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ATP-P Handbook 11th Edition - Standard Paper (978-1-7366242-7-2 )

The Advanced Tactical Protocols-Paramedic (ATP-P) Handbook is an essential reference tool for tactical and combat medics, SWAT team members, and medical professionals operating in austere environments.

This handbook is printed on standard paper and is NOT waterproof or tearproof.

This handbook contains the 2016-2019 TMEPS TTPs, as well as the current TCCC, PCC, and cTCCC guidelines. We updated the ToC to make it more comprehensive and user friendly

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This handbook is printed on the same standard paper as the ATP-10th edition. We also offer this handbook in waterproof/tearproof paper.

For orders of 5 or more, click here to fill out the Request Form, and we will contact you with a quote.
 
Digital Flipbook and PDF versions of this handbook are available as a subscription to the JSOM. You can subscribe here.

$65.00
Independent Duty Medical Technician (IDMT) Protocols Handbook (2021 ed) (978-1-7366242-1-0)

US Air Force Independent Duty Medical Technician (IDMT), Medical and Dental Treatment Protocols, Ed 2.3 Handbook published in January 2021 is a resource for Air Force IDMT medical personnel with advanced skills and knowledge. These protocols are the product of a concerted effort by representatives from all major command surgeons' offices with the express goal to standardize the care  IDMTs are permitted to provide regardless of location and command affiliation. These protocols clearly define the scope of care parameters that the IDMT is expected and trained to work within. These treatment protocols are designed as a guide to accepted step-by-step treatments for medical disorders that may be encountered by IDMTs in the field

For orders of 5 or more, click here to fill out the Request Form, and we will contact you with a quote.

Digital Flipbook and PDF versions of this handbook are available as a subscription to the JSOM. You can subscribe here.

Table of Contents

$63.00
Ranger Medic Handbook 2022 Updates (978-1-7366242-3-4)
The Ranger Medic Handbook is the medical instruction handbook provided to Ranger Medics by the 75th Ranger Regiment. It is the premier resource for all Ranger Medics. It is now available exclusively for purchase by Breakaway Media and by digital subscription on the Journal of Special Operations Medicine website. This handbook is offered on Water/Tear Proof Paper. The 2022 Updates is the official and current edition of the Ranger Medic Handbook.

For orders of 5 or more, click here to fill out the Request Form, and we will contact you with a quote.

Digital Flipbook and PDF versions of this handbook are available as a subscription to the JSOM. You can subscribe here.

View the Table of Contents

Print: 978-1-7366242-3-4

Customers living in Europe can purchase the Ranger Medic Handbook 2022 Updates through WERO GmbH and save significant money on shipping and processing. The RMH can be purchased at this link.

Before you buy, you will receive an offer with your total price, including shipping and VAT. 

Kunden, die in Europa leben, können die Ranger Medic Handbook 2022 Updates über die WERO GmbH erwerben und dabei erheblich an Versand- und Bearbeitungskosten sparen. Das RMH kann unter diesem Link erworben werden.

Vor dem Kauf erhalten Sie ein Angebot mit Ihrem Gesamtpreis, inklusive Versand und Mehrwertsteuer.
$70.00
Pararescue Medical Operations (PJ MED) Handbook 8th ed (978-1-7332239-4-2)
The Pararescue Medical Operations Handbook forms the basis of medical practice during Rescue Operations and training mishaps for USAF Pararescuemen (PJs).

This revised handbook includes an outline of the principles of PJ medicine and the patient assessment checklist. This approach to patients is slightly modified from traditional primary and secondary surveys to reflect a more efficient and comprehensive approach to combat trauma based on PJ experience and data from Overseas Contingency Operations.

This handbook includes portions of the Tactical Combat Casualty Care (TCCC) guidelines and the ATP Tactical Medical Emergency Protocols (TMEPS) pertaining to Pararescue. These protocols have are to suit the PJ mission. The goal remains to have all PJs work to a single standard. The section on prolonged care has been modified and expanded based on PJ experiences.

For orders of 5 or more, click here to fill out the Request Form, and we will contact you with a quote.

Digital Flipbook and PDF versions of this handbook are available as a subscription to the JSOM. You can subscribe here.

View the Table of Contents.

This version of the PJ Handbook is printed on waterproof, tearproof paper and is spiral bound with a 1/2" ring.
$65.00
ATP-P Handbook 11th Edition - Waterproof paper (978-1-7366242-7-2 )

The Advanced Tactical Protocols-Paramedic (ATP-P) Handbook is an essential reference tool for tactical and combat medics, SWAT team members, and medical professionals operating in austere environments.

This handbook is printed on waterproof/tearproof paper. Please note: Do not expose this product to chemicals such as cleaning supplies, lotions, etc., as your book will be damaged.

This handbook contains the 2016-2019 TMEPS TTPs, as well as the current TCCC, PCC, and cTCCC guidelines. We updated the ToC to make it more comprehensive and user friendly

View the Table of Contents

For orders of 5 or more, click here to fill out the Request Form, and we will contact you with a quote.

Digital Flipbook and PDF versions of this handbook are available as a subscription to the JSOM. You can subscribe here.

$78.00
Standard Medical Operations Guide CY 2022 (978-1-7366242-2-7)

This current set of medical guidelines were developed through a collaboration of Emergency Medicine professionals, experienced Flight Medics, Aeromedical Physician Assistants, Critical Care Nurses, and Flight Surgeons. There has been close coordination in the development of these guidelines by the Joint Trauma System, Committee of En Route Combat Casualty Care and the Committee of Tactical Combat Casualty Care. The shared goal is to ensure excellent en route care that is standard across all evacuation and emergency medical pre-hospital units. All these enhancements and improvements will advance en route care across the services and the Department of Defense. This handbook was published in April 2022

For orders of 5 or more, click here to fill out the Request Form, and we will contact you with a quote.

Digital Flipbook and PDF versions of this handbook are available as a subscription to the JSOM. You can subscribe here.

View the Table of Contents

$55.00
Advanced Ranger First Responder Handbook
Advanced Ranger First Responder Handbook (978-1-7332239-8-0)
The Advanced Ranger First Responders are entrusted with an advanced skill set of procedures, medications, and training. They are trained on specific first responder medical skills to provide a higher level of trauma response during Ranger operations. The ARFR is expected to provide limited scope trauma and emergency care in a tactical or austere setting; they may work independently or in support of a medical provider. They are proficient at advanced medical procedures and basic medication administration. The skills in this handbook enhance the basics of Tactical Combat Casualty Care (TCCC)

For orders of 5 or more, click here to fill out the Request Form, and we will contact you with a quote.

Digital Flipbook and PDF versions of this handbook are available as a subscription to the JSOM. You can subscribe here.

View the Table of Contents

Customers living in Europe can purchase the Advanced Ranger First Responder Handbook 2021 Updates through WERO GmbH and save a significant amount of money on shipping and processing. The ARFR can be purchased at this link.

Before you buy, you will receive an offer with your total price, including shipping and VAT.

Kunden mit Wohnsitz in Europa können die Advanced Ranger First Responder Handbook 2021 Updates über die WERO GmbH erwerben und dabei erheblich an Versand- und Bearbeitungskosten sparen. Die ARFR kann unter diesem Link erworben werden.

Vor dem Kauf erhalten Sie ein Angebot mit Ihrem Gesamtpreis, inklusive Versand und Mehrwertsteuer.
$41.00
Fall 2020 Journal (Vol 20 Ed 3)

Vol 20 Ed 3
Fall 2020 Journal of Special Operations Medicine
ISSN: 1553-9768

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$40.00
Spring 2022 Journal (Vol 22 Ed 1)

Vol 22 Ed 1
Spring 2022 Journal of Special Operations Medicine
ISSN: 1553-9768

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Available for preorder. Estimated ship date is March 31st 2022

$43.00
Military Medical Evacuation After the Benghazi Embassy Attack: Implications for Military Support of Diplomatic Missions

Tekmal S, Lockett C, Long B, Schauer SG 22(4). 83 - 86 (Journal Article)

Background: The Department of State has the primary responsibility of diplomatic operations in foreign countries. The US military often supports these missions and, when needed, may be called upon to provide security in the event of changes in the host nation's government stability. The US military was requested to help evacuate the consulate in Benghazi after the attack on September 11, 2012. The medical requirements to support such a mission remain unclear, and data are lacking. We sought to describe the medical care required during this evacuation mission. Methods: This is a secondary analysis of a previously described dataset from the United States Transportation Command (TRANSCOM) Regulating Command & Control and Evacuation System (TRAC2ES) from 2008 to 2018, with a focus on cases involving the evacuation after the Libyan consulate attack in September 2012. Within our dataset, we isolated all cases of evacuation from the attack on US government facilities in Benghazi. We describe the available data within TRAC2ES, including the free text information placed by the initiating medical personnel. Results: We identified three cases of evacuations within TRAC2ES associated with the Benghazi consulate attack. All cases were evacuated from host nation hospitals to Landstuhl Regional Medical Center (LRMC) by military aircraft under urgent status. Case 1 was an adult male injured by an undocumented mechanism. He was found to be in severe shock, received four units of blood prior to transport, and was intubated. Case 2 was an adult male injured by an undocumented mechanism. He had documented smoke inhalation injury and was found to be coughing up black sputum. Case 3 was an adult male injured by an undocumented mechanism. He had a compound radial fracture with an external fixator in place and subsequently developed compartment syndrome. He was intubated prior to transport. Conclusions: Our case series focuses on the unique aspects of military support of diplomatic missions in countries lacking a stable government-specifically, what transpired in Benghazi. Such events showcase areas of potential collaboration between the Department of State and the Department of Defense in coordinating medical evacuations for casualties sustained during diplomatic missions.

$43.00
iTClamp-Mediated Wound Closure Speeds Control of Arterial Hemorrhage With or Without Additional Hemostatic Agents

Stuart SM, Bohan ML, Mclean JB, Walchak AC, Friedrich EE 22(4). 87 - 92 (Journal Article)

Background: Exsanguination is the leading cause of preventable posttraumatic death, especially in the prehospital arena. Traditional hemorrhage control methods involve packing the wound with hemostatic agents, providing manual pressure, and then applying a pressure dressing to stabilize the treatment. This is a lengthy process that frequently destabilizes upon patient transport. Conversely, the iTClamp, a compact wound closure device, is designed to rapidly seal wound edges mechanically, expediting clot formation at the site of injury. Objectives: To determine the efficacy of the iTClamp with and without wound packing in the control of a lethal junction hemorrhage. Methods: Given the limited available information regarding the efficacy of the iTClamp in conjunction with traditional hemostatic agents, this study used a swine model of severe junctional hemorrhage. The goal was to compare a multiagent strategy using the iTClamp in conjunction with XSTAT to the traditional method of Combat Gauze packing with pressure dressing application. Readouts include application time, blood loss, and rebleed occurrence. Results: Mean application times of the iTClamp treatment alone or in conjunction with other hemostatic agents were at least 75% faster than the application time of Combat Gauze with pressure dressing. Percent blood loss was not significantly different between groups but trended the highest for Combat Gauze treated swine, followed by iTClamp plus XSTAT, iTClamp alone and finally iTClamp plus Combat Gauze. Conclusion: The results from this study demonstrate that the iTClamp can be effectively utilized in conjunction with hemostatic packing to control junctional hemorrhages.

$43.00
The Challenges of Treating Complex Medical Patients in the Role 2 Environment: A Case Series

Ward H, Downing N, Goller S, Stremick J 22(4). 93 - 96 (Case Reports)

The Role 2 environment presents several challenges in diagnosing and treating complex medical and life-threatening conditions. They are primarily designed to perform damage control resuscitation and surgery in the setting of trauma with less emphasis on complex medical care and limited ability to hold patients for more than 72 hours. Providing care to Soldiers and civilians in the deployed setting is made more difficult by the limited number of personnel, lack of advanced diagnostic equipment such as CT scanners, harsh working conditions, and austere resources. Despite these challenges, deployed physicians have continued to provide high levels of care to injured Soldiers and civilians by using clinical judgment, validated clinical decision-making tools, and adjunct diagnostic tools, such as ultrasound. In this case series we will present three complex medical cases involving pulmonary embolism (PE), ventricular tachycardia (VT), and aortic dissection that were seen in a deployed Role 2 setting. This article will highlight and discuss the challenges faced by deployed providers and ways to mitigate these challenges.

$43.00
Omega-3 Fatty Acids: Benefits for Performance and Recovery

Rittenhouse M, Deuster PA 22(4). 97 - 101 (Journal Article)

Full-spectrum human performance optimization (HPO) is essential for Special Operations Forces (SOF). Nutrition is one part of HPO and is important for all aspects of performance. One area of increased interest in this regard is omega-3 polyunsaturated fatty acids (omega-3). Research has indicated that Servicemembers (SM), including SOF, do not eat the recommended 2 to 3 servings per week of fatty fish and have low omega-3 levels. Therefore, alternative approaches are warranted. The purpose of this article is to highlight the potential mental and physical health and performance benefits of omega-3. Consuming omega-3 on a regular basis would not only be beneficial for the health of SOF but also for their training and overall performance.

$43.00
Sleep and Injuries in Military Personnel With Suggestions for Improving Sleep and Mitigating Effects of Sleep Loss

Knapik JJ, Caldwell JA, Ritland BM 22(4). 102 - 110 (Journal Article)

Sleep professionals suggest adults should sleep at least seven hours per night and define good sleep quality as 1) sleep onset ≤15 minutes, 2) one or fewer awakenings per night, 3) awake after sleep onset ≤20 minutes, and 4) sleep efficiency (ratio of sleep time to time in bed) ≥85%. This paper focuses on associations between injuries and sleep quality/duration among military personnel and strategies to optimize sleep and mitigate effects of sleep loss. Investigations among military personnel generally used convenience samples who self-reported their injury and sleep quality/quantity. Despite these limitations, data suggest that lower sleep quality or duration is associated with higher risk of musculoskeletal injury (MSI). Possible mechanisms whereby poor sleep quality/duration may influence MSI include hormonal changes increasing muscle catabolism, increases in inflammatory processes affecting post-exercise muscle damage, and effects on new bone formation. Sleep can be optimized by a slightly cool sleeping environment, bedding that maintains a stable thermal microclimate around the body, not using media devices near bedtime or in the sleeping environment, minimizing noise, and having regular bed and awaking times. Sleep loss mitigation strategies include napping (<30 to 90 minutes), sleep banking (extended time in bed), and judicious use of caffeine or modafinil.

$43.00
Experience With Trauma-Induced ARDS: A Retrospective Study of US Wartime Casualties 2003-2015

Nam JJ, McCravy MS, Haines KL, Thomas SB, Aden JK, Johnston LR, Mason PE, Gurney J, Sams VG 22(4). 111 - 116 (Journal Article)

Background: The purpose of our study was to assess risks/ outcomes of acute respiratory distress syndrome (ARDS) in US combat casualties. We hypothesized that combat trauma patients with ARDS would have worse outcomes based on mechanism of injury (MOI) and labs/vital signs aberrancies. Materials and Methods: We reviewed data on military Servicemembers serving in Iraq and Afghanistan from 1 January 2003 to 31 December 2015 diagnosed with ARDS by ICD-9 code. We extracted patient demographics, injury specifics, and mortality from the Department of Defense Trauma Registry (DoDTR). Results: The most common MOI was an explosion, accounting for 67.6% of all injuries. Nonsurvivors were more likely to have explosion-related injuries, have higher injury severity score (ISS), higher international normalized ratio (INR), lower platelet count, greater base deficit, lower temperature, lower Glasgow Coma Scale (GCS) score, and lower pH. There was no significant difference in deaths across time. Conclusion: By identifying characteristics of patients with higher mortality in trauma ARDS, we can develop treatment guidelines to improve outcomes. Given the high mortality associated with trauma ARDS and relative paucity of clinical data available, we need to improve battlefield data capture to better guide practice and ultimately improve care. The management of ARDS will be increasingly relevant in prolonged casualty care (PCC; formerly prolonged field care) on the modern battlefield.

$43.00
Prisoner of War Medical Ingenuity in Far East Captivity

Parkes M, Gill G 22(4). 117 - 121 (Journal Article)

Research into British perspectives of the medical history of Far East prisoners of war (FEPOWs) has been conducted by the Liverpool School of Tropical Medicine (United Kingdom), resulting from decades of treating FEPOW veterans that began after their repatriation in late 1945. This paper examines some of the ingenious ways that British medical officers, medical orderlies, and volunteers fought to save the lives of thousands of FEPOWs during captivity in the Second World War. It highlights some of the key medical challenges, together with the resourcefulness of a "citizen's army" of conscripts and volunteers who used their civilian knowledge, skills, and ingenuity in many ways to support Allied medical staff. Using the most basic of materials, they were able to produce a vast array of medical support equipment and even drugs, undoubtedly saving many lives.

$43.00
Identification of Potentially Preventable Traumatic Injury Among Military Working Dogs Deployed During the Global War on Terror

Cwikla J, Edwards TH, Giles JT, Kennedy S, Smith B, de Porras DG, Scott LL 22(4). 122 - 129 (Journal Article)

Background: Prevention of deployment-related injury is critical for readiness of US military working dogs (MWDs). This study evaluated deployment-related injuries to determine if they were potentially preventable and identify possible abatement strategies. Methods: Data were collected on 195 MWD injury events that occurred between 11 September 2001 and 31 December 2018. Injuries were reviewed by a panel of veterinarians and categorized into groups based on panel consensus. The panel also established which interventions could have been effective for mitigating injuries. Multipurpose canine (MPC) and conventional MWD injury event characteristics were compared to identify meaningful differences. Results: Of the 195 injuries, 101 (52%) were classified as preventable or potentially preventable. Most (72%) of the potentially preventable injuries occurred in conventional MWDs, with penetrating injuries (64%) being the most common type of trauma. For the preventable/potentially preventable injuries, the most common preventative intervention identified was handler training (53%) followed by protective equipment (46%). There were differences between MPCs and conventional MWDs for injury prevention category, type of trauma, mechanism of injury, and preventative intervention (all p < .001). Conclusion: The application of a preventable review process to MWD populations may be beneficial in identifying potentially preventable injuries and preventative intervention strategies.

$43.00
A Novel Digital Research Methodology for Continuous Health Assessment of the Special Operations Warfighter: The Digital cORA Study

Saxon L, Faulk RT, Barrett T, McLelland S, Boberg J 22(4). 78 - 82 (Journal Article)

The role of US Special Operations Forces (SOF) globally has expanded greatly in the past 20 years, leaving SOF serving multiple deployments with little time or ability to recover in between. Currently, assessments of the health and human performance capabilities of these individuals are episodic, precluding an accurate assessment of physical and mental load over time, and leading to high rates of acute and chronic injury to the mind and body. The collection of personal health-related continuous datasets has recently been made feasible with the advancement of digital technologies. These comprehensive data allow for improved assessment, and consequently better results, partly due to the warfighters' real-time access to their data. Such information allows Soldiers to engage in their own health optimization. This article describes a research platform that allows for collection of data via a custom-made secure mobile application that extends the type, scope, and frequency of data collection beyond what is feasible during an in-person encounter. By digitizing existing assessments and by incorporating additional physical, neurocognitive, psychological, and lifestyle assessments, the platform provides individuals with the ability to better understand their mental and physical load, as well as reserve. The results of this interactive exchange may help to preserve the health of users as well as the stability and readiness of units.

$43.00
Airway and Hypothermia Prevention: and Treatment via STEAM The System for Thermogenic Emergency Airway Management

Stevens R, Pierce B, Tilley L 22(4). 72 - 76 (Journal Article)

Military medicine has made significant advancements in decreasing mortality by addressing the lethal triad - metabolic acidosis, coagulopathy, and hypothermia. However, casualties are still succumbing to injury. Recent conflict zones have led to the development of remarkable life-saving innovations, including the management of compressible hemorrhage and whole blood transfusions. Nevertheless, hypothermia prevention and treatment techniques remain relatively unchanged. Hypothermia prevention is anticipated to become more critical in future operations due to a predicted increase in evacuation times and reliance on Prolonged Casualty Care (PCC). This is likely secondary to increasingly distanced battlespaces and the mobility challenges of operating in semi-/non-permissive environments. Innovation is essential to combat this threat via active airway rewarming in the vulnerable patient. Thus, we propose the development, fabrication, and efficacy testing of a device in which we estimate being able to control temperature and humidity at physiologic levels in the PCC setting and beyond.

$43.00
Flotation-Restricted Environmental Stimulation Technique: A Proposed Therapy for Improving Performance and Recovery in Special Forces Operators - A Narrative Review

O'Hara R, Sussman LR, Sheehan R, Keizer B, Tiede JM 22(4). 65 - 69 (Journal Article)

The flotation-restriction environmental stimulation technique (FR) may have utility as a recovery tool for improving performance in elite competitive athletes and Special Operations Forces Operators (SOs). Studies suggest that FR may ameliorate various neurophysiological disorders and improve performance in recreational and elite athletic populations. We sought to understand whether there is evidence to support the use of FR to enhance physiological and psychological performance parameters in the SO population and to provide postulations as to the mechanisms of action of FR therapy. We performed an online literary search of publications dating from 1982 to 2021 and identified 34 sources addressing the aims, depending on population and condition or conditions, being treated. The reported physiological and psychological benefits of FR range from immediate to lasting 4 months. Overall, eight to twelve FR treatment sessions of from 40 to 90 minutes each may provide variable long-term benefits. The associated synergistic benefits of FR may be attributed to its thermal, chemical, and mechanical effects but deserve further exploration. Based on the current evidence, FR may serve as an effective performance-recovery therapy for improving pain, sleep, and performance measures (e.g., marksmanship and physical performance) in trained, untrained, and healthy adults. Future research focusing on FR as a unimodal recovery intervention is warranted in a specialized group of SOs.

$43.00
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