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"The society that separates its scholars from its warriors will have its thinking done by cowards and its fighting done by fools." -- Thucydides

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Journal of Special Operations Medicine -"This Podcast introduces and discusses the important topics in each issue of the Journal of Special Operations Medicine"

Articles on Combat Medics

An Observational Study of Combat Medics' Tactical Combat Casualty Care Medication Administration Through a Single-Center Simulated TraumaThis link opens in a new window CONCLUSIONS: Significant deficiencies were noted in combat medics' administration of TCCC medications, suggesting that gaps in TCCC knowledge and skills may impact TCCC adherence in the operational environment. Further studies are needed to assess the efficacy of current training, the rate of skills atrophy, and interval training needs. Mar 18, 2025
Abdominal Aortic Junctional Tourniquets: Clinically Important Increases in Pressure in Aortic Zone 1 and Zone 3 in a Cadaveric Study Directly Relevant to Combat Medics Treating Non-Compressible Torso HemorrhageThis link opens in a new window CONCLUSION: The AAJT-S at 250mmHg achieves proximal epigastric compartment pressures of 40mmHg, with or without 500mL simulated free blood in the abdomen. This represents a highly significant and titratable reduction in blood flow within the celiac trunk branches. BMI does not have a clinically significant effect. AAJT-S application also produces zone 3 aortic and inferior vena cava occlusion. AAJT-S may be a point-of-injury intervention for forward medics that contributes to non-surgical... Dec 2, 2024
Designing Novel Physiologic Monitor Displays for Combat MedicsThis link opens in a new window CONCLUSIONS: We found that when a patient monitor contains both a configural display and a numerical display, participants look at the configural display. Furthermore, during time-sensitive situations, participants utilize the configural display to provide important information. We suggest this because the configural display integrates the relevant vital signs into one display. These findings provide justification for pursuing integrated vital sign displays to efficiently communicate patient... Aug 20, 2024
Combat Medics' Preparedness to Serve as Behavioral Health Extenders in Forward EnvironmentsThis link opens in a new window CONCLUSIONS: Most medics agreed that numerous BH tasks fell within the scope of their work, but few felt confident engaging in those tasks. These findings support a need for additional training in BH-related tasks across the force. Exploring ways to provide medics BH-related work rotations would augment their general proficiency as first-line treatment providers for soldiers in combat units, and increased training in BH-related tasks should be studied to determine its ability to increase... Aug 20, 2024
Letter to the Editor Regarding "Telemedicine-Guided Two-Incision Lower Leg Fasciotomy Performed by Combat Medics During Tactical Combat Casualty Care: A Feasibility Study"This link opens in a new window No abstract Jul 31, 2024
Response To: Letter to the Editor Regarding "Telemedicine-Guided Two-Incision Lower Leg Fasciotomy Performed by Combat Medics During Tactical Combat Casualty Care: A Feasibility Study"This link opens in a new window No abstract Jul 30, 2024
Ultrasound guided arterial access for combat medics: A blinded proof-of-concept study using echogenic needlesThis link opens in a new window CONCLUSION: Microteaching may be an effective approach to train combat medics in obtaining ultrasound-guided percutaneous femoral artery access. The use of echogenic coatings on needles could be a valuable adjunct and provide advantage in obtaining vascular access. Future research should focus on realistic simulation of austere situations and further evaluation of the use of echogenic coated instruments for vascular access in these pre-hospital settings. Jun 3, 2024
Results of combat medic junctional tourniquet training: a prospective, single-blind, randomized, cross-over studyThis link opens in a new window CONCLUSION: Our study basically investigates the effects of training on effective tourniquet application. Unfortunately, our after-training success rates remained unsatisfactory when compared to other studies. This is also the first study on T-AJT® tourniquet application, and further studies on its efficacy are also required. Jan 16, 2024
Telemedicine Improves Performance of a Two-Incision Lower Leg Fasciotomy by Combat Medics: A Randomized Controlled TrialThis link opens in a new window CONCLUSIONS: This randomized controlled trial shows that a HMD providing telemedicine support leads to significantly better performance of a two-incision lower leg fasciotomy by a combat medic with less iatrogenic muscle and venous damage. Dec 23, 2023
Comparing Capabilities of Simulation Modalities for Training Combat Casualty Care: Perspectives of Combat MedicsThis link opens in a new window CONCLUSIONS: The study furthers our understanding of simulation modalities for medical training by providing insight from combat medics on the benefits, limitations, and considerations for implementing different modalities depending on the training context. These results may be helpful to instructors in selecting modalities for their programs. Dec 11, 2023

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