Page 11 - JSOM Winter 2018

other CALL efforts. Commanders share a responsibility to current wars in Afghanistan and Iraq to aid scientists, leaders,
keep updated on lessons learned and best practices through- and clinicians in the process of development of future improve-
out the Army. ments in first aid. This article from 2013 is still enlightening
readers. One reader wrote, “What a fantastic historical piece
The Joint Lessons Learned Information System (JLLIS) is the the authors put together. I very much enjoyed the read, thank
system of record that enables the force to do just that. Regis- you for helping preserve our lessons learned.” [From Kragh JF
tration is easy; go to https://www.jllis.mil and fill out the reg- Jr, Walters TJ, Westmoreland T, et al. J Spec Oper Med. 2013
istration form. Once you are registered you can subscribe to a Fall;13(3):5–25.]
weekly rollup of new observations, documents, and commu-
nities of practice in the system. You must log in at least once 2018 Invictus Games
every 60 days to keep your registration current. CALL man-
ages the Army tier of JLLIS and helps to drive Army change by The Invictus Games, an event created in 2014 by Prince Harry
providing training, support, and technical assistance to Army of the United Kingdom, is a parasport event for wounded, in-
JLLIS users. Contact Mr. Steve Humes at steven.j.humes.civ@ jured, or sick armed services personnel and their associated
mail.mil or 913-684-7387 for assistance. veterans. The fourth Invictus Games was held in Sydney, New
South Wales, Australia. The 2020
games will be held in Rotterdam and
“Tragedy Into Drama: An American History of
Tourniquet Use in the Current War” The Hague. Please see page 10 for
the personal journey of competitor
Although the scientific results of recent tourniquet advances US Special Forces medic First Sergeant Jarrid Collins, and for
in first aid are well recorded, the process by which tourniquet much more information on the games, please go to https://
use advances were made is not. The purpose of this report is www.invictusgames2018.org/.
to distill historical aspects of this tourniquet story during the

(continued from page 7)

were similar to that experienced by patients receiving place- UNCONVENTIONAL MEDICINE
bos, larger GS doses possibly could be investigated in future Moral, Legal, and Ethical Considerations for Operational
studies. Medicine in the Austere Environment: An Introduction
The current article addresses moral, legal, and ethical con-
SOFsono ULTRASOUND cerns for operational medicine in the austere environment.
Thrown for a Loop Considering the many additional challenges in the operational
Your task force TF-77 is out on a high-risk mission operat- environment, ethics may often lack the timely attention they
ing in hostile terrain in Cameroon. You set up an observation require. Ethical questions in the austere can also be more diffi-
point at an abandoned landfill. While tactically optimal, it is cult to understand, let alone manage.
hot and obviously filthy. Daytime temperatures are reaching
110°F (43°C). After 48 hours, one of the snipers, who kept Adapting to Death: Clarifying the Roles of Special
scratching his abdomen, comes to you complaining of pain Operations Combat Medics in Prolonged Field Care
and feeling unwell. He thinks he was bitten by a spider. You lift Special Operations Forces (SOF) medicine should explicitly
his shirt and immediately notice an area of intense erythema acknowledge the Special Operations combat medic’s role in
on the abdominal wall. The skin is indurated, and the spot is attending death. In explicitly engaging death as a medical re-
hot and very tender to touch. ality for which the medic ought to be prepared, SOF medicine
could set the foundational development for seeing death as
Please join the discussion of this case scenario. a valuable gift to be explored, not a failure to be avoided or
burden to be overcome.
SPECIAL TALK
The Emergence and Evolution of BOOK REVIEW
the Journal of Special Operations Dadland
Medicine: An Interview With Publisher This is a book about a British SOE ( Special
Michelle Landers Operations Executive) soldier’s life that
JSOM Publisher and Executive Editor your spouse or significant other might well
Lt Col (Ret) Michelle Landers, MBA, want to read when you are done or, in the
BSN, RN, describes the evolution of the author’s case, steal before you are done!
JSOM.

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