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remains the ideal training pathway. Until that training 9. Hile DC, Morgan AR, Laselle BT, et al. Is point­of­care ul­
pathway is fully established to include training for pre­ trasound accurate and useful in the hands of military medical
viously graduated medics and training for SOM not at­ technicians? A review of the literature. Mil Med. 2012;177:
983–987.
tending JSOMTC, much of this training will rely on the 10. Polk JD, Fallon WF. The use of focused assessment with so­
individual medical units and a training and sustainment nography for trauma (FAST) by a prehospital air medical
standard should be addressed. team in the trauma arrest patient. Prehosp Emerg Care. 2000;
4(1):82–84.
POCUS is working its way onto the front lines of today’s 11. Paydar S, Rouhezamin MR, Mousavi M, et al. On­scene
echocardiography and focused assessment with sonography
battlefield. Initially in the hands of physicians, it has for trauma (FAST), screening modalities to limit early pre­
proven its value in triage, diagnosis, and treatment. Now hospital thoracotomy, means to reduce the expenditure of
it has extended to the prehospital/field setting and most resources. J Trauma. 2011;71(4):1096.
military branches are providing their SOM access to the 12. Byhahn C, Bingold TM, Zwissler B, et al. Prehospital ultra­
machines for use. It is the job of the senior medical leader­ sound detects pericardial tamponade in a pregnant victim of
stabbing assault. Resuscitation. 2008;76:146–148.
ship to provide our operators with the tools and training 13. Hoyer HX, Vogl S, Schiemann U, et al. Prehospital ultrasound
to help them accomplish their mission. It is with this in in emergency medicine: incidence, feasibility, indications and
mind that we hope you find this article a useful starting diagnoses. Eur J Emerg Med. 2010;17(5):254–259.
point for preparing your SOM for the next conflict. 14. Backlund BH, Bonnett CJ, Faragher JP, et al. Pilot study to
determine the feasibility of training Army National Guard
medics to perform focused cardiac ultrasonography. Prehosp
Funding Emerg Care. 2010;14(1):118–123.
15. Jorgensen H, Jensen CH, Dirks J. Does prehospital ultra­
The authors report no funding was received with respect sound improve treatment of the trauma patient? A systematic
to this article. review. Eur J Emerg Med. 2010;17(5):249–253.
16. American College of Emergency Physicians. Policy statement:
emergency ultrasound. 2008. http://www.acep.org/Clinical
Disclaimer ­­­Practice­Management/Ultrasound.
17. Iverson K, Haritos D, Thomas R, et al. The effect of bed­
The views expressed in this article are those of the au­ side ultrasound on diagnosis and management of soft tissue
thors and do not reflect the official policy or position of infections in a pediatric ED. Am J Emerg Med. 2012;30(8):
1347–1351.
the Department of the US Navy, Department of Defense, 18. Freeman KM, Trank TV, Sherman SS. A descriptive analysis
or the US government. of medical encounters aboard 15 Navy surface ships home­
ported in San Diego. San Diego, CA: Naval Health Research
Center San Diego CA, 2002.
Disclosures 19. Warman P, Nicholls B. Ultrasound­guided nerve blocks: effi­
The authors have no financial or other disclosures. cacy and safety. Best Prac Res Clin Anaesthesiol. 2009;23(3):
313–326.
20. Herring A, Nagdev A, Durant A, et al. Cadaveric models for
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