Page 10 - JSOM Spring 2021

FEATURE ARTICLES Commercial and Improvised Pelvic Compression Devices: Ap-
Limb position changes are likely during transport from injury plied Force and Implications for Hemorrhage Control offers
location to definitive care. Limb Position Change Affects Tour- a sensor-circuit assessment of applied force for a convenience
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niquet Pressure is an investigation of passive limb position sample of pelvic compression devices: SAM Pelvic Sling II
change effects on tourniquet pressure and occlusion. The au- and improvised compression devices, including a SAM Splint
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thors determined that passive limb position changes can cause tightened by a Combat Application Tourniquet and a SAM
significant changes in tourniquet pressure and, therefore, tour- Splint tightened by a cravat, as well as two joined cravats and
niquet adequacy should be reassessed after any limb position a standard-issue military belt, were assessed in male and fe-
change. male subjects. As hypothesized, compressive forces applied to
the pelvis did not vary significantly based on device operator,
In Performance Characteristics of subject sex, and subject body fat percentage. The use of the
Fluid Warming Technology in Aus- military belt as an improvised method to obtain pelvic stabili-
tere Environments, the authors evalu- zation is not advised.
ated four portable fluid warmers that
are currently fielded or have potential Prehospital Needle Decompression Improves Clinical Out-
for use in military environments. comes in Helicopter Evacuation Patients With Multisystem
Trauma: A Multicenter Study: Prehospital ND should be con-
Rationale and Implementation of a sidered in the appropriate clinical setting. Outcomes are less
Novel Special Operations Medical reliable in cases of cardiopulmonary arrest or hypotension
Officer Course: the Air Force Spe- with respiratory symptoms; however, this should not deter
cial Warfare Medical Officer Course prehospital providers from attempting ND when clinically in-
The four devices evaluated was created to address the gap in dicated. Additionally, the success rate of prehospital ND does
in the study. knowledge, skill, and application of not appear to be related to catheter type or the role of the
operational medicine, as well as the behavioral health, human performing provider.
performance, education, and medical oversight of Operators.
The authors of Secondary Traumatic Stress in Emergency Ser-
Conversion of the Abdom- vices Systems (STRESS) Project: Quantifying Personal Trauma
inal Aortic and Junctional Profiles for Secondary Stress Syndromes in Emergency Medi-
Tourniquet (AAJT) to Infra- cal Services Personnel With Prior Military Service determined
renal Resuscitative Endo- that prior military service or combat deployments alone do
vascular Balloon Occlusion not contribute to the presence of stress syndromes. However,
of the Aorta (REBOA) Is performance of combat patrols or other dangerous duties
Practical in a Swine Hem- while deployed was a contributing factor. These results must
orrhage Model investigated be interpreted holistically, as other factors contribute to the
two methods of controlling presence of vicarious trauma in EMS personnel who are also
pelvic and inguinal hemor- Simulation. veterans.
rhage are the Abdominal Aortic and Junctional Tourniquet
(AAJT; Compression Works) and resuscitative endovascular From Red-Green Tactical Lighting Is
balloon occlusion of the aorta (REBOA). Preferred for Suturing Wounds in a
Simulated Night Environment
Use of a Pressure Cooker to Achieve Sterilization for an Ex-
peditionary Environment: Sterilization of Healthcare Instru- Tourniquet Application by Urban Po-
ments In An Expeditionary Environment presents a myriad of lice Officers: The Aurora, Colorado
challenges including portability, cost, and sufficient electrical Experience analyzed all documented
power. This project’s objective was to determine if sterility can cases of hemorrhage control using
be achieved using a commercially available pressure cooker. tourniquets applied by police officers
The authors concluded that though lacking US Food and Drug in a single large metropolitan police
Administration approval, the use of this commercially avail- department. Review of the officers’
able pressure cooker may provide a method of sterilization narratives indicated that most applica-
requiring minimal resources from providers working in expe- tions appeared justified using the Stop
ditionary environments. The Bleed criteria (two cases were
questionable if a tourniquet was neces-
The authors of Combat Casualty Care Training: Implemen- sary and one may have been placed in Procedure being
completed using red
tation of a Simulation-Based Program in a Cross-Cultural an incorrect location). light (TOP), green light
Setting: Experience of the French Military Health Service (MIDDLE), and red-green
in West Africa explore the challenges highlighted by multiple Fish oil supplementation is beneficial combination lighting
(BOTTOM).
training sessions for foreign medical providers in West Africa for human health and various dis-
and determine that CCC training using medical simulation is ease states and has its anabolic and anti- catabolic effects on
feasible in a cross-cultural environment. skeletal muscle and cognitive performance. The purpose of

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