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Table 2  Comparison of Analytes Measured             9.  Alere  Company  Website.  Epoc  Reader  and  Host  Mobile
                                                                Computer BGEM Panels from Alere. http://www.alere.com
                                                                /us/en/product-details/epoc-blood-analysis-system.html. Accessed
                                                                August 3, 2014.
                                                             10.  Abaxis Inc Website. Overview. Piccolo Xpress. http://www.
                                                                piccoloxpress.com/products/piccolo/overview.  Accessed Au-
                                                                gust 5, 2014.
                                                             11.  Abbott Point of Care Website.  I-STAT Handheld Point-
                                                                Of-Care Testing. http://www.abbottpointofcare.com/products
                                                                -and-services/istat-cartridges.aspx. Accessed August 3, 2014.




                                                             Capt Peffer graduated from Texas A&M University Health
                                                             Science Center in 2011 and completed a preliminary medicine
                                                             internship at Wright Patterson AFB. He has completed three
                                                             deployments to Africa. He is currently a flight surgeon in the
                                                             27th Special Operations Medical Group. E-mail: jmpeffer@
                                                             gmail.com.
          to support new missions and objectives, leaders in the   Capt Ley graduated from Chatham University in 2010. He
          medical community should strongly consider the cost   has completed two deployments to Africa and one to Afghani-
          and the capability of the devices discussed in this paper.   stan. He is currently a Special Operations physician assistant
          Providers at all levels could use more objective data to   in the 27th Special Operations Support Squadron.
          deliver the best care to our Warfighters across the globe.
                                                             Captain Wuellner graduated from Uniformed Services Uni-
                                                             versity of the Health Sciences in 2012 and completed a transi-
          Disclosures
                                                             tional year at Travis AFB. He has completed one deployment
          The  authors  have  no  financial  disclosures  or  funding   to Africa. He is currently a flight surgeon in the 27th Special
          sources to disclose.                               Operations Support Squadron.

                                                             Lt Col D’Andrea graduated from Robert Wood Johnson
          References                                         Medical School in 1994 and completed an internal medicine
                                                             residency at Allegheny General Hospital in 1997. He has com-
          1.  Givens ML, Lynch JH. This is Africa: an introduction to medi-  pleted two deployments to Africa. He is currently a flight sur-
            cal operations on the African continent.  J Spec Oper Med.
            2014;14:67–70.                                   geon in the 27th Special Operations Support Squadron.
          2.  Lynch  JH,  Verlo  AR,  Givens  ML,  Munoz  CE.  Bites,  stings,
            and rigors: clinical considerations in African operations. J Spec   Capt Rittberg graduated from Lincoln Memorial University-
            Oper Med. 2014;14:113121.                        DeBusk College of Osteopathic Medicine in 2011 and com-
          3.  US Army Public Health Command. USAPHC TG 336, Malaria   pleted a traditional rotating internship at Our Lady of Bellefonte
            Field Guide. http://www.pdhealth.mil/malaria.asp. Accessed 1   Hospital in 2012. She has completed two deployments to Africa
            September 2014.                                  and one to Afghanistan. She is currently the flight surgeon in the
          4.  Prolonged Field Care Working Group. 10 Essential Core Ca-  9th Air Refueling Squadron at Travis AFB.
            pabilities  for  Prolonged  Field  Care.  http://prolongedfieldcare
            .org/2015/02/09/10-essential-core-capabilities-for-prolonged   CPT Losch completed the Interservice Physician Assistant Pro-
            -field-care/. Accessed 24 February 2015.
          5.  Hess J, Brohi K, Dutton R, et al. The coagulopathy of trauma:   gram (IPAP) in September 2010. He is currently the battalion
            a review of mechanisms. J Trauma. 2008;4:748754.  physician assistant for 1-10th SFG(A).
          6.  Parsikia A, Bones K, Kaplan M, et al. The predictive value of ini-
            tial serum lactate in trauma patients. Shock. 2014;3:199–204.  COL Lynch completed a residency in family medicine and
          7.  Peffer J, McLaughlin C. The correlation of hyperglycemia   fellowship in sports medicine. He has served as the command
            with outcomes in adult trauma patients: a systematic review. J   surgeon for SOAFRICA since 2013.
            Spec Oper Med. 2013;4:34–39.
          8.  World Health Organization. Management of severe malaria: a
            practical handbook. 3rd ed. Geneva, Switzerland: World Health
            Organization; April 2013.












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