Fall - United States Special Operations Command

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not intended as a course completion test like the CCEMT-P, but are instead established to accurately assess current knowledge and critical thinking skills for individuals practicing in a specific role. By doing so, they establish benchmarks for employers and the practitioners regardless of where care is provided. To date, over 1,700 paramedics in North America and Europe have earned the FP-C ® credential. Currently many civilian air medical programs require this advanced certification upon date of hire or within a specified time frame. The Commission on Accreditation of Medical Transport Systems (CAMTS) highly recommends the FP-C ® credential for paramedics in the industry. Experience and critical thinking skills are very important for the ATP and other SOF medical personnel as the expected time period for care can range from near immediate tactical evacuation (TACEVAC) to multiple days due to various operational factors. Historically, the primary focus of the ATP has been on trauma care and the initial stabilization of the combat casualty. The ability to meet or exceed the knowledge and critical thinking skills required for FP-C ® indicates that the ATP likely also possesses the requisite expertise and capabilities in critical care and extended resuscitation. 98 Initially the primary interest in the FP-C ® credential came from special operations aviation units and their medical personnel. The 160th Special Operations Aviation Regiment (Airborne) (SOAR(A)) has made attaining FP-C ® status a prerequisite for becoming “fully mission qualified”. To date over 60% of the ATPs and 11 of the medical officers in the 160th SOAR(A) have achieved FP-C ® status. Senior medical leaders in the 160th SOAR(A) noted that since the inception of the FP-C ® as a benchmark standard, the unit’s medical capabilities are at a higher level than previously seen. Individual 160th SOAR(A) medics reported that they are more confident in their ability to provide extended care. Attaining FP-C ® and/or CCP-C ® status is not easy. Success requires extensive experience and development of sound critical thinking skills. As SOF medicine continues to become more complex, medics must have an avenue to demonstrate a level of knowledge that cannot be provided in the classroom. The BCCTPC ® will conduct an FP-C ® and a CCP-C ® exam at the SOMA Conference in Tampa, Florida on 13 December 2010. A specific time and location will be posted on the SOMA website and announced at the conference. For more information on these examinations, please visit their web site at www.BCCTPC.org. Journal of Special Operations Medicine Volume 10, Edition 4 / Fall 10
Meet Your JSOM Staff EXECUTIVE EDITOR Virgil T. Deal, MD, FACS Virgil.Deal@socom.mil Prior to becoming the USSOCOM Command Surgeon, COL “Tom” Deal served in staff positions at USASOC, JSOC, 7th SFG, and XVIII Airborne Corps. He has commanded field and stateside hospitals and served as Chief of Surgery in the 86th Evac Hospital in ODSS and at Army and civilian community hospitals. COL Deal obtained his medical degree from University of Tennessee College of Medicine, Memphis, Tennessee, 1974. He completeted his general surgery residency at Brooke Army Medical Center 1977-1981 and is certified by the American Board of Surgery. COL Deal competed his Flight Surgeon’s Course – 2003, Army War College – 1997, Command & General Staff College – 1994, AMEDD Officer Advanced Course – 1991, Military Free Fall School – 1977, Special Forces Officers Course – 1976, and Airborne School – 1975. COL Deal has also completed Combat Casualty Care Leadership Course (C4A) –1991, Pre-Command Course, Fort Leavenworth – 1994, Senior Officer’s Legal Orientation, Charlottesville -- 1994, Combatant Commander’s Surgeons Course – 1996, AMEDD Pre-Command Course, Fort Sam Houston – 1998, Basic Life Support – current, Advanced Cardiac Life Support, Advanced Trauma Life Support, and Pilot, single engine, land, instrument. MANAGING EDITOR Michelle DuGuay Landers, RN, BSN, MBA duguaym@socom.mil Lt Col Landers joined the Army Reserve in 1987 and served as a nurse in a Combat Support Hospital unit for three years before switching services in 1990 to become an Air Force C-130 Flight Nurse. She is currently an IMA reservist assigned to HQ AF Reserve Command/SG and is attached to the SOCOM/SG office where she has been in charge of management, production, publication, and distribution of the JSOM since its inception in Dec 2000. Lt Col Landers has a Bachelors in Nursing and a Masters in Business Administration/Management. Her 24 year nursing career includes being a flight nurse in both the military and private sector, 15 years of clinical experience in emergency and critical care nursing, as well as being an EMT and a legal nurse consultant. She also served as the military liaison to the FL 3 Disaster Medical Assistance Team (DMAT). Prior to the SG office, Lt Col Landers’ experience at USSOCOM includes an assignment in the Center for Force Structure, Resources, Requirements, and Strategic Assessments. Meet the JSOM Staff 99
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Volume 10, Edition 4 // Fall 10 Jou
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Fall 10 Volume 10, Edition 4 FEATUR
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From the Editor III
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MSgt Mike Maroney renders a salute
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medical system. 14 Although there a
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were collected using the University
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of VO 2max at lactate threshold (%V
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Figure 4: Anatomic location of the
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Warrior Model for Human Performance
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pacity testing should be incorporat
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During the O-Course training, physi
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triathletes was approximately seven
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52. Myer GD, Ford KR, Barber Foss K
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Jennifer B. Deluzio, MS Neuromuscul
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such isolated training increase the
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panied by an improvement in the fle
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Warrior Model for Human Performance
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sessions) with a range of 54-100%.
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side of daily Army PT. Finally, it
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musculoskeletal overuse injuries. A
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War on Terrorism, which lists as it
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MATERIEL AF PM has the most of the
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failed to reach the summit. All mem
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Scapula Fracture Secondary to Stati
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Image 2: Scapular-Y view taken appr
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Public Health Foodborne Illness Cas
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Page 55 and 56: INTRODUCTION Traumatic Brain Injury
Page 57 and 58: There are four computer-based model
Page 59 and 60: Figure 4: Casualty 1 Composite Scor
Page 61 and 62: testing over 450 Soldiers in less t
Page 63 and 64: Reply from ANDRE PENNARDT, MD, FACE
Page 65 and 66: LTC Coppedge was an energetic, as w
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Page 69 and 70: 3. Interview with Colonel (COL) Hel
Page 71 and 72: had values above the 95th percentil
Page 73 and 74: Special Ops Crew Recognized For Lif
Page 75 and 76: Dawn Over Baghdad: How the U.S. Mil
Page 77 and 78: Peter J. Benson, MD COL, USA Comman
Page 79 and 80: for our Partner Nations (PN). In 20
Page 81 and 82: Neuro-cognitive Assessment Metrics
Page 83 and 84: Warner D. “Rocky”Farr, MD COL U
Page 85 and 86: LTC Craig A. Myatt, PhD HQ USSOCOM
Page 87 and 88: Excerpts from the Committee on Tact
Page 89 and 90: guidelines also support IO as the p
Page 91 and 92: ing methodologies for surgical airw
Page 93 and 94: d. When time and the tactical situa
Page 95 and 96: - Nasopharyngeal airway - Allow cas
Page 97 and 98: 14. Burns a. Facial burns, especial
Page 99 and 100: Tactical Combat Casualty Care Burn
Page 101 and 102: 7. All TCCC interventions can be pe
Page 103: Critical Care Credentials for the S
Page 107 and 108: Special Forces Aidman's Pledge As a
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Fall - United States Special Operations Command

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