Page 13 - JSOM Spring 2020

Feasibility Study of Vascular Access and REBOA Placement Measles Cases and Outbreaks presents data from the Cen-
in Quick Response Team Firefighters was designed to eval- ters for Disease Control and Prevention and World Health
uate the ability to train Quick Response Team Fire Fighters Organization.
(QRT-FF) to gain percutaneous femoral artery access and
place a REBOA catheter in a model, using a comprehensive INJURY PREVENTION
theoretical and practical training program. Achilles Tendinopathy: Pathophysiology, Epidemiology,
Diagnosis, Treatment, Prevention, and Screening discusses
Low-Level Blast Exposure in Humans: A Systematic Review the clinical term describing a nonrupture injury of the Achil-
of Acute and Chronic Effects sought to provide a systematic les tendon where the patient presents with pain, swelling, and
review of the literature on repetitive low-level blast as it per- reduced performance and symptoms exacerbated by physical
tains to military and police training protocols. activity. About 52% of runners experience this in their life-
time, and in the United States military, the rate of clinically
The authors of Effect of Special Operations Training on Tes- diagnosed cases was 5/1000 person-yr in 2015.
tosterone, Lean Body Mass, and Strength and the Potential Simplified macro-structure of the Achilles tendon showing major
for Therapeutic Testosterone Replacement: A Review of the muscle groups and attachment of Achilles tendon to the calcaneus
Literature conclude that testosterone supplementation in SOF (modified from https://www.physio-pedia.com/Achilles_Rupture).
may attenuate changes in body composition and muscle func-
tion during training and sustained Special Operations
ONGOING SERIES
CANINE MEDICINE
Canine Tactical Combat Casualty Care (K9TCCC) Guide-
lines focus on simple, evidence-based, field-proven medical
interventions to eliminate preventable deaths and to improve
Military Working Dog survival. Customized for the battle-
field, K9TCCC uniquely adapts the techniques of TCCC to
compensate for canine-specific anatomic and physiological
differences. NATO SOCM RESEARCH
Role of NATO Special Operations Combat Medics in Spe-
HUMAN PERFORMANCE OPTIMIZATION cial Operations Surgical Teams presents research and facts
Optimizing Special Operations Forces Operator Talents proving the opportunity and worth of an NSOCM to be a
and Mission Capabilities: Human Performance Optimiza- member of a SOST, the necessity of both capabilities within
tion and Total Force Fitness Capability-Based Blueprint and the medical chain of Special Operations for all countries, and
Targeting System presents the Human Performance Optimi- the synergy possible in both medical care and operational con-
zation (HPO) and Total Force Fitness (TFF) Capabilities-Based tribution when accomplished.
Blueprint (CBB) and Targeting System as an initial step to re-
aligning service delivery. SOFsono ULTRASOUND
Explore the Space? Presents the case of a 50-year-old male
Representation of the HPO TFF CBB Workshop and Targeting contractor who presents complaining of cough and general-
System, which operationalizes HPO and its four tenets. ized malaise.

BOOK REVIEW
Medicine and the American Revolution:
How Diseases and Their Treatments
Affected the Colonial Army

INFECTIOUS DISEASES TCCC UPDATES
This article discusses the importance of Scrub Typhus, also Committee on Tactical Combat Casualty Care Meeting Min-
known as tsutsugamushi disease. Approximately 1 million new utes: 10–11 September 2019 – San Antonio, Texas
cases are reported annually.

In This Issue | 9