A Word From Our Publisher

Greetings JSOM Newsletter Subscribers,

We have a significant change regarding an article in the Summer 2022 edition of the JSOM. It has come to our attention that a critical misprint appears in the paper titled, "Analgesia and Sedation in the Prehospital Setting: A Critical Care Viewpoint" by DesRosier, et. al.


Several dosages in Tables 1 and 3 on pages 50 and 52, respectively, are listed as milligrams (mg) but should be micrograms (µg)! For your convenience, we are attaching the two tables so you can download them here.


Table 1

Table 3

We apologize for this error not being caught prior to print; we have already corrected these tables in the digital version. In addition, we have notified all subscribers via direct email regarding this error and posted the correct tables across our social media channels and our eNewsletter.

Our 4th of July sale is happening on the JSOM Online Store. Take 10% of all storefront merchandise until July 9th by using the code 4July22 at checkout. We hope all of you have a safe and happy Independence Day!

Michelle DuGuay Landers, MBA, BSN, RN
Breakaway Media, LLC
Journal of Special Operations Medicine (JSOM)
Lt Col, USAF/NC (Ret)
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Journal of Special Operations Medicine Featured Abstracts

Tactical Combat Casualty Care Maritime Scenario: Shipboard Missile Strike

Butler FKBurkholder TChernenko MChimiak JChung JCubano MGurney JHall ABHolcomb JBKotora JLenart MLong APapalski WRich TATripp MShackelford SATadlock MDTimby JWDrew B. 22(2). 9 - 28. (Journal Article)


The types of injuries seen in combat action on a naval surface ship may be similar in many respects to the injuries seen in ground combat, and the principles of care for those injuries remain in large part the same. However, some contradistinctions in the care of combat casualties on a ship at sea must be highlighted, since this care may entail a number of unique challenges and different wounding patterns. This paper presents a scenario in which a guided missile destroyer is struck by a missile fired from an unmanned aerial vehicle operated by an undetermined hostile entity. Despite the presence of casualties who require care, the primary focus of a naval vessel that has just been damaged by hostile action is to prevent the ship from sinking and to conserve the fighting force on board the ship to the greatest extent possible. The casualties in this scenario include sailors injured by both blast and burns, as well as a casualty with a non-fatal drowning episode. Several of the casualties have also suffered the effects of a nearby underwater explosion while immersed. Challenges in the care of these casualties include delays in evacuation, the logistics of obtaining whole blood for transfusion while at sea, and transporting the casualties to the next higher level of care aboard a Casualty Receiving and Treatment Ship.


A Comprehensive Method of Assessing Body Composition Using Kinanthropometry in Human Performance Training

Wentz LMWebb PSBurks K. 22(2). 37 - 41. (Journal Article)


Nutrition is an essential component of Human Performance Optimization in Special Operations Forces (SOF) to enhance physical and mental performance, unit readiness, and mission success. Body composition is frequently used to monitor individual nutrition progress; however, using body fat percentage is limited both by the accuracy of the assessment method and its association with SOF relevant performance outcomes. Lower body fat and/or body mass index have generally, but not universally, been correlated with higher levels of physical performance, yet they poorly predict performance in military relevant tasks. As a complement to body fat, many performance dietitians in the SOF Human Performance Programs utilize the International Society for Advanced Kinanthropometry (ISAK) profile to assess body composition, proportionality, ratio of muscle to bone, and somatotype in combat Operators. Kinanthropometry is the study of human size, shape, proportion, composition, maturation, and gross function, and it is a helpful tool for monitoring nutrition and training progress in athletes and active individuals. The ISAK profile has been well established as an international method for talent identification, distinguishing characteristics between athletes across and within elite sports, and identifying predictors of sport performance that can be applied in the military setting. While some SOF dietitians are utilizing the ISAK profile, the challenge lies in translating sport data to military relevant outcomes. We present a series of four case studies demonstrating the utility of this method as a portable comprehensive assessment for cross-sectional and longitudinal body composition tracking in a military setting.


July 2022 Featured Article

Analgesia and Sedation in the Prehospital Setting: A Critical Care Viewpoint

DesRosiers TT, Anderson JL, Adams B, Carver RA. 22(2). 48 - 54. (Journal Article)


Pain is one of the most common complaints of battlefield casualties, and unique considerations apply in the tactical environment when managing the pain of wounded service members. The resource constraints commonly experienced in an operational setting, plus the likelihood of prolonged casualty care by medics or corpsmen on future battlefields, necessitates a review of analgesia and sedation in the prehospital setting. Four clinical scenarios highlight the spectrum of analgesia and sedation that may be necessary in this prehospital and/or austere environment.

Keywords: traumatic brain injury; pathophysiology; prehospital management; critical care

Read More
The Journal of Special Operations Medicine Podcast

The JSOM podcast digs deeper into the articles and subjects that matter to our readers. Our podcast hosts, Captains Alex Merkle and Josh Randles, tackle articles from the journal based on merit, interest, and application for operators in the field.

Current Episode

In this episode of the JSOM Podcast, Alex and Josh review:

Feasibility of Obtaining Intraosseous and Intravenous Access Using Night Vision Goggle Focusing Adaptors by Alexander Iteen, MD, and colleagues (p. 56)

The Efficacy of Vancomycin Powder in Mitigating Infection of Open Penetrating Trauma Wounds on the Battlefield: An Evidence-Based Review by Brett R. TerBeek, 18B, 18F, MPAS, and colleagues (p. 76)

Development of a Swine Polytrauma Model in the Absence of Fluid Resuscitation by Hassam Abdou, MD, and colleagues (p. 77, Winter 2021 Edition)

Listen on our Website
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Institutional Subscribers

The JSOM is incredibly grateful to have the support of many institutions around the world. We would like to thank our recent institutional subscribers and re-subscribers for their support by acknowledging them in our eNewsletter and, when applicable, sharing their social media information.

In this edition, we welcome back The Swedish Armed Forces Center for Defence Medicine in Vastra Frolunda, Sweden and Defensie Gezondheidszorg Opleidings - en Trainingscentrum (DGOTC) in Loosdrecht, The Netherlands

Visit https://jsom.us/Library for a full list of institutions that are currently subscribing to the JSOM. We are beginning a campaign to expand our institutional subscriptions. If you think your company would benefit from an institutional subscription, let us know! We'll be happy to talk to you and get the ball rolling. You don't have to be a university or medical center to subscribe - we have many EMS units, government agencies, and military medical units both in the United States and abroad.

Are you on the list? Great! Need to know how to access our resources? You can either contact your head librarian or shoot an email to subscriptions@JSOMonline.org.

Institutions receive either a print copy of our journal, digital access, or both. Digital subscribers have unlimited access to our full compendium of articles, journals, and the ATP-P. If you are a student, researcher, doctor, or other medical professionals at one of these institutions, please contact your librarian for login details. Additionally, the digital resources are typically available 2-3 weeks ahead of print publication.

If your institution is not on the list and you would like more information about our institutional access, contact our subscriptions manager, Dr. Scott Graverson.

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Photo of the Week


Associated Story by Staff Sgt. Kevin Donaldson 

New York National Guard 



WESTHAMPTON BEACH, New York– On April 24, 2017, seven Airmen from the New York Air National Guard’s 106th Rescue Wing jumped into the night sky over the Atlantic, 1,700 miles from Long Island.

Their mission was to provide emergency care for two sailors on the Slovenian bulk carrier Tamar who had been badly burned in an explosion.

On June 4, 2022, the two combat rescue officers and five pararescuemen from the wing’s 103rd Rescue Squadron, who jumped that night, were awarded the Air Force Commendation Medal for heroism for their actions during a ceremony at F.S. Gabreski Air National Guard Base in Westhampton Beach...


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Please send us your approved medical action images for future covers, our journal Photo Gallery, bi-weekly eNewsletters, and JSOM social media! All images must include captions in the emails in which they are sent. Images for print must be high resolution, at least 300 dpi. Images for the eNewsletter and social media must be at least 400px wide, 72 dpi.  

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