A Word From Our Publisher

Greetings JSOM Newsletter Subscribers,

The Journal of Special Operations Medicine extends our condolences to the family and friends of two Army Ranger candidates that died on 9 Aug after being struck by a falling tree during a thunderstorm near Dahlonega, GA. Three others were injured. 

According to Stars & Stripes;

SSG George Taber and 2LT Evan Fitzgibbon were on a training exercise at Yonah Mountain when the tree fell. 

“Those who volunteer to attend Ranger School represent the very best of our military,” Col. Christopher Hammonds, commander of the Airborne and Ranger Training Brigade, said in the statement. “This loss resonates across our Army and across our nation.” SSG Taber was a Special Forces medical sergeant with the 7th Special Forces Group. He enlisted in the Army in 2017 and graduated the special forces qualification course in 2018. He later completed the combat medic course, military freefall parachutist course and survival, evasion, resistance and escape course, the Army said. Fitzgibbon was an infantry officer, he was commissioned in May 2021 after graduating from the U.S. Military Academy at West Point, NY. 

The Updated ATP-P is Here

The brand new Advanced Tactical Paramedic Protocols Handbook (ATP-P) 11th Edition is out. Our digital flipbook version is currently available for purchase through our subscription portal found here If you currently have a digital subscription to the ATP-P Handbook, it will automatically upgrade to the latest version. The print version will be available very soon on our Online Store. The ATP-P has long been a cornerstone of JSOM/Breakaway Media and as the publisher of the ATP-P handbook we have worked diligently over the years to improve this publication in a way that makes the book easy to use and easy to carry for all people, be it the medic on the battlefield or the student in the classroom. In addition to our original reinforced cover, we are now also offering the ATP-P Handbook in waterproof/tear proof paper. We have made some improvements in this current version that we think will benefit our readers/users to use this book in a much more efficient manner.  In keeping with our commitment to produce only the highest quality products, we are confident you will find this new handbook continues to be the gold standard you have become accustomed to with Breakaway Media.

Michelle DuGuay Landers, MBA, BSN, RN
Breakaway Media, LLC
Journal of Special Operations Medicine (JSOM)
Lt Col, USAF/NC (Ret)
A note about the newsletter design: This newsletter has been created using one cohesive font and a unified JSOM brand and color design. If the banner/header is missing and/or multiple fonts or unusual colors are appearing in your copy, it is a result of your personal settings or the settings attached to your email. For optimal viewing of this newsletter, we suggest opening the newsletter in a browser.
Journal of Special Operations Medicine Featured Abstracts

Principles and Considerations in the Early Identification and Prehospital Treatment of Thrombocytopenia

Nietsch KSRoach TMWilson ZDKelly SM. 22(2). 75 - 79. (Journal Article)


Thrombocytopenia is a common condition characterized by a low platelet count, typically less than 150,000/µL. This article outlines key considerations for field medical providers to effectively identify the early signs of thrombocytopenia and treat different etiologies in the prehospital environment. Following a representative case study, we present a review of basic pathophysiology to include different manifestations of thrombocytopenia as well as diagnostic methods, treatments, and other necessary interventions in this unique setting. With an adequate understanding of typical patient histories and physical presentations leading to this diagnosis, field medics and physicians can be armed with useful information to potentially improve patient outcomes.


Prehospital Electrolyte Care: A Review of Symptoms, Evaluation, and Management

Painter ACarius BM. 22(2). 80 - 86. (Journal Article)


Ongoing evolution of prehospital medical care continues to advance beyond tactical field care scenarios in the consideration of prolonged field care. This is even more important to consider in theaters with extended evacuation times and limited local medical assets. The critical regulatory functions of electrolytes such as sodium, potassium, calcium, and glucose require medics operating in these environments to have a strong, fundamental knowledge of the principles, manifestations, and initial stabilization measures to aid their patients prior to, or in lieu of evacuation. Continued development and access to point of care testing in increasingly forward deployed settings further enables medics to perform these tasks. Here, we provide a brief review of these vital electrolytes, as well as additional kidney function evaluation considerations, to assist medics in their treatment efforts. Specific concerns for battlefield and atraumatic presentations are addressed.


August 2022 Featured Article

Airway Management With Noninvasive Positive Pressure Ventilation

Papalski W, Siedler J, Callaway DW. 22(2). 93 - 96. (Journal Article)


Noninvasive positive-pressure ventilation (NPPV) is a form of ventilatory support that does not require the placement of an advanced airway. The authors discuss the use of NPPV on patients who will likely benefit. The use of NPPV has reduced the need for patients to require intubation and/or mechanical ventilation in some cases, as well as benefits.

Keywords: noninvasive positive-pressure ventilation (NPPV); continuous positive airway pressure (CPAP); bilevel positive airway pressure (BiPAP); noninvasive ventilation (NIV); acute respiratory failure (ARF)

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

The Summer 2022 podcast features articles written primarily by medics and non-physicians. This entire edition of the journal is focused on the Critical Care aspect of SOF Medicine, so we wanted to invite the tip of the spear medics to talk about their research on this episode. The first article is, "Analgesia and Sedation in the Prehospital Setting: A Critical Care Viewpoint" by Taylor DeRosiersm et. al. "Mechanical Ventilation: A Review for Special Operations Medical Personnel" by Jonathan Friedman and Seth Assar follows. We finish up with, "Airway Management With Noninvasive Positive Pressure Ventilation" by Papalski, Siedler, and Callaway.

Listen on our Website
Listen, Rate, and Review on Apple Podcasts

Please Support Our Sponsors and Media Partners

The Journal of Special Operations Medicine is proud to have the support of many great sponsors and media partners. 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. This section also features peridoic promtional information for events and conferences, including the 2023 SOMA Scientific Assembly. 

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 several resubscribers!

The Defence Science and Technology Laboratory, Salisbury, Wiltshire, United Kingdom

The US Air Force Pararescue Program

We also have a new subscriber this month!

The Special Warfare Operational Medicine Squadron, Kirtland AFB, New Mexico

Visit https://jsom.us/Library for a full list of institutions 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
Support the Journal of Special Operations Medicine
Photo of the Week


Photo by Sgt. April Benson 

U.S. Army Europe and Africa 


U.S. and Polish event participants observe U.S. Army Spc. Alexus Leyno and her Polish Army counterpart brief K9 casualty care during Military Doctor in Łódź, Poland.

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.  

Staff Directory
Facebook  Twitter  Linkedin  Instagram  

Breakaway Media, LLC, is a woman service-disabled veteran-owned small business (WOSB and SDVOSB) registered with the Central Contracting Office of the Department of Defense

DUNS #070397122 / Cage #6F0Z6
Primary SIC Code - 2721
Journal of Special Operations Medicine 

This disclaimer pertains to any publication (aka, "publications") written or electronic set forth by Breakaway Media, LLC (BAM) and includes, but is not limited to: The Journal of Special Operations Medicine (JSOM), social media posts to Facebook, Twitter, Instagram, LinkedIn, the JSOM eNewsletter, the JSOM website, and any promotional materials published by BAM. The views and opinions expressed in these publications are those of the authors, contributors, and sponsors of the JSOM and BAM, and do not necessarily reflect those of the JSOM, the JSOM Editorial Board ("the editorial board"), BAM, or its affiliates. Neither the JSOM, the editorial board, BAM, nor its affiliates hold themselves responsible for statements or products discussed in any BAM publications. Unless so stated, material in BAM publications does not reflect endorsement, official attitude, or position of the JSOM, the editorial board, BAM, or affiliates. Products advertised have not been tested by the JSOM, the editorial board, BAM, or its affiliates, and, as such, cannot be held liable for any injury or death caused by the use or misuse of the products contained herein. Neither BAM, the editorial board, nor its affiliates, make any warranty, representation, endorsement, or guarantee of products advertised, discussed, tweeted, retweeted, or shared any publication, to include the assumption of any liability whatsoever arising out of the application, use, or misuse of any product. As a medical publication, we are committed to sharing new technology and products we feel may be of interest to our readers, and encourage all readers and users of said products to use with caution and under proper authorization and professional guidance.

Tagging the JSOM on Instagram / Disclaimer
We assume by tagging us on Instagram, you are authorized to disseminate the photograph you are sharing with us. If you are a photographer whose image has been used or shared without authorization, please notify us immediately so we may give you proper credit.