A Word From Our Publisher

Greetings JSOM Newsletter Subscribers,


We are looking to connect with you on social media and grow the conversation regarding the JSOM as well as the information and materials available on the JSOM website, podcast, and our Online Store. Please submit your questions, suggestions, and constructive critiques to us at admin@jsomonline.org or via direct message on Instagram, LinkedIn, and Facebook @jsomonline. If you are an active duty military medic your opinion is especially important to us.  We want to hear from you!

Respectfully,
Michelle DuGuay Landers, MBA, BSN, RN
Breakaway Media, LLC
Publisher
Journal of Special Operations Medicine (JSOM)
Lt Col, USAF/NC (Ret)
publisher@jsomonline.org
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Journal of Special Operations Medicine Featured Abstracts

Management of Severe Crush Injuries in Austere Environments: A Special Operations Perspective

Anderson JLCole MPannell D. 22(2). 43 - 47. (Journal Article)

ABSTRACT


Crush injuries present a challenging case for medical providers and require knowledge and skill to manage the subsequent damage to multiple organ systems. In an austere environment, in which resources are limited and evacuation time is extensive, a medic must be prepared to identify trends and predict outcomes based on the mechanism of injury and patient presentation. These injuries occur in a variety of environments from motor vehicle accidents (at home or abroad) to natural disasters and building collapses. Crush injury can lead to compartment syndrome, traumatic rhabdomyolysis, arrythmias, and metabolic acidosis, especially for patients with extended treatment and extrication times. While crush syndrome occurs due to the systemic effects of the injury, the onset can be as early as 1 hour postinjury. With a comprehensive understanding of the pathophysiology, diagnosis, management, and tactical considerations, a prehospital provider can optimize patient outcomes and be prepared with the tools they have on hand for the progression of crush injury into crush syndrome.


READ MORE

Prehospital Traumatic Brain Injury Management Clinical Pearls and Pathophysiology

Ditzel RMHwang BYSchmid JHLing GS. 22(2). 55 - 61. (Journal Article)

ABSTRACT


Traumatic brain injury (TBI) management is complex. The brain is a sensitive, high-maintenance organ that loses its ability to take care of itself upon injury, and our primary mission is to achieve and maintain optimal levels of cerebral blood flow (CBF) from the moment of injury until recovery. The authors provide a case and discuss prehospital patient management, including adequate oxygen saturation and blood pressure, early recognition of TBI, frequent exams, detailed charting and hand-off, and fast transport to the next echelon of care.

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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)

ABSTRACT


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.

SPRING 2022

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
Listen, Rate, and Review on Apple Podcasts
Please Support Our Sponsors
The Journal of Special Operations Medicine is proud to have the support of many great sponsors. Our sponsors are leaders in the field of military medical technology. Please help support these companies by following the links below to learn more about their missions and the products they offer.
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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 Medical Support Unit Hereford Garrison, United Kingdom, and the 528th Sustainment Brigade, Ft. Bragg, North Car!


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.

Contact Dr. Graverson
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Photo of the Week

LIHUE, HI

Photo by Staff Sgt. Derek Davis 

149th Fighter Wing Public Affairs (Texas Air National Guard) 


Service Members taking part in Tropic Care Innovative Readiness Training (IRT) 2022 on the island of Kaua’i participated in Tactical Combat Casualty Care (TCCC) training, teaching service members evidence-based, life-saving techniques and strategies for providing trauma care on the battlefield. This is just one of many additional trainings IRT service members can paticipate in to bolster their skills outside of their usual speciality.


Do You Have a Photo to Share?  

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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Journal of Special Operations Medicine 

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