Page 9 - JSOM Winter 2022

on breachers. Reduced overpressure allows Operators to stage rapidly seal wound edges mechanically, expediting clot forma-
closer to explosives, lowers the potential for compromised tion at the site of injury. The results from this study demon-
reaction time, and reduces the likelihood of negative conse- strate that the iTClamp can be effectively utilized in conjunction
quences that can result from excessive overpressure exposure. with hemostatic packing to control junctional hemorrhages.

After Action Report: Lessons Learned From Simulating Uni- CASE REPORT
fied Command In Response to an Active Shooter Incident The Challenges of Treating Complex Medical Patients in the
Using a Command Competency Laboratory: On October Role 2 Environment: A Case Series
10, 2019, the Loudoun County Sheriff’s Office and Loudoun
County Fire and Rescue led one of the largest act of violence ONGOING SERIES
exercises ever conducted in Loudoun County, Virginia. Over HUMAN PERFORMANCE OPTIMIZATION
300 participants and 50 role-players participated across 15
county departments and agencies: “future joint unified com- Omega-3 Fatty Acids: Benefits for Performance and Recovery
mand trainings are needed throughout the fire and law en- INJURY PREVENTION
forcement command structures.”
Sleep and Injuries in Military Personnel With Suggestions for
Improving Sleep and Mitigating Effects of Sleep Loss: Data
Flotation-Restricted Environmental Stimulation Technique: A suggest that lower sleep quality or duration is associated with
Proposed Therapy for Improving Performance and Recovery higher risk of musculoskeletal injury (MSI). Possible mech-
in Special Forces Operators — A Narrative Review: The flota- anisms whereby poor sleep quality/duration may influence
tion-restriction environmental stimulation technique (FR) may
have utility as a recovery tool for improving performance in MSI include hormonal changes increasing muscle catabolism,
increases in inflammatory processes affecting post-exercise
elite competitive athletes and Special Operations Forces Op-
erators (SOs). We sought to understand whether there is evi- muscle damage, and effects on new bone formation. Sleep can
be optimized by a slightly cool sleeping environment, bed-
dence to support the use of FR to enhance physiological and
psychological performance parameters in the SO population ding that maintains a stable thermal microclimate around the
body, not using media devices near bedtime or in the sleeping
and to provide postulations as to the mechanisms of action of
FR therapy. FR may serve as an effective performance- recovery environment, minimizing noise, and having regular bed and
awaking times. Sleep loss mitigation strategies include napping
therapy for improving pain, sleep, and performance measures
in trained, untrained, and healthy adults. (< 30 to 90 minutes), sleep banking (extra time in bed), and
judicious use of caffeine or modafinil.
Airway and Hypothermia Prevention and Treatment via PROLONGED CASUALTY CARE
STEAM: The System for Thermogenic Emergency Airway
Management: Hypothermia prevention is anticipated to be- Experience With Trauma-Induced ARDS: A Retrospective
come more critical in future operations due to a predicted in- Study of US Wartime Casualties 2003–2015: The purpose of
crease in evacuation times and reliance on Prolonged Casualty our study was to assess risks/outcomes of acute respiratory
Care (PCC). We propose the development, fabrication, and distress syndrome (ARDS) in US combat casualties. We hy-
efficacy testing of a device in which we estimate being able to pothesized that combat trauma patients with ARDS would
control temperature and humidity at physiologic levels in the have worse outcomes based on mechanism of injury (MOI)
PCC setting and beyond. and labs/vital signs aberrancies. By identifying characteristics
of patients with higher mortality in trauma ARDS, we can de-
velop treatment guidelines to improve outcomes.
A Novel Digital Research Methodology for Continuous Health
Assessment of the Special Operations Warfighter: The Digi- UNCONVENTIONAL MEDICINE
tal cORA Study: This article describes a research platform that
allows for collection of data via a custom-made secure mo- Prisoner of War Medical Ingenuity in Far East Captivity
bile application that extends the type, scope, and frequency
of data collection beyond what is feasible during an in-person VETERINARY MEDICINE
encounter. By digitizing existing assessments and by incorpo- Identification of Potentially Preventable Traumatic Injury
rating additional physical, neurocognitive, psychological, and Among Military Working Dogs Deployed During the Global
lifestyle assessments, the platform provides individuals with War on Terror: Prevention of deployment-related injury is
the ability to better understand their mental and physical load, critical for readiness of US military working dogs (MWDs).
as well as reserve. This study evaluated deployment-related injuries to determine
if they were potentially preventable and to identify possible
Military Medical Evacuation After the Benghazi Embassy abatement strategies. The application of a preventable review
Attack: Implications for Military Support of Diplomatic Mis- process to MWD populations may be beneficial in identifying
sions: The US military was requested to help evacuate the con- potentially preventable injuries and preventative intervention
sulate in Benghazi after the attack on September 11, 2012. The strategies.
medical requirements to support such a mission remain un-
clear, and data are lacking. We sought to describe the medical BOOK REVIEW
care required during this evacuation mission. 13 Hours:
The Inside Account of What Really Happened
iTClamp-Mediated Wound in Benghazi
Closure Speeds Control of
Arterial Hemorrhage With
or Without Additional He- TCCC UPDATES
mostatic Agents: The iT- TCCC Critical Decision Case Studies 24 October 2022
Clamp, a compact wound
closure device, is designed to
iTClamp.
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