Greetings from the JSOM,
You should now have your Fall JSOM and the accompanying inaugural issue of the Medical Technology Updates Supplement. We trust you are enjoying them both.
The Special Operations Medical Scientific Assembly and Exhibition（SOMSA）is rapidly approaching, as is our deadline for our advertisers to have their artwork to us. It is due on the 16th.
We want to take this opportunity to address current and future advertisers who are currently working on next year's budget. Why are we mentioning 2015 already? Because it is literally right around the corner, and we want to be sure you don't miss the opportunity to advertise in the only academic journal devoted to SOF and TEMS. Our spaces are limited so don't wait to secure your spot. Our 2015 advertising prices will not increase and we will continue to offer a discount for SOMSA exhibitors. In addition, for 2015, we would like to extend a special incentive to any new or returning advertiser who chooses our quarterly advertising package.
This is a great opportunity for you with newly added benefits for 2015! For our potential and current advertisers, we ask that you keep us in mind during your upcoming internal annual budget fights.
Be sure to contact us directly for our, updated for 2015, Quarterly Package benefits and information on website banner advertising. If you need a media kit for pricing and quarterly package info or would like a complementary copy of the JSOM to wave in the face of any who may need to be convinced that there is no better place to advertise your medical products than the JSOM, contact Pat Donihoo at firstname.lastname@example.org
When you attend SOMSA 8-11 December, be sure to visit the JSOM at Booth 500. If you are not already a SOMA member, now is the time to join when you register for SOMSA. Take advantage of the benefits of being a SOMA member：annual members who live in the US receive the JSOM in print, and international members receive digital access. All members also receive a 20% discount on upgrading your subscription（available in print, digital, and tablet）and on everything in our Online Store. Your discount code will be given to you when you join. Any questions about the SOMA membership can be directed to SOMA@goAMP.com
One of the many great topics that will be presented at SOMSA is the CONTOMS Medical Directors Course
. This course details the rationale and scientific basis for modified standards and scope of practice in the tactical environment. This is an 8-hour course designed for physicians and others who provide medical control for prehospital personnel operating with tactical law enforcement teams. Another presentation is the Working K9 Critical Care Course
. This course will teach advanced care of the working canine for military, law enforcement, and rescue personnel. It includes both lecture and hands-on practice with live canines and manikins. This course was developed from both emergency room and field experience with working dogs and focuses on the assessment and stabilization of common and life-threatening conditions. Topics include review of canine anatomy with an emphasis on the differences between humans and dogs; safe restraint of the canine patient; canine physical examination; airway, breathing, and circulation assessment and stabilization; an overview of fluid therapy; canine advanced life support; and toxicology and trauma care.
Stay tuned to JSOM's ABCs Newsletter for important messages related to the JSOM and SOMSA.
|Evaluation of NuStat™, a Novel Hemostatic Woven Dressing, to Combat Gauze™ in a Severe, Traumatic, Porcine Hemorrhage Model
Genevieve R. Hillis, BME, DO; Crystal J. Yi, DO; David L. Amrani, PhD, FAHA; Troy W. Akers, DO; Mario Soto, MD; John G. McManus, MD, MBA, MCR, FACEP, FAAEM
Objectives: Uncontrolled hemorrhage remains one of the most challenging problems facing emergency medical professionals and is a leading cause of traumatic death in both battlefield and civilian environments. Survival is determined by the ability to rapidly control hemorrhage.
|Tourniquet Pressures：Strap Width and Tensioning System Widths
Piper L. Wall, DVM, PhD; Ohmar Coughlin, MD; Mary Rometti, BS; Sarah Birkholz, BA; Yvonne Gildemaster, BS; Lisa Grulke, BA; Sheryl Sahr, MD; Charisse M. Buising, PhD
Background: Pressure distribution over tourniquet width is a determinant of pressure needed for arterial occlusion. Different width tensioning systems could result in arterial occlusion pressure differences among inelastic strap designs of equal width.
|2014 Special Operations Medical Association Scientific Assembly（SOMSA）
"Preparing for the Next Fight"
December 8-11, 2014
Tampa Convention Center, Tampa, Florida
Invitation from the SOMA President：
On behalf of the Special Operations Medical Association, I'd like to invite you to the 2014 Special Operations Medical and Scientific Assembly. Since its formation more than two decades ago, SOMA has endeavored to advance the art and science of Special Operations Medicine. During that time we have grown from a small but dedicated group of like-minded SOF medical providers meeting in one hotel conference room to the most unique international medical society in the world hosting a meeting of more than 1000 attendees from more than two dozen countries. Click here for entire message
Have you joined SOMA yet? If not, join today to take advantage of discounted registration rates!
There are three easy ways to register:
1. Register Online
（Members should use the login and password used to log into the SOMA website, non-members will need to create an account）.
2. Fax the registration form to 913-895-4652
3. Mail the registration form to:
SOMA PO Box 19489
Lenexa, KS 66285-9489
Please be aware that there are separate registration forms designated for USSOCOM and DOD attendees.Click here to review additional SOMSA information and hotel reservation links.
New DCoE Webinar Series：Telehealth & Technology（T2）Behavior Health Technology Education and Training
DCoE is proud to announce a new monthly webinar series for FY15. These webinars will be led by DCoE's component Center, the National Center for Telehealth & Technology（T2）and will highlight specific technologies, as well as address various methods and techniques to better integrate these and technologies into clinical practice. These webinars will be hosted by experienced clinicians who are leading the efforts in innovating methods of clinical care.
October 16, 2014 marks the kick-off date for the T2 Webinar Series, which will include monthly webinars, with the first to occur titled "Integration of Virtual Hope Box Mobile Application into Clinical Care" with T2's Nigel Bush, Ph.D. and Amanda Stewart, Ph.D. as presenters, and Robert Ciulla, Ph.D. as moderator. The T2 Webinar Series is a part of DCoE's Webinar Series（http://www.dcoe.mil/Training/MonthlyWebinars.aspx）
The webinars are open to the public and are intended for health care providers, residents and interns, researchers, academicians, scientists, service members, families, veterans, DoD services and agencies and other DoD partners, such as Department of Veterans Affairs. Many of these webinars will also provide continuing education credit.
The T2 Webinar Series is a part of the T2 Behavioral Health Technology Education & Training Program（T2 E&T）which provides education and training to the clinicians, residents and interns on the integration of behavioral health technology into psychological health and traumatic brain injury clinical care. In addition to the T2 Webinar Series, T2 E&T provides face to face workshops, outreach events and provider training resources.
Click here for more information.
Psychological Health Issues Affecting Women Service Members and Veterans
October 23, 2014; 1-2:30 p.m.（EDT）
Women represent more than 15 percent of those serving in today's U.S. military. Education and awareness of women's health issues are key factors in maintaining current operational readiness. An increase in the presence and engagement of women in the military has resulted in an equally rapidly growing population of women veterans, projected to reach 15 percent of the total U.S. veteran population by 2035（National Center for Veteran Analysis and Statistics, 2011）. This presentation will describe relevant research findings and clinical guidelines to inform best practices for meeting the unique needs of this population.
Current research findings indicate many women in the deployed environment hesitate to seek medical care when they have a health concern related to their genito-urinary or reproductive health. Issues around pregnancy and breastfeeding lead to occupational health concerns. Although important gender differences exist, similar to their male counterparts, women may develop mental health difficulties such as posttraumatic stress disorder and depression related to combat and/or military sexual assault.
During this webinar, participants will learn to：
- Review the effects of combat on psychological health
- Explain the rigors of maintaining proper nutritional and gynecological health in a deployed environment
- Communicate issues around sexuality and motherhood with service members
- Describe gender differences in the effects of military service on mental health and well-being
- Identify the components of gender-sensitive clinical care
To register for this webinar, please visit http://dcoe.mil/Training/Monthly_Webinars.aspx
A Special Call for Papers
The Tyranny of Distance:
Protracted Care in a Resource-Constrained Environment/
Looking for a Way Out
The application of patient care, particularly in military（or any austere or nonpermissive）environments, continues to suffer in a fashion similar to the application of military force itself. Strength diminishes with distance. Kenneth Boulding referred to this phenomenon as the "Loss of Strength Gradient" and showed reciprocally how the forward projection and staging of assets mitigated the amelioration of strength over distance. Tactical medicine has borrowed from this concept, pushing higher levels of care ever closer to the X. Despite this, crucial work is needed in the arena between stabilization and evacuation, especially when no fixed facility or higher level of care is available.
The Journal of Special Operations Medicine previously published articles addressing select components of prolonged care, which has been and will continue to be an increasingly prevalent issue. Our editorial staff is keenly interested in reviewing drafts and manuscripts furthering the conversation and evidence regarding prolonged and critical evacuation care. Whether tailored or complete, knowledge about resources and innovations in prolonged care in the combat environment is critical to the discussion.
The world will not diminish in size, conflicts will not be less expensive, and hostilities show no sign of abating. Our patients deserve clinicians who use the best emerging evidence to develop and deliver care at all levels.
Special Operations clinicians are the touchstone by which military medicine tests advances in care. Over the past decade-plus, we have pushed the envelope tremendously. Lest we lose the benefit of collective knowledge and our innovations stagnate as untold anecdotes, the professional action is to publish.
There I Was
After more than a decade of war, there are many stories to be told. Breakaway Media is looking to compile and publish your stories, be they humorous, lessons learned, or an event or patient who left an impact on you.
Relevant best evidence is acquired first by accumulating stories of expertise and clinical anecdotes. Providers who ignore the histories and stories of those before them in favor of concrete evidence alone do so at their own peril. SOF clinical literature is primarily of the interpretive paradigm, which means evidence is generated from contextual experiences that are shared by narrative transmission, essentially lessons learned are talked about among those in practice. SOF is unparalleled in the clinical world for this type of sharing via multiple methods（lessons learned, after-action reviews, etc.）.
Veterans of combat are the biographers of their lived experiences. If archives of SOF clinical narratives are unshared, incomplete, or unprotected, the immeasurable value of their experiences will be lost forever, to the detriment of not only the SOF community but also conventional military and civilian trauma science. When practitioners' experiences are formally conserved, those who have borne witness become de facto historians. Their histories must be collected and recorded, to preserve phenomena of interest to educational, scientific, and research entities. The only permanent and irrefutable evidence on which other clinical constructs can be built is the safeguarded narrative experiences of SOF clinicians.
Your submissions can be as long or as short as they need to be to tell your story. If you have any questions, please do not hesitate to contact us.
If you have a story, send it to editor@JSOMonline.org.
|Calgary TEMS members practicing repel training|
in Calgary, Canada.
Photo courtesy of Jason Zubkowski, EMT-P
Tactical Emergency Medical Support, Calgary Metro - C Platoon, Alberta Health Services
Call for PhotosPlease 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.
JSOM CALL FOR PAPERS
Breakaway Media, LLC, is a female veteran-owned business registered with the Central Contracting Office of the Department of Defense
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Primary SIC Code - 2721
Journal of Special Operations Medicine
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St. Petersburg, Fl 33743
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