FROM TRAUMA BAYS TO BATTLEFIELDS: TRAINING PROVIDERS FOR AUSTERE ENVIRONMENTS │ EP68
Atomic Anesthesia11 Joulu 2025

FROM TRAUMA BAYS TO BATTLEFIELDS: TRAINING PROVIDERS FOR AUSTERE ENVIRONMENTS │ EP68

In this episode of the Atomic Anesthesia Podcast, host Dr. Rhea Temmermand speaks with Michael Hoess, CRNA and Lead CRNA for Education at Cooper University Hospital, about the crucial role of CRNAs in austere and tactical medical environments. Drawing on over a decade of trauma and resuscitation experience, Mike shares how CRNAs contribute to training military and government medical teams operating in resource-limited or remote conditions. The discussion explores how core anesthesia principles adapt when blood banks, ventilators, or full surgical teams aren’t available, emphasizing the importance of airway control, hemodynamic management, and damage control resuscitation in the field. Mike also discusses building resilience through high-stress simulations, developing adaptive leadership skills, and fostering mission readiness for both seasoned CRNAs and students. Listeners gain insight into how these lessons from austere medicine can strengthen everyday anesthesia practice and prepare clinicians for the challenges of modern conflict and disaster response.

If you want to reach out to Michael, you can contact him at michael.p.hoess@gmail.com or hoess-michael@cooperhealth.edu

Articles:

  1. Austere Resuscitative and Surgical Care Teams: Supporting Far-Forward Trauma Care on the Future Battlefield
  2. Military and Civilian Surgery Partner for Innovation, Effectiveness
  3. A Western trainer says talk of 'golden hour' would be laughable to Ukrainian forces.

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INTRO TO LOCAL ANESTHETICS - MECHANISM, STRUCTURE, USES & SIDE EFFECTS  │ EP22

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In this episode, Professor Rhea Temmermand gives nurse anesthesia residents and aspiring CRNA students a introduction to the pharmacology of LOCAL ANESTHESIA. Discover the fundamental structure, class...

19 Tammi 202529min

DEVELOPING PERSONALITY TRAITS +  EFFECTIVE COMMUNICATION SKILLS FOR SUCCESS IN THE OR │ EP21

DEVELOPING PERSONALITY TRAITS + EFFECTIVE COMMUNICATION SKILLS FOR SUCCESS IN THE OR │ EP21

In this episode, Professor Temmermand discusses the importance of effective communication and how it can make our break people's perception of you in the clinical setting. She also discusses character...

12 Tammi 202532min

PROTAMINE: REACTIONS, SYMPTOMS + TREATMENT │ EP20

PROTAMINE: REACTIONS, SYMPTOMS + TREATMENT │ EP20

In this episode of the Atomic Podcast, practicing CRNA Alex Gorman dives into the complexities of protamine, a critical medication used to reverse heparin's anticoagulant effects in cardiac and vascul...

5 Tammi 202510min

SUBSTANCE USE DISORDER (PART 2) - PHARMACOLOGY AND MANAGEMENT  │ EP19

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In this episode, Atomic Anesthesia Co-Founder Rhea Temmermand dives into the critical and nuanced topic of managing pain in patients with substance use disorder (SUD). From understanding the pharmacol...

29 Joulu 202429min

TWO HEART MODEL - A UNIQUE APPROACH TO UNDERSTANDING CARDIAC PHYSIOLOGY  │ EP18

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In this episode of the Atomic Podcast, Alex Gorman, a practicing CRNA and cardiac anesthesia expert, introduces the "Two Heart Model," a unique approach to understanding cardiac physiology and pathoph...

22 Joulu 202410min

DURAL PUNCTURE EPIDURAL - SHOULD YOU DO IT? │ EP17

DURAL PUNCTURE EPIDURAL - SHOULD YOU DO IT? │ EP17

In this episode of the Atomic Podcast, practicing CRNA Alex Gorman discusses the dural puncture epidural (DPE), particularly in the obstetrical setting. By incorporating a spinal needle to confirm mid...

15 Joulu 202412min

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