Summer - United States Special Operations Command

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Jay Sourbeer, MDCAPT, USNCommand SurgeonIn my capacity as the Force Medical Officer ofNaval Special Warfare, this is my final letter to the Journalof Special Operations Medicine. As a deep sea diverwho came to Special Operations as a tech from anothercommunity and who eventually returned as Force MedicalOfficer, I’ve brought a different view to the SOFworld than my conventional career Special Operationscolleagues. Whether it is Master Chief Mercer posing asa diver, COL Rocky Farr putting a ruler to a stack ofjournals, or the combined efforts of all of you to improveforward surgical care and bring professionalism tohuman performance, I want to thank you for your contributionsto several highly enjoyable years of service.In particular I would like to thank COL RockyFarr for his practical leadership and advice, and especiallyfor sharing his rich insights into Special Operationsover the years. CAPT Frank Butler, hispredecessor, left important lasting contributions that Igreatly appreciate as well. I treasure my association withthe next generation of Army, Air Force, and Marine SpecialOperations leaders. It is a great joy to see COL JimCzarnik, COL Rob Lutz, COL Ric Ong, and COL MarkErwin serving the nation professionally. There are manymore – I cannot name all, but I will always appreciatethe work of those who set interests aside in service of ournation’s ideals as embodied in the Constitution.I hope you will extend a warm welcome to mysuccessor at WARCOM Medical, CAPT Gary Gluck. Heis board certified in emergency medicine and brings diverseexperience in Special Operations, having servedpreviously at the Naval Special Warfare Center and mostrecently at SDVT-1. As with my earlier allusion to colleaguesin the other services, it is a great satisfaction toknow that I am putting a treasured responsibility in suchable hands.I am being assigned as a student to the NavalWar College, Newport, Rhode Island, to add further tomy professional education. Although I am looking forwardto the exciting challenges ahead, I sincerely hope tokeep the friendships I have made in Special Operations.It has been an honor to serve with you.Thank you.90Journal of Special Operations Medicine Volume 9, Edition 3 / Summer 09
Anthony M. Griffay, MDCAPT, USNCommand SurgeonMarine Corps Special Operations Command(MARSOC) and MARSOC Medical continue to changeand evolve. Not only are we in the beginnings of a majorchange in medical personnel due to end of tour orders, butMARSOC has evolved from two operational battalionsand an Advisor Group into three battalions and a RegimentalHeadquarters. At the same time MARSOC is continuingto deploy teams down range and plan for anincreased presence and responsibility in higher levels ofintra-theater command and control.My filling the large shoes left by CAPT McCartneymarks the beginning of a 75% turn-over in the medicalleadership within MARSOC. As with all military units,turnover is inevitable, and to those moving on I would liketo express my sincere admiration and gratitude. This departinggroup of professionals helped build MARSOCMedical from nothing, into an organization capable of supportingteams around the world. Their experience anddedication will be truly missed. For the incoming personnel,this is an exciting time in MARSOC as it transitionsfrom growing and organizing to defining its future in theSpecial Operations community. From developing the culturally-specificmedical training needed for foreign internaldefense (FID), to supporting and training theaterSpecial Operations Surgical Teams required to support directaction operations, MARSOC Medical will evolve andgrow to meet any needs.MARSOC has recently reorganized our organizationalstructure into a Regimental Headquarters and threebattalions, adopting a more standard military formationand standardizing the capabilities of the deployable elements.Now all three battalions train to operate across thefull spectrum of special operations, emphasizing FID andspecial reconnaissance (SR) while retaining a robust directaction (DA) skill set. With this, the medical supportsection and the medical capabilities will need to grow andexpand. This will be our biggest challenge! To train andsupport MARSOC in the future we will need to work, coordinateand train with our fellow components both withinUnited States Special Operations Command (USSOCOM)and throughout the “big” Navy. Like all of SOF, MAR-SOC is small and exists in a financial reality which willnever allow us to own all of the assets that we need. However,regardless of whether a medical element is SOFownedor SOF-capable, we must take an active role indefining, equipping, training, and preparing it to supportour SOF missions.This reorganization will not only allow MARSOCto provide better command and control over an increasingnumber of teams but also provide the higher level headquarterselements it needs. These elements will be the coreof Special Operations Task Forces (SOTFs) and CoalitionJoint Special Operations Task Forces (CJSOTFs) as MAR-SOC begins to plan for and increase its role at the SOFhigher headquarters within the Central Command Area ofOperations (AOR) and throughout the world.As I already mentioned, this is an exciting time tobe part of MARSOC and USSOCOM. I am looking forwardto my time here and hope to meet and work with asmany of you within the SOF community as possible.Please feel free to contact me at any time if there is somethingI may be able to assist with. COMM 910-451-3462DSN 751-3462 or anthony.griffay@usmc.milSIPR anthony.griffay@marsoc.socom.smil.mil.Component Surgeon 91
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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
Page 43 and 44: similar to those of other authors,
Page 45 and 46: promising effect on tinnitus. Howev
Page 47 and 48: ADDITIONAL REFERENCESHoffmann, G; B
Page 49 and 50: et al. demonstrated that both right
Page 51 and 52: TYPICAL CHEST RADIOGRAPH FINDINGS I
Page 53 and 54: 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: Numerous military and civilian gove
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 and 106: LTC Bill Bosworth, DVM, USSOCOM Vet
Page 107 and 108: Europe, Mideast, Africa and SWAU.S.
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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