Journal of special operations medicine : a peer reviewed journal for SOF medical professionals最新文献_第2页

Melioidosis: A Review and Update for the Special Operations Provider. 类鼻疽：对特种作战供应商的回顾和更新。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-10-05 DOI: 10.55460/J.Spec.Oper.Med.2026.1EQA-PTUT

Chase Goldberg, Akira A Shishido

引用次数: 0

Over-Penetration Risk of TASER 10 Conducted Electrical Weapon Darts in Humans. 泰瑟10传导电武器飞镖对人体的过度穿透风险。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-10-05 DOI: 10.55460/J.Spec.Oper.Med.2026.PSJG-TCAF

Jeffrey Ho, Donald M Dawes, Sebastian N Kunz, Kristen P Ho, James R Miner

{"title":"Over-Penetration Risk of TASER 10 Conducted Electrical Weapon Darts in Humans.","authors":"Jeffrey Ho, Donald M Dawes, Sebastian N Kunz, Kristen P Ho, James R Miner","doi":"10.55460/J.Spec.Oper.Med.2026.PSJG-TCAF","DOIUrl":"10.55460/J.Spec.Oper.Med.2026.PSJG-TCAF","url":null,"abstract":"The TASER™ T10® (T10) is a new generation of conducted electrical weapon (CEW) introduced in 2023. T10 has significant new technology enhancements related to the deployed darts. These darts are thin-diameter, low-profile projectiles launched by primer-ignited black-powder instead of compressed nitrogen used in previous model launch platforms. They are also launched at higher muzzle velocity (62.5±9.1m/s or 205±30 feet/s) than previous CEW darts, to assist with enhanced target adherence. We retrospectively examined digital images of human tissue that had 40 T10 darts fired into it at measured velocities between 186 feet per second and 273 feet per second (56.7- 83.2m/s). Target sites included bare skin on the lower abdomen, mid-thigh, and buttocks. The T10 darts were fired via an adjustable velocity, compressed air cannon through a ballistic chronograph to record accurate projectile velocities. The images were evaluated for evidence of over-penetration. Even at the fastest velocities, no over-penetration of human tissue was noted. We conclude that the new CEW darts operate with a significant margin of safety in terms of muzzle velocity and risk of human tissue penetration when fired as intended into recommended target areas.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"84-88"},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Set-Up Times, Infusion Times, and User Evaluations of Three Pressurized Intraosseous Infusion Devices. 三种加压骨内输液装置的设置时间，输液时间和用户评估。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-10-05 DOI: 10.55460/J.Spec.Oper.Med.2026.3AYO-CKOU

Erin N Snyder, Kimverlyn C Yue, Harrison J Cady, Luke E Devenny, Ivan L Yue, Keri E Garcia, Theodore C Morrison, Erin R Reilly, Jonathan D Auten, Danielle Wickman

{"title":"Set-Up Times, Infusion Times, and User Evaluations of Three Pressurized Intraosseous Infusion Devices.","authors":"Erin N Snyder, Kimverlyn C Yue, Harrison J Cady, Luke E Devenny, Ivan L Yue, Keri E Garcia, Theodore C Morrison, Erin R Reilly, Jonathan D Auten, Danielle Wickman","doi":"10.55460/J.Spec.Oper.Med.2026.3AYO-CKOU","DOIUrl":"10.55460/J.Spec.Oper.Med.2026.3AYO-CKOU","url":null,"abstract":"Introduction: Hemorrhage is the leading cause of preventable battlefield death, and rapid whole blood transfusion is lifesaving. IV access is often difficult or unobtainable in hemorrhagic shock. Tactical Combat Casualty Care (TCCC) currently recommends intraosseous (IO) access for difficult vascular access scenarios and use of a pressure bag for IO blood infusion. However, comparative data on IO infusion speed and user experience with different IO infusion techniques is lacking.Methods: This study evaluated 64 military medical personnel (32 Corpsmen, 32 Special Operations medics) in a mannequin-based IO simulation model. Participants intraosseously infused 2 units of simulated blood using three techniques-pressure bag, push-pull, and hand bulb. Primary outcomes included infusion time (set-up, infusion phases, and total) and user ratings on ease of use, confidence, construction reliability, low-light usability, one-handed operation, combat readiness, and preference.Results: Results showed the total time from set-up to completion of the second infusion was significantly slower for pressure bag (Corpsmen: 727s, 95% CI 671-783; Special Operations Forces (SOF) medics: 762s, 95% CI 685-838) than both the push-pull (Corpsmen: 505s, 95% CI 455-556; SOF medics: 457s, 95% CI 26-488, each p<.0001) and hand bulb (Corpsmen: 568s, 95% CI 504-633; SOF medics: 487s, 95% CI 452-522, each P<.0001). This pattern was similar at each of the four phases (each P<.05 or less).Conclusion: These findings indicate the need for improved methods of pressurized IO infusion in combat care settings.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"49-63"},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical Threats of the Texas-Mexico Border. 德克萨斯-墨西哥边境的医疗威胁。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-10-05 DOI: 10.55460/J.Spec.Oper.Med.2026.GUPQ-N2Z1

Anthony Bevers

引用次数: 0

Vascular Access In Tactical Combat Casualty Care: 18 June 2026. 战术战斗伤亡护理中的血管通路：2026年6月18日。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-10-05 DOI: 10.55460/J.Spec.Oper.Med.2026.BA4F-U1OU

Frank K Butler, Jonathan D Auten

引用次数: 0

Destination Is an Intervention: Why SOF Medics Must Own Capability-Based Evacuation Planning. 目的地是一种干预：为什么特种部队医务人员必须拥有基于能力的撤离计划。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-10-05 DOI: 10.55460/J.Spec.Oper.Med.2026.MRLR-9F19

Evan M Baines, Eric Kretz, Michael A Remley, Brock Denis, Yevgeny Maksimenko, Kyle Green, Kesava Anderson, Christopher W Hewitt, Jeremy Czarnik, Donald A Jenkins

引用次数: 0

Air Force Pararescue Experience in Wilderness Medicine: Relevance for the Deployed Environment. 空军野外医学伞兵救援经验：与部署环境的相关性。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-10-05 DOI: 10.55460/J.Spec.Oper.Med.2026.XSR7-CQUW

Randy Michael, Whitney Briggs, Paul Barendregt, Michael J Lauria, Stephen C Rush

{"title":"Air Force Pararescue Experience in Wilderness Medicine: Relevance for the Deployed Environment.","authors":"Randy Michael, Whitney Briggs, Paul Barendregt, Michael J Lauria, Stephen C Rush","doi":"10.55460/J.Spec.Oper.Med.2026.XSR7-CQUW","DOIUrl":"10.55460/J.Spec.Oper.Med.2026.XSR7-CQUW","url":null,"abstract":"In the realm of military special operations, the practice of medicine extends beyond the conventional boundaries of healthcare. Operating within remote and often hostile environments demands a unique fusion of medical expertise, tactical acumen, and adaptability. In this report we review three distinct pararescue missions executed by the 212th Rescue Squadron in which the complexities of wilderness medicine and operational demands are examined. The relationship of Special Operations Forces (SOF) medical skills to wilderness medicine is examined in each mission: wound care for soft tissue injury from a bear mauling; airway management in a patient with severe traumatic brain injury at high altitude and extreme cold; and analgesia and appropriate field management of a mid-femur fracture from a snow machine accident in remote Alaskan wilderness. Currently, there is a paucity of literature discussing the critical role of wilderness medicine in SOF medical practice. By examining the role of wilderness medicine principles and techniques in this case series, we seek to contribute to the evolving discourse surrounding SOF medical practice as a unique union of wilderness and combat medical skills.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"64-69"},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148984247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative Ultrasound Assessment of Standard and Wire-Core Airway Bougie Introducers in a Cadaver Model. 在尸体模型中对标准和线芯气道布基引入器的超声比较评价。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-10-05 DOI: 10.55460/J.Spec.Oper.Med.2026.GUG0-SQU2

Cheryl L Miller, Matthew G Somma, Russell A Baker, Brian J Ahern

{"title":"Comparative Ultrasound Assessment of Standard and Wire-Core Airway Bougie Introducers in a Cadaver Model.","authors":"Cheryl L Miller, Matthew G Somma, Russell A Baker, Brian J Ahern","doi":"10.55460/J.Spec.Oper.Med.2026.GUG0-SQU2","DOIUrl":"10.55460/J.Spec.Oper.Med.2026.GUG0-SQU2","url":null,"abstract":"Background: This study compared point-of-care ultrasound (POCUS) accuracy in identifying a standard bougie (SB) versus a wire-core bougie (WCB) placed in the trachea or esophagus of cadaveric models. Using a trans-tracheal approach at the suprasternal notch, we assessed whether the WCB improves POCUS identification.Methods: In this double-blind, randomized crossover trial, 31 emergency medicine and general surgery residents and faculty evaluated bougie placement in a controlled cadaveric lab. Participants were blinded to bougie type and location and interpreted real-time POCUS images as tracheal, esophageal, or indeterminate. The primary outcome was identification accuracy; secondary outcomes included sensitivity, specificity, accuracy, likelihood ratios, and time to identification.Results: After excluding indeterminate responses, 112 matched pairs were analyzed. Identification accuracy was higher with the WCB (98%; 110/112) than the SB (89%; 100/112). Although this 9% difference was statistically significant (P=.006), it did not meet the predetermined 20% threshold for clinical significance. The WCB showed superior sensitivity (96%) and specificity (100%) compared with the SB (92% and 86%, respectively). Median time to identification was similar: 3.3 seconds (IQR 2.4-6.4s) for the SB and 3.4 seconds (IQR 2.6-5.0s) for the WCB (P=.16).Conclusions: POCUS accurately detects placement of both bougie types in cadaveric models. Although the WCB demonstrated higher diagnostic accuracy, the difference was not clinically meaningful based on the a priori threshold. Participants rapidly identified both devices, supporting POCUS as a feasible adjunct for airway confirmation. Additional studies are needed to evaluate POCUS detection of bougie placement during live intubations.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"9-13"},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sterility of Tranexamic Acid Syringes Prefilled by Tactical Combat Medics in a Garrison Setting. 战术战斗医务人员在驻军环境中预先填充氨甲环酸注射器的无菌性。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-10-05 DOI: 10.55460/J.Spec.Oper.Med.2026.ULIS-DHUA

Janelle Sourbeer, Aaron Yallowitz, Gregory J Zarow, Keri E Garcia, David S Allen, Alexander Iteen, Andrew J McGowan, Theodore C Morrison, Matthew A Tovar, Eric F Sulava, William D Bianchi

{"title":"Sterility of Tranexamic Acid Syringes Prefilled by Tactical Combat Medics in a Garrison Setting.","authors":"Janelle Sourbeer, Aaron Yallowitz, Gregory J Zarow, Keri E Garcia, David S Allen, Alexander Iteen, Andrew J McGowan, Theodore C Morrison, Matthew A Tovar, Eric F Sulava, William D Bianchi","doi":"10.55460/J.Spec.Oper.Med.2026.ULIS-DHUA","DOIUrl":"10.55460/J.Spec.Oper.Med.2026.ULIS-DHUA","url":null,"abstract":"Background: Tranexamic acid (TXA) is an antifibrinolytic agent that confers a significant mortality benefit in the treatment of hemorrhagic trauma. The benefit of TXA is timedependent; Special Operations Tactical Medics (SOTM) and Special Operations Independent Duty Corpsmen (SOIDC) commonly prefill TXA syringes prior to a mission. However, the sterility of prefilled TXA syringes remains unclear.Methods: SOTMs (n=40) and SOIDCs (n=11) each filled two syringes with TXA in a garrison-type training setting using their customary preparation technique. As controls, a trained clinical research coordinator (CRC) filled 51 TXA syringes in the garrison setting and 51 in a Level-II Biosafety Lab (n=204 syringes total). In all cases, TXA was drawn from a glass vial into a 10cc syringe. TXA syringes were stored at room temperature, plated on chocolate agar at 0-, 3-, 6-, and 9-day intervals from collection (n=816 plates total), incubated for 7 days, then observed for bacterial growth.Results: The observed positivity rate of 0.6% (5 of 816 plates) was statistically similar to the published false positive rate of 0.5% for chocolate agar (P=.68). Positivity rates did not significantly differ by garrison setting versus lab setting (P=.20), SOTM/SOIDC versus CRC (P=.18), or day of testing (P=.26). One TXA syringe demonstrated contamination on Day 9.Conclusion: Present findings suggest that TXA syringes prepared in a simulated operational environment can maintain sterility up to 6 days when stored at room temperature. These results directly inform the Committee on Tactical Combat Casualty Care (CoTCCC) regarding the safe storage duration of prefilled TXA syringes.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Expanding End-Tidal Carbon Dioxide (EtCO2) Monitoring in Battlefield Medicine: A Call for Standardization, Research, and Innovation. 在战场医学中扩大末潮二氧化碳（EtCO2）监测：对标准化、研究和创新的呼吁。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-09-21 DOI: 10.55460/J.Spec.Oper.Med.2026.KZET-KQZY

Joseph Nelson, Michael K Sracic, Emily E Johnston

引用次数: 0