Prolonged Casualty Care: Managing the Critical Casualty

Prolonged Casualty Care is a comprehensive, clinically grounded audiobook designed for medical responders operating in austere, remote, and high-threat environments where evacuation is delayed or denied. Built upon contemporary Tactical Combat Casualty Care (TCCC) doctrine and the Joint Trauma System Prolonged Casualty Care guidelines, this audiobook provides a structured progression from immediate battlefield trauma management into the realities of sustained, resource-limited care.

The content is written for listeners qualified at the Combat Life Saver level or higher and systematically expands into the clinical, nursing, logistical, and decision-making challenges that define prolonged care. Each chapter follows a clear minimum, better, best framework, allowing practitioners to adapt evidence-based interventions to their available resources, skill level, and operational constraints. Topics include haemorrhage control, airway and ventilation, circulation and resuscitation, head injury and temperature management, pain and sedation, antibiotics and sepsis, wound and burn care, nursing interventions, documentation, communications, and telemedicine support.

More than a procedural guide, Prolonged Casualty Care emphasises clinical judgement, reassessment, and systems thinking over time. It prepares medics, clinicians, and medical planners to sustain life, preserve function, and prevent secondary injury when definitive care is not immediately accessible.

This audiobook is based on the Joint Trauma Systems' Clinical Practice Guidelines for PCC. It also draws from Dr Rocky Farr's book called 'The end of the Golden Hour' which can be downloaded for free here. https://tinyurl.com/Rocky-Farr

This audiobook is intended as both a standalone learning resource and a doctrinal companion for advanced training programmes in prolonged field care, remote medicine, and operational healthcare.