SOMA - 2020 Scientific Assembly and Exhibition (CAPCE)

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After Action Report For Disaster Response and Near Peer Conflict: Hurricane Dorian

Approach to Undifferentiated Shock

Beyond the EFAST: Ultrasound in Trauma

Biomarkers, Neuroinflammation, and SOF Operator Performance

Case Study: Field Improvised Autologus Transfusion System in a Combat Casualty

Chest Trauma: Guide Your Resuscitation with Ultrasound

Christchurch Terror Attack: Hospital Response

Christchurch Terror Attack: Vignette â€“ St John Ambulance Response

Epidemiological and Accounting Analysis of Ground Ambulance Whole Blood Transfusion

Introduction to Malaria

K9 CPR

K9 Heat- related Illnesses

K9 IFAKs

K9 TC3 M.A.R.C.H

Management of Severe Burns in Prolonged Field Care

Musculoskeletal Ultrasound: Keeping Soldiers in the Field

Novel Curriculum to Teach Special Operations Medics REBOA

Opioid Toxicity & Naloxone Use in K9

Pilot Implementation Trial of Targeted Normoxia to Reduce Oxygen Requirements for Critically Injured Patients

Poster Session

Ranger ROLO Program

Regional Anesthesia - Pain Control Without Narcotics

Tactical Medicine Review

Telemedicine: Present and Future concerns and Direction

Tropical Medicine Awareness during Operational Deployments

Ultrasonography in the Austere Environment

CAT fares well in a CBRN dress state

Cognitive Performance: Interdisciplinary applications for Human Performance and Medical Teams

Evidence-based Principles of Time, Triage and Treatment

Global Health Engagements to Achieve National Security Objectives

K9 Transfusion Therapy

Los Angeles County Sheriffâ€™s Department Special Enforcement Bureau Tactical Medics

Prolonged Field Care Update

SOCOM Mortality: 2001-2019

Special Operation Medical Training Centre - Poland

USSOCOM Human Performance Update (USSOCOM Physical Domain Update: Preservation of the Force and Family)

Patient Advocacy: The multidisciplinary approach to patients with mTBI.

Recovery Science for the Tactical Athlete - What, Why, How

Tactical Medic: Back to Basics

Training and Assessment of Special Forces Medics in Trauma and Prolonged Field Care Skills at a Civilian Academic Level 1 Trauma Center

Wounded Warrior Talk

Christchurch Terror Attack: Vignette â€“ Police Tactical Group Medical Response

Feasibility of Persistent Access to Tactical Casualty Health (PATCH) to Improve Casualty Caregiver Communication

K9 Gastric Dilatation & Volvulus

Retention of Tourniquet Application Skills Following Participation in a Bleeding Control Course

Riot Medics: Portland's Experience with TEMS in Civil Disturbances

Medical Leadership in Austere Environments

2020 TCCC Guideline Updates

An Analysis of Exertional Safety After Blood Donation in an Active Duty Population

Austere Resuscitation and Surgical Care: How Operations Affect Medical Decisions

Combat Medic Vignette: Blood in Blood Out

Combat Medic Vignette: Casualty AAR - MASCAL

Combat Medic Vignette: Double Above Knee Field Amputation

Comparison of Intraosseous Blood Infusion Strategies in a Cadaveric Porcine (Sus Scrofa) High Bone Density Proximal Humerus Model

Efficacy of Hemostatic Dressings in Prolonged Field Care Role II Care Aboard Submarines: Expeditionary Resuscitative Surgical System - Special Missions

Making Use of Your Assets: Clinical Usage of EOD Radiography in the Forward Deployed Setting

Operating in the Warm Zone - What Works for You?

Peripheral Nerve Blocks for the Field

Psychological Resilience Changes in Special Operations Forces (SOF) Combat Soldiers Over Time

SPACE: Skull Perforator for Austere and Combat Environments

Tactical Medicine - From Patient to Provider

TC 18-09, Medical Support to A Resistance

The Battle of Cognitive and Sensory Loads on Tactical Shooting Performance: Sources and Solutions for the Warfighter

The Next Chapter: The Evolution of Mass Violence Attacks (Sentinel Public Safety Events You Never Heard About: 2019-2020)

The Trauma Clock, from Sundial to Golden Hour and beyond. Battlefield trauma management, birth of the Golden Hour and the paradigm shift to Prolonged Field Care.

Tom Deal Memorial Lecture: Stellate Ganglion Block for PTSD - An Update on Research and Practice

Ultrasound Confirmation of Gum-Elastic Bougie Endotracheal Placement: a Prospective, Randomized, Cadaveric Trial

A Prospective, Randomized, Cross-Over Study Comparing Placement of the iGel Versus the Cricothyrotomy by Combat Medics

Agreement

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Rate the adequacy of audiovisual equipment used to address the activity objectives

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

The teaching methods used were appropriate to the objectives

If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:

Objective 2: Advance the art and science of Special Operations Medicine.

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

The teaching methods used were appropriate to the objectives

Participant information (MUST PROVIDE TO RECEIVE CAPCE CREDITS):

State of licensure - enter as two letter state code ONLY

State license number

Type/level of license, if applicable. Select one.

ACP - Advanced Care Paramedic

AEMT - Advanced Emergency Medical Technician

CFR - First Responder (all levels)

EMR - Emergency Medical Responder

EMT - Emergency Medical Technician

EMT-Int - Intermediate (all levels)

EMT-P - Paramedic (all levels)

PCP - Primary Care Paramedic

License expiration date (MM/YYYY)

NREMT registration number, if applicable

Next NREMT re-registration date, if applicable

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

The teaching methods used were appropriate to the objectives

Discuss the large scale response to a OCONUS disaster relief effort.

Explain the medical and triage during the Dorian Relief.

Discuss complications in providing support.

Demonstrate the role of Rapid Ultrasound for Shock and Hypotension in the combat environment (Modified RUSH exam).

Identify patients in which point of care ultrasound may be of use

Demonstrate the role of tactical ultrasound in the assessment of traumatic injuries in the combat environment (E-FAST, ONSD).

Demonstrate the role of tactical ultrasound in the assessment of battle injuries presenting with chest trauma (hemothorax, pneumothorax, cardiac tamponade, pulmonary contusions, traumatic aortic dissections).

Describe Neuroinflammation and Microglial activation and explain the downstream hormonal cross talk effects that impact health.

Discuss the role of parasympathetic tone in managementof metaflammation.

Implement nutrient strategies that can act as countermeasures to microglial activation and inflammatory cytokine production.

Introduce the topic of NCTH

Explain the challenged of field NCTH management

Analyze current NCTH management techniques

Identify challenges in current NCTH field management protocols

Introduce Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)

Understand the benefits of ultrasound in resuscitation of patient with chest trauma

Identify point of care ultrasound findings consistent with pneumothorax

Identify point of care ultrasound findings consistent with hemothorax

Discuss mass casualty responses

Discuss how various emergency services interconnect

Describe the mascal environment encountered in these attacks.

Discuss the execution and benefits of rapid management of a terrorist attack.

Utilize of NSOCM as a first Assistant in a SOST and how this contributes in the development of Special Operation Surgical Teams in EU countries.Â

Describe the epidemiological impact of implementing a whole blood transfusion protocol for ground ambulance agencies.

Identify malaria-infected red blood cells and be able to speciate them.

Describe the disease symptoms, progression, diagnosis, and treatment.

Discuss the common causes of Line of Duty Deaths in Operational K9s (OpK9)

Demonstrate knowledge of basic handling and physical restraint techniques for the injured and non-injured OpK9

Explain and describe basic comparative canine anatomy related to trauma injuries

Perform a physical examination on an OpK9

Acquire and interpret vital signs from an injured and non-injured OpK9

Discuss the common causes of Line of Duty Deaths in Operational K9s (OpK9)

Demonstrate knowledge of basic handling and physical restraint techniques for the injured and non-injured OpK9

Explain and describe basic comparative canine anatomy related to trauma injuries

Perform a physical examination on an OpK9

Acquire and interpret vital signs from an injured and non-injured OpK9

Identify the necessary equipment to provide immediate point-of-injury care for mitigating immediate life-threats in operational K9s

List the medical supplies that should be included in a K9-IFAK that may differ from the human needs.

Discuss the common causes of Line of Duty Deaths in Operational K9s (OpK9)

Demonstrate knowledge of basic handling and physical restraint techniques for the injured and non-injured OpK9

Explain and describe basic comparative canine anatomy related to trauma injuries

Perform a physical examination on an OpK9

Acquire and interpret vital signs from an injured and non-injured OpK9

Critically appraise a novel curriculum for teaching medics REBOA.

Identify elements of the novel curriculum that led to its success.

Develop plans for further research in this skill development in this population.

Understand of Basic Operational MSK Ultrasound Applications

Understand Principles of Ultrasound Procedures Including Vascular Access

Utilize Ultrasound to Identify Soft Tissue Foreign Bodies and Fluid Collections

Critically appraise a novel curriculum for teaching medics REBOA.

Identify elements of the novel curriculum that led to its success.

Develop plans for further research in this skill development in this population.

Discuss the common causes of Line of Duty Deaths in Operational K9s (OpK9)

Demonstrate knowledge of basic handling and physical restraint techniques for the injured and non-injured OpK9

Explain and describe basic comparative canine anatomy related to trauma injuries

Perform a physical examination on an OpK9

Acquire and interpret vital signs from an injured and non-injured OpK9

Describe the role of oxygen in the care of critically injured patients

Identify potential harm associated with excessive oxygen use in critically injured patients

Discuss the potential operational benefits of a conservative oxygenation approach for prolonged field care

Identify the requirements for institution of a O Low-Titer Blood Program

Describe the implementation of the ROLO program in a deployed setting

Demonstrate the role of ultrasound-assisted regional anesthesia in the combat environment (Upper and Lower Extremity Blocks, serratus anterior plane (SAP) block).

Demonstrate the role of Rapid Ultrasound for Shock and Hypotension in the combat environment (Modified RUSH exam).

Demonstrate an understanding of the use of ultrasound in the deployed environment

Demonstrate the ability to correct for common ultrasound machine errors and artifacts

Describe the skills and tasks for a Tactical Paramedic

Discuss the Roles of the Tactical Paramedic within the team

Describe the MARCH patient assessment system

Discuss the START/SALT triage system

Describe Tactical Team Operations

Compare issues with asynchronous support versus routine support.

Describe the current and future landscape of JTCCN.

Discuss the construct of OVH and possible solutions.

Identify the top twelve infectious diseases and disease clusters in terms of global mortality/morbidity burden.

Describe the transmission pathways and ecological aspects involved with this session's high mortality/morbidity diseases, for example, arthropod vector feeding habits.

Discuss the use of blood smears and staining for blood.

Identify endotracheal tube placement with handheld ultrasound

Identify pneumothorax in a variety of different conditions with handheld ultrasound

Identify hemothorax with handheld ultrasound

Identify pericardial effusion with handheld ultrasound

Identify abdominal free fluid with handheld ultrasound

Explain the efficacy of the CAT as applied to a casualty in a CBRN dress state

Demonstrate the ease of application of the CAT whilst wearing a CBRN dress state

Describe what Cognitive Performance is.

Discuss how Cognitive Performance can be integrated with other diciplines.

Learn time is a Triage Tool

Understand Survivors Self Triage

Describe MASCAL response should be scaled

Articulate how GHE can influence the operational environment.

Describe five global health activities that can help influence populations by using soft power.

Discuss the common causes of Line of Duty Deaths in Operational K9s (OpK9)

Demonstrate knowledge of basic handling and physical restraint techniques for the injured and non-injured OpK9

Explain and describe basic comparative canine anatomy related to trauma injuries

Perform a physical examination on an OpK9

Acquire and interpret vital signs from an injured and non-injured OpK9

Describe LASD SWAT Tactical Medicine Program

Discuss several SWAT incidents where tactical medics played a key role.

Discuss current best practices in prolonged field care.

Explain the recent updates on prolonged field care guidelines.

Discuss the different causes, manners, and mechanisms of death for all SOCOM fatalities since 2001.

Describe anatomic injury pattern of those SOCOM fatalities with potentially survivable/survivable injuries.

Describe the SMTC

Explain the PESCO project

Identify background and overview for the recent organizational and naming convention changes within Preservation of the Force and Family

Discuss Strategy Map for the Physical Domain, to include Program Intent, Lines of Effort, Objects and End State

Discuss Directive 10-12 requirements and standardized metrics that will be collected across the Force

Identify basic and advanced neurophysiologic pathway disruptions consistent with mild traumatic brain injury

Implement a whole systems approach that encompasses 7 fassets of neurophysiologic health.

Describe the concept of Recovery for the Tactical Athlete, and the importance to performance, health, and longevity

Explain the different paradigms of Recovery Science, from Natural, Physical, Psychosocial, Holistic

List and Describe Next Generation Recovery modalities, and present peer-reviewed evidence for each

Identify how the FBI provides training to its tactical medical operators.

Discuss how to implement changes to their current tactical medical program as applicable.

Describe the incorporation of fresh human cadavers in trauma and prolonged field care skills training for US Special Forces Medics

Identify the benefits of assessing US Special Forces Medics in procedural skills using knowledge testing, technical metrics and confidence assessment.

Discuss the emergency medical care process for a wounded warrior.

Apply lessons learned in this warrior's trauma and pain experience.

Identify response experiences and lessons learned.

Describe areas for improvement.

Discuss research results of investigating development options for a patient following, intuitive, casualty care tracking patch.

Explain potential next steps in developing a reliable means of tracking soldiers across the continuum of duty.

Explain the meaning of gastric dilatation and volvulus (GDV) in the canine

Demonstrate recognition of GDV by describing the clinical signs

List emergent actions that can be taken while seeking veterinary support

Discuss the rationale for refresher training following participation in a bleeding control course

Cite the appropriate intervals for refresher training following participation in a bleeding control course

Identify key issues in establishing Tactical Emergency Medical Support elements within civil disturbance units.

Describe effective training strategies for civil disturbance medics, along with ways to ensure medics are properly prepared for the unique injuries and illnesses that often arise in civil disturbances.

Discuss potential pitfalls and public perception problems with embedding medics in civil disturbance units.

Implement Leadership Tools from the Business Community

Inventory Self and Team Competencies

Update on TCCC Guidelines

Update on Airway Recommendations

Update on Analgesia Recommendations

Update on Fluid Resuscitation Recommendations

Update on Tourniquet Recommendations

Understand the foundations of fresh whole blood transfusions and the walking blood bank concept in the modern battlefield environment

Recognize the limitations of current research pertaining to whole blood donor safety with the walking blood bank concept

Explain ways ahead for future research for the walking blood bank concept and donor safety centered on active duty service member populations

Identify at least two factors that alter medical decision making in the austere environment

Explain why a ground force commander has a say in medical treatment of casualties

List at least two things a team can do to "force-multiply"

Discuss Trauma management of multiple causalities in an austere environment.

Identify improvements in care on limited resources.

Discuss language and culture expertise and how it applies to dealing with foreign casualties.

Highlight the importance of the Advanced Ranger First Responder Program in TCCC scenarios.

Discuss AAR points from MASCAL for future combat operations involving partner forces.

Familiarity with capabilities of the Special Forces Medical Sergeant in an austere environment

Learn field expediant surgical preparation

Understand post surgical wound care in an austere environment

Discuss the advantages and disadvantages of different methods of blood transfusion via intraosseous access.

Identify the optimal method for delivering rapid transfusion of blood products safely through intraosseous access in the prehospital setting.

Implementation of Hemostatic strategies

Gauze products description.

Prolonged Field Care implementation.

Discussion of non-traditional asset use.

Ultrasound techniques and skills performance.

Identify available imaging techniques in theater for a Role II medical asset

Discuss alternatives to available imaging in austere environments

Review three cases in which alternate imaging was utilized during a recent deployment

Explain the 3 different phases of care

Understand the 4 industry standard warm zone responses

Understand the minimum gear requirements to operate safely in a warm zone

Identify the simplest and safest peripheral nerve blocks to be done in the field by novice operators

Describe the safety profile in the listed peripheral nerve blocks

Identify the anatomic areas that can be covered by simple peripheral nerve blocks

Explain psychological resilience and its potential to change over time.

Describe how resilient are Special Operations Forces combat and combat support soldiers are.

Recognize current limitations in skull trephination in an austere environment.

Analyze success rates, quality, and time to trephination using standard and novel devices.

Describe benefits and potential value in using novel devices for skull trephination.

Identify further questions raised and areas for future research within skull trephination.

Describe and discuss the lived experience of patient journey from point of wounding through to present day

Describe the capabilities of the Scottish Ambulance Service's Special Operations Teams

Detail the current response to an active armed offender or terrorist attack in Scotland

Understand the componenets of the resistance health system; the clandestine medical support structure and the guerrilla medical service

Identify how AMEDDs ten medical functional areas relate to the resistance medical systme and how they differentiate from medical support to conventional military operations

Desribe how to plan, train, equip, expand and sustain the resistance health system during reistance operations

Identify potential operational sources of cognitive and sensory loads that can lead to compromised tactical shooting performance

Review current research in the areas of tactical shooting performance

Discuss solutions and future research directions to improve tactical shooting performance, specifically as is relates to cognitive and sensory loads

Discuss the terror radicalization of American adolescent perpetrators.

Describe the increasing ferocity and lethality of active shooter events.

Describe considerations for weaponized UAVs.

Describe considerations for chem-bio attacks.

Discuss how perpetrators would use natural disasters as a force multiplier.

Describe historical review of battlefield trauma management from Korea to present.

Understand projection of likely trauma care challenges in the future fight.

Discuss the use of SGB for the treatment of military related PTSD

Discuss the role of the autonomic nervous system in PTSD

Discuss the symptoms of PTSD

Recognize the utility of GEB identification by ultrasound

Recognize the accuracy of GEB placement by ultrasound

Additional questions/comments about the conference