ISSN 1553-9768 FROM THE EDITOR The Journal of <strong>Special</strong> <strong>Operations</strong> Medicine’s (JSOM) mission is to promote the professional development of <strong>Special</strong> <strong>Operations</strong> medical personnel by providing a forum for the examination of the latest advancements in medicine and the history of unconventional warfare medicine. CONTENT: All scientific articles are peer-reviewed prior to publication. The Journal of <strong>Special</strong> <strong>Operations</strong> Medicine reserves the right to edit all submitted material. Content of this publication is not copyrighted. Published works may be reprinted provided credit is given to the JSOM and the authors. Articles, photos, artwork, and letters are invited, as are comments and criticism, and should be addressed to Editor, JSOM, USSOCOM, SOC-SG, 7701 Tampa Point Blvd, MacDill AFB, FL 33621-5323. Telephone: DSN 299-5442, commercial: (813) 826-5442, fax: -2568; e-mail JSOM@socom.mil. The JSOM is serial indexed (ISSN) with the Library of Congress. ���� Articles published in the peer-reviewed Journal of <strong>Special</strong> <strong>Operations</strong> Medicine are indexed in MEDLINE®, the National Library of Medicine’s (NLM) bibliographic database of life sciences and biomedical information. Inclusion in the MEDLINE database ensures that citations to the JSOM will be identified to researchers during searches for relevant information using any of several bibliographic search tools, including the NLM’s DISTRIBUTION: This publication is targeted to SOF medical personnel. There are several ways for you to obtain the Journal of <strong>Special</strong> <strong>Operations</strong> Medicine (JSOM). 1) SOMA members receive the JSOM as part of membership. Please note, if you are a SOMA member and are not receiving the subscription, you can contact SOMA through (http://www.somaonline.org). SOMA provides a very valuable means of obtaining SOF related CME, as well as an annual gathering of SOF medical folks to share current issues. 2) The JSOM is available through paid subscription from the Superintendent of Documents, U.S. Government Printing Office (GPO). Using the subscription form on the next page, send mail orders to: U.S. Government Printing Office, P.O. Box 979050, St. Louis, MO 63197-9000. Or contact the GPO order desk: telephone: (202) 512-1800; fax: (202) 512-2104 (M–F 7:00 am – 6:00 pm EST); email: orders@gpo.gov; or visit (http://bookstore.gpo.gov) and type in Journal of <strong>Special</strong> <strong>Operations</strong> Medicine into the search engine in the top right corner. All orders require prepayment by check, American Express, VISA, MasterCard, Discover/NOVUS, or SOD Deposit Account. 3) Online: The JSOM is available online through the USSOCOM public portal at (http://www.socom.mil/JSOM/Pages/default.aspx) and to SOMA members at (http://www.somaonline.org). The Journal of <strong>Special</strong> <strong>Operations</strong> Medicine Training Supplement, “2010 Edition” is available for purchase through GPO. It can be purchased as a (pk/10 – S/N: 008-070-00817-3 – ISBN: 978-0-16-085037-0); or (pk/25 – S/N: 008-070-00818-1 – ISBN: 978-0-16-085038-7). It can be ordered online, via phone, fax, email, or postal mail as above. II The Combined Joint <strong>Special</strong> Operation Task Force-Afghanistan preventative medicine team recently surveyed firebase Thomas, near Shindand district, in Herat province, to ensure the servicemembers there are protected from environmental hazards. The preventative medicine team places five drops of acid into their first water sample, which will be sent to a lab in the U.S. for testing. (U.S. Army photo by SFC Marie Schult/Released) JSOM DISCLAIMER STATEMENT: The Journal of <strong>Special</strong> <strong>Operations</strong> Medicine (JSOM) presents both medical and nonmedical professional information to expand the knowledge of SOF military medical issues and promote collaborative partnerships among services, components, corps, and specialties. It conveys medical service support information and provides a peer-reviewed, quality print medium to encourage dialogue concerning SOF medical initiatives. The views contained herein are those of the authors and do not necessarily reflect the Department of Defense. The <strong>United</strong> <strong>States</strong> <strong>Special</strong> <strong>Operations</strong> <strong>Command</strong> and the JSOM do not hold themselves responsible for statements or products discussed in the articles. Unless so stated, material in the JSOM does not reflect the endorsement, official attitude, or position of the USSOCOM-SG or of the Editorial Board. Lt Col Michelle DuGuay Landers Journal of <strong>Special</strong> <strong>Operations</strong> Medicine Volume 10, Edition 4 / <strong>Fall</strong> 10
From the Editor III
- Page 1 and 2: Volume 10, Edition 4 // Fall 10 Jou
- Page 3: Fall 10 Volume 10, Edition 4 FEATUR
- Page 7 and 8: MSgt Mike Maroney renders a salute
- Page 9 and 10: medical system. 14 Although there a
- Page 11 and 12: were collected using the University
- Page 13 and 14: of VO 2max at lactate threshold (%V
- Page 15 and 16: Figure 4: Anatomic location of the
- Page 17 and 18: Warrior Model for Human Performance
- Page 19 and 20: pacity testing should be incorporat
- Page 21 and 22: During the O-Course training, physi
- Page 23 and 24: triathletes was approximately seven
- Page 25 and 26: 52. Myer GD, Ford KR, Barber Foss K
- Page 27 and 28: Jennifer B. Deluzio, MS Neuromuscul
- Page 29 and 30: such isolated training increase the
- Page 31 and 32: panied by an improvement in the fle
- Page 33 and 34: Warrior Model for Human Performance
- Page 35 and 36: sessions) with a range of 54-100%.
- Page 37 and 38: side of daily Army PT. Finally, it
- Page 39 and 40: musculoskeletal overuse injuries. A
- Page 41 and 42: War on Terrorism, which lists as it
- Page 43 and 44: MATERIEL AF PM has the most of the
- Page 45 and 46: failed to reach the summit. All mem
- Page 47 and 48: Scapula Fracture Secondary to Stati
- Page 49 and 50: Image 2: Scapular-Y view taken appr
- Page 51 and 52: Public Health Foodborne Illness Cas
- Page 53 and 54: 1. Determine that an outbreak has o
- 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
- Page 67 and 68:
of these twelve week courses was si
- 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 and 104:
Critical Care Credentials for the S
- Page 105 and 106:
Meet Your JSOM Staff EXECUTIVE EDIT
- Page 107 and 108:
Special Forces Aidman's Pledge As a