Page 12 - 2020 JSOM Winter

THEN AND NOW – 20 YEARS IN PUBLICATION Facing Adversity and Factors Affecting Resilience: A Quali-
and JSOM 20TH ANNIVERSARY SPECIAL tative Analysis of the Lived Experiences of Canadian Special
Operations Forces describes the lived experience of Canadian
INTERVIEWS SOF personnel, the challenges they face, and the factors they
We start the Winter Edition with our 20th- believe impact their resilience. Results point to the importance
anniversary feature, THEN AND NOW – of managing and mitigating the impact of high operational
20 YEARS IN PUBLICATION, focus - tempo and a culture of performance to protect the health and
ing on TCCC. We list the many art- wellness of SOF personnel and their families.
icles we have published during the
past 20 years, with details for those In A Comparison of the iGel Versus Cricothyrotomy by
published during the first 5 and Combat Medics Using a Synthetic Cadaver Model: A Ran-
the last 5 years. The significance of the domized, Controlled Pilot Study, a study of active duty Army
research reflected in these articles is combat medics, the authors found no significant difference
provided by Dr Frank K. Butler Jr. You will with regard to first-pass success or overall successful place-
enjoy reading how this field has evolved through the years. In ment between the iGel and cricothyrotomy.
addition, we have JSOM 20th Anniversary Special Interview
Podcasts with CAPT MC USN (Ret) Frank K. Butler Jr, MD,
FAAO, FUHM, Steve Doucette, TEMS, and Dr Ted Redman.

FEATURE ARTICLES Example of rigid tongue causing
difficulty in passing iGel using
Sepsis Management in Prolonged Field Care 28 October the manufacturer-recommended
2020 is intended for use in the austere environment when technique.
evacuation to higher level of care is not immediately possible.
The intent is to provide a functional, evidence-based and ex-
perience-based solution to those individuals who must manage
patients suspected of having or diagnosed with sepsis in an
austere environment. The Portland, Oregon, Bureau of Fire & Rescue (PF&R) es-
tablished a tactical emergency medical support team embed-
Effects of Donning and Wearing Personal Protective Equip- ded within the Police Bureau’s Rapid Response Team (RRT).
ment on Tourniquet Use and Conversion provides data on The authors describe the team’s training and their recent work
the effects of PPE use on tourniquet interventions by prelimi- in Riot Medicine: Civil Disturbance Applications of the Na-
narily developing a way to simulate delay effects, particularly tional Tactical Emergency Medical Support Competency
on time and blood loss. Such knowledge might aid readiness, Domains.
and field calls to emergency departments may indicate don-
ning of PPE before patient arrival.

Portland Fire
& Rescue RRT
medics conduct
operations during
a riot in May
2017.
Correlation results
between blood loss
and test time (sum of
paired trial times).
Battlefield Extracorporeal Cardiopulmonary Resuscitation
for Out-of-Hospital Cardiac Arrest: A Feasibility Study
During Military Exercises evaluates the feasibility of prehos-
pital extracorporeal cardiopulmonary resuscitation in the mil-
itary exercise setting.
In Life and Limb In-Flight Surgical Intervention: Fifteen
Years of Experience by Joint Medical Augmentation Unit Case Series on 2g Tranexamic Acid Flush From the 75th
Surgical Resuscitation Teams, the authors showed that in- Ranger Regiment Casualty Database: The 75th Ranger Reg-
flight surgery by a specifically trained and experienced SRT iment developed and implemented a 2g intravenous or intraos-
can salvage life and limb for casualties of major combat injury. seous TXA flush protocol. The authors report on the first six
Additional research is required to determine optimal SRT uti- cases of this protocol in the history of the Regiment.
lization in present and future conflicts.
Isolating Populations to Control Pandemic Spread in an
An Analysis and Comparison of Prehospital Trauma Care Austere Military Environment is a case series describing the
Provided by Medical Officers and Medics on the Battlefield outbreak of COVID-19 in an isolated population in Africa.
sought to describe Role 1 trauma care provided by MOs and The authors of this case series demonstrate the importance of
compare this care to that provided by medics. population isolation in preventing disease from overwhelming
medical assets.

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