Summer - United States Special Operations Command

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(2) Use drip-free gelpacks as a refrigerant. Pack refrigerantin a separate bag than the sample. Liquidmust not leak from the shippingcontainer during transit so DO NOTUSE wet ice to ship!(3) Labeling ShippingContainers and ShippingDocuments(a) Animal specimensfor rabies diagnosis areconsidered DIAGNOSTICspecimens. Special labeling isnot required for shipment of diagnosticspecimens. DO NOTlabel the exterior of the shippingcontainer as a “rabies specimen.”(b) Place the completedDD Form 2620 in asealed plastic bag and place iton top, between the inner andouter containers. Affix a copyof the request form, in an envelope,to the top of the outershipping container. Be sure toinclude a point of contact whocan receive the laboratory reportupon completion of testing.Phone numbers for that individual(day and night) must belisted.(c) The phrase“Diagnostic Specimen – Animal”should be used on alltransportation documents(GBL, Airbill, etc.) to describethe specimen shipped. DONOT mention “rabies.”c. Method of Shipment: Ship bythe most expeditious means (overnight,next day delivery) available. If shippingon a Friday, the shipper must be specificallytold that the item needs to be delivered(the following day) on aSaturday and the laboratory notified sothat they can have an employee availableto receive on a Saturday.d. Notify the laboratory by telephoneas soon as the specimenhas been shipped and providethe following:(1) Type of animal.(2) Indicate whether or nothuman exposure was involved.(3) Specify the method ofshipment used and the sample’s estimatedtime of arrival to the lab.NOTE: Notification is vitally important,especially when a rabies suspect sampleis shipped for Saturday or holiday delivery.The laboratory is normally notstaffed on weekends/holidays and specialarrangements must be made to receiveand process the specimen.One of the capabilities that the MDVS now havein Iraq and Afghanistan is a rabies screening test that canbe conducted at the VTF. The direct rapid immunohistochemistrytest (DRIT) was developed at the Centers forDisease Control and Prevention (CDC) as an environmentalsurveillance, screening, and data gathering tool.Army veterinary pathologist LTC Greg Saturday fromVLE was trained by the CDC to conduct the test, and hehas traveled to Iraq and Afghanistan training the MDVSto run the DRIT test in their VTFs. The DRIT test is aten-step process that can be completed in about an hour.Impression smears of the obex of the brain stem are madeand fixed in formalin, and are then held until there areenough to batch test – usually ten samples plus a negativeand positive control. At the end of the hour long process,the samples are viewed under a microscope to look forred inclusions in the sample. The presence of red inclusionsindicates a rabies positive sample. Any DRIT positivesample tissue must be sent to VLE for aconfirmatory direct fluorescent antibody (DFA) test.Studies have shown that the DRIT has specificity andsensitivity equivalent to the DFA.POINTS OF CONTACTWorldwide:DOD Veterinary Food Analysis and Diagnostic Laboratory(FADL)Attn: MCVS-Lab2472 Schofield Rd Suite 2630Fort Sam Houston, TX 78234-6232Capabilities: Full chemical, microbiological and diagnosticDeputy Director: MAJ Alisa Wilma, 210-295-4322,Alisa.WilmaMAJAMEDDCS@amedd.army.milRabies POCs: Edwin Cooper, 210-295-4920,Edwin.cooper@amedd.army.mil; Michael Gray, 210-295-4736, Micheal.gray@amedd.army.milDSN: 421-4604/4761Comm: 210-295-4604/4761Sample receiving area: 210-295-4210FAX: 210-270-2559102Journal of Special Operations Medicine Volume 9, Edition 3 / Summer 09
Europe, Mideast, Africa and SWAU.S. Army Veterinary Laboratory-Europe (VLE)CMR 402APO AE 09180Capabilities: Most chemical, microbiological, and limiteddiagnosticChief of Diagnostics: LTC Greg Saturday, DSN 314-486-8963, greg.saturday@us.army.milRabies POC: Mrs. Leslie Fuhrmann,leslie.fuhrmann@us.army.milDSN: 314-486-8300/7241Comm: 011-49-6371-86-8300/7241(Landstuhl, GE)DSN FAX: 314-486-7075Comm FAX: 011-49-6371-86-7075REFERENCESSample Submission Guide, January 2009; DOD Veterinary FoodAnalysis and Diagnostic Laboratory (FADL),http://www.vetlab.army.mil/documents/LABguide2009.pdf.Standard Operating Procedures for the Direct Rapid ImmunohistochemistryTest (DRIT) for the detection of rabies virus antigen; Centersfor Disease Control and Prevention, Rabies Section.Evaluation of a Direct, Rapid Immunohistochemical Test for RabiesDiagnosis, Lembo, et.al., Emerging Infectious Diseases, Vol. 12, No.2, Feb 2006.Blank DD Form 2620, Request for and Report of Laboratory Examination for Rabieshttp://www.dtic.mil/whs/directives/infomgt/forms/eforms/dd2620.pdfUSSOCOM Veterinarian103
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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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11. Norsk P, Bonde-Petersen F, Warb
Page 55 and 56: ABSTRACTS FROM CURRENT LITERATUREMa
Page 57 and 58: tourniquet times are less than 6 ho
Page 59 and 60: tal from July 1999 to June 2002. In
Page 61 and 62: Operation Sadbhavana: Winning Heart
Page 63 and 64: CENTRAL RETINAL VEIN OCCLUSION IN A
Page 65 and 66: of the X chromosome. Notable is tha
Page 67 and 68: AUTHORS*75th Ranger Regiment6420 Da
Page 69 and 70: Casualties presenting in overt shoc
Page 71 and 72: PSYCHOLOGICAL RESILIENCE AND POSTDE
Page 73 and 74: spondents without PTSD (M = 4.6, SD
Page 75 and 76: patients, whereas the mean score of
Page 77 and 78: 29. Whealin JM, Ruzek JI, Southwick
Page 79 and 80: average, time between return from d
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
Page 89 and 90: Task Force Ranger encountered enemy
Page 91 and 92: Peter J. Benson, MDCOL, USACommand
Page 93 and 94: Numerous military and civilian gove
Page 95 and 96: Anthony M. Griffay, MDCAPT, USNComm
Page 97 and 98: This is a great read that speaks di
Page 99 and 100: and twenty-eight. Rabies immune glo
Page 101 and 102: Rhett Wallace MD FAAFPLTC MC SFS DM
Page 103 and 104: LTC Craig A. Myatt, Ph.D., HQ USSOC
Page 105: LTC Bill Bosworth, DVM, USSOCOM Vet
Page 109 and 110: SOF and SOF Medicine Book ListWe ha
Page 111 and 112: TITLE AUTHOR ISBNCohesion, the Key
Page 113 and 114: TITLE AUTHOR ISBNI Acted from Princ
Page 115 and 116: TITLE AUTHOR ISBNRats, Lice, & Hist
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
Page 123 and 124: TITLE(Good section on Merrill’s M
Page 125 and 126: GENERAL REFERENCESALERTS & THREATSB
Page 127 and 128: Aviation Medicine Resources: http:/
Page 129 and 130: LABORATORYClinical Lab Science Reso
Page 131 and 132: A 11 year old boy whose tibia conti
Page 133 and 134: Meet Your JSOM StaffEXECUTIVE EDITO
Page 135 and 136: Special Forces Aidman's PledgeAs a
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Summer - United States Special Operations Command

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