2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida PREPARING FOR THE NEXT FIGHT 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida 2014 SOMSA REGISTRATION BROCHURE On behalf of the Special Operations Medical Association, I’d like to invite you to the 2014 Special Operations Medical and Scientific Assembly. Since its formation more than two decades ago, SOMA has endeavored to advance the art and science of Special Operations Medicine. During that time we have grown from a small but dedicated group of like-minded SOF medical providers meeting in one hotel conference room to the most unique international medical society in the world, hosting a meeting of more than 1000 attendees from more than two dozen countries. While we have grown, SOMA’s mission remains the same: To improve the capability of the SOF Medical Operator and to serve as a Combat Enabler for US Special Operations Forces. Our program is focused on exactly that. This year’s SOMSA theme is “Preparing for the Next Fight”. As combat winds down in Afghanistan, SOF forces are facing some new and some old threats evolving around the world. Regardless of the threat, we will certainly face the tyranny of distance, difficult evacuations, immature theaters, and prolonged field care scenarios as challenges. We have built this year’s program around those themes and have invited nationally and internationally recognized experts to help us solve these challenges. This year we’ve also invited a significant number of SOF medics to give presentations, as well as participate in a SOF medic roundtable discussion during the main session. These medic vignettes are invaluable for our academic and industry colleagues as they look to help us solve real-world tactical medical problems. This year’s conference will be one of our best only because of the dedication and commitment of the men and women on the program committee and our new Executive Director, Ms. Stephanie Newman, and her team at AMP. Please take the time to seek them out and to thank them for their work in making the 2014 SOMSA one of the best ever. Finally, if you like what we are doing, get involved. SOMA is only as great as its members. Participate in a committee. Join a working group. Run for an office. Your voice matters. If not a member, join SOMA. This is the only professional medical association in the world for SOF Medical Operators with the only journal in the world, The Journal of Special Operations Medicine, which focuses solely on the profession of SOF medicine. We can only grow and improve if you get involved. I look forward to visiting with you this year in Tampa. Cordially, LTC Bob Mabry, MD President, SOMA 2 Who Should Attend? The Special Operations Medical Association (SOMA) is looking forward to its 2014 Scientific Assembly (SOMSA) in Tampa, FL! SOMA is the only medical association in the world that brings together the unique blend of prehospital, tactical, wilderness, austere, disaster and deployed medicine. The primary goal is to advance the art and science of special operations medical care through the education and professional development of special operations medical providers. SOMSA provides the opportunity for military and civilian medical providers, academia and industry partners from around the world to meet and exchange ideas. It is the largest gathering of SOF medical providers in the world that includes U.S. military, foreign military, domestic tactical law enforcement and tactical EMS providers. This Scientific Assembly is jointly sponsored by SOMA and USSOCOM. Co-sponsorship of this event does not imply endorsement of SOMA, its services, or products by the United States Government, the Department of Defense, or U.S. Special Operations Command. Continuing Education Credit The University of Texas Health Science Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education to physicians. This activity has been approved for AMA PRA Category 1 Credit(s)™. Nurses and other healthcare professionals will receive a Certificate of Attendance. For information on applicability and acceptance, please consult your professional licensing board. 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida HOTELS AND TRANSPORTATION Reservation deadline for all hotels – Thursday, November 6, 2014 Hotels may sell out prior to the cutoff date, so please make your reservations as soon as possible. The negotiated SOMA rates will not be available after the cutoff date of November 6. Making Reservations: Reservations for all hotels may be made by phone or via the direct reservation links located on the SOMA website (www.specialoperationsmedicine.org). If making your reservations by phone, please be sure to request the SOMA group rate to ensure that you are included in our room block. When making room reservations for your company’s staff, please do not book more rooms than necessary. Holding a block of rooms that will be cancelled in the last month prior to the meeting may keep many attendees from staying at the headquarters hotel and cause the organization to lose revenue. Tampa Marriott Waterside Hotel & Marina 700 S. Florida Ave. Tampa, FL 33602 813-221-4900 Rate: $165.00 single/double, $185 triple, $205 quad occupancy plus taxes Per Diem Rate*: $94 single/double, $114 triple, $134 quad occupancy plus taxes *Or the prevailing rate A striking silhouette along the Channel Riverwalk, the Tampa Marriott Waterside Hotel & Marina in Ybor City overlooks Tampa Bay in the heart of downtown. Located in the Channelside district, this premier Tampa Hotel is adjacent to the Tampa Convention Center and minutes from nearby dining and entertainment. The Marriott will serve as the headquarters hotel for the Scientific Assembly. Parking: Valet parking is $24 per day. Please contact the hotel for self-parking options. Phone Reservations: Call 888-268-1616 and ask for the SOMA group rate. Online Reservations: For the SOMA group rate, click here or to book the per diem rate, click here. Hotel description provided by Tampa Marriott Waterside Hotel & Marina. Embassy Suites Tampa Downtown Convention Center 512 S. Florida Ave. Tampa, FL 33602 813-769-8300 Rate: $170 single/double $180 triple/quad occupancy plus taxes Per Diem Rate*: $93 single, $103 double, $123 triple, $133 quad occupancy plus taxes *Or the prevailing rate Enjoy the lush trees, relaxing fountains, and the ambient sound of the baby grand player piano as you enter the lobby atrium of the Embassy Suites Tampa – Downtown Convention Center. Connected via sky-bridge to the Tampa Convention Center, this all-suite hotel is convenient to dining and entertainment in downtown Tampa. Parking: Valet parking is $24 per day. No self-parking is available. Phone Reservations: Call 800-362-2779 and ask for the SOMA group rate. Online Reservations: For the SOMA group rate, click here or to book the per diem rate, click here. Hotel description provided by Embassy Suites Tampa Downtown Convention Center. 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 3 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida The Westin Tampa Harbour Island 725 S. Harbour Island Blvd. Tampa, FL 33602 813-229-5000 Rate: $149 single/double, $169 triple/quad occupancy plus taxes Per Diem Rate*: $99 single/double, $119 triple/quad occupancy plus taxes *Or the prevailing rate The Westin Tampa Harbour Island is a private waterfront retreat in the heart of downtown Tampa, within walking distance of the Tampa Convention Center and just a half mile from Tampa Bay Times Forum. The spacious guest rooms and suites are designed to enhance your relaxation. With attractions like the Florida Aquarium and clear water beaches nearby this Tampa Bay hotel is ideal for leisure and business travelers alike. Parking: Valet parking is $20 per day, and self-parking is $17 per day. Phone Reservations: Call 800-937-8461 and ask for the SOMA group rate. Online Reservations: For the SOMA group rate, click here or to book the per diem rate, click here. Hotel description provided by the Westin Tampa Harbour Island. Hilton Tampa Downtown 211 N. Tampa St. Tampa, FL 33602 813-204-3000 Rate: $144 single/double, $164 triple, $184 quad occupancy plus taxes Per Diem Rate: $99 single/double, $119 triple, $139 quad occupancy plus taxes Experience the vibrant atmosphere of downtown Tampa at Hilton Tampa Downtown. Ideally located next to the Tampa Convention Center, this downtown Tampa, Florida hotel is a short trolley ride from a wealth of popular attractions and entertainment opportunities. Shop for gifts at Channelside, marvel at the vast array of marine life at the Florida Aquarium and take in a memorable concert at Tampa Bay Times Forum. Parking: Valet Parking is $20 per day and self-parking is $16 per day. Phone Reservations: Call 813-204-3000 and ask for the SOMA rate. Online Reservations: For the SOMA group rate, click here or to book the per diem rate, click here. Hotel description provide by Hilton Tampa Downtown. Airport Taxi The Tampa International Airport (TPA) is located approximately eight miles from Downtown Tampa. Please visit here for driving directions. Taxi cab service is provided from the Commercial Ground Transportation Quadrants located in all four corners of the Baggage Claim Level. Taxi service to Downtown Tampa is available for a flat rate of $25 (subject to change). Shuttle Service Super Shuttle airport service is available. Service is provided from the Commercial Ground Transportation Quadrants located at all four corners of the Baggage Claim Level. A discount rate of $10 one way/$19 round trip is available to all SOMSA attendees. Please visit here to make your reservation online or call 800258-3826 and use code DN432. Service charges may apply for reservations made by phone. 4 Weather Tampa’s average high temperature in December is in the mid-70s with lows in the mid-50s. 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida SCIENTIFIC ASSEMBLY FEATURES Opening Reception Mess Night Join us as we kick off the Scientific Assembly with a reception in the exhibit hall on Tuesday evening, December 9. The reception provides an excellent opportunity to meet your colleagues and visit with the vendors and our Scientific Assembly supporters. Don’t miss this event! This year’s Mess Night will be held on Wednesday evening, December 10, at the The Westin Tampa Harbour Island. In addition to helping SOMA raise money for the Scholarship Fund, you’ll enjoy dinner while hearing from a guest speaker and celebrating the achievements of your colleagues as awards are presented. A limited number of tickets are available, so be sure to purchase your tickets while you are registering for the Scientific Assembly. Exhibit Hall Please take the time throughout the Scientific Assembly to visit with over 120 of our vendors and supporters in the exhibit hall which opens on Tuesday morning, December 9, and will remain open through Thursday morning, December 11. Without our vendors and supporters, this Scientific Assembly would not be possible. For updated information on the exhibit hall and the vendors who plan to attend, please visit the SOMSA Exhibitors/Sponsors page of the SOMA website at www.specialoperationsmedicine.org. Posters Posters based on abstracts submitted will be on display in the exhibit hall. Stop by to view the latest research. Business Meeting Plan to join the SOMA Board of Directors on Wednesday morning, December 10, at 7:30 a.m. for the Annual Business Meeting. The meeting will provide you with the opportunity to find out about the exciting changes that have been happening over the past year and learn where SOMA is headed in the future. Second Half Initiative Lunch Sessions This year’s agenda will once again include Second Half Initiative lectures during the lunch hour on Tuesday and Wednesday. Plan to grab your lunch and learn more about this program. Attire Appropriate dress for the Scientific Assembly is business casual for civilians and uniform of the day. ACU’s and Duty Uniforms may be worn during the entire SOMSA. Presenters should wear ACU’s or uniform of the day for military speakers. Civilians should wear a jacket and tie. Jeans, T-shirts or athletic attire are not permitted in the assembly venue. Business casual is appropriate for Mess Night. MARK YOUR CALENDAR! SOMSA 2016 will be held May 23–26, 2016 at the Charlotte Convention Center in Charlotte, N.C. 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 5 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida SCHEDULE OF EVENTS MONDAY, DECEMBER 8, 2014 LAB SESSIONS Several of the same lab sessions are being offered more than once during the day. These are designated by a 1 or 2 after the title. 0700-1700 Registration Desk Open 0800-1000 Difficult Airway – Basic 1 This hands-on 2-hour course will give the student an introduction to difficult airway management in the austere environment, with attention to equipment selection and improvisation, prioritizing airway management techniques in the tactical setting and expanding the “toolbox” of the prehospital care provider. Wound Repair – Basic Participants will get hands-on instruction and practice on management of soft tissue wounds in the field. A variety of wound closure techniques including suturing, hair suture, skin adhesives and surgical tape, as well as improvised and temporizing repair methods will be practiced on simulated human tissue. Randel Davis, DO Marc Rosenthal, PhD, DO, FACEP MAJ Daniel Winschel, PA-C Julio Garcia, MD CDR Roy Seitz, MD USN 0800-1200 Basic Point-of-Care Ultrasound Portable ultrasound units bring advanced imaging to the most austere settings. Triage of wounded casualties and diagnosis of occult abdominal or thoracic injuries are just a few of the applications. Get hands-on instruction in point-of-care US for the severely traumatized patient. Topics discussed will include basic US concepts, trauma US exam (E-FAST), and procedural US (vascular access). Regional Anesthesia – Ultrasound Guided Regional nerve blocks can significantly reduce pain from major and minor trauma. An understanding of the innervation of areas of the body will enable participants to select regional anesthesia techniques that can reduce pain and in some cases, allow the patient to remain capable of participating in the mission. Utilizing ultrasound, participants will be taught to locate nerve bundles and inject with appropriately selected anesthetic agents. Brachial plexus block, fascia iliaca block, intercostal and paraspinal nerve blocks will be covered. Rescue Task Force Gear, Drills, and Skills 1 Response to the active shooter by law enforcement changed dramatically after the attack at Columbine High School. Civilian EMS has only recently adopted more aggressive response protocols, bringing care sooner to victims inside the “warm” zone while law enforcement hunts the shooter. This session will teach concepts developed and refined by the Rescue Task Force at Arlington Fire Department and adopted by several other EMS departments nationwide. Procedural Sedation 1 Intravenous, intramuscular and intranasal sedation can greatly reduce patient pain and suffering when performing painful procedures. This course will teach the pearls and pitfalls when sedating a patient in the field to facilitate fracture manipulation, chest tube placement and others. Opthalmology Ophthamologic emergencies in the field can have devastating, immediate, and permanent consequences. Utilizing high fidelity models, this hands-on lab will teach assessment and emergent repair and stabilization procedures of the eye to include cantholysis, canthotomy, and advanced plastic repair of lacerations. 6 MAJ(P) Eric Chin, MD LTC(P) Peter Cuenca, MD MAJ Sharon L. Rosser, DSc PA Capt Gary Barber, MD USAF CPT John G. Knight, Jr, MD CPT Jeffrey Morgan, MD Brad Clarke, MD Charlotte Derr, MD Francis Mencl, MD Ashley Grant, US Fellow Blake Iselin, EMT-P CDR Roy Seitz, MD USN Arthur Lim, MD, JD Christopher Randolph, DO CPT Chris Calvano, MD BG Robert Enzenauer, MD 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida 0800-1700 CONTOMS Medical Director Course This course details the rationale and scientific basis for modified standards and scope of practice Denis Fitzgerald, MD in the tactical environment. This is an 8-hour course designed for physicians and others who Gregory Smith, EMT-P provide medical control for prehospital personnel operating with tactical law enforcement teams. Paul Hitchcock, EMT-P Prolonged Field Care (PFC) Scenario-based Training: Train-the-Trainer for Unit-level Implementation As Prolonged Field Care (PFC) initiatives are integrated into common medical training, units are COL Sean Keenan, MD developing unique exercises to educate both medical and non-medical SOF team members. Capt John Adam Vann, PA-C This course will demonstrate different applications for training scenarios, with special attention MAJ Jamie Riesberg, MD to the “lessons learned” format, to impart recent experience in a dynamic discussion format. The MSG Justin Ball, 18Z objective of the course is to demonstrate to medics, and medical directors, techniques that can be MSG Chris Mohr, 18Z used immediately at their home stations to develop training courses or modify current techniques. Capt Regan Lyon, MD The morning will demonstrate scenarios in real-time, followed by a robust after-action report and discussion, after lunch. Working K9 Critical Care Course This course will teach advanced care of the working canine for military, law enforcement, and Athena Haus, EMT-P rescue personnel. It includes both lecture and hands-on practice with live canines and manikins. Cynthia M. Otto, DVM This course was developed from both emergency room and field experience with working dogs and focuses on the assessment and stabilization of common and life-threatening conditions. Topics include review of canine anatomy with an emphasis on the differences between humans and dogs; safe restraint of the canine patient; canine physical examination; airway, breathing and circulation assessment and stabilization; an overview of fluid therapy; canine advanced life support; and toxicology and trauma care. 1000-1200 Difficult Airway – Advanced 1 This hands-on 2-hour course will give the student techniques for more advanced methods in difficult airway management in the austere environment. This course may be completed independently or as a follow-on to the basic difficult airway course. Wound Repair – Advanced For the provider who has some basic knowledge of suturing techniques, this lab will cover repair of complex wounds and avulsions over irregular areas of the body. Tension relief of wound, wound revision and flap transposition will be practiced on simulated human tissue. This course may be completed independently or as a follow-on to the basic wound repair course. 1200-1300 Randel Davis, DO Marc Rosenthal, PhD, DO, FACEP MAJ Daniel Winschel, PA-C Julio Garcia, MD Lunch on your own 1300-1500 Difficult Airway – Basic 2 This hands-on 2-hour course will give the student an introduction to difficult airway management in the austere environment, with attention to equipment selection and improvisation, prioritizing airway management techniques in the tactical setting and expanding the ”toolbox” of the prehospital care provider. Dental Lab 1 Dental emergencies can put a significant burden on operations, distracting the operator and impacting mission performance. This lab will teach management of dental emergencies in the austere setting with minimal equipment. Dental blocks, temporary fillers and other techniques will be taught. Randel Davis, DO Marc Rosenthal, PhD, DO, FACEP COL Robert Harrington, DMD MPH 1300-1600 Beyond on FAST Examination, Evaluation of the Hypovolemic Patient: Cardiac and IVC Ultrasound Exam This session will demonstrate the field utility of ultrasound for the patient in undifferentiated LTC Andrew Stephens, MD shock. There will be a review of the science and physics of ultrasound, with a demonstration of an extended FAST examination with the four classic ultrasound views to include the IVC. The lab will provide hands-on practice. 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 7 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida 1300-1700 Battlefield Medical Informatics Workshop Over 12 years of the current conflict have exemplified the tremendous work that our medics, corpsman, and providers have done prehospital, but it has stressed the importance of needing a better system of electronic medical record and information capture. The SOMA prehospital informatics session will provide a historical background and context for previous projects of prehospital electronic medical record systems as well as a civilian perspective on this topic. This talk will also cover the DoD wide Electronic Health Record Modernization project and the charge of further inclusion of prehospital (role 1-3) systems and highlight ongoing projects, innovations, and research in this area. The session will conclude with a round table discussion of all interested attendees providing future focus and issues that military prehospital electronic medical record systems need to address. Advanced Point-of-Care Ultrasound For those who have the basic concepts down and want to explore more advanced topics such as, critical care ultrasound (US), soft/tissue musculoskeletal US, ocular US, and advanced airway confirmation with US, an intensive hands-on session will further develop your point-of-care US skills. Rescue Task Force Gear, Drills, and Skills 2 Response to the active shooter by law enforcement changed dramatically after the attack at Columbine High School. Civilian EMS has only recently adopted more aggressive response protocols, bringing care sooner to victims inside the “warm” zone while law enforcement hunts the shooter. This session will teach concepts developed and refined by the Rescue Task Force at Arlington Fire Department and adopted by several other EMS departments nationwide. Procedural Sedation 2 Intravenous, intramuscular and intranasal sedation can greatly reduce patient pain and suffering when performing painful procedures. This course will teach the pearls and pitfalls when sedating a patient in the field to facilitate fracture manipulation, chest tube placement and others. LTC Cord Cunningham, MD CAPT(Ret) Frank Butler, MD USN Edward Racht, MD Eric Epley Preston Love COL Jacob Aaronson Jan Harris, MD Doran Michels Sylvain Cardin, MD Gary Gilbert, MD MAJ(P) Eric Chin, MD LTC(P) Peter Cuenca, MD MAJ Sharon L. Rosser, DSc PA Capt Gary Barber, MD USAF CPT John G. Knight, Jr., MD CPT Jeffrey Morgan, MD Blake Iselin, EMT-P CDR Roy Seitz, MD USN Arthur Lim, MD, JD Christopher Randolph, DO 1500-1700 Difficult Airway-Advanced 2 This hands-on 2-hour course will give the student techniques for more advanced methods in difficult airway management in the austere environment. This course may be completed independently or as a follow-on to the basic difficult airway course. Randel Davis, DO Marc Rosenthal, PhD, DO, FACEP 1700-1900 Dental Lab 2 Dental emergencies can put a significant burden on operations, distracting the operator and impacting mission performance. This lab will teach management of dental emergencies in the austere setting with minimal equipment. Dental blocks, temporary fillers and other techniques will be taught. COL Robert Harrington, DMD MPH TUESDAY, DECEMBER 9, 2014 0700-1700 Registration Open 0700-0800 Continental Breakfast 0800-0810 President’s Welcome and Opening Remarks LTC Robert Mabry, MD 0810-0830 SOCOM Commander’s Welcome 0830-0845 Wounded Warrior CW3 Shane Gandy Combat Medic Vignette 1 Combat Medic Vignette 2 CPL Bryan Anderson, 75th Rgr Rgt TBD 0845-0915 8 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida 0915-1000 Strategic Overview 1000-1900 Exhibits Open 1000-1030 Refreshment Break/Poster Viewing in Exhibit Hall Andrew May, PhD, Office of Net Assessment 1030-1115 Tom Deal Memorial Lecture COL Todd Rasmussen, MD USAF 1115-1200 Prolonged Field Care: A Direction for SOF Medicine for the Next Decade What’s old is new again. Practicing medicine beyond doctrinal timelines in austere locations will again become the norm for our medical personnel as we transition to operations outside the developed combat theaters. Medic training will require a new direction and focus as we expect our providers to operate without direct support in challenging mission sets. The SOCOM Prolonged Field Care Working Group is considering this challenge, and endeavors to inform the community as to best practices and guidelines for the training and practice of medicine in the most remote and difficult environments. 1200-1330 COL Sean Keenan, MD Lunch on your own – A lunch buffet will be available for purchase in the exhibit hall. 1200-1330 Second Half Initiative Session #1: Uniform Services University (USU) of Health Sciences’ Enlisted Medical Degree Preparatory Program Through this program, enlisted personnel nominated by their service and selected by USU will Arthur Kellermann, MD, MPH move to the National Capital area to complete their medical school prerequisites while remaining on active duty. Dr. Kellermann will describe the EMDP2 program and other paths members of the Special Forces community can take to become military physicians. 1330-1400 SOF Medicine Update USSOCOM SG and SEMA review the major US SOF Medical Enterprise programs, issues and initiatives. COL Hal Walker, MD MSG Harold Montgomery, ATP 1400-1430 Blood Far Forward – THE NORNAVSOC APPROACH This explores how the Norwegian Naval Special Operations Command have approached a blood 2LT Hakon Eliassen, Norwegian far forward project and how it has been implemented and made feasible for special operations, Commandos including the challenges in a fresh whole blood protocol from a medics view. 1430-1500 Mortui Vivos Docent–Use of Human Cadavers for Procedural Skills This lecture will define core content and the needed understanding for procedural training Chief Scotty Bolleter, BA, EMT-P activities utilizing fresh human specimens, with further navigation of the methods, realities, and obstacles that a cadaver model presents to the special operation comprehensive list of objectives. 1500-1530 Refreshment Break/Poster Viewing in Exhibit Hall 1530-1600 Training Perspective The nature of training, initial and sustainment training of SOF medics, concerns of gaps in training, relationship between the Battalion Physician and his medics, and training in a fiscally constrained environment will be discussed. SGM Mike Hetzler Pain Management in the Tactical Setting – Prehospital Use of Ketamine in OEF Special operations units are using sub-anesthetic doses of ketamine as an alternative to various opioids. Case series of patients will be outlined who were provided adequate pain management for severe injuries using ketamine at the point-of-injury. MAJ Andy Fisher, APA-C 1600-1630 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 9 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida 1630-1700 TCCC Update This talk will discuss the latest developments in Tactical Combat Casualty Care. The most recent changes in the TCCC Guidelines will be reviewed, as will proposed changes that are currently under consideration by the Committee on TCCC. Other subjects covered will include TCCCrelated memos and directives from the services, the Defense Health Agency, and the office of the Assistant Secretary of Defense for Health Affairs. 1730-1900 CAPT(Ret) Frank Butler, MD USN Opening Reception – Grand Opening of Exhibit Hall All attendees are invited to attend. WEDNESDAY, DECEMBER 10, 2014 0700-1700 Registration Open 0700-0800 Continental Breakfast 0730-0800 SOMA Membership Business Meeting 0800-0830 Preview of Alabama Bunker Hostage Crisis Anthony Colantoni, FBI HRT Medic 0830-0900 The Humanitarian Space – Occupied, Contested or Shared International NGOs are operating in more complex environments than ever before. In Syria, West GEN Michael von Bertele, MD and Central Africa, South Sudan, and several other parts of Sub-Saharan Africa, they can no longer take for granted that they will be accepted, protected or even tolerated. At the same time the needs of impacted populations are growing. Civilians are always the victims of inter-ethnic and intra-state conflict. What are the NGOs doing to adapt to these new challenges and how will they be able to work with the military, UN, peacekeeping and stabilization missions in the future, yet maintain their impartiality and neutrality? It would be better to agree who does what and to understand the boundaries of collaboration before they are tested or crossed. 0900-0930 Stellate Ganglion Block for Combat-related PTSD: Update Dr. Mulvaney will present a published study of 166 cases of the stellate ganglion block used for combat-related PTSD. This will include a patient vignette and an update on the neurocognitive impact of stellate ganglion blocks. LTC Sean Mulvaney, MD 0930-1000 On-Scene Video Review: “From Simulated Classroom to the Battlefield, the Future of Helmet Cam Use” Helmet cam technology now provides an inexpensive, rugged manner to record everything Maj H. Leo Tanaka, MD USAF from mundane everyday life to harrowing battlefield experiences. Due to its pervasiveness, for better or for worse, it has become rooted in our culture and, as such, should be embraced and utilized to fit our needs to take advantage of its potential. Medical care on scene can vary due to multiple factors, including conditions under which treatment is given to the level of experience of an operator. Helmet cam footage gives an objective manner in which to perform an after action review and to improve medical care for the future, from improving individual performance to introducing more realistic scenarios for continued medical training. 1000-1530 Exhibits Open 1000-1030 Refreshment Break/Poster Viewing in Exhibit Hall 1030-1130 SOF Medic Combat Vignettes SOF Medics from throughout USSOCOM will discuss various experiences they have had in the deployed setting. Win Kerr 1130-1200 SOF Medical Round Table Discussion This will be a facilitated discussion regarding the experiences described by the medics. 1200-1300 10 Win Kerr Lunch on your own – A lunch buffet will be available for purchase in the exhibit hall. 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida 1200-1300 Second Half Initiative Session #2: How Advanced Education Can Help You Dr. Siler is an Emergency Medical Attending at the University of North Carolina. He will present a comprehensive review of options and benefits to show what furthering your education can offer, incorporating both the PA and MBA programs. Sean Siler, DO, MBA 1200-1300 Prolonged Field Care Working Group Session #1 A panel discussion of the state of the Working Group and what the projects will be moving forward. 1300-1700 Session Schedule: Session Schedule: Research Presentation Schedule: COL Sean Keenan, MD MSG Justin Ball CONCURRENT SESSIONS Concurrent Session #1: Military Special Operations Forces The Military Special Operations Forces (MilSOF) breakout is a discussion forum and lecture series focused on the multidimensional operating environment that Special Ops Medics and Medical Officers routinely find themselves in. The presenters are experts in their respective fields and have extensive experience in special operations missions. This series is designed to enhance the care you deliver regardless if it is by air, land, or sea. 1300 Freeze Dried Plasma: Updates and Operational Use Case Studies SGM F. Bowling, USASOC Senior Medic 1330 Prolonged Care Considerations in Maritime Operations CDR Jose Henao, NAVSPECWAR 1400 CBRN Training and Applications for Emerging Threats SFC Richard Jarrett, SOCM 1430 USSOCOM Curriculum and Examination Board Updates COL (Ret) Andre Pennardt 1530 Damage Control Resuscitation in the United Kingdom MAJ Jonathan Morrison 1600 Dengue Fever in Central Africa While Conducting Split Team Operations Sam Yorke, 10 SFG (A) 1630 Fresh Whole Blood Transfusion in Afghanistan George Brown, 7th SFG (A) Concurrent Session #2 Tactical EMS 1300 Medicine Across the Barricade: Case Presentation and Discussion LTC Andrew Stephens, MD SGT Charles Saler, SWAT CO Anthony Colantoni, FBI HRT Medic 1430 Alabama Bunker Hostage Crisis Concurrent Session #3 Global Health Engagement: Battlespace or Humanitarian Space – Deconfliction, Collaboration, and Coexistence with NGOs Special Operators typically deploy to conflict, complex emergencies, and underdeveloped TBD regions. As Iraq, Afghanistan, and the Horn of Africa demonstrate, one constant is that there is usually an NGO nearby, and this NGO knows the human and geographical terrain. Relationships with NGOs can be rewarding, but they can also be difficult. In this block, NGOs from across the spectrum of cooperation will present their policies and experiences, and the rationale for their degree of cooperation. Expect some good “war stories”! These will be 30-minute presentations by NGOs that military frequently occupy the same space with, representing a spectrum of cooperation policies regarding the military. (Project Hope, International Medical Corps, MSF, Save the Children, and the U.S. Institute of Peace.) Also, USUHS Center for Disaster and Humanitarian Assistance Medicine have agreed to present a 30-minute talk on educational opportunities in this field. We will conclude with a 20-minute panel discussion. Concurrent Session #4 Research Presentations 1300 #1 Anxiety sensitivity mediates gender disparities in post-concussive Brian Albanese symptoms following TBI 1310 #2 Stress response as measured by new salivary hormone data during 2LT Charles Hutchinson immersion training for military medical officers 1320 #3 Effect of riociguat on gas exchange, exercise performance, and 2LT Jon Andrews pulmonary artery pressure during acute altitude exposure 1330 #4 Cinnarizine for motion sickness: case report and new survey of LtCol Stephen Rush, MD pararescuemen 1340 #5 Prolonged field care: a CANSOF approach CAPT Jo Schmid 1350 #6 Learner biofeedback: impact of biofeedback on the preservation of James Johnson, PhD perishable wound packing skills 1410 #7 Preparing for the unthinkable: enhancing your survival mindset Tim Faulk, PhD, CTS 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 11 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida Research Presentation Schedule: 1420 #8 Relationship between gender and PTSD: anxiety sensitivity as a mechanism 1430 #9 Are the laryngeal tube suction and the laryngeal mask useful airway adjuncts for military medics? 1440 #10Point of care diagnostics using smartphone-based net-centric colimetric immunoassay readers 1450 #11Feedback to the field: linking forensic pathology investigations and combat casualty care 1510 #12Distinguished Researcher Presentation: Human Performance Research Update 1610 #13Evaluation of double dose platelet function after amotosalen and UVA treatment and 7 day storage 1620 #14TEMS medics response to Sparks Middle School and renown hospital active assailant incidents 1630 #15Assessment of data field relevance in the first year’s experience with the Prehospital Trauma Registry (PHTR) 1640 #16What is the optimal device length and insertion site for needle thoracostomy in UK military casualties? A UK CT study 1650 #17Emergency medical management of air embolism & arterial gas embolism in SCUBA divers 1800-1830 Mess Night Reception – The Westin Tampa Harbour Island Hotel 1830-2100 Mess Night – The Westin Tampa Harbour Island Hotel Aaron Norr, MS SubLt Danny Regner, Sr. Medic, CRNA Patricia Buckley, MD LtCol Edward Mazuchowski, MD, PhD USAF Patricia A. Deuster, PhD, MPH Laurence Corash, MD Todd Kerfoot Elizabeth Burrell, NREMT Georgina Blenkinsop George Schroeder, MD, MS, FACEP THURSDAY, DECEMBER 11, 2014 0700-1700 Registration Open 0700-0800 Continental Breakfast 0700-1030 Exhibits Open 0800-1200 CONCURRENT SESSIONS Concurrent Session #1 Military Special Operations Forces 0800 Casualty Vignettes 0820 Trauma Management in Yemen Session Schedule: 0840 Special Mission Advanced Resuscitation Team (SMART: Equipment, Training, and Lessons Learned 0910 Medical Modernization for the Ranger Medic 0940 Casualty Simulation: Current Best Practices and Future Pathways 1020 AFRICOM Theater Special Operations Command (TSOC) Brief 1100 1130 Session Schedule: 12 Possibilities and Challenges in Forward (Prehospital) Shock Resuscitation: Remote Damage Control Resuscitation (RDCR) Cutting Edge Training for US SOF Medics Concurrent Session #2 Tactical EMS 0815 TECC Guidelines Update 0845 Casualty Vignette: USFS and K9 Ambush in Rural Area 0945 Casualty Vignette: Trauma Patient with Creutzfeld Jacob Disease 1030 Infrastructure Preplanning and Site Exploration for Active Shooter Incidents 1115 Aggressive Screening of Officers for Cardiovascular Disease PJ Dan Warren, AFSOC; LTC Stephen Rush, MD PO1 Noel Sons, USSOCOM NSWG1 CPT James Gruenewald, PA MAJ Ethan Miles, Regiment Surgeon LTC James Pairmore, Senior PA MAJ April Verlo, SOCAFRICA Deputy Surgeon Geir Stradenes, MD COL Andrew Landers, Command Surgeon David Callaway Seth Hawkins, MD Michael J. Reihart, DO, FACEP Blake Iselin, EMT-P Jonathan Sheinberg, MD 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida Session Schedule: Concurrent Session #3 Global Health Engagement: International Partners in HA/DR and Combat Operations International partners respond to humanitarian crises and fight wars in little known corners of the TBD world, many without any direct U.S. visibility. Senior leaders from partner military medical services will talk about the challenges and successes of their operations, offering unique lessons, insights, and situational awareness for SOF medical operators and planners. Presentations will be one to one-and-a-half hours long; speakers include senior leaders of the Kingdom of Saudi Arabia (Southern Border War – Al Qaeda and smugglers on Yemen Border), Qatar (Libya deployment of medical assets including a field hospital), and the Kurdish Regional Government Peshmerga (combat against ISIS). Concurrent Session #4 Human Performance and Resiliency 0800 Injury Prevention LtCol Anthony Buetler, MD 0830 Environmental Injury Update COL Francis O’Connor, MD, MPH 0900 TBI Management Update: An NCAA Perspective Jason Mihalik, PhD, CAT(C), ATC 0950 Mind-Based Resiliency Training LCDR Bill MacNulty, PhD 1030 Managing Operational Stress Bob Delaney 1120 Stellate Nerve Ganglion Block LTC Sean Mulvaney, MD 1000-1030 Refreshment Break in Exhibit Hall 1200-1300 Lunch on your own – A lunch buffet will be available for purchase in the exhibit hall. 1200-1300 Prolonged Field Care Working Group Session #2 A panel discussion of the state of the Working Group and what the projects will be moving forward. 1300-1700 Session Schedule: Session Schedule: COL Sean Keenan, MD MSG Justin Ball CONCURRENT SESSIONS Concurrent Session #1 Military Special Operations Forces The Military Special Operations Forces (MilSOF) breakout is a discussion forum and lecture series focused on the multidimensional operating environment that Special Ops Medics and Medical Officers routinely find themselves in. The presenters are experts in their respective fields and have extensive experience in special operations missions. This series is designed to enhance the care you deliver regardless if it is by air, land, or sea. 1300 Management of Ocular Injury in Austere Environments LTC Mark Reynolds, Brigade Surgeon 1400 Israeli Medical Challenges: Prolonged Care, Active Shooter, and COL Ishay Ostfeld, SOCOM Command Surgeon Radiation Terror 1510 Prolonged Field Care Position Paper Discussion: “Ruck, Truck, House, MSG Chris Mohr Plane” 1540 Canadian Special Operations Forces Medical Lecture Lain Beck, CANSOFCOM Command Surgeon 1610 TCCC Training in the Philippines Jonathan Lu Concurrent Session #2 Tactical EMS 1300 Building Departmental Support for a TEMS Program 1415 Facial Trauma in the Tactical Setting 1500 Casualty Vignette: Ambush of Pittsburgh Police 1545 Legal Issues in TEMS: Arming Providers 1630 Legal Issues in TEMS: Medical Liability Ryan Lewis, MD MAJ Eric Vaughan, MD, FACEP Steve Mescan Lewis W. Marshall, Jr., MD, JD Lewis W. Marshall, Jr., MD, JD 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 13 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida Session Schedule: 14 Concurrent Session #3 Global Health Engagement: International Partners in HA/DR and Combat Operations International partners respond to humanitarian crises and fight wars in little known corners of the TBD world, many without any direct U.S. visibility. Senior leaders from partner military medical services will talk about the challenges and successes of their operations, offering unique lessons, insights, and situational awareness for SOF medical operators and planners. Presentations will be one to one-and-a-half hours long; speakers include senior leaders of the Kingdom of Saudi Arabia (Southern Border War – Al Qaeda and smugglers on Yemen Border), Qatar (Libya deployment of medical assets including a field hospital), and the Kurdish Regional Government Peshmerga (combat against ISIS).–Continued Concurrent Session #4 Human Performance and Resiliency 1300 Performance Enhancing Supplements Y. Sammy Choi, MD 1330 Operational Supplement Safety Patricia A. Duester, PhD, MPH 1400 Supplements for the Operator LTC(P) Melissa Givens, MD, MPH, FACEP, FACMT 1430 Low T Clinical Practice and PES COL Ric Ong, Command Surgeon 1515 Injury Patterns from Crossfit COL Shawn F. Kane, MD, FAAFP, FACSM 1545 THOR3 Update LTC Patrick Depenbrock, MD 1615 Elite Athlete Health Profiling Dustin Nabhan, DC 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 2014 Special Operations Medical Association’s Scientific Assembly and Exhibition December 8-11, 2014 Tampa Convention Center Tampa, Florida MEETING REGISTRATION Important Dates Other Fees Early Registration Deadline: October 27, 2014 The Labs being held on Monday, December 8, are priced separately and are not included in the fees for the Scientific Assembly. Please select any labs that you wish to attend on the registration form. Late Registration Deadline: November 14, 2014 On-Site Registration: After November 14, 2014 Registrations processed on-site may cause a delay at the time you check in at the registration desk. If you need to register after November 14, please bring your completed registration form and payment directly to the Scientific Assembly. There are three ways to register: Online Visit our website at www.specialoperationsmedicine.org and click on the Scientific Assembly page under the Meetings/Events menu. Fax Fax completed registration form with credit card payment information to: 913-895-4652. By Mail Postmark Deadline: November 14, 2014 Mail completed registration form with appropriate fees to: SOMA Executive Office P.O. Box 19489 Lenexa, KS 66285-9489 Registrations will not be taken over the phone. SOMA does accept purchase orders. Simply complete and submit your registration and an invoice will be sent to you within five to 10 business days. Full Assembly Registrations Include: Educational Sessions and Materials Daily Continental Breakfast Refreshment Breaks Grand Opening Reception in the Exhibit Hall Tickets may be purchased for guests to attend the Opening Reception. Tickets are also available for the Mess Night dinner on Wednesday evening. Please indicate any tickets that you wish to purchase on the registration form. Confirmation For those registrations received on or prior to November 14, 2014, SOMA will email a confirmation notice to you. When you receive your confirmation letter, please check the spelling of your name and address to ensure they are correct. If there is an error, please contact Autumn Menefee at the SOMA Executive Office at 913-895-4764. The information on your confirmation letter will be used for your name badge. If you do not receive a confirmation notice within 15 business days of registering, please contact our office at 913-895-4634 to confirm receipt of your registration form. Cancellation Policy Written notice of cancellations received on or before October 27, 2014 will be fully refunded. Cancellations received from October 28 – November 14 will be refunded less a $50 processing fee. Cancellation requests received after November 14 will be considered on a case by case basis. Substitution of registrants is allowed. All refunds will be processed after the Scientific Assembly. Questions Please direct any questions regarding the SOMSA to the SOMA Executive Office at 913-895-4634, email [email protected], or visit our website at www.specialoperationsmedicine.org. Single Day Registrations Include: Educational Sessions and Materials for the Day Continental Breakfast Refreshment Breaks Grand Opening Reception in the Exhibit Hall (Tuesday Registrants Only) 2014 SOMSA Registration Brochure – www.specialoperationsmedicine.org 15
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