Combat & Casualty Care

Q1 2016

Military Magazines in the United States and Canada, Covering Combat and Casualty Care, first responders, rescue and medical products programs and news\Tactical Defense Media

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Page 30 of 35 Combat & Casualty Care | Spring 2016 | 29 Med Device Betterment the civilian EMS and law enforcement communities. I'm absolutely positive they were bought with the right intentions. The price is often two-thirds less than the retail price of the "approved" devices. The biggest area of concern is the windlass breaks when tightened. Purchasing from a recommended source is the only guarantee you're getting the real deal. NCMR and Industry WSRI - NCMR provides industry and the military with a wide variety of test, evaluation and research partnerships in areas of: medical equipment, Human Performance Manikins, rescue equipment, Unmanned Air Vehicles (UAV), communications equipment, sensors research for the military and civilian markets. We do make recommendations to various programs on tourniquet issues, especially regarding the counterfeits at this time. Wright State Research Institute and NCMR maintain a high level of participation with various groups in our Miami Valley, throughout Ohio, and at the national level. We participate with the Greater Dayton Area Hospital Association (GDAHA), Greater Miami Valley EMS Council (GMVEMSC), and Air Force Research Laboratory (AFRL), and work closely with local and regional colleges and universities such as Wright State University, University of Cincinnati, University of Toledo, Case Western Reserve University, the Ohio State University, and Sinclair Community College. Med Future I believe that current day tourniquets have been perfected to the point where they won't change much in the future. The next technological jump in hemorrhage control will come in the form of injectable hemostatic, local vasoconstrictor agents, and tamponade with pneumatic devices, and biomaterials – glues from bio-synthetic polymers and ceramics. Rather than dressing and wound- packing, we will start seeing instant void filling liquids and foams that will effectively stop bleeding. Finally "Star Trek," the immediate super cooling or freezing of traumatized tissue for surgical correction later on, will become prominent in wound care. It's actually really exciting to see these developments. Applying lessons learned from current tourniquet usage, and the continuing study and research of future methods, will contribute to life saving in the military and more importantly, in civilian EMS and law enforcement contexts. While on active duty, we had the great fortune to work with the Armed Forces Medical Examiners (AFME) at Dover where lessons learned named Feedback to the Field (FBTF) originated. They continue to be released today as new items come up. FBTF lessons learned on medical equipment issues, training issues, and potential tactics, techniques and procedures (TTP) issues are reviewed with recommendations available at Defense Health Agency, Medical Logistics Division, under Joint Medical Test & Evaluation (JMT&E) helpful links, under links and FBTF resources. Military units learn correct tourniquet placement according to Tactical Combat Casualty Care (TCCC) guidelines. (Photo by NCMR Staff, USAMMA Public Affairs) Each junctional tourniquet comes with a simple step-by-step instructional card. (Photo by Ellen Crown, USAMMA Public Affairs)

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