New CPG! Traumatic Brain Injury Management in PFC

Traumatic Brain Injuries coupled with other injuries can be one of the most difficult wound patterns to manage in the field. Learn to manage TBI on its own and when other complications arrive you will be in better condition to handle an even more difficult situation.

Traumatic Brain Injuries coupled with other injuries can be one of the most difficult wound patterns to manage in the field. Learn to manage TBI Continue reading “New CPG! Traumatic Brain Injury Management in PFC”

Free JSOU Book: “The Death of the Golden hour and the Return of the Guerilla Hospital” COL (RET) Warner D. “Rocky” Farr M.D.

Death of the Golden Hour and the Return of the Guerilla Hospital

Hardcover version available free to anyone with a .mil email address!

If you have a .mil or .gov email address, you may contact the JSOU Press editors to request print copies of JSOU Press publications.

From the Back Cover:

Colonel Warner “Rocky” Farr has made an important contribution to the body of SOF knowledge with this well-researched monograph. He advances the understanding of the many challenges and accomplishments related to guerrilla warfare medicine—care provided by predominantly indigenous medical personnel under austere conditions with limited evacuation capability— by providing a survey of the historical record in UW literature. Colonel Farr relates many historical experiences in the field, assesses their effectiveness, and lays a foundation for further in-depth study of the subject. The Joint Special Operations University is pleased to offer this monograph as a means of providing those scholars and operators, as well as policymakers and military leaders, a greater understanding of the complex and complicated field of guerrilla warfare medicine.

Download the PDF: The Death of the Golden Hour and the Return of the Guerilla Hospital -COL (RET) Warner D. Rocky Farr MD


http://jsou.libguides.com/jsoupublications/2017


COL (RET) Warner D. “Rocky” Farr Bio

Podcast 23: Clinical Practice Guidelines for the SOF Medic

While at the 2017 Remote Damage Control Resuscitation(RDCR) conference put on by the Tactical Hemostasis, Oxygenation and Resuscitation(THOR) network in Norway, Sean took the time to corner Dr. Shackleford to get her thoughts on the Joint Trauma System Clinical Practice Guidelines. Be sure to check out the new JTS Facebook, LinkedIn Pages, Instagram and Twitter feeds and YouTube Channel for more updates.

While at the 2017 Remote Damage Control Resuscitation(RDCR) conference put on by the Tactical Hemostasis, Oxygenation and Resuscitation(THOR) network in Norway, Sean took the time to corner Dr. Shackleford to get her thoughts on the Joint Trauma System Clinical Practice Guidelines. Be sure to check out the new JTS Facebook, LinkedIn Pages, Instagram and Twitter feeds and YouTube Channel for more updates.

  • What is the process that the CPGs go through before publication?
    1. Medics identify what guidelines are needed
    2. A team consisting of a medic, unit surgeon and specialist in the field begin a draft.
    3. Additional authors, specialists and SMEs are added as identified
    4. Progress is monitored by the Prolonged Field Care Working Group Steering Committee and advisors from the Joint Trauma System.
    5. Final draft sent out to interested parties, other specialists and PFC working group members for review
    6. Published in the Journal of Special Operations Medicine(JSOM) with proprietary format
    7. Formatted for public release via the JTS website
    8. Presented as a Thursday morning JTS CME Conference Talk.
    9. Posted on prolongedfieldcare.org
      • Interviews with authors are published as podcasts.
      • Primary and Co-Authors may write additional thoughts as a blog post.
      • polldaddy quizzes may be included in the posts or separately.
      • Released and promoted through social media such as our Facebook Pages, Instagram and Twitter feeds.
  • Why not just update the Tactical Medical Emergency Protocols?
    • We wanted peer reviewed guidelines that could be updated individually as needed.  Independent medical providers can now see what studies were referenced per recommendation.  We have partnered with USSOCOM and advised several changes and additions to the TMEPs.  The CPGs will help guide the CEB as they update future additions of the TMEPS as a reference.
  • What are the origins of the CPGs?
    • Sharing lessons learned and best practices accross the theaters of war
  • Why are there CPGs specific to Prolonged Field Care and Critical Care Evacuation Teams(CCAT) in addition to the main JTS CPGs?
    • There are large enough differences in levels of training, equipment and medications available and general logistics involved that make providing an identical care in all environments impossible. The CPGs take into consideration the unique challenges of the operational environment so the the provider is presented with several best options for the unique issues presented with each etiology and environment.
  • What CPGs are in the works and when can we expect to see them published?
  •  Coming Soon
    • Austere Nursing Care – Submitted!
    • Austere Damage Control Resuscitation – Drafted!
    • Austere Airway – Drafted!
    • Sepsis, Recognition and Treatment – Concept
    • Prepare for Flight – Concept
    • Thoracic Injuries – Concept
    • Abdominal Injuries – Concept
  • Why don’t you publish them all at once?
    • Most of them have taken over a year from time of inception to release.  They are meticulously researched, debated and reviewed before publication in the JSOM. Quality is more important than quantity.
  • When will they be updated?
    • They can be individually updated once the need arises.

Here is our page with the current CPGs including Crush, Burn, Analgesia & Sedation and Wound Care


Download the episode from our SOMA Page now!

SOMSA ’17 Poster Presentations

If you missed SOMSA this year here are the Academic Posters from the 2017 Special Operations Medicine and Scientific Assembly

There were some truly interesting ideas, research and products showcased on the exhibition floor. If you missed the 2017 Special Operations Medicine Scientific Assembly this year in Charlotte or never made it all the way back to the poster boards, here are the posters from the 2017 assembly.  Just like when I took pictures of them last year, my strategy was to quickly snap a pic of each poster to review and reference later.  This is a great opportunity to see what is currently being researched around the SOF Med community.  If you see a poster that you want to read, just click on it and it will open or download as a high quality picture(some better than others) attachment allowing you to zoom in.

If you have an idea for a poster I highly recommend you put one together. If you are US military you can have your units poster printed and laminated at the TASC print shop on post. If not, Kinko’s can knock it out pretty quick(but not cheap).  It’s a great way to share ideas and experiences with the rest of the community.  The initial call for abstracts will be in a few months and we will make an announcement on the SOMA Social Media Pages. 

If you were an academic poster presenter and you don’t see yours in the deck or want to share a higher quality version, just contact me in the comments below and then you can send me the highest quality picture you have and I will add it.

Analgesia and Sedation JTS/PFC Clinical Practice Guideline

Picture2

TheJoint Trauma System joined up with us and several of our working group members to bring you this, our third CPG, for PFC.As with every PFC CPG, this is the time that goes beyond TCCC. With this specific CPG you are expected to provide appropriate analgesia and/or sedation

Continue reading “Analgesia and Sedation JTS/PFC Clinical Practice Guideline”