Page 10 - JSOM Summer 2020

THEN AND NOW – 20 YEARS IN clothing conditions (Bare, Scrubs, Uniform, Tights) mid-thigh
PUBLICATION AND JSOM 20TH and on models (ballistic gel and yoga mats).
ANNIVERSARY SPECIAL INTERVIEWS
Quality Assurance in Tactical Combat Casualty Care for
Medical Personnel Training April 2020: A recent pilot ap-
We start the Fall Edition with our 20th- praisal of four Tactical Combat Casualty Care for Medical
anniversary feature, Then and Now – Personnel (TCCC-MP) training courses found that TCCC-MP
20 Years in Publication, focusing on courses are not presenting all of the course material recom-
tourniquets and hemorrhage control. mended by the Joint Trauma System (JTS), despite TCCC
We list the many articles we have training having been mandated by the Department of Defense
published during the past 20 years, (DoD) for all US military personnel.
with details for those published
during the first 5 and the last 5 years.
The significance of the research reflected In Preparations for a Controversial Speaker and Antici-
pated Volatility in a College Town, the authors describe their
in these articles is discussed in two editorials, “Tourniquets successful experience when, in the summer of 2017, in Char-
Last to Tourniquets First” and “Tourniquest.” You will enjoy lottesville, Virginia, white nationalists clashed with counter-
reading how this fundamental lifesaving device has evolved protestors, ultimately leading to the death of three people and
through the years. In addition, we have JSOM 20th Anniver- leaving 34 more injured.
sary Special Interview Podcasts with Dr John F. Kragh Jr, Dr
Rich Lesperance, and CMSgt Michael Rubio.

FEATURE ARTICLES
The intent of Joint Trauma System Clinical Practice Guide-
line: Austere Resuscitative and Surgical Care – 30 October
2019 is to provide guidance for Austere Resuscitative and Sur-
gical Care (ARSC) teams, which often comprise conventional A photo from an overhead
camera demonstrates the
forces surgical units used in support of Special Operations disbursement of a crowd after
missions. A ruck-truck-house model, explained later in the the conclusion of the event.
guidelines, can help frame logistical considerations for plan-
ning purposes to maximize mobility and flexibility.

Snakebite, recently declared a neglected tropical disease and
global health priority by the WHO, results in an estimated
2.5 million envenomations, 138,000 deaths and over 500,000
cases of permanent disability worldwide every year. Every hour
wasted between bite and antivenom administration is strongly In Temporizing Life-Threatening Abdominal-Pelvic Hemor-
associated with sharp increases in mortality and the develop- rhage Using Proprietary Devices, Manual Pressure, or a Sin-
ment of chronic or permanent sequelae including amputation, gle Knee: An Integrative Review of Proximal External Aortic
disfigurement, PTSD, blindness, kidney injury, infections, and Compression and Even “Knee BOA,” evidence was grouped
partial or complete loss of function of the bitten limb. Joint and summarized from the specialties of trauma, aortic sur-
Trauma System Clinical Practice Guideline: Global Snake gery, and obstetrics to help prehospital responders and guide
Envenomation Management covers the continuum of snake- much-needed additional research, with the goal of decreasing
bite care. the high risk for death after life-threatening abdominal-pelvic
hemorrhage.
The authors of Step Duration Effects on Blood Loss in Sim-
ulated Designs of Tourniquet Use Procedure sought new The review Tourniquets USA: A Review of the Current Lit-
knowledge by further developing a model of using calculations erature for Commercially Available Alternative Tourniquets
in the simulation of a first-aid task to investigate the perfor- for Use in the Prehospital Civilian Environment aims to de-
mance of tourniquet use in its component steps. The model scribe the literature surrounding tourniquet models so that in-
simulated where most of the bleeding occurred before the structors can help laypeople make more informed purchases,
tourniquet touched the patient and generated hypotheses for stop the bleed, and save a life.
future research.
CASE REPORT
Clothing Effects on Limb Tourniquet Application: This study Fresh Whole Blood Collection and Transfusion at Point of
explored clothing effects on pressures and application process by Injury, Prolonged Permissive Hypotension, and Intermittent
using Generation 7 Combat Application Tourniquets (C-A-T7), REBOA: Extreme Measures Led to Survival in a Severely
®
Generation 3 SOF Tactical Tourniquets – Wide (SOFTTW), Injured Soldier—A Case Report presents the case of a se-
Tactical Ratcheting Medical Tourniquets (Tac RMT), and verely injured Special Operations Servicemember whose care
Stretch Wrap And Tuck Tourniquets (SWATT) with different was remarkable for three unique interventions: the first use of

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