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Military Medicine  Winter 2022, Vol 22, Edition 4   JSOM                                          ISSN: 1553-9768
                        Bringing Together the Educational Interests of Special Operations and Tactical Medicine



 Featured Product

                                               Journal of Special Operations Medicine ™
 ®

              From the Publisher                             1  A Novel Digital Research Methodology for Continuous    78
              From the SOMA President                        4  Health Assessment of the Special Operations Warfighter:
 TACTICAL LIGHTING SYSTEM FOR MEDICS : FLASH45  In This Issue   6  The Digital cORA Study
                                                                  Leslie A. Saxon; Robert Faulk; Trevor Barrett;
              FEATURE ARTICLES
                                                                  Steve McLelland; Jill Boberg
 Covert white to protect you  Comparison of Warming Capabilities Between Buddy Lite,    9   Military Medical Evacuation After the Benghazi   83
              enFlow, and Thermal Angel for US Army Medical Personnel
 High CRI white for accurate battleeeld assessments  in Austere Conditions: A Literature Review  Embassy Attack: Implications for Military Support of
                                                                Diplomatic Missions
 Cobalt blue used for optical  triage  Donald J. Vallier; Wesley J.L. Anderson; Jennifer V. Snelson;    Seshidar Tekmal; Casey Lockett; Brit Long; Steven G. Schauer
               Young J. Yauger; Justin R. Felix; Kaitlyn I Alford;
  IR for non-visible signaling  William A. Bermoy               iTClamp-Mediated Wound Closure Speeds Control of    87
                                                                Arterial Hemorrhage With or Without Additional
 Uses 4 “AA” batteries for easy resupply  Improvised Management of Polycythemia Vera    15   Hemostatic Agents
              Using Whole Blood Transfusion Kits
 NSN: 6230-01-452-2096  Brandon M. Carius; Peter M. Dodge; Joshua A. Bates;    Sean M. Stuart; Megan L. Bohan; Julie B. McLean;
                                                                  Alexandra Walchak; Emily E. Friedrich
               Philip Castaneda
 Built in Rockledge, Florida
 Built in Rockledge, Florida  Incidence of Airway Interventions in the Setting of    18   CASE REPORT
              Serious Facial Traumas                            The Challenges of Treating Complex Medical Patients   93
               Steven G. Schauer; Jason F. Naylor; Andrew D. Fisher;    in the Role 2 Environment: A Case Series
               Tyson E. Becker; Michael D. April                  Howard Ward; Nichole Downing; Shane Goller; Justine Stremick
              Does Mental and Visual Skills Training Improve   22   ONGOING SERIES
              High-Value Target Identification and Marksmanship    HUMAN PERFORMANCE OPTIMIZATION
              Among Elite Soldiers?                             Omega-3 Fatty Acids: Benefits for Performance    97
               J. Jay Dawes; Whitney Tramel; Nick Bartley; David Bricker;  and Recovery
               Kelsey Werth-Bailey; Logan Brodine; Casey Clark; Paul Goldberg;  Melissa Rittenhouse; Patricia A. Deuster
               Katie Pagel; Tony Federico; Dyana Bullinger; Deb Canada
              Unit Collective Medical Training in the 75th Ranger Regiment   28  INJURY PREVENTION
               Simon C. Gonzalez; SFC Patricio F. Vasquez;      Sleep and Injuries in Military Personnel  With Suggestions    102
               Harold R. Montgomery; Curt C. Conklin; Zachary A. Conaway;    for Improving Sleep and Mitigating Effects of Sleep Loss
               David M. Pate; James F. Lopata; Russ S. Kotwal     Joseph J. Knapik; John A. Caldwell; Bradley M. Ritla
              Comparing a Novel Hand-Held Device for Chest Tube   41   PROLONGED CASUALTY CARE
              Insertion to the Traditional Open Tube Thoracostomy   Experience With Trauma-Induced ARDS: A Retrospective    111
              for Simple Pneumothorax in a Porcine Model        Study of US Wartime Casualties 2003–2015
               Joshua Dilday; Bethany Heidenreich; Holly Spitzer;    Jason J. Nam; Matthew S. McCravy; Krista L. Haines;
               Yousef Abuhakmeh; Eric Ahnfeldt; John Watt;        Sarah B. Thomas; James K. Aden; Luke R. Johnston;
               Vincent J. Mase Jr                                 Phillip E. Mason; Jennifer M. Gurney; Valerie G. Sams
              Where Do We Stand on “Buddy Transfusion” During    46   UNCONVENTIONAL MEDICINE
              Military Operations?                              Prisoner of War Medical Ingenuity in Far East Captivity   117
               Yann Daniel; Clément Derkenne; Pierre Mahé; Stéphane Travers;    Meg Parkes; Geoff Gills
               Christophe Martinaud
              Cric in the Dark: Surgical Cricothyrotomy in Low Light    50   VETERINARY MEDICINE
              Tactical Environments                             Identification of Potentially Preventable Traumatic Injury    122
               Chandler W. Getz; Sean M. Stuart; Brent M. Barbour;  Among Military Working Dogs Deployed During the
               Jared M. Verga; Paul J. Roszko; Emily E. Friedrich  Global War on Terror
                                                                  Jennifer D. Cwikla; Thomas H. Edwards; James T. Giles;
              An Exploratory Comparison of Water-Tamped and    56
              -Untamped Explosive Breaches: Practical Applications    Stephanie Kennedy; Brian Smith; David Gimeno Ruiz de Porras;
                                                                  Laura L.F. Scott
              for the Tactical Community via a Pilot Study
               Gary H. Kamimori; William McQuiggan; Alejandro M. Ramos;   BOOK REVIEW
               Christina R. LaValle; Anthony Misistia; Jonathan Salib;    13 Hours: The Inside Account of What Really Happened    130
 The Patented Res-Q™ Lens  Michael J. Egnoto                    in Benghazi
 converts the  ashlight into a                                    Reviewed by Scott P. Graverson
 powerful 360° Rescue Beacon!  After Action Report: Lessons Learned From Simulating    60
              Unified Command In Response to an Active Shooter Incident   TCCC UPDATES
              Using a Command Competency Laboratory             TCCC Critical Decision Case Studies           132
               Daniel J. Neal; Paul Loconti; Thomas Mengel; Kim Holway;    24 October 2022
               Dennis Wenner
 Universal Mounting Bracket (UMB)  Flotation-Restricted Environmental Stimulation Technique:   65   News To Use   136
                                                                  Allison Esposito, JSOM Managing Editor
 allows you to work hands free on your patient  A Proposed Therapy for Improving Performance and
 without the risk of being seen by enemy snipers                Meet the Experts                              138
 when using a headlamp.  Recovery in Special Forces Operators —
              A Narrative Review                                Peer-Review Board                             140
               Reginald O’Hara; Lewis Sussman; Riley Sheehan;    DIRECTORY OF ADVERTISERS                     143
               Benjamin Keizer; Jeffrey Tiede
              Airway and Hypothermia Prevention and Treatment   72   UPCOMING EVENTS
              via STEAM: The System for Thermogenic Emergency    Be sure to sign up for our eNewsletter for a list of upcoming courses
              Airway Management                                 and conferences. Back issues are available on the JSOM website at:
               Ryan A. Stevens; Bradley Pierce; Laura Tilley    https://www.jsomonline.org/Newsletters.php.
 www.PhantomLights.com                                         3
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