Page 10 - JSOM Summer 2018

SOFsono Ultrasound Letter to the Editor
Intelligent Exam for Crucial Intelligence . . . Dare and Hamp- Re: Tourniquet Effectiveness When Placed Over the Joint Ser-
ton discuss a scenario in which your team is attending a Key vice Lightweight Integrated Suit Technology is by Picard and
Leaders Engagement with the village elders in a remote Mid- Douma.
dle Eastern location. You note that one of the women—the
sheik’s daughter, who was recently married—appears to be TacMed Updates
“doubled-over” in pain.
In describing their experience in Competing to Increase Capa-
bility: The Team From the Land Down Under’s Experience at
Unconventional Medicine
the National Tactical Medicine Competition 2018, Makrides
Ether Anesthesia in the Austere Environment: An Exposure and Davoren’s take-home point is to stay focused on patient
and Education, by Morgans and Graham, posits that an “un- care but make sure that they maintained situational aware-
derstanding of ether as an anesthetic not only illustrates the ness to adapt to the continually evolving tactical environment.
evolution in surgical anesthesia but also demonstrates ether’s The scenario was fast, physical, and dangerous, but doing the
surviving function and durable use as a practical agent in de- basics well and choosing the most appropriate interventions
veloping nations. Although uncommon, it is not unseen, so a depending on the threat allowed for mission success.
working knowledge should be understood if observation and
advocacy for patients receiving this method of anesthesia are
experienced.”

Book Review
Farr reviews the relevant The Soviet Coun-
terinsurgency in the Western Borderlands.

TCCC Updates

A New Standard for Battlefield Trauma Care in the US Military

THE INTERSTITIUM
“Structure and Distribution of an
Unrecognized Interstitium in Human Tissues”
Benias et al. (2018;8:4947) “describe the anatomy and histol-
ogy of a previously unrecognized, though widespread, macro-
scopic, fluid-filled space within and between tissues, a novel
expansion and specification of the concept of the human
interstitium.”
Illustration by Jill Gregory. Printed with permission from
Mount Sinai Health System, licenced under CC-BY-ND. See also
https://www.ami.org/press/press-releases/2018/386-the-story
-behind-my-viral-interstitium-illustration

8 | JSOM Volume 18, Edition 2/Summer 2018