Journal of Special Operations Medicine Newsletter
15 February 2017 - Issue 95
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Greetings,
Our Spring Edition is in publication. The Spring edition is our Pre-Special Operations Medical Association Scientific Assembly (SOMSA) issue. As the only official journal of the Special Operations Medical Association (SOMA), we are proud to be a strategic partner of the only medical association in the world that brings together the unique blend of pre-hospital, tactical, wilderness, austere, disaster and deployed medicine. For more information about SOMSA, please visit
http://www.specialoperationsmedicine.org.
We hope to see you there.
Don't forget, we are headed out to Utah for the JEMS EMS Today conference 23-25 Feb. This will be our first time attending this conference; if you're planning to be there, please stop by and say hi. We will be at booth 1328. We have been actively tweeting with several of our fellow exhibitors. If you will be at the conference and would like us to tweet/promote your booth number, please follow us @jsomonline and
#EMSTODAY2017.
Respectfully,
Michelle DuGuay Landers, MBA, BSN, RN
Breakaway Media, LLC
Publisher
Journal of Special Operations Medicine and Advanced Tactical Paramedic Protocols Handbook
Lt Col, USAFR/NC (Ret)
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Committee on Tactical Combat Casualty Care: Meeting Minutes
7-8 September 2016 Atlanta, GA
Dr. Frank Butler Dr. Stephen Giebner
7 September 2016
1. Chairman's Welcome: Dr. Frank Butler, the Chairman of the Committee on Tactical Combat Casualty Care (CoTCCC), convened the meeting. After a review of the agenda, there were no conflicts of interest reported by the attendees. Dr. Butler gave a brief overview of the CoTCCC and Joint Trauma System (JTS) organization and the standard procedures of the CoTCCC for updating the TCCC guidelines. Dr. Butler presented TCCC certificates of appreciation to CoTCCC members COL Samual Sauer and CMDCM Steve Viola, who are retiring from active service. He also presented a TCCC Special Award to COL (Retired) John Kragh and noted that, without Dr. Kragh's landmark research on tourniquet use in Iraq, "We would still be arguing about whether or not to use tourniquets, rather than discussing how to use them most effectively."
2. Combat Medic Presentation: SSG Ernest Parish and SSG Myles McKenzie (medics from the 75th Ranger Regiment) and LTC David King (surgeon) discussed the care of two casualties on a Special Operations mission in southeastern Afghanistan. Insertion was by helicopter and the landing zone was in difficult terrain. The enemy lay in wait in the target building. Ambient temperatures were 35-40º F, so all casualties had 3-4 layers of clothes on, complicating their care. Six men were wounded on this mission. The comments that follow apply to the first two casualties. The first casualty was wounded by enemy fire from portholes in the walls as the team approached the target. He was moved to a secondary casualty collection point 50-75 meters further away from the target.
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ABSTRACT
This is the first of a two-part article discussing loadcarriage- related paresthesias, including brachial plexus lesions (rucksack palsy), digitalgia paresthetica, and meralgia paresthetica. Paresthesias are sensations of numbness, burning, and/or tingling, usually experienced as a result of nerve injury, compression, traction, or irritation. Rucksack palsy is a traction or compression injury to the brachial plexus, caused by the shoulder straps of the rucksack. The patient presents with paresthesia, paralysis, cramping with pain, and muscle weakness of the upper limb. Muscle-strength losses appear to be greater in those carrying heavier loads. Hypothetical risk factors for rucksack palsy include improper load distribution, longer carriage distances, and load weight. Nerve traction, compression, and symptoms may be reduced by use of a rucksack hip belt; wider, better-padded, and proper adjustment of the shoulder straps; reduction of weight in the rucksack; a more symmetric distribution of the load; and resistance training to improve the strength and hypertrophy of the shoulder muscles.
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ABSTRACT
Topical burns from the use of garlic have been reported rarely in the medical literature. Most cases have resulted from the use of naturopathic or home remedy treatments. A 20-year-old male military Servicemember presented to a military wound care clinic 7 days after applying a homemade topical preparation of garlic to the zygomatic region of the right side of his face. The patient had consulted the Internet for treatment of a minor skin lesion in that area. He created a garlic paste, applied it to the affected area, and covered it with a dressing. Twelve hours later, he noted an intense burning sensation where he had applied the garlic paste.
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TACTICAL EDUCATIONAL RESOURCES
Are you familiar with the Tactical
Educational
Resources
section of the JSOM website? This
important
T
acMed portion of our website is available without a subscription and includes all things TCCC,
TEMS,
TECC
, and PFC. They
includ
e committee
meeting minutes, training slides, conference proceedings, TCCC course curricula, guidelines, updates and more. Follow the link for all you need to know.
Please be sure to visit our "JSOM en Español" at
www.JSOMonline.org.
It has all the TCCC, TacMed, and PFC articles translated into Spanish.
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International Board for Specialty Certification (IBSC) Study and Survey
The International Board for Specialty Certification (IBSC) surveys are ready. We need your feedback.
Please take the survey yourself and then forward the appropriate survey links far and wide to people in your networks that are practicing at the either the critical care paramedic level or the tactical level.
International Board for Specialty Certification (IBSC) Tactical Responder Study
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A Letter from the 2017 MHSRS Planning Committee
The MHSRS is the Department of Defense's premier scientific meeting. This Joint symposium provides a collaborative environment for military medical care providers with deployment experience, DoD scientists, academia, and industry to exchange information on research advancements and health care developments in the areas of Combat Casualty Care, Military Operational Medicine, Clinical and Rehabilitative Medicine, and Military Infectious Disease Research Programs. It is the only scientific meeting that addresses the unique medical needs of the Warfighter.
The location and date of the 2017 MHSRS are still to be determined. This information will be posted on the MHSRS website and communicated via a mass e-mail when it is available. PLEASE DO NOT EMAIL US asking this question.
The 2016 MHSRS broke all previous records for abstract submission and attendance! The 2017 MHSRS will offer more than 60 scientific breakout sessions that includes new topics such as Updates in Prolonged Field Care and Knowledge Translation as well as more in-depth topic discussions in the form of tract sessions. New tract sessions for 2017 include Global Health Engagement and Environmental Exposure Monitoring. In addition, the 2017 MHSRS will continue to highlight the research contributions of Young Investigators with a dedicated plenary session.
Submitters will be notified of results by 8 May 2017.
Please forward this Call for Abstracts to any interested party, and keep checking the MHSRS website for updates on conference date and location.
Thank you!
2017 MHSRS Planning Committee
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Journal of Special Operations Medicine (JSOM)
We have advertising space available in the JSOM, on our website, and in our eNewsletter. The JSOM is subscribed to in 34 countries. Thousands follow us on social media and subscribe to our eNewsletter. Reach a broader audience by advertising with us today! Some of our ad packages even include complimentary Social Media features. For more information, please email us at
[email protected]
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JSOM IMAGES NEEDED
The JSOM is currently seeking approved high-resolution medical action images for the journal cover and inside Photo Gallery. We thank our International subscribers for their continued support and for providing images on a regular basis. We would like to see more images submitted from our US military and TEMS medical personnel. Please submit your images today! If your image is selected for our cover (must be in a landscape format), you can win a free one year digital subscription to the JSOM. Images not suitable for the cover or Photo Gallery in the journal may still be featured in our bimonthly eNewsletter or
on our Instagram feed
. Submit your images today to
[email protected]
THE NEW JSOM ONLINE STORE
We have been working hard on redesigning the JSOM website and we recently completed the Online Store. We are confident that you will find the new and improved Online Store experience to be a huge improvement over the previous design. In addition to a complete visual overhaul, the store is now equipped with a myriad of contemporary features including:
- Mobile compatible - the site now displays nicely on tablets and phones
- Social Media Integration
- you can now share products on your personal Social Media pages
- You can also log into the site using your Facebook profile information as your account
- Guest Checkout - you can now checkout without having to create an account
- List view of products - you can now view more information about the product (abstracts, etc) on the page by switching to list view
- Related Products - Individual articles are linked to the journal from which they came. Viewing the Journal will show you all the articles within that journal.
The Advanced Tactical Paramedic Protocols Handb
ook (ATP-P) is available in Print, Tablet, and Digital format in both English and Spanish.
The Spanish version of the ATP-P Handbook contains all of the information and images in our English
resource: Tactical Trauma Protocols (TTP); Tactical Medical Emergency Protocols (TMEPS); Canine-TCCC; the Recommended Drug List (RDL) (which covers the side-effects / adverse effects / contraindications / warnings, adult and pediatric dosages, and what protocols they would be relevant to); Burn and Nerve Charts, and the Military Acute Concussion Evaluation (MACE) and prehospital Combat Medic/Corpsman Algorithm (CMA) Charts that are approved for use by the ATP-P. In addition, the Spanish version contains an English-to-Spanish and Spanish-to-English index of medical terms.
To purchase the TABLET or DIGITAL version of the ATP-P 9th Edition, please follow the link to our subscription page:
Our PRINT version is available at
If you already have an account with the JSOM, you can log into your account and add the Spanish ATP by clicking on the Subscriptions tab of the Accounts page.
"JSOM en Español"
Visit "JSOM en Español" at
www.JSOMonline.org
. It has all the TCCC, TacMed, and Prolonged Field Care (PFC) articles translated into Spanish.
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Psychological Health Webinar:
Transforming Anger: Proven Strategies
Feb. 23, 2017; 1-2:30 p.m. (ET)
During deployments, Servicemembers may use anger as a normal and healthy coping skill in combat situations. But anger can sometimes negatively and uncontrollably carry over into relationships with family and friends after returning home. This webinar will offer health care providers tools to recognize the dysfunctional cognitive processes that trigger anger behavior. Presenters will discuss proven strategies to transform the negative emotional, cognitive and physiological aspects of anger, into more constructive behaviors.
The webinar will feature tips focused on maintaining physical health to reduce and ward off vulnerability to anger. Presenters will also discuss behavioral and cognitive strategies that teach Servicemembers healthy communication and collaborative problem solving skills and helpful methods to calm someone during an episode of anger.
At the conclusion of this webinar, participants will:
-Analyze the impact of anger triggers on health and relationships
-Examine the physical health vulnerabilities to anger
-Identify cognitive and behavioral strategies to modify anger behavior
Presenters
-Mark J. Bates, Ph.D. Associate Director, Psychological Health Promotion Deployment Health Clinical Center Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury Silver Spring, Maryland.
-Monique Moore, Ph.D. Clinical Psychologist Deployment Health Clinical Center Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury Silver Spring, Maryland.
-Jesse Cougle, Ph.D. Associate Professor Department of Psychology Florida State University Tallahassee, Florida Moderator. -Maj. Demietrice L. Pittman, Ph.D. Chief, Implementation Science Deployment Health Clinical Center Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury Silver Spring, Maryland.
Continuing Education
Continuing education credit is available from Professional Education Services Group (PESG). You must register by 3 p.m. (ET) Feb. 23, 2017, to qualify for the receipt of continuing education credit. The awarding of continuing education credit is limited in scope to health care providers who actively provide psychological health and traumatic brain injury care to U.S. activeduty Servicemembers, reservists, National Guardsmen, military veterans and their families.
Registration
Sign up for the webinar at http://dcoe.cds.pesgce.com. Please note, registration is required for each webinar regardless if the participant has an existing PESG account. Upon completion of registration, a confirmation email will be sent providing webinar event details. Once registered, you may use Adobe Connect or Defense Collaboration Services to attend the webinar. If you have questions or need assistance, please email the DCoE webinar team via the website.
Did you miss the 2016 Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury Summit "State of the Science: Advances, Current Diagnostics and Treatments of Psychological Health and Traumatic Brain Injury in Military Health Care" in September?
Recorded sessions from the 2016 DCoE Summit's psychological health and traumatic brain injury tracks are now available as on-demand courses. Sessions are available now 24/7 through April 2017.
Up to 28 hours of continuing education (CE) credits are available for health care providers (including physicians, physician assistants, nurses, nurse practitioners, psychologists, occupational therapists, physical therapists, pharmacists, social workers, speech language professionals, rehabilitation counselors, medical coders and health care executives). Note: CE credits vary by course.
Start earning CEs today. Visit the Summit website at dcoe.cds.pesgce.com to enroll. Select "2016 Summit Home Study Sessions."
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PEOPLE: The
SOFsono family is growing, but in this house there is always room for more. Big families are fun! Let us share your sono-story. Just say the word (or send an email to
[email protected]) and we will help you put it together.
WHAT'S NEW: The SOFsono JSOM case #2 is out, and case #3 (co-authored by
doc Dare ) is coming up! This series of SOF-focused ultrasound education tidbits is a joint initiative by
JSOM and
SOFsono.org.
BACK 2 BASICS: Do you always need x-rays in musculoskeletal trauma? Why wouldn't you grab an ultrasound probe instead?
SOFsono JSOM case #2 is a perfect example. Broken or not, that's the clinically and operationally pertinent question, and SOF Medics rock at
answering it correctly
!
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NATIONAL TACTICAL OFFICERS ASSOCIATION
SWAT Command Decision-Making and Leadership I
Feb. 20-24, 2017
Co-hosted by Gainesville Police Department
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This 5-day course is designed to expose police SWAT team commanders and supervisors to contemporary SWAT issues, tactics and procedures.
Topics include major incident debriefs; leadership issues; justifying SWAT; the use of SWAT teams; SWAT standards and professionalism; contemporary SWAT issues and concerns; SWAT and the media; selection, training, discipline and removal of supervisors and team members; crisis negotiations teams, tactical operation centers; operations planning; weapons and equipment selection; legal issues overview; critical incident management; barricade and hostage procedures; warrant service planning and procedures; and response to active shooter situations.
Click
here for more information on this class.
Cost:
$675 for NTOA members
$730 for non-members (includes one-year membership to NTOA)
Contact:
Laura Gerhart, 800-279-9127, ext. 128
email: [email protected]
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Rocky Mountain Winter Conference on Emergency Medicine, held at the Copper Mountain Resort in Copper, Colorado February 25-March 1, 2017.
Rocky Mountain Winter Conference on Emergency Medicine 2017 will be at the amazing Copper Mountain Resort just outside of Denver. Copper is an absolutely beautiful ski resort featuring challenging slopes, a ski in - ski out conference center, and great activities for the entire family.
NEW PRE-CONFERENCE
Winter Wilderness Medicine And Snow Skills Workshop. Saturday, February 25, 2017. Learn to survive and thrive in the face of winter and mountain emergencies. Join international wilderness medicine experts Dr. Todd Miner and Dr. Jay Lemery to practice winter survival on the mountain. Topics include managing cold injuries, building snow shelters, sleds, litters and carries, as well as an introduction to avalanche safety. Backcountry skis or snowshoes required and available for rent. Participants responsible for lunch and ski lift ticket. 8 additional CME Hours. Space is limited so sign fast
at http://www.rockymtncme.com/
The Saturday evening, February 25th Welcome Reception is always a must! Saturday evening's keynote speaker is Dr Peter Hackett, Director for Institute of Altitude Medicine, speaking on "Mountain High Adventures: Lessons from the Wilderness for your ED!".
ACEP legend Dr. Amal Mattu returns to kick off Monday with "VTach Mimics that ACLS will Kill!"
To create a truly exceptional learning experience for all the participants, Rocky Mountain Winter Conference brings together the very best educators from the top emergency medicine training programs throughout the United States. Every detail of the curriculum has been developed specifically for today's practicing Emergency Physician.
This conference provides an exceptional networking opportunity for your company in a relaxed ski in ski out atmosphere.
Target Audience:
The Rocky Mountain Winter Conference on Emergency Medicine has been designed primarily for the Emergency Physician. It is also a valuable educational experience for healthcare providers including, Intensivists, Hospitalists, Family Physicians, Paramedics, Nurses and Physician Assistants utilizing the talents of the most respected emergency medicine training hospitals in the country.
Accommodations:
Copper Mountain Resort
Discounted room rates from $211 (single/double occupancy)
Discounted rate deadline January 25, 2017
Please book reservations directly with the Copper Resort Group Reservations at 888-760-7561 and reference the Rocky Mountain Winter Conference and/or code #2394. When booking lodging, group discounted lift tickets, rentals, and ski school can also be purchased - in addition to other winter activities/offerings.
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Remote Healthcare Middle East
Following on from the incredible success of the inaugural event, we are delighted to announce the second installment of Remote Healthcare Middle East, taking place on 7-8 March 2017. This conference was established to provide a regional platform for local and international visionaries and innovators to discuss, network and share knowledge about developments and next generation solutions for remote healthcare. For more information, visit
http://www.remotehealthcareme.com/welcome
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Prehospital Emergency Care Procedure Lab
Presented by Teleflex
This hands-on, CE accredited, workshop is designed to provide a unique opportunity to review relevant anatomy associated with critical care and lifesaving emergency procedures.
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Under expert instruction, participants
will have the opportunity to practice the
following procedural skills:
* Basic Airway Management
* Direct and Video Laryngoscope Intubation
* Intraosseous Access
* Other Relevant Emergency Procedures
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National Tactical Medicine Competition
S
OARescue, in partnership with multiple organizations, officially announces the National Tactical Medicine Competition (NTMC). This competition is being held on Sunday, May 21st in Charlotte, NC at the Charlotte-Mecklenburg Fire and Police Training Academy (1770 Shopton Rd, Charlotte, NC 28217). Registration for competitors is open We have (1) of the (15) spots left, we will then begin a waiting list.
The National Tactical Medicine Competition is an event created to allow tactical medical providers from around the country the opportunity to collaborate and compete in a community of peers. Civilian Tactical Medicine is a relatively new discipline within the world of pre-hospital medicine. Together with The Committee for Tactical Emergency Casualty Care, we are creating opportunities to increase awareness, collaboration and training. This competition is a great opportunity to bring like-minded individuals together and support a cause greater than self.
The National Tactical Medicine Competition is based on the Tactical Emergency Casualty Care guidelines and all simulated patient care will be inline with the currently approved guidelines. The Committee for Tactical Emergency Casualty Care (C-TECC.org) endorses the NTMC.
Proceeds from the Competition will benefit the equipping and training of first responders, with the skills and equipment needed to save lives.
Teams of two competitors will negotiate through a series of events to challenge both clinical and physical abilities. While the "lanes", as they are called, will be agnostic to provider level, they will require competency and skill to negotiate successfully. Competitors will proceed through the phases of care. Beginning at direct threat care, minimal treatment is performed but physical ability will be required to move the patient. Teams will transition to indirect threat care where they will be expected to further treat the patient and prepare for evacuation. Following, teams will evacuate the patient to a given location and continue to provide care during evacuation. Teams will then have to continue through specialized skill sets found only in tactical medicine.
The Mission of the Competition is simple, To Preserve Life. Through friendly competition among peers in a community of professionals, competitors and observers alike will all be able to take something away from this unique event.
Competition - Networking - Training - Fellowship
The Competition will consist of 15 two man teams and will be held over 9 hours on May 21st 2017. Banquet to follow.
Date: May 21st 2017, 0800-1700
Place: Charlotte Fire and Police Training Academy
Address: 1770 Shopton Rd, Charlotte, NC 28217
Team: 2 competitors per team, 15 Teams
Cost: Competition Team $150.00 Entry fee
Banquet Ticket: $20.00
Attendee: $0.00
Sponsor: Price Varies
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DoD/Dept. of the Army - USAMRAA announced the following US Special Operations Command Broad Agency Grant Announcement-W81XWH-16-R-SOC1.
The full details can be obtained at
While pre-proposal submissions can be submitted throughout the open period of the BAA which is 15 April 2016 - 14 April 2017, for consideration for the first Program Review, the pre-proposal submission is due on August 1, 2016.
Announcement Information:
Funding Opportunity Number: W81XWH-16-R-SOC1
Funding Opportunity Title: US Special Operations Command Broad Agency Announcement
Category of Funding Activity: Science and Technology and other Research and Development
Posted Date: Apr 15, 2016
Original Closing Date for Applications: Apr 14, 2017
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The military, specifically the 75th Ranger Regiment, has proven that with focused leadership, focused training, the right equipment, and a trauma system approach; preventable combat deaths can be brought to zero. Can we do the same for all of our civilian and military trauma care systems and actually learn from our lessons learned? Follow the link for more information and a PDF download.
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SOCIAL MEDIA NEWS
FOLLOW THE JSOM ON FACEBOOK
Are you following us on Facebook? We are committed to staying in contact with our readers even when we are between issues. We share relevant articles, news, and valuable information regularly on Facebook. If you were previously connected to the JSOM timeline, we are no longer using that page. Please like our official brand page and don't forget to share our posts with your friends and colleagues. Follow the link, like, and be sure to receive notifications. facebook.com/jsomonline
FOLLOW THE JSOM ON INSTAGRAM
The Journal of Special Operations Medicine has launched its official Instagram page. We would like you to be part of our Instagram community. If you are on Instagram, please follow us at instagram.com/jsomonline and spread the word!!!
Do you have an approved medical action image you would like to share on our feed? Please submit your images via message at our official Facebook page or #jsmonline on Instagram. All images submitted must be approved for sharing by their respective copyright owners. Please include all pertinent information including photographer name, location, descriptive elements, etc...
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NEW TO THE JSOM WEBSITE
The website is now 100% mobile-compliant. We continue to streamline many features of the website to make it easier to navigate. Important features include:
-The new and improved JSOM Online Store is now up and running. Visit us at
https://www.jsomonline.org/jsomstorefront/index.php
- All of our Tactical Combat Casualty Care (TCCC), Tactical Emergency Casualty Care and Tactical Emergency Medical Support (TECC/TEMS), Prolonged Field Care (PFC), Point of Care Ultra Sound in SOF Medicine (SOFsono) updates, guidelines, curricula, and cases are available as downloadable zip files. We have included a table of contents so you know what the zip file contains.
-As mentioned above, we also have all the Tactical Educational Resources translated into Spanish.
-Under the Articles tab you will find our Articles database including the Authors and Keywords search forum and links to our Submission Criteria and Author Requirements.
- Don't miss our Essential Items section, which allows you to look at the current edition of the JSOM's table of contents, direct links to subscriptions and the Online Store where you can get the Advanced Tactical Paramedic Protocols (ATP-P) Handbook, past editions of the JSOM, and articles.
We are striving to improve the JSOM web experience for all visitors and subscribers. Please be patient as we continue to tweak the changes. We welcome any suggestions you may have. See what's new at
www.jsomonline.org
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Military Nurses Foundation imparts a free Tactical Medicine course to personnel of the Special Forces Brigade.
Photograph courtesy of First Sergeant (RA) Hector Guillermo Bernal. Director of Military Nurses Foundation Colombia
DO YOU HAVE A PHOTO TO SHARE?
Please send us your approved medical action images for future covers, our journal Photo Gallery, bimonthly 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
1275 66th St N, # 41494
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UPCOMING EVENTS
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CBRN INTL
16, Feb 2017
Coventry, UK
EMS Today
23-27 Feb 2017
Salt Lake City, UT
Rocky Mountain Winter Conference on Emergency Medicine
25 Feb-1 March
2017.
Copper Mountain Resort. Copper, CO.
Remote Healthcare Middle East
7
-8 March 2017, The Westin Abu Dhabi, UAE
2017 SOMSA
22 May-25 May
2017.
Charlotte Convention Center. Charlotte, NC.
For more information on professional development and other events, please visit the
JSOM Calendar.
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