Page 12 - JSOM Fall 2020

THEN AND NOW – 20 YEARS IN Prehospital Combat Wound Medication Pack Administration in
PUBLICATION AND JSOM 20TH Iraq and Afghanistan: A Department of Defense Trauma Reg-
ANNIVERSARY SPECIAL INTERVIEWS istry Analysis: The United States (US) military utilizes combat
wound medication packs (CWMP) to provide analgesia and
We start the Fall Edition with our 20th- wound prophylaxis in casualties who are still able to fight.
anniversary feature, THEN AND NOW – We compared characteristics of combat casualties receiving
20 YEARS IN PUBLICATION, fo- CWMP to those not receiving CWMP. We also describe the
cusing on prolonged field care. We proportions of casualties with injury patterns consistent with
list the many articles we have pub- Tactical Combat Casualty Care (TCCC) guideline indications
lished during the past 20 years, with for CWMP use who received this intervention.
details for those published during
the first 5 and the last 5 years. The Ketamine Administration by Special Operations Medical Per-
significance of the research reflected in sonnel During Training Mishaps concludes that ketamine ap-
these articles is provided by LTC Jamie pears to be safe and effective for use during military training
Riesberg, COL (Ret) Sean Keenan, and SFC Paul Loos. You accidents. Military units should consider allowing their medics
will enjoy reading how this field has evolved through the to carry and use as needed.
years. In addition, we have JSOM 20th Anniversary Special In-
terview Podcasts with LTC, MC, USA Jamie Riesberg, MD, Improving Concussion Education: Consensus From the NCAA-
CAPT Ryan C. Maves, MD, FCCP, FCCM, FIDSA, and Jor- Department of Defense Mind Matters Research & Education
dan Benjamin, Founder and Executive Director. Grand Challenge is simultaneously copublished with the Brit-
ish Journal of Sports Medicine (BJSM).
FEATURE ARTICLES
This issue has two new clinical practice guidelines: Manage- EXPERT OPINION PAPER
ment of Hypothermia in Tactical Combat Casualty Care: TCCC Risk of Harm Associated With Using Rapid Sequence Induction
Guideline Proposed Change 20-01 June 2020 and The Use of Intubation and Positive Pressure Ventilation in Patients With
Tranexamic Acid in Tactical Combat Casualty Care: TCCC Pro- Hemorrhagic Shock: Based on limited published evidence,
posed Change 20-02. physiological principles, clinical experience, and expertise,
the author group has developed a consensus statement on the
The authors of Conversion: Simulated Method of Exchang- potential for iatrogenic harm with rapid sequence induction
ing Tourniquet Use for Pressure Dressing Use sought a way (RSI) intubation and positive-pressure ventilation (PPV) on
to exchange one type of intervention, field tourniquet use, for patients in hemorrhagic shock.
another, use of a pressure dressing. The procedural method
constituted a start for further development. IN BRIEF
Operational K9s in the COVID-19 World: Severe acute respira-
In OMNA Marine Tourniquet Self-Application, the authors tory syndrome coronavirus 2 (SARS-CoV-2) is hypothesized
evaluated self-application effectiveness and pressures in the to have originated from a spillover event from an animal res-
OMNA Marine Tourniquet, a 5.1cm-wide, simple redirect ervoir. This has raised many questions, with an important one
buckle, hoop-and-loop secured, ratcheting tourniquet de- being whether the widely disseminated coronavirus disease
signed for storage and use in marine environments. 2019 (COVID-19) is transmissible to other animal species.
reparation, decontamination, hand hygiene, and distancing
In a review of military lessons learned systems, Airway Man- remain the key factors in reducing transmission of the virus.
agement in the Prehospital, Combat Environment: Analysis of The information presented is applicable to personnel operat-
After-Action Reviews and Lessons Learned, most of the feed- ing within the military conventional and Special Operation
back referenced equipment malfunctions and gaps in initial Forces as well as civilian Tactical Emergency Medical Services
and maintenance training. This review of AARs provides communities who may have the responsibility of supporting
guidance for targeted research efforts based the needs of the an operational K9.
end-users.
ONGOING SERIES
Tactical Combat Casualty Care in Operation Freedom’s Senti-
nel reviews the use of TCCC principles by an assault helicopter HUMAN PERFORMANCE OPTIMIZATION
battalion, in combination with a variety of other factors, in the In Applications of the SOCOM Spiritual Fitness Scale Program
successful management of a mass casualty event during Opera- Development and Tailored Coaching for Optimized Perfor-
tion Freedom’s Sentinel 2019 in Afghanistan. mance, the authors discuss the SOCOM Spiritual Fitness Scale
(SSFS), which enables religious support teams and other spir-
US Army Combat Medic Performance With Portable Ultra- itual fitness/performance (SF/SP) stakeholders in the Special
sound to Detect Sonographic Findings of Pneumothorax in a Operations Forces community to reliably measure both “hori-
Cadaveric Model evaluated the impact of hands-on ultrasound zontal” and “vertical” dimensions of spirituality, as defined by
training on ultrasound-naive US Army combat medics’ ability the chairman of the Joint Chiefs of Staff Instruction on SF. The
to detect sonographic findings of pneumothorax with portable SSFS’s three subscales relate to core attributes of SF/SP, which
ultrasound in a cadaver model. were identified through factor analysis during the iterations

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