Fall - United States Special Operations Command

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70 From the Command Surgeon Greetings All, This time I writing from NATO HQs where they are hosting the annual NATO SOF Medical Operations Conference. There is a lot to discuss this year, from review of current med ops, to the latest advances in wound care, to how we train our own medical personnel, and how we train with host nation medics. Although the challenges continue to evolve, the one constant is the dedication and courage of the medic taking his skills to the sick and wounded in our areas of operation. So for those who have a moment to spare between combat operations and other deployments, this December’s SOMA will likewise give us some great opportunities for exchange of information, of lessons learned from the conflicts at hand, of news from the research and development communities and industry. Just the number and quality of active hemo- Virgil “Tom” Deal, MD COL, USA Command Surgeon HQ USSOCOM Journal of Special Operations Medicine Volume 10, Edition 4 / Fall 10 static agents that you’ll see demo’ed and discussed this year bears eloquent testimony to the effect that you’ve all had in looking for the best ways to take care of our wounded. Please take some time to look and listen and tell us in Tampa what we need to be researching and acquiring to help you guys at the pointy end of the spear in taking care of your wounded. I have to commend each of you for how well the SOF medical community is doing in recognizing the less visible wounds of the wars and continuing to take care of each member of every team. Although the technology that will help us diagnose and treat occult brain injury and PTSD and better detect and catalog environmental hazards is rapidly evolving, the best tool in our toolbox remains the SOF medic who sees and interacts with his teammates on a daily basis. Thanks for all that you do and God Bless.
Peter J. Benson, MD COL, USA Command Surgeon This past summer has proven to be the most costly in terms of casualties since the start of Operation Enduring Freedom. The current intensity of ongoing combat operations highlights the necessity to maintain the fielding of the best trained, best equipped Army Special Operations medical providers possible. Looking back across nearly a decade of combat, the developments in Tactical Combat Casualty Care (TCCC), and advances in medical products and devices have been phenomenal. The direct result of the continuous training and refinement of TCCC within USASOC has been the fundamental decrease in the number of USASOC Soldiers who die as a result of combat injuries. Special Operations medicine must keep pace with innovations in clinical “best practices,” use of the latest in drugs and medical devices, and insure that medical training is on the cutting edge. It is vitally important that USASOC’s Programs of Instruction for didactic, simulation and practical exercise training, as well as the equipment sets for ARSOF medical providers, are continually updated. To do this requires the input of USASOC’s Soldier-Providers, as well as the support of commanders at all levels. Now is the time to set conditions for the next 20 years of ARSOF’s engagement in the National Defense Strategy. There may be uncertainties regarding future U.S. policy for engagement, but there is little doubt that Army Special Operations Forces (ARSOF) will be a major force in the future. USASOC providers must remain ready to plan, provide, and manage Health Service Support in remote, austere forward locations. The robust conventional medical infrastructure of OEF and OIF will not be the model for future SOF operations. Operational emphasis will certainly require maximizing internal HSS capacity, but may include indigenous medical resources and leveraging other conventional or Theater HSS resources. Operations by smaller elements with minimal external support will probably be the norm. The upcoming ARSOF Medic (formerly the US- ASOC Surgeon’s Conference) and SOMA Conferences in December will be great venues for the exchange of information, experiences, and new ideas. The USASOC Surgeon’s Staff has worked hard to revamp the USASOC Conference to be more applicable and useful to our enlisted providers, with relevant briefings and hands-on training events. I look forward to seeing many of you at the Conferences and I hope as many US- ASOC providers who are able can make the trip. Sine Pari. Component Surgeon 71
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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
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
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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: Dawn Over Baghdad: How the U.S. Mil
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
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Fall - United States Special Operations Command

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