Page 104 - Journal of Special Operations Medicine - Fall 2017

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SOMA PRESIDENT

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TOP PODIUM PRESENTATION Adjunct Professor, College of Osteopathic Medicine, Rocky
Vista University, Parker CO; Reginald Franciose, MD FACS,
Social Media and Military Medicine
Mountain Surgical Associates, Vail, CO
SFC Paul E. Loos, NCOIC Surgery, Anesthesia, Records and Background: Current methods of evaluating human perfor-
Reports Section, Special Forces Medical Sergeants Course, Joint mance are subjective and potentially unreliable. This study
Special Operations Medical Training Facility, Fort Bragg, NC attempted to evaluate the physiologic stress of surgeons per-
forming a simulated damage control procedure in a weightless
Background: As technology in communications advances, best environment.
practices in tactical or military medicine can be shared at the
Steven Viola
speed of creation. Currently best practices are spread through Methods: Ten surgeons, of various experience, performed sim-
Command Master Chief (SEAL) (Ret) ulated damage control procedures in 0g and 1g environments.
the publishing of texts, scholarly journal articles, word of
ATP, NREMT-P
mouth, or during periodic refresher courses. This leaves many Simulated weightlessness was created in parabolic flight of a
tactical medical providers and medical directors using differ- Falcon 20 aircraft. A hierarchical decomposition (HD) model
ent protocols and recommendations for patient care. The goal of the procedure was developed to facilitate definable tasks
of my presentation is to inform and empower medical provid- during the 20–25 second periods of weightlessness for each pa-
ers to more efficiently disseminate needed medical information rabola. Task time and volume of hemorrhage was recorded for
to medics in their charge utilizing modern communications each procedure. Surgeons wore an Equivital EQO2 Sensor Belt,
techniques. capable of measuring heart rate and ECG signals. Time domain
analysis of Heart Rate Variability (HRV) was conducted based
Methods: Trial and error and 3 years of experience.
on the beat-to-beat/NN intervals. Mean and standard devia-
Results: 160,000 hits on our website made by over 70,000 tion of the interbeat interval (IBI) was evaluated. Percentage of
unique IP addresses around the world on our blog posts, pod- successive normal cardiac IBI greater than 50 msec (pNN50)
casts and recommendations. was also calculated. Ten subjects were evaluated over three
days. Five surgeons had less than 5 years of experience, three
Discussion: Due to a variety of reasons, military medics are not 5-15 years of experience and two more than 15 years. Two
getting the most up to date information regarding the treat- surgeons had previous parabolic flight experience.
ment of casualties throughout the gamut of tactical medicine. I Results: Each surgeon successfully completed each task. Aver-
will submit a layered approach using multiple solutions in im- age time and blood loss for the 1g and 0g tasks were 192.4
proving communication of current best practices and recom- sec/408.8mL and 180.2sec/307.6mL. During the 1g and 0g
mendations from unit surgeons down to the end-user medic tasks the IBI was 756.7 msec and 704.1 msec. The mean
on the ground. This will include discussions on social media pNN50 for the duration of monitoring was 23.4% across all
use, and etiquette, by military members to include different so- surgeons, 21.9% during the 1g simulation, and 20.3% during
cial media platforms as well as current USSOCOM and DOD the 0g simulation. The two senior surgeons had an increased
policy. Depending on the content to be released, various social pNN50 by 16.9%.
media sites are better used for certain purposes. I will explain
the nuances I have found in my experiences with some of these Discussion: HRV analysis showed an increased amount of
different sites and platforms. I will also directly challenge med- physiologic stress with simulated tasks in 0g with greater stress
ical directors to make better use of the tools with which they occurring in the older surgeons. Further extrapolation to new/
should already be comfortable using including email lists and novel environments to train medics and role one providers
portal pages and explain some of the issues of PERSEC and needs to be explored to help tailor training into future fights.
OPSEC pertaining to the use of social media. Platforms which
will be discussed will include: email, online surveys or quizzes, PODIUM PRESENTATIONS
websites, blogs, podcasts, vodcasts, Live Stream services, Face-
book, Twitter, Reddit, Pinterest, Intagram, LinkedIn, Google+ Two New Effective Tourniquets for Potential Use in the
and Hangouts, Slack, Skype and Snapchat. Military Environment: A Serving Soldier Study
Major A. Beaven; Lieutenant Colonel R. Briard; Lieuten-
TOP POSTER PRESENTATION
ant Colonel M. Ballard; Colonel P. Parker; Royal Centre for
Physiologic Stress and Performance Evaluation: Simulating Defence Medicine, Queen Elizabeth Hospital Birmingham,
Damage Control Surgery in An Austere Environment University Hospitals Birmingham NHS Foundation Trust,
Mindelsohn Way, Edgbaston, Birmingham, United Kingdom.
Charles R. Hutchinson, CPT USA DO, Resident MACH, Ft.
Benning, Columbus, Georgia; Michael A. Bork, 2LT USA Enhanced Medical Simulation Training Center Concept:
MS2, College of Osteopathic Medicine, Rocky Vista Univer- Training for the 21st Century Battlefield
sity, Parker, CO; Amanda Ammentorp, 2LT USAF MS2, Col-
lege of Osteopathic Medicine, Rocky Vista University, Parker, COL Dan Irizarry; JPMO MMS/ PEOSTRI; LTC Steve Delel-
CO; Anthony La Porta, COL Ret. USA MD FACS, Profes- lis, USASOC Chief of Training; SFC Chris Perry, USASOC;
sor of Surgery, College of Osteopathic Medicine, Rocky Vista SFC Dave Lowe, USASOC; SCPO Ruben Dacosta, MARSOC
University, Parker, CO; Alan Molof, COL Ret. USA DO MPH, Senior Enlisted Medical Advisor; Rich Ciuk, MSTC NCOIC;

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