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Essential Items

Coming Soon!

Fall 2020

Fall 2020 Cover

We will be going to press with the Fall 2020 edition within the next week, and the digital version will be posted very shortly.

This quarter's publication continues the 20-year then-and-now retrospective of lessons learned throughout SOF medicine.

Journal of Special Operations Medicine

Summer 2020

Summer 2020 Cover

The Summer 2020 Journal is currently in the mail and will be in your mailbox soon!

The Digital version is now available for our digital subscribers. If you already have a digital subscription, log into your account and read the journal here; otherwise, you can subscribe now and have immediate access to this and all our electronic resources.

This quarter's publication continues the 20-year then-and-now retrospective of where we were, where we are, and how we got here look at the improvements in combat and tactical medicine. This edition focuses on the advancements in tourniquet use in field care, led be our own world-renowned trouniquet expert Dr. John Kragh.

Not only is Dr. Kragh the lead author on several of the key articles in this issue, he will be featured as the subject of our 20th Anniversary Special Talk Interview Podcast this month, so be sure to check that out once it is published later this month.

Standard Medical Operating Guidelines (SMOG)

CY 20

SMOG Cover

The SMOG is used by U.S. Army MEDEVAC Critical Care Flight Paramedics. The 2020 SMOG has recently been revised and will be currently available for purchase. The digital version is also available to our digital subscribers, as well as PDF download for tablet devices.

Advanced Tactical Paramedic Protocols (ATP-P)

10th Edition

ATP-P 10th Edition

ATP-P Digital subscribers may access the 10th Edition NOW on either their desktop, laptop, or mobile device. Not a subscriber? Sign up now for immediate access to the ATP-P, all published issues of the JSOM, access to our fully searchable compendium of articles, and more!

The print version 10th Edition of the ATP-P is available at the online store. Preview the Table of Contents now.

Pararescue Medical Operations Handbook (PJ MED)

7th Ed

PJ MED Cover

The Pararescue Medical Operations Handbook is designed to form the basis of medical practice during both Rescue Operations and training mishaps for USAF Pararescuemen (PJs).

Hardcopies are available for $35.
Digital subscriptions are $25. As with the ATP-P handbook, the PJ MED will be downloadable as a PDF to your tablet device so it is available without the need of a wi-fi connection.

Independent Duty Medical Technician (IDMT) Protocols Handbook

v 2.1

IDMT Cover

The IDMT Protocols handbook is used by USAF IDMTs worldwide. It is now available for purchase on our storefront, as well as electronically by subscription.

Shared Science

The Journal of Special Operations Medicine (JSOM) and the Wilderness & Environmental Medicine (WEM) journal continue a long-standing shared science program. This opportunity is made possible through a reciprocal partnership between the journals. Select past articles appearing in WEM which may be of interest to JSOM readers can be accessed at no cost. Simply click on the WMS logo below or visit https://www.wemjournal.org/content/sharedscience to access articles for free.

Tactical Combat Casualty Care: Transitioning Lessons Learned from the Battlefield to other Austere Environments

Wilderness Medical Society
Special Operations Medical Association

The OFFICIAL Journal of the Special Operations Medical Association.

Click the logo for more information.

First Blood: Fixing American Trauma Care

October 2017

Overhauling how citizens and medical providers respond to trauma, as well as how they collect and store blood, could save thousands of lives annually.

September 2020 Feature Article

Temporizing Life-Threatening Abdominal-Pelvic Hemorrhage Using Proprietary Devices, Manual Pressure, or a Single Knee: An Integrative Review of Proximal External Aortic Compression and Even "Knee BOA"

Summer 2020

O'Dochartaigh D, Picard CT, Brindley PG, Douma MJ. 20(2). 110 - 114. (Journal Article)


Introduction: Abdominal-pelvic hemorrhage (i.e., originates below the diaphragm and above the inguinal ligaments) is a major cause of death. It has diverse etiology but is typically associated with gunshot or stab wounds, high force or velocity blunt trauma, aortic rupture, and peripartum bleeds. Because there are few immediately deployable, temporizing measures, and the standard approaches such as direct pressure, hemostatics, and tourniquets are less reliable than they are with compressible extremity injuries, risk for death resulting from abdominal-pelvic hemorrhage is high. This review concerns the exciting potential of proximal external aortic compression (PEAC) as a temporizing technique for life-threatening lower abdominal-pelvic hemorrhage. PEAC can be accomplished by means of a device, two locked arms (manual), or a single knee (genicular) to press over the midline supra-umbilical abdomen. The goal is to compress the descending aorta and slow or halt downstream hemorrhage while not delaying more definitive measures such as hemostatic packing, tourniquets, endovascular balloons, and ultimately operative repair. Methods: Clinical review of the Ovid MEDLINE, In-Process, & Other Non-Indexed, and Google Scholar databases was performed for the period ranging from 1946 to 3 May 2019 for studies that included the following search terms: [proximal] external aortic compression OR vena cava compression AND (abdomen or pelvis) OR (hemorrhage) OR (emergency or trauma). In addition, references from included studies were assessed. Conclusion: Sixteen studies met the inclusion criteria. Evidence was grouped and summarized from the specialties of trauma, aortic surgery, and obstetrics to help prehospital responders and guide much-needed additional research, with the goal of decreasing the high risk for death after life-threatening abdominal-pelvic hemorrhage.

Keywords: hemorrhage; trauma; shock; junctional trauma; noncompressible hemorrhage; prehospital care; austere environment; proximal external aortic compression; PEAC

Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths after Injury

Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States Servicemembers injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events.

This report documents the remarkable decrease in casualties killed in action during the wars in Iraq and Afghanistan and the role of the Joint Trauma System, the CoTCCC, and the TCCC Working Group in helping to make that happen. It also outlines a clear and comprehensive vision for a National Trauma System that will enable the civilian and the military sectors to work in concert to help prevent ALL potentially preventable deaths in trauma victims.

Download a free PDF copy of the IOM Report

What Our Readers are Saying

I just finished reading the fall edition of the JSOM and I am completely blown away!!!! It is absolutely packed with exceptional and relevant information that without a doubt, will assist SOF Tactical Health Care professionals in providing relevant and evidence based patient care. Thank you for providing what I consider a "World Class Medical Journal". The journal itself and the website have become my primary resource for knowledge in tactical medicine."

Robert M. Miller
North American Rescue
Chief Innovation Officer

"There is no peer-reviewed academic resource that equals the Journal of Special Operations Medicine for support of the medical and veterinary lead in Stabilization, Security, Transition and Reconstruction (SSTR) operations, combat and field medicine, and adaptation of Tactical Combat Casualty Care into Tactical Emergency Casualty Care for the law enforcement and emergency management community in 195 UN member countries. JSOM is a valuable resource as we continue the Millennium Medicine Project, targeting the global population that lacks access to basic surgical services and providing crisis management, security, and defense support in this demographic."

Stephen M. Apatow
President, Humanitarian Resource Institute
(UN:NGO:DESA) and H-II OPSEC: Defense Support:
Humanitarian and Security Operations

"Military units that have trained all of their members in Tactical Combat Casualty Care have documented the lowest incidence of preventable deaths among their casualties in the history of modern warfare - and JSOM is the first journal to publish every new change in TCCC."

Frank K. Butler, MD
Chairman, Committee on Tactical
Combat Casualty Care (CoTCCC)

"The past 30 years has brought an amazing professionalization of the specialty of Tactical Emergency Medical Support (TEMS). As new standards are set and the world faces increasingly complex security challenges, it is critical that the front line medical providers supporting military, intelligence, and law enforcement operations have a mechanism to expand their knowledge and share best practices. The Journal of Special Operations Medicine offers civilian readers access to the most cutting edge developments in the field including updates on Tactical Emergency Casualty Care (TECC), the National TEMS Imitative and Council (NTIC), and combat lessons learned. JSOM is the one-stop shop for best practice and future advancements in civilian TEMS. One of the unifying principles across humanitarian, expedition and disaster response medical operations is the ability to make complex decisions in uncertain environments. The Journal of Special Operations Medicine is one of the most unique platforms for experts to convey lessons learned and relevant scientific advances across specialties that historically have little interaction. Whether you work for Doctors Without Borders, a DMAT, or provide medical support for expeditions in austere environments, Journal of Special Operations Medicine is your journal."

David W. Callaway, MD
Director, Division of Operational and Disaster Medicine
Operational Medical Director, Carolinas MED-1
Co-Chairman, The Committee for Tactical Emergency Casualty Care (C-TECC)
Civilian Vice President, Special Operations Medical Association (SOMA)