Page 10 - JSOM Winter 2021

FEATURE ARTICLES purpose of Asymmetrical Loading Patterns in Military Person-
nel With a History of Self-Reported Low Back Pain was to
Joint Trauma System Clinical Practice Guideline: Acute Cor-
onary Syndrome (ACS) 14 May 2021 provides guidance on determine if servicemembers with chronic low back pain have
best management for ACS patients in the deployed and re- reduced lower extremity performance, and if they use alternate
source-constrained environment. strategies to complete a functional performance task as com-
pared to healthy servicemembers.
Joint Trauma System Clinical Practice Guideline (JTS CPG):
Prehospital Blood Transfusion 30 October 2020 provides a
brief summary of the scientific literature for prehospital blood
use, with an emphasis on the en route care environment. Up-
dates include the importance of calcium administration to
counteract the deleterious effects of hypocalcemia, minimal to
no use of crystalloid, and stresses the importance of involved
and educated en route care medical directors alongside at a
competent prehospital and en route care providers. Representative set up for
isokinetic knee quadriceps and
An Introduction to the Processionary Caterpillar, An Under- hamstring strength on an isokinetic
recognized Threat to US Military Personnel in Australia: It dynamometer.
is important that military and preventive medical personnel
become aware of the presence of processionary caterpillars in
Australia, and that they can identify aerial or ground-based
nests so that these dangerous organisms can be avoided by
both humans and animals. Early identification is important so
that prompt medical treatment can be rendered in the event of
an accidental exposure.

In Stress Inoculation Training (SIT-NORCAL), Part 1: The De-
velopment and Preliminary Evaluation of a Psychological
Performance Training Protocol, the authors sought to develop
and evaluate a comprehensive SIT intervention protocol to
enhance the performance and health of military personnel en-
gaged in special warfare and first-response activities.
Photo courtesy of Julianne Farrell. branches near their nest. Stress Inoculation Training (SIT-NORCAL), Part 2: A Pilot
Processionary caterpillars on tree
Study Among Explosive Ordnance Disposal Special Warfare
Enablers further develops the protocol as a health and human
performance hybrid through quality improvement analysis of
the content, process, and measurement elements for use in the
human performance context.

Combat and Tactical Medics: Advances in ultrasound technol-
Video laryngoscopy (VL) is shown to improve first-pass suc- Comprehensive Ultrasound Course for Special Operations
ogy with enhanced portability and high-quality imaging has
cess rates and decrease complications in intubations, especially led to a surge in its use on the battlefield by nonphysician pro-
in novice proceduralists. However, the currently fielded VL de- viders. However, there is a consistent need for comprehensive
vices are cost-prohibitive for dispersion across the battlespace. and standardized ultrasound training to improve ultrasound
The novel i-view VL is a low-cost, disposable VL device that knowledge, manual skills, and workflow understanding of
may serve as a potential solution. In A Prospective, Feasibil- nonphysician providers.
ity Assessment of a Novel, Disposable Video Laryngoscope
With Special Operations Medical Personnel in a Mobile Heli- In Use of Topical Hemostatic Dressings in an Extended Field
copter Simulation Setting, the author sought to perform end- Care Model, the authors sought to test whether Celox topi-
user performance testing and solicit feedback. cal hemostatic dressing (Medtrade Products) would maintain
hemostasis in extended use.

In Emergency Medical Services Provider Self-Reported Oc-
cupational Safety, anonymous surveys were administered to
tactical and nontactical prehospital providers at 180 prehos-
Example of the i-view video pital agencies in northeast Ohio between September 2018
laryngoscope used in this and March 2019. Demographics were collected, and survey
study. questions asked about workplace violence and comfort level
with tactical EMS carrying weapons. EMS providers in the
survey report high rates of verbal and physical violence while
on scene and are comfortable with tactical EMS providers car-
rying weapons.
Servicemembers are required to operate at high levels despite
experiencing common injuries such as chronic low back pain. The latest surge of the coronavirus disease 2019 (SARS-CoV-2
Continuing high levels of activity while compensating for pain virus) pandemic continues to create an unprecedented need for
may increase the risk of musculoskeletal injuries. As such, the mechanical ventilation in critically ill patients. The US Food

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