Page 12 - JSOM Spring 2020

THEN AND NOW – 20 YEARS IN FEATURE ARTICLES
PUBLICATION AND JSOM 20TH The authors of Characterizing a
ANNIVERSARY SPECIAL INTERVIEWS System for Measuring Limb Tour-
To celebrate our 20 years in publication, niquet Pressures discuss one system
we present a segment called Then and for measuring tourniquet-applied
Now. For the next four editions, we pressure and determine that the
will compare where we were in SOF bladder pressure accurately indicates
medicine 15 to 20 years ago in con- surface-ap plied pressure.
trast to where we are today. To do this,
we looked at JSOM articles on a spe-
cific topic, then and now. The topic
of this edition is “whole blood.” Be-
cause there was very little talk of its use Pressure chamber setup.
in this environment in the early publications, we took this
search out to 2008. In addition, we present a commentary on The results of Decontamin ation of Toxic Industrial Chemicals
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the use of whole blood, Slow and Risky to Safe and Briskly: and Fentanyl by Application of the RSDL Kit indicates that
Modern Implementation of Whole Blood, and there are the kit may be amenable for use as an effective decontaminant
JSOM 20th Anniversary Special Interview Podcasts with for material substrates beyond the classical chemical warfare
MSG (Ret) Harold “Monty” Montgomery, MSgt Shawn An- agents and the analytical methods may be used for future de-
derson, and MAJ Andy Fisher. contamination assessment studies using contaminated skin or
other materials.
CASE REPORTS
Surgical Airway in a Tactical Environment: A Case Report
discusses immediate surgical access to the airway required
after the initial assessment of the patient and illustrates the RSDL Kit . The tear-open package
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clinical urgency of patients requiring surgical intervention in contains the RSDL lotion, which
the field setting. Rapid Ketamine Infusion at an Analgesic is applied to the skin by using the
sponge.
Dose Resulting in Transient Hypotension and Bradycardia
in the Emergency Department presents a case of rapid intra-
venous administration of ketamine causing bradycardia and
hypotension. A 46-year-old man presented to the emergency
department for an exacerbation of chronic shoulder pain. The authors of An Inventory of the Combat Medics’ Aid Bag
Successful Placement of REBOA in a Rotary Wing Platform determined that most medics carried materiels that address the
Within a Combat Theater: Novel Indication for Partial Aor- common causes of preventable death on the battlefield, but
tic Occlusion presents a case of the first successful placement there was a small subset of medics who were not prepared to
of an REBOA by a small surgical team within a mobile ro- handle the major causes of death on the battlefield based on
tary wing platform. And Case Report: Stimulant-Induced the current state of their aid bag.
Atrial Flutter in a Remote Setting describes the case of a
29-year-old physically fit white man who presented in stable Expression of High Mobility Group Box 1 Protein in a Poly-
condition complaining only of palpitations. He was found to trauma Model During Ground Transport and Simulated
have atrial flutter without rapid ventricular response most High-Altitude Evacuation investigated the expression of high
likely due to concomitant presence of high levels of nicotine mobility group box 1 (HMGB1) protein in a combat-relevant
and caffeine. polytrauma/acute respiratory distress syndrome model.

EDITORIAL In Influence of a Multitask Paradigm on Motor and Cogni-
Developing TCCC Guidelines for Unmanned Aerial Vehicle tive Performance of Military and Law Enforcement Person-
Casualty Evacuation discusses the challenges and opportuni- nel: A Systematic Review the authors reviewed the current
ties associated with the use of drones. literature investigating if performance of tactical athletes un-
der multitask paradigms is different than performance under
BRIEF RESEARCH REPORT single-task paradigms and determined that to meet the mod-
In Freeze Dried Plasma Administration Within the Depart- ern demands of tactical athletes, varying levels of difficulty in
ment of Defense Trauma Registry, the authors describe the multitask paradigms that include both motor and cognitive
documented uses of freeze dried plasma by US forces by per- tasks should be investigated to understand fundamental per-
forming a secondary analysis of two previously described formance under operational settings to better translate across
datasets from the DoD Trauma Registry. training paradigms and rehabilitation programs.

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