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Archive for the ‘Medical’ Category

Cold Weather Sock Systems and Foot Care by John Huston, Polar Explorer

Wednesday, June 10th, 2020

This is the first article in a series written by accomplished arctic explorer John Huston and presented by Point6, out favorite sock maker.
H1: Cold Weather Sock Systems and Foot Care
H2: Expeditionary Foot Know How for the Long Haul
H3: Feet are the Expedition
It might seem odd to post an article on cold weather socks in June, but now is the time for units to place orders for equipment needed this winter.


John Huston off the coast of Ellesmere Island in high Arctic Canada, May 2013. © John Huston

In this post we’ll get into how I manage my feet in the cold. We’ll take a look at sock systems, moisture control via vapor barrier liner socks, and discuss foot care in the cold.

Twelve years ago I was having a beer with a Norwegian polar explorer colleague of mine, who came out of Norway’s Marinejegerkommandoen (MJK). We were discussing my upcoming unsupported expedition to the North Pole. “You know,” he said, “when it gets down to it: Preparation is the expedition.”

This kernel of advice quickly became one of my operational pillars. It goes deep into my expeditionary philosophy that reaches back to the golden age of polar exploration at the turn of the 20th century…and it opens up an endless well of related topics that we can dig into down the line.

Some of those historic polar explorers are heroes of mine. Explorers from that era, like Roald Amundsen and Ernest Shackleton, were the astronauts of their time. They filled in the blank spaces on the globe and pushed technology and knowledge forward. And sometimes they really suffered. And sometimes they put on frozen boots in the morning. And sometimes they marched on bloody feet or lost toes to frostbite.


John Huston skijoring through Auyuittuq National Park, Baffin Island, Canada, April 2019. © Michael Martin

Early in my cold weather career, about 20 years ago, foot systems and foot care became an obsession. Happy feet = improved performance. Unhappy feet can land a person somewhere on the spectrum of reduced capacity from: effective but hating it to casualty.

So, ‘preparation is the expedition’ is prime and all encompassing, but ‘feet are the expedition’ isn’t far behind.  

For me, in the cold, feet need to be warm, comfortable, and healthy. When these three factors are in order a person doesn’t tend to think about their feet too much. When one of these factors is out of line the opposite is true.

The main ingredients to solving this equation are high quality merino wool socks, moisture management, and foot care routines.  

Merino wool socks provide all day comfort and excellent moisture management properties, and have the ability to perform for many days in a row. I’ve worn a lot of different socks for weeks at a time. Merino wool handles grime build up very well compared to synthetics which become odor bombs. My skin is happier in merino wool. When merino wool is wet, it maintains a good deal of it’s insulation value.

Fit and comfort are a big deal to me. The sock needs to feel good when I put it on and it needs to feel good after 12 hours of exertion and it needs be able to repeat that over and over. I love over the calf socks because they rarely slide down or bunch up. I almost frostbit my fingers trying to fix a bunched up sock in –40° and windy.

In most cases, depending on the temperature, duration of the activity, and humidity my foot layering system consists of the following from the inside out.

Foot/Skin

-Ultralight over the calf (OTC) merino wool sock. This is sometimes called a liner sock. Example: Point6 37.5 Ultra Light OTC.

-Vapor liner sock (VBL). This is a thin waterproof sock that keeps all foot perspiration on the innermost layer, which prevents the insulating socks and boot liners from getting wet. I’ve used everything from plastic bags to neoprene to silicon coated nylon taped-seam socks. Point6 is currently prototyping a new vapor liner sock. Plastic bags can work, but lack durability and comfort. Some people like neoprene, but my feet feel like they want to blister when I wear neoprene socks.

-Medium or thick merino wool sock (OTC, mid-calf, or 3/4 calf). The thickness of this sock depends on temperatures and how the sock system fits with my boots. Examples: Point6 37.5 Tactical Operator Heavy Mid-Calf

-Winter expedition nordic ski boot. This is another topic, but I’m a big fan of nordic ski boots with removable liners and extra space to allow for sock layering options and flexibility which promotes circulation.

Moisture management has a lot to do with warmth, comfort, and foot health. Feet sweat more than any other part of the body. A pair of feet contain approximately 250,000 sweat glands which can generate 8 oz of sweat per day. That number seems extreme and likely varies person according to person, but it’s pretty easy to see why people can end up with frozen boots in the morning. Most of that sweat has ended up in the fabric and insulation of their boots. In freezing temperatures, especially below zero, the moisture doesn’t get fully pushed (or breathed) into the air because it is too cold – the freezing can be in the boots themselves. This concept applies to clothing and sleeping bags as well.

This is where the vapor liner sock comes in – moisture control. During the day vaper liner socks add warmth because your insulation layers (outer merino wool sock and boot liners/boots) stay dry. Without a VBL those insulation layers will collect perspiration. Insulation works because it traps tiny pockets of air that retain heat. Insulation that contains water or ice is much less efficient and effective. For example, it is possible to warm up cold fingers in damp gloves, but it takes a lot more energy and a lot more work than in dry gloves. Same for feet. VBLs are often worth it to me just for the added warmth, not to mention the reduction in nightly drying chores.

On overnight trips (or even back when staying indoors) a sock system with vapor liner socks is much easier to dry than a ystem without the VBLs. Simply dry the liner socks and the inside of the VBL and you are good to go for the next day. Without the VBL it can take hours to dry outer wool socks, boot liners, and boots.

When I’m guiding I require that my clients wear VBL socks. That way I know their foot insulation layers are going to be dry during the day. And I know that they’ll easily be able to manage drying their socks during the evening. This is no small thing after a long ski day when people want to get into their warm sleeping bags as soon as they can.

Foot care routines are essential to maintaining happy feet. We dry our socks and feet every single night. I designate a thick pair of merino wool socks as sleeping socks that I only wear when I’m sedentary in camp. Every night I’ll put high quality natural hand cream on my feet. I like Burt’s Bees Almond Milk Handcream or Nourish Organic Argan Butter and avoid cream with petroleum products. Every third day we wash our feet with soap and warm water, using an extra mug and a small scrap of a camp towel. With these routines, a high quality sock system, and the right boots – all tested thoroughly prior to a major trip of course – my feet have been a non-issue for several thousand miles of Arctic and Antarctic ski expeditions. Part way through 60-day expeditions I’ve had teammates state that their feet have never felt more healthy, not even at home.

There is also a lot to be said for a good solid specific motion training regime that lets your feet and body know what is coming and allows time for it to adapt. We can discuss training in another post.

Sock systems and foot care routines are very personal. So make it a priority and take the time to experiment and get it right. You’ll enjoy happier days no matter what your endeavor.

Take care of your dogs and they will take care of you.

by John Huston, Polar Explorer

Brought to you by Point6, Merino Mastered

CarbonX Launches Defender Masks to Address Industrial PPE Shortage

Tuesday, June 9th, 2020

For workers who require protection from COVID-19 while working in dangerous areas with threats of fire or arc flash, the CarbonX® Defender Masks provide a safe solution for both.

At Tex Tech Industries, we’ve added CarbonX® Defender Masks to our line of flame-resistant (FR) PPE to provide the protection industrial workers need. These masks are reusable, comfortable, washable, and offer superior protection against most common industrial hazards.

The CarbonX® Defender Mask

At CarbonX®, we strive to do our part to provide protection in applications where safety is of the utmost importance. Our FR Defender Masks are created from breathable, non-flammable CarbonX® fabric front covering backed with a non-woven filter made from polyester. All masks are customizable with your company logo. We offer two different mask varieties:

CarbonX® Defender Mask 1

The CarbonX® Defender Mask 1 offers the following features:

High breathability at 50 cfm

Captures 65% of particulates larger than 0.3 microns (±10%)

Three-layer construction: Two layers of non-flammable CarbonX® TK-60 knit (front and back covering) and a single layer of 6 oz polyester non-woven filter media (middle layer)

Machine washable, hand washing recommended with 3% hydrogen peroxide solution

Air drying recommended

CarbonX® Defender Mask 2

The CarbonX® Defender Mask 2 provides the following:

Breathability at 37 cfm

Captures 75% of particulates larger than 0.3 microns (±10%)

Three-layer construction: Single layer of non-flammable CarbonX® 6 oz non-woven (front covering), single layer of 6 oz polyester non-woven filter media (middle layer), single layer of 3.5 oz 100% hypoallergenic cotton (back covering)

NAFTA/USMCA compliant

Hand washable with 3% hydrogen peroxide solution

Air drying recommended

For comparison purposes, the N95 mask offers 95% particulate filtration and breathability of 32 cfm. Of note, the Defender masks are designed for industrial and commercial use and are non-medical grade. The above statistics are the result of in-house testing by Tex Tech and have not yet been verified by an independent third-party. 

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Hendrick Motorsports’ STEED Supporting Rapid Recovery Efforts

Wednesday, June 3rd, 2020

The last trip I was able to take before the nation started to lockdown over COVID-19 was to the ADS Warfighter Expo at Ft Bragg in mid-March. While there I had the chance to catch up with Rhegan Flanagan of Hendricks Motorsports who was exhibiting the Silent Tactical Energy Enhanced Dismount or STEED.

As a quick reminder, STEED is a lightweight, all-terrain wheeled platform which carries 500 pounds and have a range of 15 to 30 miles on one battery pack. This unit is manually operated by a thumb-controlled throttle at speeds up to 6.5 miles per hour in both forward and reverse. It has a zero degree turn radius, is tactically silent, has zero emissions and is completely submersible.

That’s the textbook answer. But what STEED really is, is a force multiplier enabling one to carry the load of many. Think about it; up to 500 lbs at 6.5 miles per hour, over varied terrain for up to 30 miles. What’s more, it’s electric, so it’s silent and has a zero turn radius for tight spaces.

By that time COVID-19 was definitely with us and it was a matter of time before the nation began to fully mobilize its medical infrastructure to deal with the task at hand. We discussed the many uses of the STEED in possible scenarios from mass casualty events to civil unrest. To be sure, moving casualties and equipment around while wearing full PPE or MOPP gear can be taxing and the STEED’s power assist would sure help. Fortunately, we didn’t see such extreme measures, but the sick certainly needed to be moved at a great than normal rate in the hit zones.

Three months later it turns out, the STEED looks like a great option for the riots currently underway around the US. Bring supplies to the line and evacuate casualties. Hendrick Motorsports has also teamed with TYR Tactical to armor the STEED.

For full details, visit adsinc.com/steed-supporting-rapid-recovery-efforts.

Air Force Research Labs – Grand Challenges for Biotechnology

Tuesday, May 26th, 2020

WRIGHT-PATTERSON AIR FORCE BASE, Ohio – The Air Force Research Laboratory announced its three Biotechnology Grand Challenges last month in efforts to spearhead innovation among small businesses for the specific needs of the Department of Defense.

These three challenges, which were chosen by AFRL’s team of biotechnology experts, seek advancements in the following: biosynthesis of monomers for aerospace thermosets, biosynthesis of high-density endothermic fuels, and human performance-enhancing probiotics.

“When AFRL’s team decided on these challenges, we were looking for ways to make big strides quickly in the area of biotechnology,” said Jill McQuade, AFRL’s biotechnology program manager. “Biotechnology is one of AFRL’s big bets, and is also one of the twelve Office of the Secretary of Defense’s modernization priority area.”

McQuade explained that the AFRL Small Business office put forth $3 million to fund this initiative, which will be divided equally across the challenges. Participants can then compete in two phases of initial evaluation, and then in a Pitch Day.

In the first phase of this competition, small business participants will submit white papers with their concepts, said McQuade. During the second phase, a panel of experts will select which white papers will move forward in the competition. Then, those selected to continue in the competition will be given two weeks to enter into an agreement with a company of their choice that can scale up production and manufacturing. Finally, these teams will participate in a Pitch Day, presenting a one-hour pitch of their concept and scale up strategy with their manufacturing partner to the AFRL team. The winners of the competition will be funded in various layers by accomplishing certain milestones over the course of one year from each Pitch Day.

Pitch Days will be in July, August and September for each of the challenges, and could potentially be virtual due to social distancing guidelines of the COVID-19 pandemic.

Not only will these challenges expedite innovation, but they help small businesses by narrowing down specific needs, McQuade explained. “These challenges can show the broader science and technology community as well as the research and development community how biotechnology can successfully be used as a tool to develop innovative solutions to current hard problems.”

For more information about the three Biotechnology Grand Challenges, visit innovatedefense.net/dod/afrl-challenge-1.

Gina Marie Giardina, Air Force Research Laboratory

MATBOCK Monday: LIFT System

Monday, May 25th, 2020

As we wrap up Medical March we will be showcasing our full line of ultra lightweight, durable and multifunctional litters.  All of our litters can be used in conjunction with our ultra lightweight Carbon Combat Poles.  The Carbon Combat Poles weigh in at 1.3 pounds per pole and have a max carrying capacity of 400 pounds!  The poles when fully extended are 7′ 6 3/4″ and can be easily collapsed into 5 – 1′ 9 1/4″ sections that can be packed into any pack.

www.matbock.com/collections/medical/products/combat-carbon-poles

At 6.5 feet long, the stretcher is long enough to accommodate all operators and has a maximum carrying capacity of 400 lbs for both the operator and his/her gear. The stretcher has 5 handles per side to give each team a multitude of configurations for carrying a downed man.  Additionally, the litter collapses and zips together to form a multipurpose, lightweight, Sensitive Site Exploitation (SSE) bag. The bag is augmented with a single adjustable strap for easy carry when loaded, a drawstring to secure the bag contents and is small enough to fold up and be stored in a cargo pocket.  The S-LIFT is compatible with the Combat Carbon Poles.

www.matbock.com/collections/medical/products/s-lift

Made from Ultra High-Density Polyethylene, it will not absorb water, biological or chemical hazards and can handle decontamination in all standard chemicals without degradation in strength or abrasion resistance. Additionally, the stretcher is constructed with Kevlar stitching to ensure even the stitching won’t absorb those hazards.  The J-LIFT is compatible with the Combat Carbon Poles.

www.matbock.com/collections/medical/products/j-lift-gen-2

The R-LIFT is a fully rigid litter that deploys in seconds, weighs only 6 lbs on its own and only 6.5 lbs with the carrying pack. It boasts a maximum load carrying capacity of 400 lbs. The litter is constructed from Ultra High-Density Polyethylene and Kevlar stitching, offering extremely high abrasion resistance and strength, inability to absorb blood, pathogens, chemical or biological hazards, and still decrease weight and size. Additionally,  The R-LIFT comes with a built-in inflatable air bladder designed to support the head and align the spine. The R-LIFT comes with a replaceable integrated emergency blanket that can be deployed quickly to prevent hypothermia.  The R-LIFT is compatible with the Combat Carbon Poles.

Entire LIFT System can be found here: www.matbock.com/collections/medical/LIFT-System

Register for their Weekly Webinar: zoom.us

Army Research Shows Connection Between Stress, Stomach Ulcers

Monday, May 25th, 2020

RESEARCH TRIANGLE PARK, N.C. — New U.S. Army-funded research demonstrates a connection between stress and stomach ulcers.

The research, conducted at the University of Pittsburgh Brain Institute and funded by the Army Research Office traced neural pathways that connect the brain to the stomach, providing a biological mechanism that explains the connection.

ARO is an element of the U.S. Army Combat Capabilities Development Command’s Army Research Laboratory.

“The bidirectional connections between brain and gut are important conduits for communication within the mind-body axis,” said Dr. Frederick Gregory, ARO program manager. “The biological mechanisms into how stress might influence cognitive performance plays a central role in future strategies to mitigate Soldier stress through diet or other new gut-centric interventions. Not only is this important for combat missions but for the overall health and well-being of the entire Army.”

The findings, published this week in the Proceedings of the National Academy of Sciences, build a scientific basis for the brain’s influence over organ function and emphasize the importance of the brain-body connection.

Until now, research exploring the gut-brain interaction has largely focused on the influence of the gut and its microbiome on the brain and neurological disorders. But it’s not a one-way street – the brain also influences stomach function.

“Pavlov demonstrated many years ago that the central nervous system uses environmental signals and past experience to generate anticipatory responses that promote efficient digestion,” said Peter Strick, Ph.D., Brain Institute scientific director and chair of neurobiology at Pitt. “And we have long known that every increase in unemployment and its associated stress is accompanied by an increase in death rates from stomach ulcers.”

To find brain regions that control the gut, Strick and his coauthor David Levinthal, M.D., Ph.D., assistant professor of gastroenterology, hepatology and nutrition at Pitt, used a strain of rabies virus to track connections from the brain to the stomach.

After being injected into the stomach of a rat, the viral tracer made its way back to the brain by hopping from neuron to neuron – using the same trick that rabies virus uses to infiltrate the brain after entering the body through a bite or scratch – to reveal the brain areas that exert control over the stomach.

The researchers found that the parasympathetic – rest and digest – nervous system pathways trace back from the stomach mostly to a brain region known as the rostral insula, which is responsible for visceral sensation and emotion regulation.

“The stomach sends sensory information to the cortex, which sends instructions back to the gut,” Strick said. “That means our ‘gut feelings’ are constructed not only from signals derived from the stomach, but also from all the other influences on the rostral insula, such as past experiences and contextual knowledge.”

In contrast, the sympathetic – fight or flight – pathways of the central nervous system, which kick in when we’re stressed, predominantly trace back from the stomach to the primary motor cortex, which is the seat of voluntary control over the skeletal muscles that move the body around.

Identifying these neural pathways that connect the brain and stomach could provide new insights into common gut disorders.

For example, Helicobacter pylori infection typically triggers ulcer formation, but descending signals from the cerebral cortex could influence the bacteria’s growth by adjusting gastric secretions to make the stomach more or less hospitable to invaders.

These insights could also change clinical gastroenterology practice. Knowing that the brain exerts physical control over the gut gives doctors a new way to approach bowel problems.

“Several common gut disorders, such as dyspepsia or irritable bowel syndrome, might not get better with current treatments,” said Levinthal, who is also a gastroenterologist at UPMC. “Our results provide cortical targets that will be critical for developing new brain-based therapies that might be helpful for our patients.”

Gregory said that this is particularly relevant to combat casualty care where there are often bowel problems such as traveler’s diarrhea that can affect the overall health and performance of the military.

In addition to the U.S. Army, the National Institutes of Health and the DSF Charitable Foundation supported this work.

By U.S. Army CCDC Army Research Laboratory Public Affairs






AFRL Adapts PJ Tactics for COVID-19 Monitoring

Sunday, May 17th, 2020

WRIGHT-PATTERSON AIR FORCE BASE, Ohio – The Air Force Research Laboratory is leveraging tactics from the Air Force pararescue (PJ) community, employing a new tool that can monitor multiple patients’ vital signs, helping to alleviate the lean doctor-to-patient ratio that many medical facilities are facing amidst COVID-19.

“One of the struggles doctors and nurses are having in highly-affected hospitals right now is similar to what PJs deal with—a high ratio of patients assigned to a low ratio of medical personnel,” said Dr. Greg Burnett, Airman-Machine Integration Product Line lead in AFRL. “Add in the contagion element, and our team saw the emergent need to adapt our medical monitoring tool for widespread use so that multiple patients could be cared for remotely.”

So Burnett and his team have been hard at work adapting this agile technology, originally developed for PJs to use down range, for hospitals and other health care facilities so they too can monitor the vitals of more patients.

The solution is a medical monitoring tool called the Battlefield Assisted Trauma Distributed Observation Kit, or BATDOK. The original version of this tool has been under evaluation by military medics for about four years and was deployed operationally about a year ago. Developed in AFRL’s 711th Human Performance Wing, it is a smartphone-based medical information software tool that can take in sensor data for real-time health-status monitoring for multiple patients. The team has made improvements along the way to this Android application with the help of direct feedback from operators down range using the device.

This adapted version, however, removes the combat casualty care aspects of the medical monitoring tool, said Burnett, but still allows for the remote monitoring sharing of patient vitals and secured networked data dissemination. These features can help prepare doctors and nurses as they work to maintain situational awareness over multiple patients—while also working to maintain their own health and safety.

But with this newer, more streamlined vital-monitoring version of BATDOK, the AFRL team will collaborate and receive direct feedback from their new customers—healthcare providers at the Wright-Patterson Medical Center. AFRL began the first of three phases of testing with BATDOK at the base medical center in mid-April.

This first phase involves comparing data of a single patient who has agreed to have vitals monitored using both traditional methods as well as using BATDOK. The time required for each phase is unknown, but each phase will have increased patients and providers.

“Clinical practice guidelines for patients infected with COVID-19, released by the Department of Defense and the Defense Health Agency, strongly recommend continuous oxygen monitoring,” said Dr. Roger Shih, WPMC Internal Medicine director.

Shih said the ability to monitor multiple patients remotely also alleviates the need for medical personnel to change out personal protective equipment (PPE) for individual patient checks.

BATDOK’s tablet interface is user-friendly, Shih explained, and the software is straightforward and intuitive. It allows a single provider to monitor up to two dozen patients with real-time monitoring of their oxygen saturation and pulse.

The BATDOK team’s software development co-leads, 2nd Lt. Matthew Dickinson and 2nd Lt. Corey Mack, discussed how the data moves remotely.

“Monitoring the patients remotely is done through a sensor embedded in the pulse oximeter that is placed on the patient’s finger,” said Dickinson.

Mack added that the sensor transmits vitals remotely to tablets or to workstations that the nurses or other healthcare providers can then monitor.

From a nursing perspective, traditional practice is for the nurses to go to a single location, a telemetry station, to observe the patient’s heart rate, respiratory rate and oxygen saturation, explained Maj. Gary Webb, WPMC Medical Surgical Unit flight commander.

But with BATDOK, which is used through an app on a cell phone, Webb explained that nurses can monitor their patients wherever they are on the unit.

“The benefit of this,” Webb said, “is that if an alarm is going off, the nurse can immediately look at the BATDOK app to see which alarm has sounded and address it. It saves much needed time in this situation.”

All-in-all, BATDOK could allow Wright-Patterson Medical Center to rapidly scale up their ability to perform continuous oxygen monitoring for patients infected with COVID-19, while also keeping staff safer and decreasing use of PPE, said Shih.

The AFRL team, some who have family members in the hardest hit areas of this pandemic, are honored to put their skills to good use.

“It means a lot to the BATDOK team to be able to do our part in stemming the tide of the COVID-19 pandemic,” explained Mack. “Working directly with those who need and use the technology we build has always been a driving factor behind the success of BATDOK. So when we heard there was a need during this crisis, we started working on potential solutions.”

Story by Gina Marie Giardina, Air Force Research Laboratory

Photo by Wesley Farnsworth






Speedbox Hand Sanitizer

Wednesday, May 13th, 2020

I’m a big fan of Veteran-owned Speedbox and their signature product. They’ve just recently expanded their offerings with Hand Sanitizer.

This scent free gel hand sanitizer eliminates 99.9% of Bacteria and includes moisturizer. Available in a variety of sizes.

www.speedbox.us/collections/hand-sanitizer