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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
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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.”
118 | JSOM Volume 23, Edition 1 / Spring 2023

