Page 7 - JSOM Fall 2019

ob served is 2.02%, which highlights a lack of engagement within time. Part 2 of this series will discuss techniques and equipment
the civilian prehospital community with regard to TXA. that have likely improved the safety of parachute operations.
Survival of Casualties Undergoing Prehospital Supraglottic Air- PROLONGED FIELD CARE
way Placement Versus Cricothyrotomy: The authors report that Jamie Riesberg provides an update on SORTs, GHOST-Ts, New
they used a series of emergency depart ment procedure codes to Guidelines, and Advanced Resuscitative Care.
search within the Department of Defense Trauma Registry from
January 2007 to August 2016. During the study period, 194 ca- A SORT Plus a GHOST Equals: Experience of Two Forward Med-
sualties had a documented cricothyrotomy and 22 had a docu- ical Teams Supporting Special Operations in Afghanistan 2019:
mented SGA as the sole airway intervention. The authors found Recently, the Special Operations Resuscitation Team (SORT) was
no difference in short-term outcomes between combat casualties designed to decompress and augment a Golden Hour Offset Sur-
who received an SGA vs those who received a cricothyrotomy. gical Treatment Teams GHOST-T to help extend a golden hour
Military prehospital personnel rarely used either advanced airway ring in key strategic locations. This article describes both teams
intervention during the re cent conflicts in Afghanistan and Iraq. work ing together in Operation Freedom’s Sentinel while deployed
in support of SOF in central Afghanistan during the summer fight-
Interventions Performed on Multipurpose Military Working ing season.
Dogs in the Prehospital Combat Setting: A Comprehensive
Case Series Report describes the injuries and treatment military
working dogs (MWDs) received on the battlefield and reports their
final disposition. The authors report that the majority of the MWD
cases in this dataset sustained traumatic injuries, with gunshot be- SORT DCR
ing the most common mechanism of injury, and that despite clini- room with two-
bed intensive
cal intervention, 50% did not survive their traumatic injuries. care and
monitoring
SOMSA ABSTRACTS capabilities at
2019 SOMSA Research Abstract Selection for Oral or Poster recent mission
Presentation support site.

ONGOING SERIES
HUMAN PERFORMANCE OPTIMIZATION
Human Performance Optimization: An Operational and Opera- SOFsono ULTRASOUND
tor-Centric Approach: The need for SOF unit commanders to op- In ReSTRAiN Yourself Before Diagnosing Strain, the authors pro-
timize and preserve the talents of their Operators was highlighted vide a clinical image and an ultrasonographic image of a 28-year-
as a top priority in the 2018 National Defense Strategy. Human old NATO SOF Operator who participates in a low-profile mission
performance optimization (HPO) offers a paradigm shift to sup- and, during combative training, sustains a left hand injury.
port that priority by grounding health and performance services in
the unique needs, cultures, skills, and missions of SOF Operators UNCONVENTIONAL MEDICINE
at the career field and unit level. Through returning to HPO’s te- Tourniquets have become ubiquitous tools for controlling hem-
nets, this review discusses how performance and health priorities orrhage in the modern prehospital environment, and while com-
of an Operational community can be identified to enhance the tar- mercial products are preferable, improvised tourni quets play an
geting of performance and health efforts, and the authors pres ent important role when commercial options are not available. A
a community-based model for mapping these priorities. properly constructed improvised tourniquet can be highly effec-
tive provided the user adheres to certain princi ples. Proficiency
in Improvised Tourniquets for Extremities: A Review identifies
A depiction of key skills in the construction and application of improvised tour-
HPO Tenet 2 niquets on an extremity.
highlighting
the difference BOOK REVIEWS
between
performance
and health and
accompanying
metrics.

INFECTIOUS DISEASES
The mite Sarcoptes scabiei variety hominis is the cause of the
extremely itchy skin infection Scabies. These tiny parasites are
present worldwide, but most commonly cause infection in tropical
resource-poor regions.

INJURY PREVENTION Female Special The Gun & The First
United States Military Parachute Injuries: Part 1: Early Airborne Forces Agents in the Scythe Marauder
World War II Europe:
History and Secular Trends in Injury Incidence traces the early D-Day at 75
history of military airborne operations and examines studies that
have provided overall incidences of parachute-related injuries over
time. Despite the limitations of this analysis stemming from differ- TCCC UPDATES
ent injury definitions and variable risk factors, the data strongly Committee on Tactical Combat Casualty Care Meeting Min-
suggest that military parachute injuries have sharply declined over utes: San Antonio, TX, 20–21 February 2019

In This Issue | 5