Page 10 - 2022 Spring JSOM

he JSOM is fortunate to have dedicated Section Contrib- High-intensity functional training (HIFT) involves high-
Tutors who provide updates on research within their field. volume and high-intensity physical activities with short rest
Here, we highlight our Ongoing Series articles for Spring 2022. periods between movements and use of multiple joint exer-
cises. This article reports the results of a systematic review
ONGOING SERIES and meta-analysis of studies involving injuries during HIFT.
CANINE MEDICINE Meta-analyses indicated that the overall injury prevalence was
Hemoglobin-Based Oxygen Carrier for the Reconstitution 36% and overall injury rate 4.3 injuries/1000 h. Given the
of Canine Freeze-Dried Plasma in an In Vitro Model of Re- higher injury rates among prospective studies that likely more
suscitation by Thomas H. Edwards and colleagues. Military effectively tracked injuries over time, more prospectively de-
working dogs (MWDs) are force multipliers that are at risk for signed studies are required before the injury rate during HIFT
severe trauma when employed on the battlefield. When in se- can be appropriately quantified.
vere hemorrhagic shock, MWDs require both oxygen-carrying
capacity and replacement of vascular volume and coagulation LAW ENFORCEMENT AND TACTICAL MEDICINE
factors. The objective of this study was to evaluate the he- Standardized Patient Methodology in Tactical Medical Edu-
mostatic capacity of canine freeze-dried plasma (cFDP) with a cation by Nelson Tang, MD, and colleagues. The historical
Food and Drug Administration–approved hemoglobin-based impetus for the development of Tactical Emergency Medical
oxygen carrier in an in vitro model of resuscitation. Based on Support (TEMS) and the field of tactical medicine as a whole
the results of this study, additional research is warranted to was the singular recognition of the extraordinary threat to
determine if cFDP reconstituted with HBOC is a viable resus- operational personnel posed by traumatic injuries. The effec-
citation product in canine trauma. tive provision of evidence-based tactical casualty trauma care
during high-threat incidents is supported by the highest eche-
FIGURE 1 Study design for lons of emergency medicine leadership. Widely implemented
dilutions of canine WB with
different products. WB was training strategies in TEMS have appropriately focused on
obtained from 10 MWD and the field management of trauma and, less commonly, select
diluted with either cFDP life-threatening medical emergencies. There is emerging rec-
reconstituted with sterile water, ognition, however, that the majority of clinical encounters for
an HBOC, cFDP reconstituted some law enforcement tactical medical programs consists of
with HBOC, or a 1:1
mixture of HBOC and cFDP lower acuity medical complaints. The educational best prac-
reconstituted with water to give an equivalent dilution. Dilutions tices to effectively train and adequately prepare TEMS provid-
were performed at 10%, 25%, and 40%. ers for these types of “sick call” clinical encounters have not
been well established.
HUMAN PERFORMANCE OPTIMIZATION
Advancing the Practice of Contemporary Military Perfor-
mance Psychology: A Full-Spectrum Approach to Psycholog-
ical Health and Readiness by Gloria H. Park and colleagues.
The Department of Defense continues to emphasize opera- FIGURE 1 Tactical
medicine training
tional readiness, lethality, and optimal performance. Perfor- emphasizes the
mance psychology is a critical aspect of and central dimension physical realism of
to human performance optimization in support of Preservation scenario settings. (Photo courtesy of author NT.)
of the Force and Family and Total Force Fitness. The authors
(1) provide a brief history of the evolution of military psychol-
ogy; (2) explore how performance psychology complements
and broadens approaches to support warfighter health and PSYCHOLOGICAL PERFORMANCE
readiness; and (3) present a set of strategies to advance per-
formance psychology services toward an aspirational model. Veterans and Suicide: An Integrative Review of Risk Factors
and Suicide Reduction Services by Sherrionda Crawford, PhD,
and colleagues. Suicide has quickly risen to be among the top
FIGURE 1 Conceptual
depiction of threats to humanity the world over, which is most certainly
psychological services the case for American veterans. Literature has well documented
across HPO capability that veterans are at increased suicide risk due to numerous
spectrum. factors associated with military culture. This article examines
HPO = human veterans’ suicide reduction services by addressing the identifica-
performance tion of veterans at elevated risk of suicide and assessing public-
optimization, CT = core private partnership models that promote effective collaborative
task, MET = mission outreach and treatment. The implications of this literature
essential tasks. review will support mental health providers, researchers, and
policymakers in innovative, collaborative, and effective suicide
INJURY PREVENTION prevention and intervention practices for veterans. Directions
Injuries During High-Intensity Functional Training: System- for future research are identified to further contribute to efforts
atic Review and Meta-Analysis by Joseph J. Knapik, ScD. to empower veterans and eliminate suicide.

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