Page 7 - JSOM Winter 2017

Musculoskeletal Performance Through Injury Prevention” Evaluation and treatment of ocular injuries and vision-threat-
that MSK-Is are ubiquitous throughout the SOF because of the ening conditions in a prolonged field care (PFC) situ ation can
physical demands of executing missions and carrying heavy be extremely challenging. These events can lead to irreversible
loads, and then they discuss ways to focus, target, and integrate loss of vision with lasting effects on military ser vice and over-
injury prevention efforts across the continuum of training, ac- all quality of life. The goal of this clinical practice guideline
tive duty, and SOF status, which is critical because MSK-Is are (CPG) is to provide medical professionals with es sential infor-
a significant barrier to human performance optimization. mation on the recognition and treatment of ocu lar conditions
when evacuation to an eye specialist is delayed. The guide-
The authors describe why it is essential for MSK-I pre vention lines are based on standard ophthalmic practice adapted to
to be focused, targeted, and integrated at all levels of train- address the austere or remote environment, when the “Shield
ing and into the SOF life cycle. They describe the need for and Ship” guidelines are interrupted by delayed evacuation.
improving valid, objective fit-for-full-duty metrics after injury
and sharing such information in a continuous fashion across
the SOF life cycle. Last, they describe strategies for engaging
all levels to begin a culture shift away from the acceptance of
MSK-I and pain as a way of life toward embracing of MSK-I
prevention as a regular part of everyday training. Figure 1 Open globe injury with
corneal laceration, abnormal pupil
shape, and blood in anterior chamber.
(Photograph by COL Mark Reynolds.)

Figure 2 Central corneal laceration and
lid laceration (due to large intraocular
foreign body). (Photograph by
COL Mark Reynolds.)

Figure 3 Multiple, deep corneal
lacerations, found to be closed
globe injury on surgical exploration.
(Photograph by COL Mark Reynolds.)
INFECTIOUS DISEASES
Burnett discusses “Shigellosis,” the most
common cause of dysentery worldwide, SOFsono ULTRASOUND
Farrell et al. present “Pleuritic Chest Pain: This Can’t Be
which is responsible for more than a million Happening!”
deaths—most often in the poorest countries,
and most often affecting children.
SPECIAL TALK: AN INTERVIEW
Pennardt’s interview for this issue is “Mastering the Basics
INJURY PREVENTION Makes the Best Medics in the World: An Interview With Shawn
Knapik’s “Tools to Assess and Reduce Injury Risk (Part 2)” is Kane, SWMG (A) Commander and Dean of the JSOMTC.”
the second of a two-part article that discusses tools that can
be used to assess injury risks and develop methods to reduce
risks, which include the Haddon Matrix, the 10 Counter- UNCONVENTIONAL MEDICINE
Hetzler discusses the “Use of a Tuning Fork for Fracture Eval-
measure Strategies, the Injury Prevention Process, and the US uation: An Introduction for Education and Exposure.”
Army Risk Management Process.
THE WORLD OF SPECIAL OPERATIONS MEDICINE
PREVENTIVE MEDICINE Pajuelo Castro and his associates bring us
In “Energy Balance and Diet Quality During the US Marine “’Evita Una Muerte, Está en Tus Manos’
Corps Forces Special Operations Command Individual Train- Program: Bystander First Aid Training
ing Course,” Sepowitz and associates characterize the total for Terrorist Attacks.”
daily energy expenditure, energy intake, body weight, and
diet quality (using the Healthy Eating Index-2010 [HEI]) of
20 male US Marines participating in the 9-month US Marine
Corps Forces Special Operations Command Individual Train-
ing Course.
BOOK REVIEW
PROLONGED FIELD CARE Blood and Belonging: Journeys Into the
Riesberg provides an introduction to “Prolonged Field Care New Nationalism by Michael Ignatieff is re-
for the Winter 2017 Edition,” and then the team of Reynolds viewed by Farr.
presents this issue’s guideline, “Evaluation and Treatment of
Ocular Injuries and Vision-Threatening Conditions in Pro-
longed Field Care.”

In This Issue | 5