Journal of special operations medicine : a peer reviewed journal for SOF medical professionals最新文献_第3页

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.BNWX-QOS8

Joseph Nelson, Michael K Sracic, Emily E Johnston

引用次数: 0

One IFAK Isn't Enough: Rethinking Individual Medical Loadouts for Modern War. Lessons from a Trench Fight in Ukraine. 一个IFAK是不够的：重新思考现代战争中的个人医疗负载。乌克兰堑壕战的教训。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-06-27 DOI: 10.55460/J.Spec.Oper.Med.2026.2DRC-L423

Max Beerbaum, Jonathan Henderson

{"title":"One IFAK Isn't Enough: Rethinking Individual Medical Loadouts for Modern War. Lessons from a Trench Fight in Ukraine.","authors":"Max Beerbaum, Jonathan Henderson","doi":"10.55460/J.Spec.Oper.Med.2026.2DRC-L423","DOIUrl":"10.55460/J.Spec.Oper.Med.2026.2DRC-L423","url":null,"abstract":"Modern individual first aid kits (IFAKs) were designed to stabilize a single casualty during short evacuation timelines, an increasingly invalid assumption in large-scale combat operations. Sustained exposure to artillery, mortars, and dronedelivered munitions produces multiple simultaneous casualties with complex polytrauma and prolonged evacuation delays. This article uses a firsthand account from a trench engagement in Ukraine to examine how contemporary injury patterns rapidly overwhelm standard IFAK contents. Through structured interviews with a combat-experienced Soldier, the narrative illustrates repeated depletion and physical destruction of individual medical kits during ongoing contact, despite appropriate hemorrhage control techniques. Adaptations in medical loadouts observed in this environment emphasize distributed supplies, redundancy, and forward shifting of traditionally medic-held equipment to individual Soldiers. These observations highlight a critical mismatch between currently issued IFAKs and the realities of modern high-intensity conflict, underscoring the need to reassess individual medical loadout doctrine for future battlefields.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"85-87"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266959","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

Sewage Suffocation: A Case Report on Poop Pit Plop Pathophysiology. 污水窒息：粪坑扑通的病理生理1例报告。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-06-27 DOI: 10.55460/J.Spec.Oper.Med.2026.XY8L-XE9S

Alexandra Fields, Christopher A Mitchell, Alexander Barbuto, Austin Thornton, Adam Ingram

引用次数: 0

Novel Colorimetric Capnography for Confirmation of Thoracostomy Placement in a Porcine Model of Pneumothorax. 新型比色毛细管造影在猪气胸模型中确定开胸位置。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-06-27 DOI: 10.55460/J.Spec.Oper.Med.2026.2XXI-YOOH

Gena V Topper, Marlena Buonasorte, Lamis Thange, Avery Miles, Isabella Armento, John C Maitha, Krystal Hunter, Tanya Egodage

{"title":"Novel Colorimetric Capnography for Confirmation of Thoracostomy Placement in a Porcine Model of Pneumothorax.","authors":"Gena V Topper, Marlena Buonasorte, Lamis Thange, Avery Miles, Isabella Armento, John C Maitha, Krystal Hunter, Tanya Egodage","doi":"10.55460/J.Spec.Oper.Med.2026.2XXI-YOOH","DOIUrl":"10.55460/J.Spec.Oper.Med.2026.2XXI-YOOH","url":null,"abstract":"Introduction: Tension pneumothorax is a rapidly fatal but pre ventable cause of death. Needle thoracostomy remains the first-line intervention, yet misplaced catheters fail to relieve pressure and may prolong hypoxia, resulting in cardiovascular compromise and potentially causing injury. This study evaluated the utility of a novel colorimetric capnography device (Capnospot™) designed to provide visual confirmation of pleural entry during decompression.Methods: Two swine models of tension pneumothorax were created using transdiaphragmatic CO2 insufflation. After each induction, either needle or pigtail thoracostomy was performed. Time to Capnospot® color change was compared with ultrasound and radiographic confirmation using the Wilcoxon signed-rank test.Results: Twenty-four thoracostomies were performed. Time to colorimetric capnography change for needle thoracostomy was shorter than time to ultrasound confirmation (1,030 vs. 7,030 milliseconds (ms), P=.004). Time to color change was shorter than both the time to X-ray confirmation (1,030 vs. 9,435ms, P=.002) and ultrasound confirmation for pigtail thoracostomy placement (355 vs. 22,355ms, P=.002).Conclusions: Colorimetric capnography provided rapid, reliable confirmation of thoracostomy placement, outperforming both ultrasound and X-ray in speed and accuracy. This technology may streamline decompression in both prehospital and in-hospital settings, reducing complications and delays in life-saving care.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"15-19"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789214","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

Tactical Combat Casualty Care (TCCC) Guidelines: 1 May 2026 Updates. 战术战斗伤亡护理（TCCC）指南：2026年5月1日更新。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-06-27 DOI: 10.55460/J.Spec.Oper.Med.2026.8VSB-B7D7

Travis G Deaton, Harold R Montgomery, Frank K Butler

引用次数: 0

Evaluating Emissions Signatures of Handheld Ultrasound in Tactical Medicine: Operational Risk, Detection Threats, and Mitigation Strategies. 评估战术医学中手持式超声的发射特征：操作风险、检测威胁和缓解策略。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-06-27 DOI: 10.55460/J.Spec.Oper.Med.2026.IZSS-UBUN

Nicholas Tannenbaum, David Baldwin, Bradley Bergum, Ryan Johnson, Matthew Lyon

{"title":"Evaluating Emissions Signatures of Handheld Ultrasound in Tactical Medicine: Operational Risk, Detection Threats, and Mitigation Strategies.","authors":"Nicholas Tannenbaum, David Baldwin, Bradley Bergum, Ryan Johnson, Matthew Lyon","doi":"10.55460/J.Spec.Oper.Med.2026.IZSS-UBUN","DOIUrl":"10.55460/J.Spec.Oper.Med.2026.IZSS-UBUN","url":null,"abstract":"Background: Handheld ultrasound devices are increasingly used in battlefield and austere environments for point-of-injury diagnostics, but wireless-enabled models may emit detectable electromagnetic or radiofrequency (RF) signals that could compromise operational security.Methods: Three handheld ultrasound devices (GE VScan Air, Butterfly iQ, Philips Lumify) were evaluated using RF spectrum monitoring (9kHz-3GHz) in a Faraday enclosure and high-resolution computed tomography imaging.Results: The Butterfly iQ and Philips Lumify, both wired devices, exhibited no detectable emissions and lacked wireless components. The GE VScan Air, a wireless device, demonstrated active Bluetooth and Wi-Fi emissions, with internal wireless modules, antenna, and wireless charging coil identified on CT. While within expected parameters, these emissions may be detectable in electronically contested environments.Conclusion: Wireless handheld ultrasound devices may present an RF signature risk in tactical operations. Mitigation strategies include limiting wireless use, enhancing shielding, and increasing awareness of emissions risk in training and procurement decisions.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"11-14"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823502","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

Expeditionary Point-of-Care Ultrasound for Combat and Austere Environments. 用于战斗和恶劣环境的远征点护理超声。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-06-27 DOI: 10.55460/J.Spec.Oper.Med.2026.GOTR-RO8R

Ryan Allen Stevens, Chelsea E Ausman, David Korb, Brian Hall, Cord W Cunningham, Christopher A Mitchell

{"title":"Expeditionary Point-of-Care Ultrasound for Combat and Austere Environments.","authors":"Ryan Allen Stevens, Chelsea E Ausman, David Korb, Brian Hall, Cord W Cunningham, Christopher A Mitchell","doi":"10.55460/J.Spec.Oper.Med.2026.GOTR-RO8R","DOIUrl":"10.55460/J.Spec.Oper.Med.2026.GOTR-RO8R","url":null,"abstract":"Background: Point-of-care ultrasound (POCUS) enhances combat survivability, yet civilian standards often fail to address battlefield constraints. This scoping review delineates Expeditionary POCUS (E-POCUS) as a distinct capability.Methods: A systematic scoping review following PRISMA-ScR guidelines searched PubMed, Embase, Web of Science, and Google Scholar through November 2025. Inclusion criteria targeted terrestrial austere and combat environments, strictly excluding hospital-based studies. We assessed quality using a modified GRADE framework.Results: Fifty-three studies met the inclusion criteria. Data originated largely from civilian, resource-limited settings (34%) rather than from military zones (26%). Methodological quality was polarized: high-quality randomized trials supported artificial intelligence-assisted acquisition, while trauma protocols relied on very low-quality animal models. Analysis identified critical gaps in military-relevant POCUS standardization in equipment acquisition, training, and the application of ultrasound in austere and combat environments.Conclusion: E-POCUS requires a doctrine distinct from civilian standards. We propose a Best, Better, Minimum competency matrix to standardize training and justify the allocation of ultrasound equipment. We argue that to ensure the sustainability of standardized training in E-POCUS as a diagnostic capability, future research must validate these frameworks along with systemic quality improvement initiatives.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"50-60"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228942","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

Telemedicine Consultation: Lessons Learned from the Pararescue Experience. 远程医疗咨询：从跳伞救援经验中吸取的教训。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-06-27 DOI: 10.55460/J.Spec.Oper.Med.2026.KJL1-1PL3

Austin Gottschalk, Jacob F Oeding, Mason M Blacker, Erik Scott DeSoucy, Stephen C Rush

{"title":"Telemedicine Consultation: Lessons Learned from the Pararescue Experience.","authors":"Austin Gottschalk, Jacob F Oeding, Mason M Blacker, Erik Scott DeSoucy, Stephen C Rush","doi":"10.55460/J.Spec.Oper.Med.2026.KJL1-1PL3","DOIUrl":"10.55460/J.Spec.Oper.Med.2026.KJL1-1PL3","url":null,"abstract":"Background: Telemedicine is a critical military medicine capability in austere, remote, and denied environments where prolonged casualty care and knowledge gaps exist. Despite significant military investment in telemedicine, the literature lacks detailed lessons from real-world cases.Methods: U.S. Air Force Pararescue missions between 1 January 2010 and 31 December 2020 that included telemedicine consultation were reviewed. Participating flight surgeons (FS) and Pararescuemen (PJ) were interviewed, and available after-action reports were analyzed. Mission parameters, outcomes, and technical or human factors affecting communication were evaluated.Results: Across 13 telemedicine consultations, the 28 patients experienced: cave entrapment (13), trauma (7), burns (4), and illness (4). Consultations were from PJ to FS (11), U.S. Coast Guard to FS (1), and FS to neurosurgery (1). Secondary consultations (7) were from FS to dental (1), dermatology, burn/critical care, orthopedics (2), pediatric anesthesiology, and thoracic surgery specialists. Missions used voice over mobile or satellite phone, text, and email. Recommendations commonly involved medication selection (6), advisement against mission launch (3), and burn care (2). Consultation effectiveness was impacted by unclear directions (3) and degraded communications (2).Conclusion: Telemedicine is valuable to PJs during complicated cases and rarely performed procedures, but cannot replace pre-deployment medical exposure and training. Rehearsals may optimize telemedicine, and training should focus on synchronizing a shared mental model of the patient using well-understood patient report and evaluation tools (ATMIST and MARCH PAWS). Telemedicine may reduce human error, give medics the confidence to take action, and limit the psychological impact of difficult care decisions.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"21-26"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037513","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

From Antibiosis to HOCL Antisepsis: Far-Forward Infection Control in Modern Warfare. 从抗生素到HOCl防腐：现代战争中的远期感染控制。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-06-27 DOI: 10.55460/J.Spec.Oper.Med.2026.KPUM-MM54

Eric D Rasmussen, Vasyl Makarov

{"title":"From Antibiosis to HOCL Antisepsis: Far-Forward Infection Control in Modern Warfare.","authors":"Eric D Rasmussen, Vasyl Makarov","doi":"10.55460/J.Spec.Oper.Med.2026.KPUM-MM54","DOIUrl":"10.55460/J.Spec.Oper.Med.2026.KPUM-MM54","url":null,"abstract":"Modern military medicine continues to rely heavily on anti-biotic-based infection treatment, even as antimicrobial resistance, delayed evacuation, and contested logistics erode its effectiveness. A renewed emphasis on antisepsis-safe, stable, potent, broad-spectrum, and field-ready-now offers a practical alternative for far-forward field care and delayed evacuation. Hypochlorous acid (HOCl), a natural antimicrobial compound made by human neutrophils, has regained attention for its effectiveness and safety, making HOCl antisepsis the possible first step in far-forward infection prevention. Advances in electrochemistry now permit local high-volume production of pure, physiologically compatible and noncytotoxic HOCl with a rigorously-tested efficacy and safety profile and a 2-year shelf life. Laboratory, clinical, and humanitarian field data on its application to wounds consistently show rapid microbial reduction and biofilm disruption, leading to measurably enhanced wound healing. For those providing care in resource-limited settings, the use of HOCl demonstrates how infection prevention can move beyond pathogen-specific therapy toward safe and effective antisepsis. This paper outlines the rationale, evidence, and operational considerations supporting a proposed transition. It also argues that adopting point-of-injury wound intervention with HOCl might provide a highly effective, easy to use, and tissue-safe antiseptic for Individual First Aid Kits (IFAKs) and Special Operations medics. It concludes that lessons from the war in Ukraine should inform new research evaluating changes in TCCC protocols.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"78-84"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789183","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

Tourniquet Pressure Magnitudes and Distribution During Limb Applications. 止血带在肢体应用过程中的压力大小和分布。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2026-06-27 DOI: 10.55460/J.Spec.Oper.Med.2026.BYA5-RH3Y

Delaney A Fultz, Whitney A Shroeder, James Bryson Cox, Richard A Hester, Marc O Fridley, Cory S Hulsey, John DesJardins

{"title":"Tourniquet Pressure Magnitudes and Distribution During Limb Applications.","authors":"Delaney A Fultz, Whitney A Shroeder, James Bryson Cox, Richard A Hester, Marc O Fridley, Cory S Hulsey, John DesJardins","doi":"10.55460/J.Spec.Oper.Med.2026.BYA5-RH3Y","DOIUrl":"10.55460/J.Spec.Oper.Med.2026.BYA5-RH3Y","url":null,"abstract":"Background: Effective limb hemorrhage control depends on understanding how tourniquet pressure develops and is maintained. Prior work has emphasized overall occlusion pressure rather than pressure distribution, which influences tissue safety and device performance. This study examined SOF™ Gen 5 tourniquet pressure distribution and torque during key phases of tourniquet use.Methods: Tourniquets were self-applied by novice participants on the upper arm and professionally applied on the thigh for 60 seconds.Results: All 34 applications (n=17) achieved and maintained arterial occlusion; four arm applications reached occlusion, but could not secure the windlass rod. Median occlusion pressures were ~320mmHg (upper arm, 260.68mmHg; thigh, 335.56mmHg). Pressure decreased minimally during securement (upper arm, 314.24mmHg; thigh, 343.88mmHg) and pre-release (upper arm, 297.80mmHg; thigh, 340.88mmHg). Pressure distribution across the 3.8cm tourniquet width (upper arm P=.305; thigh P=.428) showed a \"bell-shaped\" pattern with approximately 15% lower edge pressures than central pressures. Median windlass rod occlusion torque was 2.50Nm for upper arm applications and 3.31Nm for thigh applications, substantially lower than the participant maximum hand torque (median 10.70Nm).Conclusion: This study described a human-limb method to characterize emergency-use tourniquet pressure distribution and torque behavior.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"61-69"},"PeriodicalIF":0.0,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279999","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