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.
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Welcome to the inaugural edition of the official JSOM podcast! In this edition, we'll be providing a brief review of:
Volume 2 of the Journal Podcast reviews the Winter 2019 Journal of Special Operations Medicine. This podcast will focus on the following articles:
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.
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.
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.
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.
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.
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 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 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.