Page 13 - 2020 JSOM Winter

A Spanish Intentional Mass-Casualty Incidents Medical Re- ONGOING SERIES
sponse Model: Delphi Consensus: The increase in global HUMAN PERFORMANCE OPTIMIZATION
violence in recent years has changed the paradigm of emer- Human performance teams (HPTs) are highly capable and
gency health care, requiring early medical response to victims complex teams comprised of medical and performance pro-
in hostile settings where the usual work cannot be done safely. fessionals dedicated to sup-
In Spain, this specific role is provided by the Tactical Envi- porting health and sustaining
ronment Medical Support Teams (in Spanish, EMAETs). The mission capabilities of the
Victoria I Consensus document defines and recognizes this Special Operations Forces
role. (SOF) warfighter community,
as discussed in Optimizing
Human Bocavirus as a Possible Contributor to Respiratory Teamwork for Human Per-
Disease in the Georgian Military Population: The corona- formance Teams: Strategies
virus disease 2019 (COVID-19) pandemic has demonstrated for Enhancing Team Effectiveness.
that new and devastating respiratory pathogens can emerge
without warning. It is therefore imperative that Special Oper- INFECTIOUS DISEASES
ations medical personnel be aware of the presence of emerging
pathogens within their area of operation. Leptospirosis is caused by an infection with bacteria of the
Leptospira species. These spirochetes are carried by a variety
of wild and domestic animals, and military personnel are at
Frontline military personnel are at high risk of acute acous- risk of infection through deployment in the field.
tic trauma (AAT) caused by impulse noise, such as weapon
firing or blast. This can result in anatomic disruption of the
tympanic membrane and damage to the middle and inner ear.
The Downrange Acoustic Toolbox: An Active Solution for
Combat-Related Acute Acoustic Trauma has been operation- US soldier participates in
ally deployed since 2019 and has successfully identified AAT jungle operations training
requiring treatment, thereby improving casualties’ hearing and exercises on the island of
reducing unnecessary repatriation. Oahu, Hawaii.

INJURY PREVENTION
Frostbite: Pathophysiology, Epidemiology, Diagnosis, Treat-
ment, and Prevention: The prevention of frostbite is focused
primarily on covering exposed skin with proper clothing and
minimizing exposure to wind and moisture. The Generation
III Extended Cold Weather Clothing System is an interchange-
able 12-piece clothing ensemble designed for low temperatures
and is compatible with other military systems.
The boothless audiometer The mobile phone–compatible
headset, currently the Wireless endoscopic imaging hardware
Automated Hearing-Test and software (endoscope-i) The seven layers of the
System (WAHTS), allows for allows for live vision of the Extended Cold Weather
comparable detection of hearing eardrum and transfer of data Clothing System,
loss as using a sound booth. to a specialist otolaryngolist. Generation III.
Copyright permission obtained Copyright permission obtained
for use from the company. for use from the company.
THERE I WAS
CASE REPORT Riverview Terrace Team: A Novel Special Operations Forces
Austere Surgical Team Management of an Unusual Tropical Medic Role Emerges at the Forefront of the Fight Against
Disease: A Case Study in East Africa: Buruli ulcer caused by COVID-19: During the Spring 2020 COVID surge, a team pri-
Mycobacterium ulcerans is a rare infectious skin disease affect- marily composed of SOF medics coalesces in New York City, rap-
ing patients in sub-Saharan Africa as well as in parts of Aus- idly establishes a field hospital within a large academic teaching
tralia and Asia. We present the case of a patient with Buruli hospital, then transitions to step-down and ICU care as institu-
ulcers and discuss treatment options for Special Operations tional needs evolve. Empowered to work as RNs, by emergency
medical professionals to consider in the austere management decree, the SOF medics’ remarkable performance supports the
of this and similar diseases. need to define a novel role within the civilian healthcare system
for these valuable, highly experienced, and underused providers.

JSOM 20TH ANNIVERSARY SPECIAL INTERVIEWS
JSOM 20th Anniversary Special Interview Podcasts

Patient on initial BOOK REVIEW
evaluation at an I Was a Stranger is a World War II paratroop
African Union survival, escape, resistance, and evasion
military medical personal narrative.
clinic.
TCCC UPDATES
Tactical Combat Casualty Care (TCCC) Guidelines for Med-
ical Personnel 05 November 2020

In This Issue | 11