800 something happened and we talk about war, we can better 194 00:12:43,800 --> 00:12:48,480 cooperate with another medics with with another another 195 00:12:48,680 --> 00:12:49,320 country. Yeah. 196 00:12:50,080 --> 00:12:55,240 And that's why I think we need to provide as more course as 197 00:12:55,240 --> 00:12:57,800 possible. Yeah, I think you're right and 198 00:12:57,800 --> 00:13:01,200 I'm delighted that you're pushing that forward in Poland. 199 00:13:01,320 --> 00:13:05,320 And looking at the medical training, the current tactical 200 00:13:05,320 --> 00:13:08,160 medical training, the austere medical training, what's 201 00:13:08,160 --> 00:13:11,000 missing? What do you think is needed in 202 00:13:11,000 --> 00:13:16,960 Poland for Austria medicine? I think the most important in as 203 00:13:16,960 --> 00:13:20,000 realistic scenario as possible, yeah. 204 00:13:20,000 --> 00:13:24,160 Because we know that in classroom everything is clear. 205 00:13:24,160 --> 00:13:27,360 When we work on the mannequin everything is clear. 206 00:13:27,360 --> 00:13:31,560 But when we start scenario and something and we have little 207 00:13:31,560 --> 00:13:35,040 stress, we give you little stress for our student and they 208 00:13:35,040 --> 00:13:38,960 start having problem with easy processor like tourniquet wound 209 00:13:38,960 --> 00:13:41,520 packing. And I think the most important 210 00:13:41,520 --> 00:13:45,120 is building the skills step by step first. 211 00:13:45,120 --> 00:13:49,720 Always the most important in my opinion is always basic skills 212 00:13:49,800 --> 00:13:53,200 like basic March. And after that when we have very 213 00:13:53,200 --> 00:13:57,760 good fundament with basic tactical medicine, we can moving 214 00:13:57,760 --> 00:14:01,160 forward. And about medical skills, in my 215 00:14:01,160 --> 00:14:04,320 opinion one of the most important thing is life tissue 216 00:14:04,320 --> 00:14:09,000 trauma training or cadaver training to we can give better 217 00:14:09,000 --> 00:14:13,480 quality of every procedure, react about scenario if we can 218 00:14:13,480 --> 00:14:18,880 use a lot of special effects, you know like smokes, like 219 00:14:18,880 --> 00:14:23,240 grenades, like some lights, like stroboscope and with good role 220 00:14:23,240 --> 00:14:26,360 players. And we can prepare as realistic 221 00:14:26,360 --> 00:14:31,240 scenario as possible. And I think this is very 222 00:14:31,240 --> 00:14:34,400 important. I agree it it's not the same. 223 00:14:34,400 --> 00:14:37,800 If you're doing a scenario with just a a plastic mannequin in 224 00:14:37,800 --> 00:14:41,160 the classroom, you do need to get out and and give some 225 00:14:41,160 --> 00:14:43,120 challenge to the to the students. 226 00:14:43,120 --> 00:14:47,960 Yes, exactly. And I think most important thing 227 00:14:47,960 --> 00:14:55,120 is when we train AC or Pfc and the people start understanding 228 00:14:55,320 --> 00:15:00,040 that they after a few, few hours of scenario, they are very 229 00:15:00,040 --> 00:15:02,960 tired. And I remember my first AC in 230 00:15:02,960 --> 00:15:07,440 Norway two years ago, we prepare a lot of equipment, medical 231 00:15:07,440 --> 00:15:12,040 equipment for our casualty. We prepare water and eat for our 232 00:15:12,040 --> 00:15:15,120 casualty. And I forgot something to eat 233 00:15:15,120 --> 00:15:17,640 for me. And it's very cold in December. 234 00:15:17,640 --> 00:15:22,160 And after four or five years, I'm really tired And I feel that 235 00:15:22,160 --> 00:15:27,480 I need some, some, some, some sugar I add to to my brain 236 00:15:27,480 --> 00:15:29,880 because he starts working slowly. 237 00:15:29,880 --> 00:15:32,640 And this is very important and for me, it's very good 238 00:15:32,640 --> 00:15:35,200 experience, yeah. Because for every training, 239 00:15:35,200 --> 00:15:40,440 every scenario, we have some some information about what our 240 00:15:40,440 --> 00:15:44,680 students feel what he have. We we which have they have 241 00:15:44,680 --> 00:15:47,360 problem what is most important for them. 242 00:15:47,400 --> 00:15:52,000 And we have good feedback for our role players because because 243 00:15:52,000 --> 00:15:55,880 if every scenario they have I I have problem because somebody 244 00:15:56,120 --> 00:15:59,680 give me too much pressure here or I have pain for here because 245 00:15:59,680 --> 00:16:02,960 the part of stretchers give me pressure on my back. 246 00:16:03,600 --> 00:16:05,200 Yep. That's part of prolonged field 247 00:16:05,200 --> 00:16:05,920 care. Yeah. 248 00:16:06,000 --> 00:16:09,520 Yeah. Robert, you attended the Special 249 00:16:09,520 --> 00:16:13,080 Operations Medical Association conference earlier this month. 250 00:16:13,280 --> 00:16:20,160 How was that experience for you? For me, it's very, very, very 251 00:16:20,520 --> 00:16:25,480 good experience and I'm appreciate that I can be there. 252 00:16:25,800 --> 00:16:33,320 Last year I was in CMC and in, in Germany and here it's a lot 253 00:16:33,320 --> 00:16:35,920 of new people from around the world. 254 00:16:36,040 --> 00:16:38,760 I meet with a lot of, a lot of people which one? 255 00:16:38,760 --> 00:16:41,720 I have some contact, but you know, it's only for Internet 256 00:16:41,720 --> 00:16:45,040 contract contact like LinkedIn or e-mail or Instagram. 257 00:16:45,120 --> 00:16:47,400 And now we can speak face to face. 258 00:16:47,440 --> 00:16:51,240 It's a lot of colour to me. And it's very nice because a lot 259 00:16:51,240 --> 00:16:54,920 of a lot of these guys, they, they know my company when I told 260 00:16:54,920 --> 00:16:58,040 that I'm from Poland, from the government system, they know our 261 00:16:58,040 --> 00:17:01,400 logo, but they know our name. Very nice. 262 00:17:01,400 --> 00:17:05,440 Doesn't mean our marketing is good and doesn't mean we have 263 00:17:05,440 --> 00:17:09,119 good opinion about our training. It's a lot of new equipment, 264 00:17:09,160 --> 00:17:13,079 which one I can observe. I bring for Poland some contacts 265 00:17:13,079 --> 00:17:20,119 to buy or the company can send us for free for one hemostatical 266 00:17:20,119 --> 00:17:24,680 or one cell device or something. Yeah, I'm waiting for this now. 267 00:17:24,760 --> 00:17:28,079 It's amazing, Amazing, amazing event. 268 00:17:28,079 --> 00:17:31,560 Yeah, it's first time, but I, I hope not, not last time in the 269 00:17:31,560 --> 00:17:35,760 United States, but because I think maybe I can go there to, 270 00:17:35,800 --> 00:17:40,040 to go to the next some better or more advanced courses. 271 00:17:40,040 --> 00:17:40,880 Yeah. Nice. 272 00:17:41,200 --> 00:17:44,200 Yep. So what is your five year plan 273 00:17:44,200 --> 00:17:46,240 Robert? What are you planning to do with 274 00:17:46,240 --> 00:17:49,960 your company and and what are you planning to do to expand or 275 00:17:49,960 --> 00:17:53,560 or change or push evidence based medicine forward? 276 00:17:53,640 --> 00:17:58,760 My five year plan is to continue developing, developing tactical 277 00:17:58,760 --> 00:18:02,760 meditation as best as we can. Of course now we can have the 278 00:18:03,080 --> 00:18:05,320 prolonged field care training in Poland. 279 00:18:05,400 --> 00:18:10,360 We prepare to start building our training centre, waiting for 280 00:18:10,360 --> 00:18:13,640 decision and permission to start building I. 281 00:18:13,800 --> 00:18:16,680 I would like to help build a stronger community of 282 00:18:16,680 --> 00:18:21,160 instructors and practitioners, people who do not only teach 283 00:18:21,160 --> 00:18:24,640 protesters, but who really understand the philosophy of 284 00:18:24,680 --> 00:18:27,120 operating in difficult environment. 285 00:18:27,200 --> 00:18:32,800 I want to develop courses that are practical, demanding and 286 00:18:32,800 --> 00:18:37,080 basis of current knowledge, but also on real operational 287 00:18:37,080 --> 00:18:39,480 experience. And I'm thinking about start 288 00:18:39,480 --> 00:18:42,680 some international cooperation, because it's very important to 289 00:18:42,680 --> 00:18:45,080 me. And Poland has a unique 290 00:18:45,080 --> 00:18:48,200 position. Today we are close to war in 291 00:18:48,200 --> 00:18:53,080 Ukraine, we see it conquences and we have contact with people 292 00:18:53,080 --> 00:18:57,840 who bring back real experience and that us our responsibility. 293 00:18:57,960 --> 00:19:02,760 And I I would like to use to take this lesson and turn them 294 00:19:02,760 --> 00:19:06,840 to into better training, better preparation and better systems. 295 00:19:06,880 --> 00:19:10,040 And in five years, I would like to see a more connected, more 296 00:19:10,040 --> 00:19:13,320 professional and more prepared tactical medicine community in 297 00:19:13,320 --> 00:19:16,800 Poland. And our legion and I hope we can 298 00:19:16,800 --> 00:19:20,240 bring for Poland a lot of good specialists around the world. 299 00:19:20,360 --> 00:19:24,920 That is a good plan to lay down and I look forward to seeing 300 00:19:24,920 --> 00:19:27,800 that. Robert, my final question for 301 00:19:27,800 --> 00:19:30,520 you is this. What advice do you have for the 302 00:19:30,520 --> 00:19:34,600 new medic, the new nurse, the new Doctor who is just starting 303 00:19:34,600 --> 00:19:37,280 out in their career in austere medicine? 304 00:19:37,400 --> 00:19:41,480 My first advice would be be master of basic, of course, 305 00:19:41,480 --> 00:19:48,240 because a lot of people thinking about more very advanced 306 00:19:48,240 --> 00:19:52,120 medicine, Yeah, very advanced prolonged field and a lot of 307 00:19:52,120 --> 00:19:55,080 people forget about the basics. Yeah. 308 00:19:55,080 --> 00:20:00,200 Last year I dirt for two or three tactical paramedic 309 00:20:01,200 --> 00:20:05,920 challenge and we do only very easy case with junctional 310 00:20:05,920 --> 00:20:08,840 haemorrhage. And on the last challenge I 311 00:20:08,840 --> 00:20:12,760 prepare trauma, brain injury. It's a lot of complicated for 312 00:20:12,760 --> 00:20:15,920 this team. That's why we focused only on 313 00:20:16,000 --> 00:20:17,920 basic much protocol. Yeah. 314 00:20:17,920 --> 00:20:21,120 And after medicine, the most complicated procedure is not. 315 00:20:21,200 --> 00:20:23,200 Not always what saves the patient. 316 00:20:23,200 --> 00:20:27,720 Very often what matters most is strong understanding of 317 00:20:27,720 --> 00:20:31,440 philosophy, patient assessment. Second, stay humble. 318 00:20:31,480 --> 00:20:34,840 Australian medicine quickly teach you that nobody knows 319 00:20:34,840 --> 00:20:37,520 everything. A doctor knows a medic and 320 00:20:37,520 --> 00:20:41,880 operator and and driver. Each person may hold an imported 321 00:20:41,880 --> 00:20:46,120 piece of the puzzle. The sooner we learn to listen to 322 00:20:46,120 --> 00:20:50,880 each other and work as them, the better is for the patient. 323 00:20:51,360 --> 00:20:56,600 And finally, do not romantic. This work after romantic can be 324 00:20:56,720 --> 00:21:00,280 hard, dirty, exhausting and mentally demanding. 325 00:21:00,520 --> 00:21:03,520 But it's also extreme important if you keep learning. 326 00:21:03,520 --> 00:21:07,040 Study humble, train seriously and remember that patient is 327 00:21:07,040 --> 00:21:09,960 always at the centre of everything we do. 328 00:21:10,080 --> 00:21:15,080 Robert, that is great advice and I really appreciate you taking 329 00:21:15,080 --> 00:21:19,920 the time today to join us as a guest and to be on our podcast. 330 00:21:20,200 --> 00:21:24,320 And I look forward to again meeting you in some very 331 00:21:24,360 --> 00:21:28,080 interesting location. Thank you very much Abrek. 332 00:21:28,200 --> 00:21:33,400 It's always for me and my team to honour, to give for you some 333 00:21:33,400 --> 00:21:37,560 support and it's very honoured to us, to we can cooperate and 334 00:21:37,560 --> 00:21:42,520 we can provide good medicine in our country and I hope around 335 00:21:42,520 --> 00:21:43,880 the world. This. 336 00:21:44,400 --> 00:21:47,760 Has been a presentation from the College of Remote and Offshore 337 00:21:47,760 --> 00:21:50,520 Medicine. If you would like to earn CPD 338 00:21:50,520 --> 00:21:54,400 credits for this podcast, you can join the Council of members. 339 00:21:54,760 --> 00:21:58,600 Being a member of the college gives you free CPD credit, free 340 00:21:58,640 --> 00:22:01,800 access for a virtual field guide, and discounts on our 341 00:22:01,800 --> 00:22:04,960 e-learning courses. You can join the team on our 342 00:22:04,960 --> 00:22:09,160 college website at coram.edu dot Mt.