Page 99 - JSOM Fall 2019

Methods: We will assess the traditional teaching model of established a low O-titer blood donation program to increase
cadavers and live patients with some new static models for the availability of Warm Fresh Whole Blood as part of Dam-
medics to correctly identify the accepted less than 5 mm cut- age Control Resuscitation in austere environments.
off. The study will utilize special operations senior 18D/68W1
attending the Mayo Austere Medicine course. Assessment will As a dedicated precision rotary-wing support to Special Op-
involve the ability to find the optic nerve sheath and perform erations, including casualty evacuation (CASEVAC) missions,
the required 3 point measurement 3 mm behind the globe the 160th Special Operations Aviation Regiment has also de-
by operating a 7.5 MHz linear ultrasound probe on either veloped a low O-titer blood program. Army Regulation 40-8
a Phillips Lumify or Sonosite Handheld. Given multiple pa- restricts performance of aviation crew member duties follow-
tient models and types both in didactic and scenario settings ing the donation of greater than 200 milliliters of blood for a
the medics will operate the ultrasound and identify the ap- period of at least 72 hours. Using the Trail Making Test Part
propriate landmarks and measure the optic nerve sheath. A A and B, this study will assess the cognitive effects of blood
five-question post course test will act as a check on learning donation of 200-450 milliliters on aviation crew members. It
and will help to add metrics to our teaching method and fea- will provide valuable insight on the cognitive affects that may
sibility study. Multiple courses and medics will be utilized to impact safe execution of aviation crew responsibilities during
refine our data points over the next year. combat operations. 73 volunteers from the 160th SOAR were
administered the Trail Making Test parts A and B, donated 1
Results: Our previous course with the single question of iden- unit of Fresh Whole Blood, were administered a second ver-
tifying <5mm acceptable diameter of the ONSD was posed sion of the Trail Making Test parts A and B, and then a third
to 23 providers, nurses and medics from Special Operations version of the Trail Making Test part A and B at 72 hours.
Units.
There was no statistically significant difference in times to
completion of the Trail Making Test after donating blood or
at 72 hours when compared to normative values.

Injectable Dehydrated Human Amnion/Chorion
Membrane (dHACM) in the Treatment of Knee
Osteoarthritis
Kris J Alden MD, PhD, Hip, Knee, and Shoulder Reconstruc-
tion, Hinsdale Orthopaedic Associates, Hinsdale, IL

A Case Report SPECT Study and Theoretical
Rationale for the Sequential Administration of
Ibogaine and 5-MeO-DMT in the Treatment of a
Military Veteran with Alcohol Use Disorder
Dr. Joseph Peter Barsuglia, Research Psychologist, The Mis-
sion Within, Oakland, CA
Conclusion/Discussion: Ultrasound represents the ideal porta-
ble assessment device for austere medicine to help SOF medics The Whole Blood Clotting Test (WBCT):
quantify the need for immediate evacuation and treatment ver- A Simple Field Test for Diagnosis and Treatment
sus serial neurological exams in the acute TBI patient.
of Snakebites in Austere Environments
Jordan Benjamin, Herpetologist, Snakebite Researcher, Para-
Cognitive Effects of Fresh Whole Blood Donation in medic (NRP), Founder and Executive Director of the Asclepius
Special Operations Aviation Snakebite Foundation, Seattle, WA; Jean-Philippe Chippaux
MAJ Kevin Mayberry PA-C(1), SFC Matt Harrison FP-C(2), MD, PhD, Director of Research Institut de Recherche pour le
LTC Ted Redman MD(2), MAJ Jimmy Gruenewald PA-C(2), Développement / MERIT, Institut Pasteur / CRT, Paris, France
CPT Meredith Carlson PA-C(2), MAJ Mo Ulmar DsC(1), Sam
Whalen PhD(2), LTC Brock Benedict DO(2): 1 San Antonio Wound Cooling Properties of an
Medical Center 2 USA Special Operations Aviation Command
Antibacterial Burn Dressing
Bryony Board, Laboratory Scientist, Andrew Hoggarth, Head
The current array of combat forces often extends patient of R&D, Matthew Grist, MSci, PhD, Principal Scientist,
movement times past the previously established Department Medtrade Products, Crewe, Cheshire, UK
of Defense standard of the Golden Hour. With limited surgical
capability to perform Damage Control Surgery, several SOF
units have focused on Damage Control Resuscitation, includ- Going Up Stream: A Case of Aermonas Hydrophilia
ing employing a walking blood bank of Warm Fresh Whole in a Healthy AD Male
Blood. Currently there is very little data that look at the po- John Bonnes DO, USA, MC and Jacob Shook DO, USA, MC,
tential cognitive effects of donating 450 milliliters of blood as Ft. Hood, TX
part of a walking blood bank. However, while the ability to
donate 450 milliliters of blood increases blood product avail- Improved VO2 Max through Blood Flow
ability, the potential cognitive decline following blood dona- Moderation (BFM)
tion of greater than 200 milliliters may pose additional risk William Ursprung, PhD Student, Texas A&M University, Col-
to forward deployed forces. The 75th Ranger Regiment has lege Station, TX

SOMSA Research Abstracts | 97