JSOM Header

Featured Articles

Summer 2007

Rapid Reversal Ofwarfarin Toxicity Using Recombinant Factor Viia In A Deteriorating Patient With Left Hemothorax

Top

Samir H, Owens GP, Masud F. 07(3). 1 - 3. (Case Reports)

Special Operations Medicine: A Federal Law Enforcement Perspective

Top

Schmidt DJ. 07(3). 1 - 2. (Journal Article)

Abstract

This article details the overlapping mission between the Special Operations community and the U.S. Drug Enforcement Administration (DEA) mission. DEA and Special Operations Force (SOF) units operate together all over the world with DEA presence in over 100 foreign countries. The Law Enforcement (LE) mission and the SOF mission have very blurred lines that allow for a very close working relationship and similar counter-drug mission profile. The article specifically details the experiences in tactical medicine and the SOF medic mission overseas relating one specific incident involving Special Forces (SF) and DEA personnel in a third world jungle operation. The article explains the strong bond between DEA and SOF personnel and lessons learned in the field relative to medical issues.

Traumatic Amputation Of A Finger- A Stark Reminder

Top

Calvillo A, Spivey JL. 07(3). 1 - 4. (Journal Article)

Abstract

Because service members wear rings while on military duty, the potential for undue injury to the hands and fingers of service members is increased. Therefore, it is important to be informed about how and when they occur. Soldiers wear rings while on duty because they forget to take them off, don't want to lose them, or, for marital and other varying reasons. This article will show the consequences of ring related injuries.

Transfusion Medicine

Top

Johnson TR, Kacprowicz RF, Mosely DS. 07(3). 22 - 30. (Journal Article)

Abstract

Far-forward blood transfusion is a controversial topic. Transfusion of stored packed red blood cells (pRBCs) has come under increasing scrutiny in civilian trauma centers and may have fewer benefits than previously believed. The unnecessary transfusion of stored blood products has the potential to do significant harm, particularly when the blood has been stored for the long periods typically seen in the combat theater. Therefore, when transfusion is considered for an acutely injured patient, careful attention must be paid to the risks, benefits, and indications for transfusion. Once transfusion therapy is chosen, the provider must carefully adhere to established guidelines and procedures to minimize potential harm to the patient.

Community Acquired Methicillin Resistant Staphylococcus Aureus

Top

Hammes JS. 07(3). 33 - 37. (Journal Article)

Abstract

Community acquired Methicillin Resistant Staphylococcus aureus (ca-MRSA) is an important cause of illness among active duty forces in general and among Special Operations personnel in particular. It is increasingly common and has the potential to continue to spread to affect a large proportion of the population. This pathogen may cause degradation in operational readiness, time lost from training, and potentially disabling damage to soft tissues and joints. This article has several purposes. It will describe background and significance of ca-MRSA related disease, describe the clinical manifestations of ca-MRSA disease, explain how the bacterium causes illness, and explain the measures needed to treat and prevent the spread of ca-MRSA infections.