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April 15, 2013 - Issue 1

Greetings! ,

In an attempt to keep our JSOM audience better informed, we are thrilled to announce the launch of our JSOM ABCs Newsletter. As an added benefit to our readers, the JSOM ABCs will give you an Advanced look at featured articles in the upcoming quarterly peer-reviewed Journal of Special Operations Medicine. Provide you with Breaking news on the TCCC front. Inform you of Current events, courses, and conferences that are relevant to operational medicine, TEMS updates, SOMA updates, news stories relevant to this community, Medic awards, jobs, EMS fellowship opportunities, and more... We need your help to keep your peers informed, so be sure to send us information you would like to see disseminated to the JSOM (SOF &  TEMS) community. 

The JSOM and the newsletter are yours and serve as a unique opportunity for you to pass your legacy and knowledge to the rest of the SOF and TEMS community.  Submit your newsletter topics to me at
Fluid Resuscitation in Pigs - ISP Hextend Study 3/10/13

Wenjun Z. Martini, PhD, Michael A. Dubick, PhD, and Lorne H. Blackbourne, MD, Fort Sam Houston, Texas


Comparisons of lactated Ringer's and Hextend resuscitation on hemodynamics and coagulation following femur injury and severe hemorrhage in pigs


Background: This study compared coagulation function after resuscitation with Hextend and lactated Ringer's (LR) solution in pigs with tissue injury and hemorrhagic shock.


Intra-Orbital Training Munition
Brett W. Davies, MD, MS; Eric M. Hink, MD; Robert W. Enzenauer, MD



Objectives: To present a case report of an intra-orbital training munition during combat simulation.


Methods: A 36-year old National Guardsman presented to our hospital after being struck in the right orbit with a training munition during combat exercises at Fort Carson, CO. The clinical findings, treatment course, and outcome of the case are discussed with review of the literature.


Deployed Assessment and Management of mTBI Casualties

Benjamin Garfin



Objective: During a recent deployment to Afghanistan, the necessity for a clear and concise series of documents for the management of mild traumatic brain injuries (mTBIs) became glaringly obvious.  In mid-October 2011, a Ranger assault force was conducting an operation in the middle of the night.  When it reached the planned objective, a series of Pressure Plate Improvised Explosive Devices (PPIED's) detonated as the victims crossed over them. This resulted in three Friendly Killed in Action (FKIA) and three more Friendly Wounded in Action (FWIA).


Quality of Care Assessment in Far Forward Detection of Extremity Compartment Syndrome in War

David R. King, MD, John F. Kragh, Jr., MD; Lorne H. Blackbourne, MD

Recent efforts to improve the quality of care in the Afghanistan theater focused on extremity compartment syndrome, a common, disabling, and costly problem. In order to find opportunities to improve care, the purpose of the present survey is to observe use of two standard methods, the traditional, improvised method and the common, off-the-shelf method, for determining intra-compartmental pressures in the lower extremities of combat casualties.

H-II OPSEC - Redefining a Global Security Support System

In 2010, The UN NGO Humanitarian Resource Institute mediated the formation of the Humanitarian Intervention Initiative (H-II) to support strategic planning, development and stabilization of humanitarian emergencies that are beyond the operational capacities of the United Nations, non-governmental and relief organizations.

For additional information, please visit:
Tactical lighting in special operations medicine

Please take a moment to complete our survey on tactical lighting.

Thank you. We appreciate your time!  
Annoucement - COL Farr retires May 1stretirement

COL Warner "Rocky" Farr will go on the official retired rolls as of 1 May 2013. For those who are counting, that will be 46 years and 1 week of continuous active Army service.  His  replacement as the SOCCENT Surgeon is COL K.B. Chou, MD, MC, USA, who will report in the summer.  


COL Farr's retirement ceremony will be 25 April, at SOCCENT Headquarters in the afternoon.  COL Farr wishes to thank all who are present,  as well as all who will be unable to be there for all the support, cooperation, and effort that have allowed us in the medical side to have an ever greater effect in Special Operations. "As hard times are coming, the trick now will be to weather those bad times and not end up reduced in our efforts or effects. As wars draw to an end, people forget they need medicine in their formations and will always cut Band-Aids before bullets, as it should be."    


COL Farr's remarkable career in Special Operations medicine included his early days serving as a Special Forces medic in Vietnam and later overseeing the SF 18-D training course as an E-8 medic before going to medical school. After completing medical school, he completed a pathology residency and served as both the USASOC Surgeon and the USSOCOM Surgeon before being assigned to his current position as the SOCCENT Surgeon. COL Farr is the last remaining active duty member of the legendary Military Assistance Command Vietnam - Studies and Observation Group (MACV-SOG) in Vietnam, the predecessor to today's Joint Special Operation Command. With his retirement, Special Ops medicine is losing one of its giants. 

Photo of the Week
Protective Detail Members practicing TCCC and Evacuation of Casualties using Medic as patient, Baghdad Iraq, 2007

Photos needed! 
Please send us your approved medical action images for future covers, newsletters, and our Photo Gallery!  Images must be high resolution, at least 300 dpi.
CTECCMeetingC-TECC Semi-Annual Meeting

The Committee for Tactical Emergency Casualty Care (C-TECC) will be hosting its semi-annual meeting  May 20-21st in Seattle, WA.  The focus of the meeting will be addressing pediatric specific challenges in high threat and dynamic preshopital settings.  During the public sessions, Dr. Bobko will be presenting proposed TECC Pediatric Guideline additions.  Dr. Richard Kamin, ACEP TEMS Section, will be discussing pediatric trauma preparedness implications from the Sandy Hook mass shooting.  

Date of Open Session: May 20
Location: Harborview Medical Center, 325 Ninth Ave. Seattle 
Contact Info:
Dr. Reed Smith - 
Dr. David Callaway - 
Thank you!
A huge thanks to the UN Arts Initiative and Humanitarian Resource Institute for all of their support via social media. We're extremely grateful for your posts and Retweets of our articles. 
Follow @UNArts on Twitter. 
Thanks for reading the JSOM ABCs. Get more articles like this when you subscribe to our quarterly journal.

The JSOM  - A Peer Reviewed Journal the Transcends the Boundary Between SOF and TEMS Medicine - Bringing Together the Academic Interests of Special Operations Medicine.


Michelle Landers
Journal of Special Operations Medicine



Breakaway Media, LLC, is a female veteran owned business registered with the Central Contracting Office of the Department of Defense
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Journal of Special Operations Medicine
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In This Issue
Fluid Resuscitation in Pigs - ISP Hextend Study
Intra-Orbital Training Munition
Deployed Assessment and Management of mTBI Casualties
Quality of Care Assessment in Far Forward Detection of Extremity Compartment Syndrome in War
H-II OPSEC - Redefining a Global Security Support System
Tactical Lighting Survey
Annoucement - COL Farr retires
Photo of the Week
C-TECC Semi-Annual Meeting
Thanks to UN Arts
Order Now!

The updated 2013 JSOM 7th Edition Advanced Tactical Paramedic Protocols Handbook (ATP-P)  (formally know as the Training Supplement) is now available! Order yours now!

Upcoming Events

New York State PARAMEDIC Original Course
Tuesday, April 16th 
North Shore-LIJ Health System Center for Learning & Innovation 1979 Marcus Ave, Ste 101
Lake Success, NY 11042

Retirement of COL Warner D. "Rocky" Farr 
Thursday, April 25th, 15:00
SOCCENT Headquarters (Building 1041)
MacDill Air Force Base, Tampa, Florida 33621 

AMLS Instructor Course 
Saturday, April 27th 
North Shore - Long Island Jewish Health System Center for Emergency Medical Services
15 Burke Lane,
Syosset, NY 11791

AMOPS National Conference 
May 2-3 
Denver, CO 
Click for more info

Committee for Tactical Emergency Casualty Care (C-TECC) Semi- 
annual Meeting
May 20-21
Harborview Medical Center
325 Ninth Ave.
Seattle, WA 98104
Click for more info 
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