Page 40 - Journal of Special Operations Medicine - Fall 2015

In 2013, C4 trainees broke the plastic handles on the lesson plans, to training programs, and, ultimately, to
JETT. Instructors sent their feedback to the company, best care. The US Army’s medical master instructor has
and the component was redesigned, with an improved provided a template of a lesson plan for implementation
version soon available in the marketplace. In 2014, in of a new task to be taught to Medics or soldiers, and this
Tajikistan, a C4 cadre broke the clip on the SJT acces- is available in Appendix 1.
sory strap, sent their feedback to the company, and the
component was redesigned, with an improved version
soon available in the marketplace. Also at C4, the mani- Funding
kins used were sometimes hard plastic and the tissues did This project was funded with US Army Medical Research
not compress like the softer silicon ones specifically built and Materiel Command and the Defense Health Program
for hemorrhage control interventions. The compressors (Proposal 201105: Operational system management and
(i.e., discs, pads, targeting compression devices, or blad- postmarket surveillance of hemorrhage control devices
ders) in the hard, noncompressible manikins sometimes used in medical care of US Servicemembers in the war
slide more than they do over the softer, tackier silicon in Afghanistan). The study was performed at USAISR.
manikins, making JT application more difficult than on
humans. The compressible manikins indent under the
JT pressure, allowing the components to stay in place Disclaimer
better during training; these manikins have a more re- The opinions or assertions contained herein are the pri-
alistic feel. vate views of the authors and are not to be construed
as official or reflecting the views of the Department of
Dissemination of JT Technology Defense or US Government, the Norwegian Ministry of
Medical leaders were unsure how to introduce new Defence, the Norwegian Government, the Israeli Minis-
medical devices into a war; they were unsure of approv- try of Defense, or the Israeli Government. The authors
als by regional commands, logistic distribution, training are employees of the US Government or the Israeli Gov-
needs, and management gaps. There was much com- ernment. This work was prepared as part of their of-
munication and discussion, but no healthcare delivered ficial duties and, as such, there is no copyright to be
to casualties in need. Having noted an acute capability transferred.
gap when deployed overseas, COL James Geracci of the
Joint Theater Trauma System’s Prehospital Team coor-
dinated with the US Army Medical Materiel Agency to Disclosure
have 200 SJTs and 200 JETTs shipped into theater for The authors declare no conflicts of interest.
immediate distribution and training of potential users,
as directed by frontline medical personnel.
References
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the report of these experiences informative as a guide to dominal aortic tourniquet to reduce or eliminate flow in the

28 Journal of Special Operations Medicine Volume 15, Edition 3/Fall 2015