Page 9 - JSOM Winter 2018

Evaluation of a Concept for a Military Expedition Efficacy of the Abdominal Aortic Junctional Tourniquet–
Performance Environment Torso Plate in a Lethal Model of Noncompressible
To evaluate four factors essential in the preparation of high-al- Torso Hemorrhage
titude expeditions and of the performance during these expedi- The Abdominal Aortic Junctional Tourniquet, when modified
tions, the Manaslu 2016 Medical Team, as part of the medical with an off-label, prototype, accessory pressure distribution
team of the Royal Netherlands Marine Corps (RNLMC), de- plate (AAJT-TP), has the potential to control noncompressible
veloped the Military Expedition Performance Environment torso hemorrhage in prolonged
(MEPE) concept. field care. Using a lethal, non-
compressible torso animal
hem orrhage model, the authors
found that the AAJT-TP did not
provide any survival benefit
compared with Hextend alone.

2018 COMBAT MEDICAL CARE
CONFERENCE ABSTRACTS
An Overview of the Combat Medical Care (CMC) Conference
2018 and a Summary of the CMC Scientific Program 2018 are
given before the 2018 Combat Medical Care (CMC) Confer-
ence Abstracts
ONGOING SERIES
Willingness of Emergency Medical Services Professionals
to Respond to an Active Shooter Incident CANINE MEDICINE
Historically, staging of civilian emergency medical services Clinical Update: Concepts of Prehospital Traumatic
(EMS) during an active shooter incident was in the cold zone Hemorrhage Control in the Operational K9
while these professionals awaited the scene to be completely Preserving organ function and saving the
secured by multiple waves of law enforcement. This delay in life of a massively bleeding OpK9 require
EMS response has led to the development of a more effective the implementation of immediate and ef-
method: the Rescue Task Force (RTF). The authors assessed fective hemostatic measures. This article
the willingness of EMS providers to respond to an active provides a brief description of the basic
shooter incident as part of an RTF. methods for identifying life-threatening
hemorrhage and achieving immediate he-
Shooter-Experienced Blast Overpressure in mostasis in the bleeding OpK9 during the
.50-Caliber Rifles prehospital period.
Increasingly, military and law enforcement are using .50- caliber
rifles for conflict resolution involving barricades, armor, vehi-
cles, and situations that require increased kinetic energy. We HUMAN PERFORMANCE OPTIMIZATION
measured blast overpressure (OP) and impulse across various What the SOF Community Needs to Know About
positions, environments, and weapon configurations to evalu- Dietary Supplements
ate blast exposures to shooters. Dietary supplement (DS) use by military members and Special
Operations Forces (SOF), in particular, is high. This article
The Benefits of Reflexology for the Chronic Pain Patient in briefly reviews selected DS regulations, identifies concerns
a Military Pain Clinic and risks related to various DS products, and describes the
Chronic pain is a major cause of disability across the military, purpose, functions, and resources of Operation Supplement
especially for the combat Soldier. There is evidence that reflex- Safety.
ology is therapeutic for many conditions, to include sleep and
anxiety, both of which can be comorbidities in the patient with
chronic pain.

INFECTIOUS DISEASES
Tetanus
Deployed military personnel should be properly vaccinated
against tetanus with booster doses at appropriate intervals.
When providing medical care to host nation populations, teta-
nus must always be considered in wound management.
INJURY PREVENTION
Effects of Oral Glucosamine Sulfate on Osteoarthritis-
Related Pain and Joint-Space Changes: Systematic Review
and Meta-Analysis
Based on a literature review, the authors conclude that health-
care providers should be cautious in recommending use of
GS to their patients. Because GS dosages used in studies to
date resulted in mild and transient adverse effects, and these
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