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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.
$65.00
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.
$38.00
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

$58.00
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

$51.00
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.
$60.00
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
Management of Severe Crush Injuries in Austere Environments: A Special Operations Perspective

Anderson JL, Cole M, Pannell D. 22(2). 43 - 47. (Journal Article)

Crush injuries present a challenging case for medical providers and require knowledge and skill to manage the subsequent damage to multiple organ systems. In an austere environment, in which resources are limited and evacuation time is extensive, a medic must be prepared to identify trends and predict outcomes based on the mechanism of injury and patient presentation. These injuries occur in a variety of environments from motor vehicle accidents (at home or abroad) to natural disasters and building collapses. Crush injury can lead to compartment syndrome, traumatic rhabdomyolysis, arrythmias, and metabolic acidosis, especially for patients with extended treatment and extrication times. While crush syndrome occurs due to the systemic effects of the injury, the onset can be as early as 1 hour postinjury. With a comprehensive understanding of the pathophysiology, diagnosis, management, and tactical considerations, a prehospital provider can optimize patient outcomes and be prepared with the tools they have on hand for the progression of crush injury into crush syndrome.

$40.00
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
Summer 2022 Journal (Vol 22 Ed 2)

Vol 22 Ed 2
Summer 2022 Journal of Special Operations Medicine
ISSN: 1553-9768

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Available for preorder. Estimated ship date is June 30th 2022

$43.00
Physiological and Psychological Stressors Affecting Performance, Health, and Recovery in Special Forces Operators: Challenges and Solutions. A Scoping Review

O'Hara R, Sussman LR, Tiede JM, Sheehan R, Keizer B 22(2). 139 - 148 (Journal Article)

Introduction: Special Operations Forces (SOF) Operators (SOs) are exposed to high levels of physiological and cognitive stressors early in their career, starting with the rigors of training, combined with years of recurring deployments. Over time, these stressors may degrade SOs' performance, health, and recovery. Objectives: (1) To evaluate sources identifying and describing physiological and psychological stressors affecting performance, health, and recovery in SOs, and (2) to explore interventions and phenomena of interest, such as the biological mechanisms of overtraining syndrome (OTS). Methods: This review followed the recommendations and methodology of the Joanna Briggs Institute and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. A database search from December 1993 to December 2021 was performed in PubMed, the Cochrane Library, and the Defense Technical Information Center (DTIC). Potential articles were identified using search terms from their titles, abstracts, and full texts. Articles effectively addressing the review questions and objectives were eligible. Results: After 19 articles were excluded for not meeting established inclusion criteria, a total of 92 full-text articles were assessed for eligibility. After the final analysis, 72 articles were included. Conclusions: Allostatic imbalance may occur when supra-maximal demands are prolonged and repeated. Without adequate recovery, health and performance may decline, leading to nonfunctional overreaching (NFO) and OTS, resulting in harmful psychological and hormonal disruptions. The recurring demands placed on SOs may result in a chronically high burden of physical and mental stress known as allostatic overload. Future investigation, especially in the purview of longitudinal implementation, health, and recovery monitoring, is necessary for the health and readiness of the SOF population.

$40.00
Obstacle Course Events: Hazards and Prevention Measures

Knapik JJ 22(2). 129 - 138 (Journal Article)

This article reviews hazards associated with obstacle course events (OCEs) like the Spartan Race and Tough Mudder, which are becoming increasingly popular, and provides strategies to mitigate these hazards. In seven studies, the overall weighted incidence of participants seeking medical care during OCEs was only 1.4% with ~6% of these requiring higher level medical care at a hospital. Nonetheless, 27% of participants self-reported ≥1 extremity injury. Common OCE medical problems included sprains/strains and dermatological injuries (abrasions/laceration/blisters); the ankle and knee were common injury locations. There are reports microorganism infections during OCEs, associated with ingestion of contaminated water and mud. On military obstacle courses, ~5% were injured, but this activity has the highest injury rate (injuries/hour of training) of all major testing or training activities. Ankle sprain risk can be reduced with proprioceptive training and prophylactic ankle bracing. Knee injury risk can be reduced with exercise-based programs that incorporate various components of proprioceptive training, plyometrics, resistance exercises, stretching, and shuttle/bounding running. Reducing abrasions and lacerations involve wearing low friction clothing, gloves, and prophylactic covering of skin areas prone to abrasions/lacerations with specific protective materials. Reducing blister likelihood involves use of antiperspirants without emollients, specialized sock systems, and covering areas prone to blisters with paper tape. Reducing infections from microorganism can be accomplished by protective covering open wounds, rinsing off mud post-race, and avoiding ingestion of food and drink contaminated with mud. These chiefly evidence-based injury and illness prevention measures should minimize the risks associated with OCEs.

$40.00
Management of Pediatric Sepsis: Considerations for the Austere Prehospital Setting

Williams NC 22(2). 120 - 125 (Journal Article)

Septic children are among the most challenging and resource-intensive patients that clinicians see around the world daily. These patients often require a broad range of therapies and assessment techniques, frequently relying on expertise across multiple specialties such as radiology and laboratory services. In developed nations, these resources are readily available or in close proximity, as transport is often logistically feasible to coordinate transfer to definitive care. In developing nations and areas of conflict, this is not the case. Most of the world's population lives in developing nations, resulting in inadequate access to specialized pediatric intensive care resources. As a result, many clinicians globally face the unique challenge of caring for septic children in resource-deprived and austere settings. Areas recovering from natural disasters, remote villages, and conflict zones are examples of austere environments where children have an increased risk of sepsis while having the fewest medical resources available. This creates a unique challenge that prehospital clinicians are specifically tasked with managing, sometimes lasting for multiple days pending the possibility of a transport option. Clinicians in these environments must be aggressive in identifying and treating critically-ill children in resource limited environments, but also nuanced in their care plan due to the limitations of the environment.

$40.00
The Future of Prehospital Critical Care

Johnson A, Dodge M, Fisher AD 22(2). 116 - 118 (Journal Article)

As technology improves, the capabilities of prehospital providers increase. Innovations and realizations from military counterparts are being transitioned to civilian emergency care with the same hopes of increasing survivability of patients. Looking to the future, the incorporation of drone aircraft in the critical care field will likely impact the way medicine is practiced. Education is the key to improving outcomes in the prehospital setting.

$40.00
Coagulopathy Associated With Trauma: A Rapid Review for Prehospital Providers

Friedman J, Ditzel RM, Fisher AD 22(2). 110 - 115 (Journal Article)

The coagulopathy associated with trauma is a complex and convoluted process that is still poorly understood. However, there are recognized contributors to acute traumatic coagulopathy (ATC) and trauma induced coagulopathy (TIC) that are universal. They are hypothermia, acidosis, and coagulopathy, also known as the lethal triad. Recently, with new understanding of hypocalcemia's role in trauma mortality, the term lethal diamond has been coined to underscore calcium's importance. Prehospital providers often unknowingly exacerbate ATC and TIC with excessive crystalloid administration and poor hypothermia prevention. This article will serve as an overview of the physiologic and iatrogenic drivers of ATC and TIC, and will discuss how they can be prevented, assessed, and treated.

$40.00
Management of Acute Lung Injuries and Acute Respiratory Distress Syndrome in the Tactical and Prolonged Field Care Setting

Bagley GF, Ciochirca C 22(2). 104 - 109 (Journal Article)

The authors examine two acute lung injuries (ALI) that can occur in the tactical setting - positive pressure pulmonary edema and inhalation injury - as well as acute respiratory distress syndrome (ARDS), all of which can quickly progress in a prolonged field care (PFC) environment. These conditions present complex problems to emergency department (ED) and intensive care unit (ICU) teams worldwide, requiring intimate knowledge of their distinct disease pathophysiology and advanced critical care equipment. These challenges are compounded in the world of the Special Operations Forces (SOF) medic who often operates as the sole provider in environments with both limited resources and prolonged evacuation times. It is the hope of the authors that by breaking down these complex critical care topics and providing concrete guidance and treatment recommendations that we can ultimately improve the care SOF medics provide overseas in an austere operational environment.

$40.00
Mechanical Ventilation: A Review for Special Operations Medical Personnel

Friedman J, Assar SM 22(2). 97 - 102 (Journal Article)

Mechanical ventilation is machine-delivered flow of gases to both oxygenate and ventilate a patient who is unable to maintain physiological gas exchange, and positive-pressure ventilation (PPV) is the primary means of delivering invasive mechanical ventilation. The authors review invasive mechanical ventilation to give the Special Operations Force (SOF) medic a comprehensive conceptual understanding of a core application of critical care medicine.

$40.00
Airway Management With Noninvasive Positive Pressure Ventilation

Papalski W, Siedler J, Callaway DW 22(2). 93 - 96 (Journal Article)

Noninvasive positive-pressure ventilation (NPPV) is a form of ventilatory support that does not require the placement of an advanced airway. The authors discuss the use of NPPV on patients who will likely benefit. The use of NPPV has reduced the need for patients to require intubation and/or mechanical ventilation in some cases, as well as benefits.

$40.00
Pathophysiology and Treatment of Burns

Payne R, Glassman E, Turman ML, Cancio LC 22(2). 87 - 92 (Journal Article)

Management of burn patients in the prehospital and prolonged field care environments presents complex patient care and logistical challenges. The authors discuss the pathophysiology, diagnostics, longitudinal concerns, and treatment involved in the care of such patients.

$40.00
Prehospital Electrolyte Care: A Review of Symptoms, Evaluation, and Management

Painter A, Carius BM 22(2). 80 - 86 (Journal Article)

Ongoing evolution of prehospital medical care continues to advance beyond tactical field care scenarios in the consideration of prolonged field care. This is even more important to consider in theaters with extended evacuation times and limited local medical assets. The critical regulatory functions of electrolytes such as sodium, potassium, calcium, and glucose require medics operating in these environments to have a strong, fundamental knowledge of the principles, manifestations, and initial stabilization measures to aid their patients prior to, or in lieu of evacuation. Continued development and access to point of care testing in increasingly forward deployed settings further enables medics to perform these tasks. Here, we provide a brief review of these vital electrolytes, as well as additional kidney function evaluation considerations, to assist medics in their treatment efforts. Specific concerns for battlefield and atraumatic presentations are addressed.

$40.00
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