Official Do Not Use ListAll, please note the Official “Do Not Use” List below and incorporate these changes into your future JSOM submissions.These changes were retrieved from the Joint Commision’s website at:http://www.jointcommission.org/PatientSafety/DoNotUseList/.26 Journal of <strong>Special</strong> <strong>Operations</strong> Medicine Volume 8, Edition 2 / <strong>Spring</strong> 08
Better Training Through Lessons Learned: Casualty Treatment and EvacuationVignettes from Operation Iraqi Freedom (OIF) and Operation EnduringFreedom (OEF)CPT Scott M. Gilpatrick, APA-C, DMO, USSOCOM PA and ATP CoordinatorLTC Shawn Kane, MD, MFS, DMO, USASOCFor this, the second installment of the LessonsLearned column, we changed the name! We want tofocus on using the lessons learned in the vignettes tohelp units plan for and execute more realistic and relevanttraining. The new Critical Task List (CTL) forthe ATP is almost ready for the street and implementationinto the SOCM curriculum. The SOCOM RB (RequirementsBoard) worked hard extrapolating theseCTLs from lessons learned and feedback from Medicsout in the command. Take the lessons learned fromthese scenarios and implement them into your element’straining plan. Review and test your standardoperating procedures (SOPs) frequently, share andcompare your SOPs with other SOF and conventionalunits. This will help keep SOF medicine relevant andup to date while keeping the best practices in the field.The Joint Lesson Learned Information System- <strong>Special</strong> <strong>Operations</strong> Forces (JLLIS-SOF) is an excellentplace to find lessons learned, after action reviews(AARs), and other publications to learn from. Registerat the SIPR Site (http://www.jllis.smil.mil/ussocom/)and then you can do your own “Google typesearch” for whatever interests you.The following after action reviews (AARs) arefrom SOF Medics and medical officers on today’s battlefield.Within, and at the end of each, you will findtheir discussions and lessons learned, both good andbad. At the end, we have highlighted a few things ofnoted importance. No names, unit identities, or specificlocations were used due to privacy and operationalsecurity concerns. Generally, these AARs are asthey were submitted to us for publication and theJLLIS-SOF. We have made some minor editingchanges to help with readability or to better highlightimportant facts and issues.MEDICAL AFTER ACTION REVIEW, OCT 20<strong>07</strong>SITUATIONTask force assault on a location known to beused by enemy insurgent groups. Task organizationconsisted of a ground force with three embeddedMedics and an air component with two xMH-60s withone Medic.ACTIONS ON THE OBJECTIVEThe Assault Force infiltrated and containedfour buildings and then conducted a callout on the primarytargets sequentially in a predetermined order. Asmall structure located next to one of the target buildingshad not been cleared. After the callout was completed,a K9 was sent in to check the structure.Immediately upon entering the building, an enemycombatant shot the K9, was subsequently engaged bythe ground force, and then proceeded to detonate hissuicide vest. Inside the structure, the enemy hadstacked hay bales to the ceiling to create a false wallnear the entrance to try and conceal their position.After the suicide vest detonated, a second individualengaged the Assault Force and was killed.ASSESSMENT AND TREATMENTTwo Soldiers were within 10 feet of the suicidebomber at detonation, and they continued with theassault and were exfiltrated with the force. Thewounded canine was treated on the scene by an ATPand due to his condition was CASEVAC’d for furthercare. Below is a description of the incident as describedby WIA #1:“I felt the blast against my face (feltlike a boat paddle against my nose) and felt myLessons Learned 27
- Page 3: Spring 08 Volume 8, Edition 2From t
- Page 6 and 7: From the Command SurgeonWARNER D.
- Page 9 and 10: Participants of the first USSOCOM C
- Page 12 and 13: Component and TSOC Surgeons, and wh
- Page 14 and 15: Jay Sourbeer, MDCAPT, USNCommand Su
- Page 17 and 18: Ricardo Ong, MDLTC USASOCCENT Surge
- Page 19 and 20: Wm. John Gill, PA-C MPASLTC USASOCS
- Page 21 and 22: MG Salvatore F. Cambria, commanding
- Page 23 and 24: The Joint Staff and Combatant Comma
- Page 25 and 26: For the RG-33 MRAP SOF Variant vehi
- Page 27 and 28: USSOCOM Education and Training Upda
- Page 29: OCONUS LTT requires all the same pr
- Page 34 and 35: mans, though thoracocentesis would
- Page 36 and 37: am sure someone will read it and wi
- Page 38 and 39: also litter Urgent based on the EOD
- Page 40 and 41: ISSUE: MAST pantsRECOMMENDATION: I
- Page 42 and 43: use and amount of carried hemostati
- Page 44 and 45: France, Britain honor U.S. woman wh
- Page 46 and 47: Degree plan for 18D Soldiers announ
- Page 48 and 49: 44 Current Events
- Page 50 and 51: 46Journal of Special Operations Med
- Page 52 and 53: Necessity of Medical Personnel on t
- Page 54 and 55: Aside from the nuisance that flies
- Page 56 and 57: spondence in NEJM 352:2651-2653 Jun
- Page 58 and 59: Tympanic Membrane Perforation in IE
- Page 60 and 61: overall picture of wounds received,
- Page 62 and 63: than did IEDs. We may conclude that
- Page 64 and 65: gesic medications, tourniquets, spl
- Page 66 and 67: dog was included in the unit CASEVA
- Page 68 and 69: aged four therapy sessions per week
- Page 70 and 71: DOD. There are approximately 30 per
- Page 72 and 73: Air Force Special Operations Comman
- Page 74 and 75: surgical care for up to ten surgica
- Page 76 and 77: function as the OR circulator durin
- Page 78 and 79: gaged at one time. With long term s
- Page 80 and 81:
Clinical Diagnoses in a Special For
- Page 82 and 83:
noses assigned, some conditions exi
- Page 84 and 85:
MAJ Jim Lynch, MD, MS, is a 1989 gr
- Page 86 and 87:
Recombinant Activated Factor VII In
- Page 88 and 89:
The Value of Conservative Treatment
- Page 90 and 91:
Acute Mountain Sickness: Influence
- Page 92 and 93:
Paramedic Perceptions of Challenges
- Page 94 and 95:
From Warrior to Healer: 99 True Sto
- Page 96 and 97:
Needle Thoracostomy in the Treatmen
- Page 98 and 99:
patients (2.45%) a 4.5cm needle cou
- Page 100 and 101:
Chest Wall Thickness in Military Pe
- Page 102:
Figure 3. Plot of horizontal versus
- Page 105 and 106:
Rescue Training, Inc.9-A Mall Terra
- Page 107 and 108:
AVIATION MEDICINE AND PATIENT TRANS
- Page 109 and 110:
Center for Disaster and Humanitaria
- Page 111 and 112:
Rare Diseases: http://www.raredisea
- Page 113 and 114:
Med Anthro Tutorial http://anthro.p
- Page 115 and 116:
Drug Information Online: http://www
- Page 117 and 118:
SEARCH AND RESCUEConfined Space Res
- Page 119 and 120:
SOCM GLENN MERCERINTRODUCTION“…
- Page 121 and 122:
on supplements for this unit of one
- Page 123 and 124:
OBSERVATIONSFigures 2 depicts the a
- Page 125 and 126:
Photo 3Photo 4Photo 5MED Quiz 121
- Page 127 and 128:
ANSWERSQuestion 1:Morphology: these
- Page 129 and 130:
Meet Your JSOM StaffEXECUTIVE EDITO
- Page 131 and 132:
Special Forces Aidman's PledgeAs a