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Archive for the ‘Medical’ Category

Army Partners with Massachusetts General Hospital to Test New Tourniquet Monitor

Thursday, July 21st, 2022

AUSTIN, Texas — The Army partnered with medical experts from the Wellman Center for Photomedicine at Massachusetts General Hospital, a teaching hospital of Harvard Medical School, to test out a new tourniquet monitor designed to improve accuracy in tourniquet application.

The device underwent field scenario testing during the Army’s recent Army Expeditionary Warrior Experiment, or AEWE, held February 25 to March 7, 2022 at Fort Benning, Georgia, hosted by the Army Maneuver Capability Development and Integration Directorate’s Maneuver Battle Lab.

“The Wellman Center has a rich history of problem-driven science and engineering for DoD needs with success in translating technologies out to the warfighter,” said Dr. Conor Evans, the principal investigator on the Tourniquet Integrated Monitor project, also known as the TiMON.

The TiMON is a small, portable electronic device that enables real-time monitoring and evaluation of emergency tourniquet application.

The device is designed to work with any standard military windlass-based emergency tourniquet. The TiMON enhances a Soldier’s ability to control traumatic bleeding by providing intuitive visual feedback on the amount of pressure applied by the tourniquet, as well as a timer for tracking the tourniquet’s application duration.

As an additional indicator of effective tourniquet administration, variations of the device can track vitals such as limb tissue oxygenation.

Military personnel can utilize the TiMON to practice proper bleeding control methods and application of an emergency tourniquet in the field. The device, which was designed for use by dismounted infantry Soldiers, can be carried in a rucksack or attached to standard-issue emergency tourniquets prior to operations.

“AEWE was a great experience that allowed us to see our research project being utilized in a real-world setting by actual Soldiers,” said Dr. John Nguyen, who led the TiMON team’s first experience with AEWE. “We take each Soldier’s input very seriously, and our collaborative participation in AEWE helped to underline the importance of bleed control and triage under austere environments.”

While military personnel’s use of emergency tourniquets has helped to drastically reduce the incidence of combat hemorrhage deaths due to traumatic limb injuries, even trained personnel can struggle to judge effective tourniquet administration. This is especially true when service members are working under duress or in less-than-ideal settings, such as when visual and pulsatile feedback are obscured.

Over-tightening a tourniquet can result in tissue necrosis, while under-tightening a tourniquet might result in continuous bleeding. Long-term tourniquet use can result in additional ailments such as compartment syndrome and limb amputation. Furthermore, depending on dynamic physiological changes following trauma, a properly applied tourniquet may need to be evaluated over time and progressively modified.

The TiMON was created to address these challenges by giving precise and actionable feedback on applied emergency tourniquet pressure and duration without the need for a completely new emergency tourniquet design.

“Our TiMON clip attaches to existing combat tourniquets, which was a direct request from the DoD so that they could continue to use their preferred combat tourniquets,” said Evans. “Our work on the TiMON is largely independent from that of other devices currently on the market, and was specifically developed with application to the military in mind, making it fairly unique.”

The TiMON is now undergoing advanced prototype testing. It is fully functional, and the Wellman Center team is working to improve the technology and usability based on feedback from their participation in AEWE 2022. The DoD is funding the TiMON project, which is overseen by the Partners Human Research and the Henry M. Jackson Foundation for the Advancement of Military Medicine through the Uniformed Services University for Health Sciences. The TiMON project started in response to a request from retired Col. Michael Davis, then the head of the Combat Casualty Care Research Program, and was funded by the Transforming Technology for the Warfighter grant.

The Wellman Center for Photomedicine is currently iterating a new TiMON design that integrates elements recommended by Soldiers from their previous involvement in AEWE.

“After AEWE 2021, the main feedback was that the device should be made smaller. When applying the tourniquet, the device could take up real estate on the tourniquet and require the Soldier to place straps over the device, which could cause difficulty during application,” said TiMON research engineer Anna Wiatrowski.

“For AEWE 2022, the main goals in updating the device were to create a smaller device overall, incorporate a new pressure indicator and improve timer to track tourniquet wear,” Wiatrowski said.

“We had the incredible fortune to participate in both AEWE 2021 and 2022, as well as have the opportunity to carry out a civilian study in parallel,” said Evans. “The feedback we received from both AEWE events was extraordinary, and we see multiple routes forward for development. We sincerely thank the Army, the AEWE organizers and all the AEWE participants for these amazing opportunities.”

By Gloriann M. Martin, Army Futures Command

75th Human Performance Wellness Team – Un-Ruck Yourself

Monday, July 18th, 2022

The 75th Ranger Regiment Human Performance Wellness Team in conjunction with the 1/75 Human Performance Team, has produced this information on how to “Un-Ruck Yourself” to mitigate injuries associated with spinal injuries which top the charts at #1.

These simple and effective movements are one important strategy to keep you in the fight and ready for anything that gets thrown your way.

New Medical Support Team Reduces Muscular-Skeletal, Mental Health Issues

Friday, July 15th, 2022

HILL AIR FORCE BASE, Utah (AFNS) —

One of the first multidisciplinary medical operational support teams in the Air Force is working to reduce muscular-skeletal and mental health issues at Hill Air Force Base.

The five-person team, consisting of an exercise physiologist, clinical psychologist, clinical social worker, physical therapist and strength conditioning coach, embeds with high-risk units for up to six months to accomplish desired results.

“What we’re really trying to do is observe for the broader, longer-term things that are causing muscular-skeletal and mental health issues so we can help the unit make adjustments to prevent future injury or mental health crises,” said Bill Goins, Base Operations Support Team specialist”

Risk data, collected from the 75th Medical Group over the past year, identifies high-risk units on the installation.

“We take the data and approach the leadership of the top couple units on base and explain what we’re seeing and what we can do to help,” Goins said. “Units have been extremely receptive and excited to have us come in.”

Once in the unit, the OST uses a four-phased approach to determine how best to help reduce muscular-skeletal and mental health issues and to establish internal sustainment when they move to the next unit.

The team works side-by-side with unit members, in every section and on every shift to experience what Airmen experience on the job and to build trust with them.

“We’re out there trying to build trust and break down barriers so they will bring concerns to us,” Goins said. “We do a couple needs assessments, work in their sections with them and find out what they want and need. Then, we get to work helping Airmen”

During a recent embed opportunity with the 75th Security Forces Squadron, the OST observed a lack of shoulder mobility from people wearing their necessary gear.

The team’s physical therapist made suggestions on what squadron members could do before they arm-up with their gear and when they arm-down, to help reduce repetitive-use injuries.

Goins said the OST reduced profiles for lower back pain by 75% during their time with the 75th SFS.

“When we entered the unit, their muscular-skeletal profile risk and mental health profile risk was the 12th highest of 82 security forces units across the Air Force,” he said. “When we left, they were 75th of 82.”

An essential part of what the OST does is to help the squadron build and expand upon what they can do without the team around and establish contacts where the team can reach back for sustainment.

“We develop the squadron performance optimization response team,” Goins said. “These are people in the unit, so when we transition to our next location, these folks can continue the goodness after we leave.”

Goins said the OST concept is important for the Air Force right now because instead of waiting for people to break, it’s getting in front of it before the breakage happens.

“We are doing physical jobs and mentally-stressful jobs and people break,” he said. “That’s not unique to the Air Force, that’s just people. It excites me for Airmen to have access to these specialties and knowledge in prevention.”

Every Air Force base is expected to have the services of an OST in the next three to five years.

“Our goal is the make Airmen better for themselves, for their families and for the Air Force,” Goins said. “It’s an exciting thing, for sure.”

Story by Donovan Potter, 75th Air Base Wing Public Affairs

Photos by R. Nial Bradshaw

AFC Releases Army Medical Modernization Strategy

Friday, July 8th, 2022

AUSTIN, Texas – U.S. Army Futures Command released a comprehensive Army Medical Modernization Strategy today that clarifies the vision and enhances the cohesion of future force health care activities.

“Soldiers are at the heart of our mission. Putting in the work now to ensure that Soldiers have access to cutting-edge health care equipment and resources for years to come is a core element of Army modernization,” said Lt. Gen. James M. Richardson, Acting Commanding General of Army Futures Command.

“The Army Medical Modernization Strategy is important because it describes in detail how the Army will work alongside the Joint Force to provide outstanding health care to the Future Force. The strategy calls for activities that will increase our ability to deliver agile emergency medicine on the battlefield, maintain well-equipped hospitals and medical facilities at home and overseas, and support and develop highly talented health care personnel,” Richardson explained.

The 20-page strategy document seeks to improve the integration and modernization of mission-critical medical resources and proficiencies to ensure the Army Health System is well-equipped to provide highly adaptive and effective care on and off the battlefield for years to come.

The strategy will guide the requirements, priorities and direction of Army medical modernization efforts, including in areas of advanced medical research and Army Health System doctrine, organization, training, materiel, leadership and education, personnel, facilities and policy analysis.

Developed by Army Futures Command headquarters in collaboration with multiple Army and Department of Defense medical organizations and stakeholders, the Army Medical Modernization Strategy fully aligns with and supports the Army Modernization Strategy.

Richardson is scheduled to sign the strategy document during a ceremony at Army Futures Command headquarters in Austin on the afternoon of July 7. Lt. Gen. R. Scott Dingle, Army Surgeon General and Commanding General of U.S. Army Medical Command and Col. James Jones, Director of the Medical Capability Development and Integration Directorate at the U.S. Army Medical Center of Excellence, will also be in attendance at the event.

AFC Communication Directorate

US Army Photo by Austin Thomas, Army Futures Command

Emergency Medical Aid for Ukraine: Rheinmetall Subsidiary ZMS Supplies Kyiv with Two Mobile Computer Tomography Shelters

Wednesday, July 6th, 2022

A joint effort by the German aid organization ADRA Deutschland e.V., the German NGO Aktionskreis Wirtschaft-Politik-Wissenschaft e.V., and Rheinmetall subsidiary Zeppelin Mobile Systeme GmbH (ZMS) shows what can be achieved when capable people team up in pursuit of a good cause. Working together, they were able to supply urgently needed medical technology to Ukraine in very short order.

In June 2022, representatives of ZMS handed over two computer tomography shelters to Mr Christian Molke, Chairman of the Board of ADRA Deutschland e.V. and Chairman of the Supervisory Board of Aktion Deutschland Hilft e.V. at its Meckenbeuren location, with Mr Tobias Kurzmaier, Aktionskreis Wirtschaft-Politik-Wissenschaft e.V., in attendance. These shelters are designed for high-mobility operations under extreme conditions. On behalf of the Mayor of Kyiv, Dr Vitali Klitschko, retired state secretary Dr Bogdan Balasynovych took delivery of the shelters as well as peripheral equipment, including two trucks and a mobile generator for the city of Kyiv. The aid organization ADRA Deutschland e.V. is thus providing direct support to the people of the Ukrainian capital. Intended for civilian use in and around Kyiv, the two mobile units will make a vital contribution to the provision of local medical care.

“We are extremely grateful to everyone involved in this effort for their terrific commitment. Everybody knew that time was of the essence when people’s lives were at stake, especially given the ongoing conflict in Ukraine. Cooperation was invariably fast, flexible and solution oriented”, reports Christian Molke, summing up the delivery of state-of-the-art medical technology to Ukraine.

“In supplying these expandable 3:1 shelters with their built-in computer tomography systems, ADRA Deutschland has provided the city of Kyiv with highly mobile, state-of-the-art medical technology that our customers need for conducting autarkic operations under the most extreme conditions”, explains Alexander Lutz, head of sales at Zeppelin Mobile Systeme GmbH.

“Just six weeks elapsed between receipt of the order through ADRA Deutschland e.V. and transfer of the shelters to the city of Kyiv at the beginning of June”, notes Hauke H. Bindzus, chairman of the ZMS board of management. “Together with our strategic partners like Siemens as well as ADRA, the initiator and donor, and Aktionskreis Wirtschaft-Politik-Wissenschaft e.V., we demonstrated the pragmatism necessary for getting the job done”, adds Bindzus. “Moreover, we’re especially happy that we could contribute in this way to improving the situation of the people in Ukraine.”

Dr Bogdan Balasynovych, who was instrumental in getting the shelters to Kyiv, has now confirmed that they have arrived safely and have been handed over to their users.

Numerous international volunteer helpers are supporting ADRA-Nothilfe in Ukraine, as are donors from Germany, and resources from the charity Aktion Deutschland Hilft. Furthermore, ADRA Deutschland e.V. is working together with the German Foreign Office to support more than 50,000 refugees in Ukraine, Poland, Romania, Hungary, Slovakia and Moldovia with food packages, hygiene articles and cash.

Zeppelin Mobile Systeme GmbH is a leading maker of individualized, customer-specific shelter solutions which, as mobile functional spaces, create environmental conditions that would otherwise only be possible in permanent buildings. With its expertise in setting up mobile medical facilities and ability to integrate state-of-the-art medical technology into existing infrastructure, the ZMS range of products and services is built on cutting-edge innovation.

Insect Repellent Best Practices

Monday, June 27th, 2022

I grew up in Connecticut and spent a significant amount of time only miles from Lyme, CT where the effects of lyme disease were first detected and reported. As beautiful as Connecticut’s forests, coastlines, and countrysides are, they are breeding grounds for deer ticks not to mention mosquitos, black flies, no-see-ums, and other pests. When I was younger, the only viable option we had was insect repellent with DEET in varying concentrations. The strongest DEET available was used primarily on clothing as it was considered too strong and potentially unsafe. Repellent paired with daily and nightly vigilance was the best answer to the tick and insect problem. Over the years, I used other products that worked with mixed results. Recently, I was exposed to Bullseye Insect Repellent with IR3535. This Department of Defense-approved product was advertised as working better and longer than DEET; a claim I had to test myself. While field testing Bullseye, I reflected on some best practices for repellents like this one. Just like any gear, it isn’t just that we have it, it is how we use it.

Apply and Let Dry
Bullseye comes in a 4 ounce spray bottle and it applies as a mist. In a matter of minutes, the insect repellent feels dry to the touch. Compare this to DEET repellents that have an oily residue after application. Long after you apply DEET, it makes your skin sticky and can rub off on your gear. Bullseye is different. During my field test, I found it very easy to remove my watch, roll up my sleeves, roll down my collar and spray it on. After a couple minutes of double checking my backpack contents or prepping my fishing tackle, I rolled the sleeves down, put my collar back up, and wristwatch back on. The reason Bullseye dries so quickly is because an alcohol is used which evaporates quickly. Once dry, you are free to recreate as you please knowing you have approximately 8 hours until you have to reapply. By the way, one of the bonuses of this dry sensation is sleep. In years past, with DEET, I couldn’t sleep comfortably if I knew I had it on my skin. You can apply Bullseye overnight as long as you follow the same protocols as you would during the day.

Ankles, Waistline, Wrists, Neckline
As someone who spends a lot of time at elevation and spends a lot of time on self-supported trips to the backcountry, space and weight are crucial. One of the ways to respect both is to make sure the ounces and pounds you carry are utilized well. With insect repellent, it is easy to go overboard quickly. Instead of creating a fog to pirouette in, be tactful with your application. While in Idaho recently for a training event, I used a single bottle of Bullseye (4 ounces) on my ankles, waistline, wrists, and neckline. These are the typical entrance points for ticks as the ankles are close to the ground, the waistline is warm, and cuffs and collar can lead to the armpits and hairline respectively. I was impressed how far I could stretch a single bottle as long as I rationed it for use in these spots. I used to hesitate to apply deet to my wrists and neckline in particular knowing DEET has potential dangerous nervous system side effects.

Backhand to the Face
Perhaps one of the most annoying habits of mosquitoes and flies is their insistence on flying into your mouth, eyes, and ears. Keep in mind, mosquitoes have special receptors that are attracted to the carbon dioxide we breathe out. One would think applying bug spray to your face would be as simple and straightforward. Traditionally, DEET was used as it was designed to disorient the flying nuisances but once disoriented, there was nothing stopping them from flying directly into you since they had to be close enough to smell it. Keep in mind, this also meant your body had to be exposed to the DEET and the strong chemical smell it gave off. A better option than spraying your face is to apply a better insect repellent like Bullseye to the back of your hand and wipe it on.  We use the back of our hand already for wiping sweat from our brow and wiping insect repellent is second nature. There’s a reason you want to use the back of your hand. We touch our face frequently throughout the day. We wipe food from the edge of our lips, we rub our eyes, some of you might pick your nose. Even though the active ingredient in Bullseye, IR3535 is both non-toxic and odorless, you always want to keep the palms of your hands clean. Perhaps one of the most important best practices with bug spray is avoiding cross contamination. We’ve all probably experienced what happens when you accidentally taste something that was meant for external use only like sunscreen or a topical medicine. Some of you may have cooked with spicy peppers and rubbed your eyes. An easy way to avoid getting anything for external use only where it shouldn’t be is to keep the palms of your hands clean.

Help Kids or Those with Limited Mobility
As previously mentioned, I grew up in CT and spent a lot of my youth running around the woods getting cuts and scrapes while having a grand old time like every kid should. Before I would run off to the woodline with my friends, my parents applied a combination of sunblock and bug spray to my exposed skin. I personally would not put DEET on my kid someday but I would not hesitate to use Bullseye. As an able-bodied adult, it is a good idea to help kids and those with limited mobility apply insect repellent. Anyone with an ailing and aging parent knows how caring for them is much like looking after a child. Sometimes you have to do for them what they are too stubborn to do for themselves. When it comes to your kids, apply insect repellent to the palms of your hands and rub it into the skin on their arms, legs, and neck. If you abide by my suggestion to keep your palms clean, wash your hands after applying it to them. No disrespect to Bullseye but good advice is good advice and cleanliness is next to Godliness, right? If your kids are like I was, you will have to call them back in to reapply it after 8 hours and hopefully your kids aren’t ready to go to sleep or stop playing when the street lights flicker on as the sun drops below the horizon.

Application Tips
With any insect repellent, you want to follow instructions carefully but sometimes common sense isn’t included on the packaging. Apply your aerosol outdoors or in a well-ventilated area away from the rest of your gear. Step outside your tent and get out in the open. While the gear we use is often durable and long-lasting, we can never be certain how additional ingredients in it will interact with painted surfaces and polished finishes. Also, just like we want to avoid exposure to our eyes, we also don’t want to breathe in what we don’t have to. This is true of any aerosol spray. When you or the other members of your party are applying it be cognizant of others in your immediate area. Also, keep in mind, if you are involved in any activities around water or those that result in you sweating profusely, the repellent may be removed as a result. Also, remember that a little will go a long way and it isn’t wise to overdo it. Since it is fragrance free, you may not think it is present but it is and you don’t need to reapply. Keep in mind a repellent like Bullseye works by shielding your carbon dioxide and it’s more important to create a schedule of 3 applications in an 8 hour day than when you perceive more insects present.

Highest Recommendation
As a survival instructor, I am often asked, “how do you deal with ___?” or “what’s the best solution to ____?” Often, these questions pit man against nature. So far, nature has an unbeaten track record. Without supplies, we are ill equipped to run faster than most predators, we can’t see in the dark, and we are poorly insulated against the cold. We must use our intellect to create, acquire, and equip ourselves with gear that provides an advantage to us over our environment. I’m a firm believer in carrying the best gear I can afford and what makes the most sense. I’ve used DEET products in the past as well as citronella candles and various electronic repellents but I’m certain Bullseye is far superior to anything I’ve used in the past. Bullseye has impressed me with its ability to prevent bites from the pests I learned all too well about in my childhood. It is my job to teach skills that mitigate risk when we get the opportunity to explore the great outdoors but I also advocate for ways to live a healthy life from one day to the next. This includes not using products that could potentially negatively impact someone’s way of life. I’ve done the research on this one and I’ll recommend you equip yourself with it to gain an advantage, 8 hours at a time, in the worst buggy environments. Bullseye is the best, being tough on insects and gentle on skin. It is exactly what is needed to get the most out of your outdoor adventures.  

How to Purchase Bullseye:

If you’d like to purchase Bullseye Bug Repellent there are 2 options, eBay: www.ebay.com/itm/165091832029

Website: litefighter.com/product/bullseye-bug-repellent

By: Kevin Estela

About the Author:
Kevin Estela is the best-selling author of the book 101 Skills You Need to Survive in the Woods as well as hundreds of published and online magazine/website articles. He is a professional survival instructor with over 2 decades of outdoor education experience. Kevin is an avid traveler, outdoorsman, athlete, and adventurer. He has dozens of appearances on podcasts, at trade shows, and industry events speaking on readiness, mindset, training, and gear. He is frequently tapped to test, evaluate, and design equipment and has produced a wide variety of content across multiple social media platforms. Follow Kevin on Instagram @estelawilded  | estela@fieldcraftsurvival.com 

 

ORSM 22 – Wool+Aid Ltd

Tuesday, June 14th, 2022

Naturally enough Wool+Aid Ltd hails from New Zealand. Their idea was to replace synthetic materials for adhesive bandages with the natural material, wool.

Made of Merino wool, they are plastic free and breathe. What’s more they are biodegradable.

They also won a Media Preview Award from OR.

Air Force Medical Service Launches ‘Nutrition Kitchen’ Series

Tuesday, June 14th, 2022

FALLS CHURCH, Va. (AFNS) —  

The Air Force Medical Service is launching “Nutrition Kitchen,” a series of online nutritional cooking classes geared toward service members and their families.

The Nutrition Kitchen’s goal is to inspire healthy meal choices by providing options for service members to make realistic changes to foods they are already eating, while also providing the opportunity to learn the science behind those choices and “level up” their nutrition knowledge.

Each episode introduces different options to “level up” a classic meal, starting with simple ingredient substitutions and ending with a chef-curated recipe option taught by Tech. Sgt. Opal Poullard, chef and culinary instructor at the Joint Culinary Center of Excellence at Fort Lee. Following each cooking episode, Sahra Pak, registered dietician at Travis Air Force Base, California, shares the science behind the nutritional choices made.

“Nutrition has a profound impact on the health, performance and readiness of our active-duty personnel,” said Maj. Gen. Sharon Bannister, Medical Operations director, Office of the Air Force Surgeon General. “Combatting unhealthy weight gain and obesity and the detriment of poor nutrition is obligatory to improving warfighter readiness.”

Beyond maintaining a healthy weight, improvements to physical and mental performance and underlying chronic health conditions are among some of the benefits.

Giving nutrition the spotlight it deserves is a key tenet of the rapidly growing lifestyle medicine field.

“Nutrition Kitchen is lifestyle medicine at its best,” said Col. Mary Anne Kiel, Air Force Medical Home chief, Air Force Medical Readiness Agency, and chair the Lifestyle and Performance Medicine working group. “Food has an enormous potential to harm or to heal, but it’s surprising how infrequently we consider the types of foods we are eating every day. It is time for that to change. It’s time to empower the members of all our military services to upgrade their nutrition by making choices to keep them ready for the mission and to improve their health.”

The Nutrition Kitchen series aims to make the sometimes difficult process of both selecting and cooking nutritious meals more engaging, approachable and fun.

The recipes for this series were developed to be tasty, easy to prepare, and low-cost, all while providing the fuel necessary to “level up” service members’ health.

Service members can look forward to several delicious recipes heading their way over the next few weeks. The chef-curated dishes range from banana pancakes with date syrup to a cauliflower black bean ranchero taco bowl, a favorite among recipe taste-testers.

More conveniently, this series will be available at service member’s fingertips, where they can watch and cook completely on their own time. New episodes are set to release weekly and can be found on the Nutrition Kitchen page or via YouTube.

Air Force Surgeon General Public Affairs

Photo by Cynthia Griggs