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Bringing Together the Educational Interests of Special Operations and Tactical Medicine
JSOM
Fall 2020, Vol 20, Edition 3 ISSN: 1553-9768

Journal of Special Operations Medicine ™

From the Publisher 1 ONGOING SERIES
From the SOMA President 6 HUMAN PERFORMANCE OPTIMIZATION
In This Issue 10 Applications of the SOCOM Spiritual Fitness Scale Program 109
Then and Now – 20 Years in Publication 12 Development and Tailored Coaching for Optimized Performance
David William Alexander
FEATURE ARTICLES
Management of Hypothermia in Tactical Combat Casualty Care: 21 INJURY PREVENTION
TCCC Guideline Proposed Change 20-01 June 2020 Mouthguards for the Prevention of Orofacial Injuries in Military 114
B. L. Bennett; Gordon Giesbrecht; Ken Zafren; Ryan Christensen; and Sports Activities: Part 2, Effectiveness of Mouthguard for
Lanny Littlejohn; Brendon Drew; Andrew Cap; Ethan Miles; Protection From Orofacial Injuries
Frank Butler; John B. Holcomb; Stacy Shackelford Joseph J. Knapik; Blake L. Hoedebecke; Timothy A. Mitchener
The Use of Tranexamic Acid in Tactical Combat Casualty Care: 36
TCCC Proposed Change 20-02 PROLONGED FIELD CARE
Brendon Drew; Jonathan Auten; Andre Cap; Travis Deaton; et al. Editorial on the Approach to Prolonged Field Care for the 117
Special Forces Medical Sergeant: Balancing the Opportunity Cost
Conversion: Simulated Method of Exchanging Tourniquet 44 James Nicholson; Justin N. Searor; Andrew D. Lane
Use for Pressure Dressing Use
John F. Kragh Jr; James K. Aden 3rd; Michael A. Dubick Ketamine Use for Prolonged Field Care Reduces Supply Use 120
Maj Andrew Hall; Maj Lindsay Morrow; LtCol Michael Dixon
OMNA Marine Tourniquet Self-Application 52
Emma Hingtgen; Piper Wall; Charisse Buising A Case Series of Air Force Pararescue Long-Range 122
Ocean Rescues
Airway Management in the Prehospital, Combat Environment: 62 Jesse W. Mix; Erik DeSoucy; Alex Hilser; Daniel J. Houser;
Analysis of After-Action Reviews and Lessons Learned Kubwimana M. Mhayamaguru; John Dorsch; Joshua B. Gaither;
Steven G. Schauer; Jason F. Naylor; Denise M. Beaumont; Stephen C. Rush
Michael D. April; Kaori Tanaka; Darren Baldwin; Joseph K. Maddry;
Tyson E. Becker; Robert A. De Lorenzo Far Forward Gaps in Hemorrhagic Shock and Prolonged Field 128
Care: An Update of ALM Fluid Therapy for Field Use
Tactical Combat Casualty Care in Operation Freedom’s Sentinel 67 Geoffrey P. Dobson; Hayley L. Letson
Anant Shukla; Christian Perez; Benjamin Hoemann; Martin Keasal
Management of Critically Injured Burn Patients During an 135
US Army Combat Medic Performance With Portable 71 Open Ocean Parachute Rescue Mission
Ultrasound to Detect Sonographic Findings of Pneumothorax Brian Staak; Erik DeSoucy; Christopher Petersen; Jedediah Smith;
in a Cadaveric Model Michael Hartman; Stephen Rush
Robert M. Meadows; Jonathan D. Monti; Mohamad A. Umar;
Kerri A. Van Arnem; Eric J. Chin; Christopher A. Mitchell; Sue Love Airway Management in Prolonged Field Care 141
Collin Dye; Sean Keenan; Brandon Carius; Paul Loos; Michael Remley;
Prehospital Combat Wound Medication Pack Administration 76 Brandon Mendes; Jacob L. Arnold; Ian May; Douglas Powell;
in Iraq and Afghanistan: A Department of Defense Trauma Joshua M. Tobin; Jamie Riesberg; Stacy Shackelford
Registry Analysis
Steven G. Schauer; Jason F. Naylor; Yousef M. Ahmed; Joseph K. Maddry; JSOM 20TH ANNIVERSARY SPECIAL INTERVIEWS
Michael D. April JSOM 20th Anniversary Special Interview Podcasts 157
Ketamine Administration by Special Operations Medical 81 BOOK REVIEW
Personnel During Training Mishaps
Andrew D. Fisher; Darin S. Schwartz; Christopher Petersen; Resistance Operating Concept (ROC) 158
Stephen E. Meyer; Joseph N. Thielemann; Theodore T. Redman; Review by COL (Ret) Warner “Rocky” D. Farr
Stephen Rush
PRODUCT TECHNOLOGY
Improving Concussion Education: Consensus From the 88 Development of a New Vented Chest Seal Dressing 159
NCAA-Department of Defense Mind Matters Research & for Treatment of Open Pneumothorax
Education Grand Challenge Andrew Hoggarth; Matthew Grist; Bryony Board; Toni Murch
Emily Kroshus; Kenneth L. Cameron; J. Douglas Coatsworth; et al.
News To Use 168
EXPERT OPINION PAPER Allison Esposito, JSOM Managing Editor
Risk of Harm Associated With Using Rapid Sequence Induction 97 Meet the Experts 170
Intubation and Positive Pressure Ventilation in Patients With
Hemorrhagic Shock Peer-Review Board 172
Patrick Thompson, MCPara; Anthony Hudson; Håkon S. Eliassen; et al.
DIRECTORY OF ADVERTISERS 175
IN BRIEF
Operational K9s in the COVID-19 World 103 UPCOMING EVENTS
Bryant Gray; Dustin St. George; Monica Cativo; Ammundeep Tagore; Be sure to sign up for our eNewsletter for a list of upcoming courses
Navin Ariyaprakai; Lee Palmer and conferences. Back issues are available on the JSOM website at:
https://www.jsomonline.org/Newsletters.php.

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