Page 8 - JSOM Summer 2023

FEATURE ARTICLES pelvic fractures, although rare, can be sustained through inten-
tional vehicular assaults or in terror attacks causing potential
Risk of Harm in Needle Decompression for 9 Tension Pneu- mortality and morbidity for the patient and stress for the provider.
mothorax: This article examines tension pneumothorax, the third The aim of this article is to inform more practical sizing guidelines
most common cause of preventable death in trauma and the emer- to current pediatric-sized pelvic stabilization device application,
gency treatment of this pathology, needle decompression. Follow- as well as further educate the SOF provider on how to treat such
ing concerns that the shorter intravenous cannula did not have the injuries quickly and with confidence.
length required to reach the pleural space, a recommendation was
made by the CoTCCC to use longer needles. Following these rec- Prevalence of Trauma-Induced Hypocalcemia in the Prehospi-
ommendations, the authors seek to determine the risk of cardiac tal Setting: Recent data suggest that hypocalcemia management
injury at this site. plays a significant role in trauma resuscitation. Using laboratory
data and radiographic imaging of class I or class II trauma pa-
tients, the authors seek to determine the prevalence of ionized hy-
pocalcemia in trauma patients in the prehospital setting prior to
blood transfusion.
Sample measurement
at 5th ICS AAL in the Leveling the Battlefield: Development of a Pre-Deployment
coronal plane. Vascular Access Curriculum for the Nonsurgical Provider:
Immediate vascular access in trauma patients is essential in
treatment of battlefield wounds, yet there is presently no compre-
hensive vascular access training course for the non-surgical pro-
Descriptive Analysis of Combat-Associated Aspiration Pneu- vider within the United States military. In this article, the authors
monia: One of the highest priorities in prehospital care is ad- present a mixed methods guide for the creation of an effective
dressing airway injuries. Taking into consideration the variables pre- deployment training/skills maintenance vascular access curric-
associated with combat-related aspiration pneumonia, the authors ulum for the non-surgical military provider.
use data from the Department of Defense Trauma Registry to an- Determining Clinical Priorities Using a Clinical Practice Guide-
alyze all casualties that underwent a prehospital advanced airway line Deconstruction Tool: COVID-19 in Austere Operational
procedure and compare the efficacies of the interventions used. Environments: This article examines the role of Clinical Practice
Military Standard Testing of Commercially Available Supra- Guidelines (CPGs), particularly as they were used at the start of the
glottic Airway Devices for Use in a Military Combat Setting: COVID-19 pandemic. The authors detail how the act of “decon-
The Committee on Tactical Combat Casualty Care lists airway structing” CPG organized content into a manageable and discrete
optimization among the top five battlefield research and develop- framework could improve understanding and implementation by
ment priorities. Supraglottic airways (SGAs) are a group of airway deployed medical personnel.
devices that can be inserted into the pharynx to allow ventilation,
oxygenation, and administration of anesthetic gases, without the
need for endotracheal intubation. In this study, the authors analyze
10 SGA models and their ability to withstand MIL-STD testing.

(A) (B)

Contents of COVID-19 management in austere environment
RespiTrainer system and corresponding software. pocket guide.
Efficacy of the Military Tactical Emergency Tourniquet for Maladaptive Cognitions in EMS Professionals as a Function of
Lower Extremity Arterial Occlusion Compared with the Com- the COVID-19 Pandemic:As the emotional impact of COVID-19
bat Application Tourniquet: A Randomized Crossover Study: becomes more widely studied, a great number of people have re-
Hemorrhage control is a fundamental intercession of prehospi- ported psychological distress. Utilizing a cross-sectional survey of
tal medicine. In this study, the authors solicit fifty medics as a North Carolina EMS professionals from April to May 2021, the
convenience sample for participation, each self-applying a tour- authors explore the EMS providers experiences and views on a
niquet twice for a total of 100 observed applications, comparing host of pandemic-related concerns and use the 15-item Posttrau-
a long-established and tested tourniquet, the Combat Application matic Maladaptive Beliefs Scale (PMBS) to quantify the severity of
Tourniquet with a commercially available lookalike tourniquet, maladaptive cognition.
the Military Tactical Emergency Tourniquet.
Stability of SARS-CoV-2 on the Army Combat Uniform and
Practical Recommendations for Prehospital Selection of Pedi- Recommendations for Cleaning: The rapid emergence and
atric Pelvic Circumferential Compression Devices: Pediatric spread of SARS-CoV-2 has revealed the vulnerability of the U.S.

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