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With each edition of the journal, Captains Alex Merkle and Josh Randles will review select articles from the journal. These articles will be selected based on merit, interest, and application for operators in the field.

We hope you find these Podcasts as informative and enjoyable as we do.

If you have any comments or suggestions for future podcasts, you can contact our podcasters at podcast@jsomonline.org.

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Journal Podcasts

Summer 2020

In this episode of the JSOM Podcast, Alex and Josh discuss the article, "Step Duration Effects on Blood Loss in Simulated Designs of Tourniquet Use Procedure". Guest Will Price breaks down the article, "Clothing Effects on Limb Tourniquet Application", and authors Matt Douma and Peter Brindley discuss their 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'.

  1. Step Duration Effects on Blood Loss in Simulated Designs of Tourniquet Use Procedure
    Kragh JF, Aden JK, Dubick MA

  2. Guest Will Price discusses:
  3. Clothing Effects on Limb Tourniquet Application
    Wall PL, Buising CM, Hingtgen E, Smith H, Renner CH

  4. Drs. Matt Dumas and Peter Brindley discuss their paper:
  5. 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"
    O'Dochartaigh D, Picard CT, Brindley PG, Douma MJ

Duration: 37:10

Spring 2020

In this episode of the JSOM Podcast, Alex reviews the article about the Inventory of Combat Medics' Aid Bags; Josh breaks down a basic science article about biomarkers in evacuated patients and Rick Hines from the JSOMTC opines about freeze dried plasma in our guest review. In addition, Dr. Jae Choi and Dr. Andriy Batchinsky provide in-depth information on their research into HMGB1 proteins.

    Josh and Rick Hines talk about Freeze Dried Plasma:
  1. Freeze Dried Plasma Administration Within the Department of Defense Trauma Registry
    Cuenca CM, Chamy G, Schauer SG
  2. An Inventory of the Combat Medics' Aid Bag
    Schauer SG, Naylor JF, Uhaa N, April MD, De Lorenzo RA

  3. We also invite Dr. Choi and Dr. Batchinsky to discuss their paper:
  4. Expression of High Mobility Group Box 1 Protein in a Polytrauma Model During Ground Transport and Simulated High-Altitude Evacuation
    Choi JH, Roberts TR, Sieck K, Harea GT, Karaliou V, Wendorff DS, Beely BM, Cancio LC, Sams VG, Batchinsky AI

Duration: 37:00

Winter 2019

Volume 2 of the Journal Podcast reviews the Winter 2019 Journal of Special Operations Medicine. This podcast will focus on the following articles:

  1. Shared Blood: Expeditionary Resuscitative Surgical Team (ERST-5) Use of Local Whole Blood to Improve Resuscitation of Host Nation Partner Forces
    Bowman M, Ashbaucher J, Cohee B, Fisher MS, Jennette JB, Huse JD, Copeland C, Muir KB
  2. The Good, the Bad, and the Future of Drones in Tactical/Operational Medicine
    Bradley KD

  3. Guest host Ricky Ditzel, Research and Development lead @ SOM-C, will review:
  4. Getting "SMART" on Shock Treatment: An Evidence-Based Mnemonic Acronym for the Initial Management of Hemorrhage
    Thompson P, Hudson AJ

Duration: 28:20

Fall 2019

Welcome to the inaugural edition of the official JSOM podcast! In this edition, we'll be providing a brief review of:

  1. Review: Getting Tourniquets Right = Getting Tourniquets Tight
    Wall PL, Buising CM, Sahr SM
  2. Interventions Performed on Multipurpose Military Working Dogs in the Prehospital Combat Setting: A Comprehensive Case Series Report
    Reeves LK, Mora AG, Field A, Redman TT

  3. Additionally, we'll be doing a research 'deep dive' and author interview from:
  4. The Use of Tranexamic Acid in the Prehospital Setting: A Retrospective Study
    Boever J, Krasoski MS, Brandt M, Woods T

Duration: 27:25

Special Interviews

LTC Jamie Riesberg

We settle down to chat with one of the reigning champions of Prolonged Field Care (PFC), Dr Jamie Riesberg. He helps educate us about where the modern impetus for creating PFC treatments came from and what it looks like now. We review the thought process and resources available to the SOF medic practicing in the austere environment. Hope you enjoy learning about the recent developments in PFC as much as we do!

Duration: 19:58

LTC Rich Lesperance

The 20th Anniversary interview series continues with LTC Rich Lesperance. LTC Lesperance is a surgeon at Brook Army Medical Center. Rich came up through the enlisted ranks as a Special Forces Medic. He earned his commission through medical school and continues to serve the SpecOps community as a trauma surgeon. In this interview, LTC Lesperance discusses the effects of tranexamic acid on the breakdown of tissue during a trauma event.

Duration: 34:46

COL (Ret) John Kragh

We continue our 20th Anniversary interview series with world-renowed tourniquet expert Dr. John Kragh. In this interview, Dr. Kragh takes us through his history in becoming a tourniquet expert as well as detailing the evolution of toruniquet use in combat situations as a battalion surgeon in Southwest Asia. Tourniquet use has evolved considerably even during the 20-years since the JSOM has been in publication. Be sure to read Dr. Kragh's contributions to this quarter's journal as a companion to this interview.

Duration: 23:56

CMSgt Michael Rubio Interview

Please join us as we catch up with CMSgt Rubio, currently the commandant of the 351st Special Warfare Training Squadron of the PJ schoolhouse at Kirkland AFB. We had the privilege of hearing about his wide-ranging career as a SOF medic before diving into a discussion about the PJ training pipeline. It's a great opportunity to hear from the best about how PJ training has changed during the past 20 years, and get a glimpse of where it is heading in the future.

Duration: 17:41

MSG (Ret.) Rick Hines Interview

Rick Hines has a long history in Special Operations and is currently an instructor Special Warfare Training Group. He teaches at the SF Medical Sergeant Recertification Course and focuses on anesthesia and surgical care in the austere environment. Rick and Josh have a long conversation discussing the benefits of recycling at the 18D course, historical basis and current practice of surgical care and anesthesia for the far forward special operations medic.

Duration: 22:41

MAJ Andy Fisher

We had the opportunity to catch up with MAJ Andrew Fisher, MS-4, PA-C, LP for a great review of pre-hospital whole blood in the military; where we are now and how we got there.

He reminds us that, "everything old is new again." The first whole blood transfusion research was done by the military in 1940 (Armed Forces Blood Program) and was used extensively in WWII and the Korean War.

But times change and lessons learned are lost to the sands of time as one generation of peacetime military surgeons hands off the reigns to the next.

Supply limitations during MASCAL events in the early 2000's led to authorization to use walking blood banks at fixed facilities, and the results were promising. Further evaluation led to codification of walking blood banks in deployed theatres when demand outstripped supply. Seeing the benefit (and need) of whole blood in the pre-hospital environment, the Rangers "led the way" in creating and implementing a prehospital blood program that continues to be the gold standard to which other services and components are beholden.

We end with a look toward the future. There may be room for the implementation of whole blood programs within civilian settings and conventional forces.

Duration: 25:38

MSgt Shawn Anderson

Join us for the second in our 20th Anniversary interview series as we chat with MSgt Shawn Anderson, Pararescue Medical Program Manager. We get to learn more about his background and career. This discussion leads us through the history of pre-hospital analgesia within the PJ (and SOF) community and how it has changed in the recent past. Only 20 short years ago, we were still using morphine on the battlefield, with little practice change since the civil war. Recent history has taught us that morphine auto-injectors, when used in patients with shock, didn't work very well. Hypoperfused muscle resulted in sub-optimal analgesia, and could often create delayed hypotension when the histaminic agent finally did get distributed within the vasculature. As we all know, the turn of the century brought with it a resurgence in the use of ketamine; first used extensively for surgical anesthesia during the Vietnam War. As Rocky Farr would remind us - nothing is new, its just old ideas made new again.

Duration: 15:15

MSG (Ret.) Harold "Monty" Montgomery

The JSOM 20th Anniversary Special Interview Series starts off by chatting with former Army ranger and current SOMA president, MSG (Ret) Harold "Monty" Montgomery, about the evolution of TCCC during the past 20 years since the start of the JSOM. Monty also gives us a look to the future of TCCC and the plans the Committee on TCCC has for the way forward. We hope you enjoy the informative discussion about changes past, present, and future to TCCC.

Duration: 33:36

EMS World Podcast

The Journal of Special Operations Medicine has become an increasingly relevant source of information for Tactical and Emergency Medical Services personnel. Our statistics show that a large number of people who identify as EMS professionals are actively following us on social media. In an effort to strengthen our committment to sharing and receving relevant information with the EMS community, we will be spotlighting bonus episodes of the EMS World podcast on the JSOM podcast stream.

From the Streets to the Battlefield: EMS Meets Combat Medicine

For combat medics assigned to the U.S. Special Operations Command, the prehospital setting is an invaluable learning environment. In this episode, assistant editor Valerie Amato chats with Ricky Ditzel, a DOD flight paramedic and former combat medic, about his experience training with Special Operations Combat Medic (SOCM) at Cooper Univ. Hospital (NJ) EMS and trauma center staff to prepare for deployment.

Duration: 10:03

We hope you will find these select episodes as informative as we do and encourage you to check out the entire EMS World podcast archive.

Meet the Podcasters

We have a couple of ambitious young go-getters who have taken on the task of introducing and discussing the important topics in each issue of the JSOM. Alex Merkle has been on the editorial board of the Journal of Special Operations Medicine for several years, and provides expert reviews and analysis for many of the submissions to our journal. Josh Randles also lectures and teaches our SOF medics, keeping our front-line medics up-to-date on the latest techniques and procedures.

Alex Merkle in Med Tent

Alex currently works as a trauma surgery PA at a community hospital. He still pays homage to his pre-hospital roots by volunteering with a Search and Rescue team in the Lake Tahoe area, where he gets to refine his austere medicine, technical rescue and Nordic mountaineering skills. And continues to enjoy teaching austere medicine courses across the globe. Additionally, Alex is the first reservist to have attend the Army's Surgical/Critical Care PA fellowship at Brooke Army Medical Center and currently serves as a reservist within SOCOM. In the past, Alex has worked medical support missions in isolated postings across Alaska, remote Pacific islands and Antarctic field camps.

Josh Randles

Josh is unsure if the beatings actually improve morale, but thinks a prospective randomized trial could probably clear that up for ya. He is a Physician Assistant in the US Army assigned to a surgical team out of North Carolina. Aside from waxing poetic about medical literature he enjoys hiking, rock climbing, ceramics and dancing in the rain.