Dear Zhenying,
There are only 28 days until the 2013 SOMA Scientific Assembly!!! Register now at specialoperationsmedicine.org. Breakaway Media is honored to have just published the NATO Supplement to the Journal of Special Operations Medicine. The NATO Supplement is based on the April 2012 HFM-224 NATO SOF Research Workshop. This publication shows the value of a collaborative network focused toward generating recommendations that improve SOF specific training, increase SOF access to high-fidelity medical simulation, and develop NATO SOF medical doctrine. This is the work of a highly qualified and specialized panel of experts those forward thinking in the "art of the possible," have appropriately balanced realistic constraints and limitations faced by the nations. The outcome of the HFM-224 NATO SOF Research workshop is the recommendation of the nations to increase their Special Operations Combat Medics'（SOCMs）training level and authorizations, starting with attending internationally recognized courses like Military Prehospital Trauma Life Support. This initial step can serve as a foundation for interoperability across NATO SOF medicine on which higher-level SOF-specific skills can be built that are suited to the increased requirements of austere healthcare in the SOF environment. The findings are timely, as nations search for cost-effective ways to develop and sustain critical medical skills and SOF medical systems required to support the fighting capability of our most important resource：People. Vice Admiral Sean Pybus, NSHQ Commander encourages readers to engage with NSHQ and the SOF Allied Centre for Medical Education as a source for SOF medicine expertise. This supplement will be available shortly on the JSOM Online Store in hard copy, and on the JSOM subscription page as a digital flip-book or Tablet version. It will also be available at the SOMA Store, along with the ATP-P during SOMA. |
ReSTART：A Novel Framework For Resource-Based Triage in Mass-Casualty Events
Alex F. Mills, PhD; Nilay T. Argon, PhD; Serhan Ziya, PhD; Brian Hiestand, MD, MPH; James Winslow, MD
ABSTRACT Objective: Current guidelines for mass-casualty triage do not explicitly use information about resource availability. Even though this limitation has been widely recognized, how it should be addressed remains largely unexplored. This paper presents a novel framework developed using operations research methods to account for resource limitations when determining priorities for transportation of critically injured patients.
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Management of Junctional Hemorrhage in Tactical Combat Casualty Care：TCCC Guidelines - Proposed Change 13-03
Russ S. Kotwal, MD; Frank K. Butler, MD; Kirby R. Gross, MD; Bijan S. Kheirabadi, PhD; David G. Baer, PhD; Michael A. Dubick, PhD; Todd E. Rasmussen, MD; Michael A. Weber, MD; Jeffrey A. Bailey, MD
ABSTRACT
The vast majority of combat casualties who die from their injuries do so prior to reaching a medical treatment facility. Although most of these deaths result from non-survivable injuries, efforts to mitigate potentially survivable combat deaths must be directed toward primary prevention through modification of techniques, tactics, and procedures and secondary prevention through improvement and use of personal protective equipment.
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U.S. Military Experience With Junctional Wounds in War From 2001 to 2010
John F. Kragh, Jr., MD; Michael A. Dubick, PhD; James K. Aden III, PhD; Anne L. McKeague, PhD; Todd E. Rasmussen, MD; David G. Baer, PhD; Lorne H. Blackbourne, MD
ABSTRACT
Background: In 2013, we reported on junctional wounds in war, but only of the few injuries that were critically severe. Objective：The purpose of the present study is to associate a wider range of junctional wounds and casualty survival over a decade of war in order to evidence opportunities for improvement for trauma care stakeholders in a large healthcare system.
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NAEMT Law Enforcement First Response - Tactical Casualty Care（LEFR-TCC）
When:
Wednesday, January 22, 2014
0800-1700
Where:
Fire-Rescue East 2014 Conference
101 North Atlantic Blvd
Daytona Beach, FL 32118
Email：training@health-first.org
Phone：321-434-1960
Description:
Working in collaboration with the Denver Health Department of EMS Education and the Denver Police Department Metro/SWAT unit, NAEMT's Prehospital Trauma Life Support（PHTLS）Committee has developed this new course to teach public safety first responders（police and other law enforcement officers, firefighters, and other first responders）the basic medical care interventions that will help save an injured responder's life until EMS practitioners can safely enter a tactical scene.
The course combines the principles of PHTLS and Tactical Combat Casualty Care（TCCC）, the training provided to military medics by all branches of our Armed Services. It is consistent with the Tactical Emergency Casualty Care（TECC）guidelines, and meets the recommendations of the Hartford Consensus Document on Improving Survival from Active Shooter Events.
Course participants will learn life-saving medical actions such as bleeding control with a tourniquet, bleeding control with gauze packs or topical hemostatic agents, and opening an airway to allow a casualty to breathe.
Upon completion of the course participants will：
- Understand the rationale for immediate steps for hemorrhage control（including external hemorrhage control, direct pressure and wound packing, early use of tourniquet for severe hemorrhage, internal hemorrhage control by rapid evacuation, and transportation to major hospital/trauma center.
- Demonstrate the appropriate application of a tourniquet to the arm and leg.
- Describe the progressive strategy for controlling hemorrhage.
- Describe appropriate airway control techniques and devices.
- Demonstrate the correct application of a topical hemostatic dressing（combat gauze）.
- Recognize the tactically relevant indicators of shock.
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Law Enforcement/First Response TCC（LEFR-TCC）
Session Schedule:
Wednesday, December 11, 2013
8:30 AM - 4:30 PM
The course combines the principles of PHTLS and Tactical Combat Casualty Care（TCCC）, the training provided to military medics by all branches of our Armed Services. It is consistent with the Tactical Emergency Casualty Care（TECC）guidelines, and meets the recommendations of the Hartford Consensus Document on Improving Survival from Active Shooter Events. Course participants will learn life-saving medical actions such as bleeding control with a tourniquet, bleeding control with gauze packs or topical hemostatic agents, and opening an airway to allow a casualty to breathe.
https://www.trainingcentermanager.com/StrategicSkills/CourseEnrollment.aspx |
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Tactical Combat Casualty Care
Session Schedule:
December 11 - 12, 2013
8:45 AM - 4:45 PM
NAEMT's Tactical Combat Casualty Care course introduces evidence-based, life saving techniques and strategies for providing the best trauma care on the battlefield under the auspices of the PHTLS program. It is the only TCCC course endorsed by the American College of Surgeons.
Strategic Skills Training Institute at Fine Silver
816 Camaron
San Antonio , Texas 78212
https://www.trainingcentermanager.com/StrategicSkills/CourseEnrollment.aspx
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| Special Operations Soldiers conduct fast-rope infiltration operations from an MH-60 Blackhawk helicopter from the 160th SOAR（A） | |
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Call for Photos
Please send us your approved medical action images for future covers, newsletters, and our Photo Gallery! Images for print must be high resolution, at least 300 dpi. Images for the digital edition and newsletter must be at least 400px wide, 72 dpi.
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JSOM CALL FOR PAPERS
Breakaway Media, LLC, is a female veteran owned business registered with the Central Contracting Office of the Department of Defense
DUNS #070397122 / Cage #6F0Z6
Primary SIC Code - 2721
Journal of Special Operations Medicine
PO Box 41494
St. Petersburg, Fl 33743
www.jsomonline.org
subscriptions@jsomonline.org | | |
NAEMT Law Enforcement First Response - Tactical Casualty Care（LEFR-TCC）
Dec 7, 2013
Health First Training Center
3470 N Harbor City Blvd.
Melbourne, FL 32935
Email for more info：training@health-first.org
Tactical Combat Casualty Care Dec 11-12 Strategic Skills Training Institute at Fine Silver San Antonio , Texas 78212
Law Enforcement/First Response TCC（LEFR-TCC） Wednesday, December 11, 2013 Strategic Skills Training Institute at Fine Silver San Antonio , Texas 78212
NAEMT Law Enforcement First Response - Tactical Casualty Care（LEFR-TCC） January 22, 2014 Daytona Beach, FL
Rocky Mountain Winter Conference on Emergency Medicine February 22-26, 2014 Copper Mountain Resort Denver, CO www.rockymtnCME.com
For more information on professional development and other events, please visit the JSOM Calendar.
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