Page 8 - JSOM Fall 2018

Swedish Specialized Boarding Element Members‘ Chemical Contamination Transfer in the
Experiences of Naval Hostile Duty Management of War Casualties
The Swedish naval specialized boarding element participated The use of chemical weapons agents was suspected in recent
in Operation Atalanta in 2013 to mitigate piracy by escort­ conflicts, during international conflicts, terrorist attacks,
ing and protecting ships included in the United Nations World or civil wars. Little is known about the prevention needed
Food Program in the Indian Ocean. We describe the experi­ for caregivers exposed to the risk of contamination transfer.
ences of the Swedish naval specialized boarding­element mem­ These researchers in France present a case of chemical con­
bers during 4 months of international naval hostile duty. tamination of health servicemembers during the management
of casualties.

(A) (B)

Erythematous,
burned skin (C)
evident on (D)
(A, B) day 5
after exposure;
(C) after 15
days; and
(D) after 6
Swedish Specialized Boarding Element. weeks.
(D)

A Pilot Study of Four Intraosseous
Blood Transfusion Strategies
Intraosseous (IO) access is used by military first responders
administering fluids, blood, and medications. Current IO
trans fusion strategies include gravity, pressure bags, rapid
transfusion devices, and manual push­pull through a three­way
stopcock. In a swine model of hemorrhagic shock, we com­ The Combat Application Tourniquet Versus the Tactical
pared flow rates among four different IO blood transfusion Mechanical Tourniquet: Comparison of Performance in
strategies. Self-Application by Healthy Military Volunteers
The authors tested the self­application of a newer tourniquet
system, the Tactical Mechanical Tourniquet (TMT), against
Implementation and Evaluation of a
First-Responder Bleeding-Control Training Program self­application of the C­A­T, in 24 healthy British military
in a Rural Police Department volunteers who self­applied the C­A­T and the TMT to their
A bleeding control training program was implemented and mid thigh in a randomized, sequential manner.
evaluated in a rural police department in Pinehurst, North
Carolina, from February to April 2017. It was determined that ONGOING SERIES
the use of such programs in police departments can save lives HUMAN PERFORMANCE OPTIMIZATION
and enhance existing law enforcement efforts to protect and Cognitive Agility as a Factor in Human Performance
serve communities. Optimization
This article provides an overview of cognitive agility, the po­
Facial Trauma Care in the Austere Environment tential benefits, applications that could be used for training
The treatment of craniomaxillofacial (CMF) trauma must be SOF Operators to improve their cognitive agility to optimize
adapted to meet the needs of the warfighter. The remoteness performance, and sample training scenarios.
of Special Operations can result in potentially longer times
until definitive treatment may be reached. A significant por­ INFECTIOUS DISEASES
tion of Servicemembers incur injury to the CMF region and Norovirus
can result in substantial hemorrhage and airway compro­ A dream ocean liner vacation turns into a “ship of stools.”
mise. The authors provide a thorough review of nonsurgical Illnesses caused by norovirus have frequently been in the news.
and surgical airway management of the patient with facial As the most common cause of gastroenteritis in both the United
injury for the forward provider and providers at receiving States and worldwide, with more than 100 million illnesses and
facilities. 200,000 deaths annually, it is a topic worthy of study.

Does Pain Have a Role When It Comes to INJURY PREVENTION
Tourniquet Training? Osteoarthritis: Pathophysiology, Prevalence, Risk Factors,
The authors sought to determine whether pain can be used to and Exercise for Reducing Pain and Disability
indicate successful tourniquet application in the training set­ Osteoarthritis (OA) is a disorder involving deterioration of
ting and used three tourniquet systems (a pneumatic tourni­ articular cartilage and underlying bone and is associated with
quet, Combat Application Tourniquet [C­A­T], and Stretch symptoms of pain and disability. The incidence of OA in the
®
Wrap and Tuck Tourniquet [SWAT­T]). military increased over the period 2000 to 2012 and was the
™

6 | JSOM Volume 18, Edition 3 / Fall 2018