Page 164 - JSOM Spring 2018

(continued from page 4)
In “Routine Screening Laboratory Studies for Nonheat Stroke between cigarette smoking, injuries, and healing after injuries
Field Heat Injuries Are Unnecessary: A Retrospective Review.” with emphasis on data related to military Servicemembers.
Schauer and Pfaff conclude that routine laboratory studies ap- The possible mechanisms whereby smoking may influence in-
peared to have low clinical utility in this patient population juries are also explored.
and that a more targeted approach based on the history and
physical examination may reduce military resource use. LAW ENFORCEMENT & TACTICAL MEDICINE
“Diagnosis and Treatment of Anaphylaxis During Law En-
ONGOING SERIES forcement Operations,” by Gerold, is reprinted from the Fall
2017 issue (page 60) of The Tactical Edge, National Tactical
CANINE MEDICINE Officers’ Association (NTOA) Publications.
Palmer discusses the acute onset of severe abdominal pain
(a.k.a., acute abdomen) in “Clinical Update: Prehospital Care
of Gastric Dilatation and Volvulus.”

Stomach developing bloat (reproduced with permission of
Veterinary Information Network and www.VeterinaryPartner.com).

HUMAN PERFORMANCE OPTIMIZATION
In “Spiritual Fitness: An Essential Component of Human Per- Epinephrine is the primary treatment for anaphylaxis and should be
formance Optimization,” Worthington and Deuster explain administered without delay whenever anaphylaxis is suspected.
the importance of “spirituality” as a component of Special
Operations Forces performance and describe approaches to OPERATIONAL MEDICINE IN THE
enhancing performance through various spiritual activities, AUSTERE ENVIRONMENT
including mindfulness, meditation, and prayer. In “Integrating Chemical Biological, Radiologic, and Nuclear
(CBRN) Protocols Into TCCC: Introduction of a Conceptual
Model—TCCC + CBRN = (MARCHE) ,” DeFeo and Giv-
2
ens introduce TCCC + CBRN = (MARCHE) as a conceptual
2
model to frame the response to CBRN events, to serve as a
response tool that is an adjunct to agent-specific resources.
PROLONGED FIELD CARE
In this section, Riesberg provides an “Introduction” and dis-
cusses some issues pertinent to prolonged field care. This is
Value-driven living: values and behavior influence followed by “Introduction to the Prolonged Field Care Docu-
spiritual fitness and enhance overall performance. mentation Clinical Practice Guideline,” in which Loos states
that “the goal of this Clinical Practice Guideline is to intro-
INFECTIOUS DISEASES duce a standardized patient record that is used to help the in-
dependent prehospital provider guide medical treatments and
In “Giardiasis,” Burnett describes the most common type of
intestinal parasitic infection of humans in the United States, communicate vital patient data, interventions, and observa-
which is a frequent cause of gastroenteritis worldwide. tions to the next levels of care.” The “Documentation in Pro-
longed Field Care” guideline by Loos and associates is next.
INJURY PREVENTION
This section continues with Macko˚ et al.’s article “Prehospital
In “Epidemiological Evidence and Possible Mechanisms for Medicine and the Future: Will ECMO Ever Play a Role?” fol-
the Association between Cigarette Smoking and Injuries (Part lowed by an “Editorial Response” by Keenan. To conclude,
1),” Knapik and Bedno review the literature on the association Schermerhorn and colleagues review management of a patient

158 | JSOM Volume 18, Edition 1/Spring 2018