Page 120 - JSOM Spring 2023
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FIGURE 3  Attendees at the Paris SOF-CMC Conference, École du   FIGURE 5  Stacy Shackelford (USA), Chief Joint Trauma System
          Val-de-Grâce.                                      Defense Center of Excellence for Trauma, in the main conference hall.

























          FIGURE 4  Thirty-two nations at the Paris SOF-CMC Conference.  The “SOF Physical Constraints” session discussed “Havresac
                                                             syndrome,” “Medical Support of High-Altitude Military Para-
                                                                    15
                                                             chuting,”  “Injuries in SOF Airborne Operations: A 5-Years
                                                             Analysis,” and  “Basic Nutritional Considerations for SOF
                                                             Operators.”

                                                             The last session pointed at “SOF Combat Casualties,” with
                                                             “Treating Ukraine’s  Wounded Civilians, I saw Horror and
                                                                   16
                                                             Hope,”  “Killed in Action (KIA): How Golden Are 60 Min-
                                                                  17
                                                             utes?”  “SOF Casualties During Counter-Terrorism Opera-
                                                             tions,” and “Ukrainian Report from the Field: TCCC in the
                                                             Multidomain Battlespace.” 18
                                                             Session B
                                                             The “Bleeding” session discussed “The Future of Blood Trans-
                                                                                  19
          Schools, France), “Transformational Change in Combat Ca-  fusion in Austere Setting,”  “Use of REBOA in the SOF Set-
                                                                 20
          sualty Care Research for the SOF”  (presented by Andrew P.   ting,”  and the “Evaluation of Hemostatic Capacities Among
                                      3
          Cap, Director of Research, US Army Institute of Surgical Re-  Commando Candidates:  Would  Their Blood Suit a Hemor-
          search, United States ), and “The UK Point of View for the   rhagic War-Injured Patient in Case of Blood Donation on the
                                                                       21
          Future of SOF Medical Support”  (presented by Tim Hodgetts,   Battlefield?”  and “Fresh Whole Blood Transfusion in Police
                                   4
          UK Surgeon General and Chair, COMEDS, United Kingdom).  Special Operations Teams: A Perspective to Reduce Combat
                                                             Deaths in Tactical Austere Environment in Brazil.”
          Session A
          The first session featured “Airway Management” and “An-  In the session “In the Air,” experts in the field reviewed in-
          algesia and Sedation.” Topics were as varied and interesting   flight medicine with “In Flight Damage Control Resuscita-
                                                                                                22
          as “Intubation and Positive Pressure  Ventilation in Patients   tion,” “In Flight Damage Control Surgery,”  and “In Flight
          with Hemorrhagic Shock,”  “Surgical Management of Airway   Critical Care during Strategical  Aeromedical Evacuation of
                               5
          in SOF Setting,”  “Analgesia and Sedation for Tactical Com-  SOF Casualties.” 23
                       6
          bat Casualty Care: TCCC Proposed Change 21-02,”  “War-
                                                    7
          Wounded Analgesia,”  and “Use of Intranasal Ketamine for   In the session “Special Environments,” we learned about “Heat
                           8
                                                                   24
          Prehospital Analgesia in SOF: Case Series.” 9      Stroke,”  “Medical Support in (Very) Cold Conditions,” and
                                                             “Medical Support of Prolonged Subaquatic Operations.”
          The session “Damage Control Resuscitation and Surgery in
          SOF Environment” focused on “Deployment of the Surgical   The session “Threats and Hazards” discussed “Cumulative Blast
                                                                                                  25
          Life-Saving Module in 2017: Lessons Learned in Setting Up   Exposure Estimate Model for SOF Operators,”  “Prehospital
                                                                   26
          and Training Operational Surgical Units,”  then “Ruck for   Burns,”  and “The CBRN Chain of Survival and Its Mnemonic
                                            10
          Surgery,”  and, finally, “The French Aeromedical Special Op-  Device “I AM THOR,” a New Cognitive Tool to Teach Initial
                 11
          erations Forces—Damage Control Resuscitation and Surgery   Measures in Undertaking a CBRN Event on the Battlefield.” 27
          Team.”
                                                             The session “Prolonged Field Care” focused on “Point-of-Care
                                                                                                            28
          After that, the session “Think and Do” highlighted the impor-  Ultrasound for  Triage in  Austere Military Environments,”
                                                                                      29
          tance of “Human Factors in Critical Situations,”  “Mental   “Prolonged Field Care Update,”  and “Tactical Medicine in
                                                  12
          Training for Stressful Situations,”  and “D-STRESS: Use of   SOF Teams, a 20-Year Experience in Modern Warfare Inside
                                     13
          Virtual Reality to Detect Post-Traumatic Stress Disorder.” 14  Rio de Janeiro.”
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