Page 9 - JSOM Summer 2023

Military to infectious disease. The concerns raised by the patho- Management of Type 3c Diabetes in an Elite Tactical Athlete:
gen’s ability to survive on textiles and fabric lead the authors of A tactical athlete experiences a single episode of acute idiopathic
this study to explore methods and recommendations for properly pancreatitis causing Type 3c diabetes. This article highlights the
cleaning the Army Combat Unform to minimize risk of infection. complexity of formulating a comprehensive treatment plan.
Ultrasound Localization of Resuscitative Endovascular Bal- Conventional Resilience and the Impact of Catastrophic In-
loon Occlusion of the Aorta in a Human Cadaver Model: Im- jury Exposure on Special Operations Surgical Teams: The first
provements in balloon technology and broader studies have led to of a nine-part series that examines the study of human perfor-
wider implementation of Resuscitative Endovascular Balloon Oc- mance and resilience. While arguing for the ethnographic reevalu-
clusion of the Aorta (REBOA). In this study, the authors explore ation of the conventional resilience construct, the authors provide
the use of ultrasound as an alternative to fluoroscopy. historical context of the construct and discuss ways to expound on
ideas about resilience training and traumatic stress and recovery.

CASE REPORT
Critical Hypophosphatemia in a Special Operations Combat
Dive Candidate
Schematic representation of the
pressurized cadaver model. ONGOING SERIES
INFECTIOUS DISEASES
Tick-Borne Encephalitis: An Update for the Special Opera-
tions Forces Provider
PROLONGED CASUALTY CARE
Bilateral Above the Knee Amputation in Afghanistan: In No-
The Impact of Special Operations Medics and Corpsmen on vember 2019, a surrendering ISIS-K supporter made his way to a
Military Medical Student Training: A Qualitative Study: How Special Forces Operational Detachment Alpha’s (ODA) outpost
can Special Operations medics and corpsman use their highly in Afghanistan. He went through the ODA’s established screen-
tuned skills to educate military medical students, and how does ing process and was moved to a nearby location for medical at-
that training scenario impact and inform the students? In a field tention. Partner forces isolated him from the other surrendering
exercise taught by medics at Operation Gunpowder, the medical ISIS-K personnel, allowing 18D evaluation and consideration of
students’ learning experiences are studied through data collection further medical care due to the severity of his wounds, including
and analysis. one traumatic amputation of the right leg with the entirety of his
A Review of Medical Evacuations Related to Dental Emergen- right tibia exposed.
cies and Oral-Maxillofacial Injuries: Dental and oral- maxillofacial
problems often account for one of the most frequently cited rea-
sons for evacuation. Utilizing data from both U.S. and foreign
military personnel, the authors seek to determine the percentage
of MEDEVACs that are required for dental and oral-maxillofacial
issues. Injuries at presentation.
Toward A Serious Game to Help Future Military Doctors Face
Mass Casualty Incidents: The effectiveness of TRAUMASIMS,
a serious game for training medical responders in mass casualty
incidents, is analyzed for its effectiveness in teaching mass casualty
incident management by integrating prehospital damage-control
actions, categorization of victims, and evacuation orders.
Sepsis-Induced Coagulopathy and Disseminated Intravascu-
How the Five Principles of High Reliability Organizations lar Coagulation: What We Need to Know and How to Man-
Align with the Five Truths of Special Operations: In this article, age for Prolonged Casualty Care: A review of sepsis-associated
the authors examine the five SOF Truths alongside the five High DIC and the newly proposed ISTH term—SIC—and how it per-
Reliability Organization principles and explore how better under- tains to providers doing austere critical care and PCC.
standing and utilizing them in tandem can turn good ideas into
sound practical benefits in operational medicine. BOOK REVIEW

The Operator: Firing the Shots That Killed
Osama bin Laden and My Years as a SEAL
Team Warrior
How the five HRO
principles and five SOF
Truths align in Special
Operations medicine.
TCCC UPDATES
PCC Considerations After TCCC Intervention
TCCC Critical Condition Case Studies by Dr Frank Butler
27 April 2023

In This Issue | 7