igorous training, ongoing garrison functions, informationoverload, the inability to disengage from threats to self andFamily, and the unpredictability of deployment cycles.Burnout in that context is a measurable form offatigue. Fatigue is both emotional and physical. It can beseparate from, but related to, cognitive performance andmanifests itself in several different ways. Fatigue (orburnout in the words of an REWG member) decreases theoverall capacity of individuals, Families, and organizationsto negotiate the challenges they face. He went on tostate that burnout (or fatigue) “affects job performance,retention, Family dynamics (Family interactions), and behavioralhealth status.”From that perspective, resilience is not a behavioralhealth issue by itself, but a subset of broader organizationalcharacteristics that include leadership, education,training, and culture. Some members of the REWGagree that “resilience generally emerges in people whohave trained hard (proving themselves physically tough),have particular attitudes, cognitive and emotional skills,and a deep determination to overcome serious challenges(physical and intellectual).” Demonstrating exactly howresilience as a SOF-peculiar application for SOF personneland their Families is an organizational and leadershipissue, as well as an operational force-protection issue, isa daunting challenge. It will not be easy. However, continuedhard work on the part of the REWG members willdemonstrate precisely how resilience as a SOF peculiarapplication for SOF personnel and their Families is anorganizational, leadership, cultural, and force-protectionissue, combined, and how building resilience in SOF andSOF Families sustains combat power.100Journal of <strong>Special</strong> <strong>Operations</strong> Medicine Volume 9, Edition 3 / <strong>Summer</strong> 09
LTC Bill Bosworth, DVM, USSOCOM VeterinarianCOL Newton has brought up a great topic on theForce Health Protection measures we take to protectservice members against rabies. I’m going to expandupon his article by outlining the procedures to submit asample for rabies testing to the two DOD veterinary laboratoriesfrom theater. The contact information for bothlabs is listed at the end of this article.The process for submitting samples fromAfghanistan and Iraq is well established, and the theaterVeterinary Treatment Facilities (VTFs) submit samplesto the Veterinary Laboratory-Europe (VLE) on a weeklybasis. It is best to let the Medical Detachments, VeterinaryServices (MDVS) in those areas submit samples thatyou have, rather than try to submit them on your own.For contingency operations in areas that do not have aconventional veterinary unit presence, it is recommendedthat the unit conduct a “dry run” sample submission.This will identify any areas where the sample can be delayed,such as foreign customs offices. When submittinga dry run sample submission, notify the laboratory thatyou are sending it to, use the same shipping materials youwould use in a real submission, and submit somethingthe same approximate size and weight as an animal head,such as a five pound ham or turkey breast. The use offood will give the lab an idea if the sample can maintainthe proper temperature during shipping. You can contactthe closest theater VTF or either laboratory if you haveany questions about how to submit a sample.Here is the extract from the Laboratory SubmissionGuide to submit a brain for rabies testing at either ofthe two labs:7-3. Diagnostic Samples (Blood,serum and tissue samples)a. Rabies Diagnosis Sample -brain tissueb. Submit all requests for rabiesdiagnosis testing on DD Form 2620,“Request for and Report of LaboratoryRabies Test” (electronic form availableat http://www.dtic.mil/whs/directives/infomgt/forms/eforms/dd2620.pdf).c. Wild animals, domesticateddogs and cats (whose owners cannot bereadily identified) that have exposed aperson should be euthanized immediatelyupon capture and submitted fortesting.d. Preparation of Specimen:(1) Decapitate the animal andplace the head in a plastic bag and seal.Place the sealed specimen in a secondheavy plastic bag and seal the secondbag. Send the entire carcass of small animalssuch as bats.(2) Refrigerate immediately.Freezing animal specimens is not recommendedunless a delay in shipment isexpected.e. Packing Shipping Containers:(1) Add sufficient refrigerantto an insulated shipping container tomaintain a temperature of 0 to 4°C duringtransit.USSOCOM Veterinarian101
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Volume 9, Edition 3 / Summer 09 Jou
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An 18D deworms a camel during a “
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Field Evaluation and Management of
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The circumferential anchoring strip
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In doing so, all the skin is closed
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NATO SOF Transformation and theDeve
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current and future operations, thes
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sion of a physician, and limited pr
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REFERENCES1. James L. Jones, “A b
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This article is the first of two me
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Figure 4 : A Special Forces medic c
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exposure. Conversely, the customary
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7. Ted Westmoreland. (2006). Attrib
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first three days of injury, althoug
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9. Markgraf CG, Clifton GL, Moody M
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the only sign of OCS may be elevate
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E. The canthotomy allows for additi
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33. Rosdeutscher, J.D. and Stradelm
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Tinnitus, a Military Epidemic:Is Hy
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The development of chronic NIHL pro
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supplied by diffusion. During expos
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similar to those of other authors,
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promising effect on tinnitus. Howev
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ADDITIONAL REFERENCESHoffmann, G; B
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et al. demonstrated that both right
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TYPICAL CHEST RADIOGRAPH FINDINGS I
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- Page 61 and 62: Operation Sadbhavana: Winning Heart
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- Page 81 and 82: ing functioning in both PTSD (Zatzi
- Page 83 and 84: Editorial Comment on “Psychologic
- Page 85 and 86: Blackburn’s HeadhuntersPhilip Har
- Page 87 and 88: The Battle of Mogadishu:Firsthand A
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- Page 91 and 92: Peter J. Benson, MDCOL, USACommand
- Page 93 and 94: Numerous military and civilian gove
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- Page 109 and 110: SOF and SOF Medicine Book ListWe ha
- Page 111 and 112: TITLE AUTHOR ISBNCohesion, the Key
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- Page 117 and 118: TITLE AUTHOR ISBNThe Healer’s Roa
- Page 119 and 120: TITLE AUTHOR ISBNGuerilla warfare N
- Page 121 and 122: TITLEAUTHORBlack Eagles(Fiction)Bla
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- Page 125 and 126: GENERAL REFERENCESALERTS & THREATSB
- Page 127 and 128: Aviation Medicine Resources: http:/
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