2025 SOMA Scientific Assembly Conference Proceedings
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2025 Scientific Assembly recorded sessions.
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Contains 1 Component(s)
Presenter: Harold "Monty" Montgomery
Tactical Combat Casualty Care (TCCC) Update
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Contains 1 Component(s)
Presented by Paul Scanlan
Learning Objectives:
- Upon completion, participants will be able to analyse the prevalence and impact of BOP exposure and mild Traumatic Brain Injury (mTBI) among Australian Special Forces personnel using original survey data.
- Upon completion, participants will be able to describe evidence-based diagnostic tools, therapeutic interventions, and operational safety measures designed to mitigate brain health risks in austere and high-stress environments.
- Upon completion, participants will be able to apply actionable recommendations and strategies to enhance cognitive resilience and promote international collaboration on brain health initiatives in Special Operations Forces (SOF) communities.
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Contains 1 Component(s)
Presented by: Agar Artsymovych, MD Due to the great influence of post-soviet medicine, a large number of medical workers in Ukraine still work with TBI according to protocols that are very different from world practice, focusing on intravenous administration of drugs without an evidence base. And this is what mTBI patients expect from medical service.
Due to the great influence of post-soviet medicine, a large number of medical workers in Ukraine still work with TBI according to protocols that are very different from world practice, focusing on intravenous administration of drugs without an evidence base. And this is what mTBI patients expect from medical service.
In our brigade, we abandoned soviet practices and implemented guidelines from https://health.mil/. Over the course of several months of use, we identified both the advantages and disadvantages of these guidelines in the conditions of a full-scale invasion and limited human resources. Due to the enemy's fire superiority in artillery and aviation, as well as the use of a large number of UAVs on both sides, cases of mTBI are even more common than before. Now we are not talking about 3 mTBIs during a year, but about 3 mTBIs during one combat mission, 5-7 days. We are also faced with the fact that explosions occur at very short distances from fighters, 1-5 meters, a large number of people suffer at the same time, who cannot be evacuated quickly enough. Thus, we are faced with the impossibility of early assessment for MACE, the impossibility of rapid dispatch for recovery, and the need to provide pharmacological assistance remotely to maintain minimal combat readiness. We face little to no response to acetaminophen in pain management, the lack of compliance in patients who have to follow the progressive return to activity protocol. There is also questionable ethics of long cognitive examinations of patients who have just returned from positions after several consecutive injuries.
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Contains 1 Component(s)
Presented by Melissa Givens, COL (ret), MD, MPH. The intent is to elucidate a major gap in our understanding of sex characteristics of TBI and to also inform leaders about the implications of future conflicts on our female service members. This project represents the largest retrospective analysis of female service members with TBI.
Traumatic Brain Injury (TBI) is often referenced as the "signature injury" of the Global War on Terrorism (GWOT) due to reports from the Defense and Veterans Brain Injury Center (DVBIC) which conclude that from 2000-2019 our service members suffered from 417,503 TBIs. While this large number is quoted in many manuscripts, there is still lack of data surrounding female service members. The author's of this presentation have utilized the Joint Trauma Systems (JTS) TBI registry to analyze the demographics, injury characteristics, and outcomes of female service members who suffered from TBI throughout the GWOT. The intent is to elucidate a major gap in our understanding of sex characteristics of TBI and to also inform leaders about the implications of future conflicts on our female service members. This project represents the largest retrospective analysis of female service members with TBI.
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Contains 1 Component(s)
Review of neuro trauma protocols in the context of prior experience as an 18D with combat deployments. This presentation will provide practical considerations with the operational, logistical, and training constraints of the SOF medic in mind. Presented by Alexander Villahermosa, MD, Prior 18D/18Z
Review of neuro trauma protocols in the context of prior experience as an 18D with combat deployments. This presentation will provide practical considerations with the operational, logistical, and training constraints of the SOF medic in mind.
-
Contains 1 Component(s)
Brett A. Matzek, MD, MPH presents the DAP Operational Optimization Resolution Project results will highlight the neurological impacts on crewmembers serving on the DAP platform, insights into the methodologies employed during the study, the significance of our findings for future operational protocols, and the importance of prioritizing crew health in the design and deployment of advanced weapon systems.
The DAP Operational Optimization Resolution Project results will highlight the neurological impacts on crewmembers serving on the DAP platform, insights into the methodologies employed during the study, the significance of our findings for future operational protocols, and the importance of prioritizing crew health in the design and deployment of advanced weapon systems. This presentation aims to foster a collaborative dialogue among military personnel, health professionals, and researchers dedicated to enhancing operational safety and crew resilience.
-
Contains 1 Component(s)
Presenter: Harold "Monty" Montgomery
Tactical Combat Casualty Care (TCCC) Update
-
Contains 1 Component(s)
Presented by Paul Scanlan
Learning Objectives:
- Upon completion, participants will be able to analyse the prevalence and impact of BOP exposure and mild Traumatic Brain Injury (mTBI) among Australian Special Forces personnel using original survey data.
- Upon completion, participants will be able to describe evidence-based diagnostic tools, therapeutic interventions, and operational safety measures designed to mitigate brain health risks in austere and high-stress environments.
- Upon completion, participants will be able to apply actionable recommendations and strategies to enhance cognitive resilience and promote international collaboration on brain health initiatives in Special Operations Forces (SOF) communities.
-
Contains 1 Component(s)
Presented by: Agar Artsymovych, MD Due to the great influence of post-soviet medicine, a large number of medical workers in Ukraine still work with TBI according to protocols that are very different from world practice, focusing on intravenous administration of drugs without an evidence base. And this is what mTBI patients expect from medical service.
Due to the great influence of post-soviet medicine, a large number of medical workers in Ukraine still work with TBI according to protocols that are very different from world practice, focusing on intravenous administration of drugs without an evidence base. And this is what mTBI patients expect from medical service.
In our brigade, we abandoned soviet practices and implemented guidelines from https://health.mil/. Over the course of several months of use, we identified both the advantages and disadvantages of these guidelines in the conditions of a full-scale invasion and limited human resources. Due to the enemy's fire superiority in artillery and aviation, as well as the use of a large number of UAVs on both sides, cases of mTBI are even more common than before. Now we are not talking about 3 mTBIs during a year, but about 3 mTBIs during one combat mission, 5-7 days. We are also faced with the fact that explosions occur at very short distances from fighters, 1-5 meters, a large number of people suffer at the same time, who cannot be evacuated quickly enough. Thus, we are faced with the impossibility of early assessment for MACE, the impossibility of rapid dispatch for recovery, and the need to provide pharmacological assistance remotely to maintain minimal combat readiness. We face little to no response to acetaminophen in pain management, the lack of compliance in patients who have to follow the progressive return to activity protocol. There is also questionable ethics of long cognitive examinations of patients who have just returned from positions after several consecutive injuries. -
Contains 1 Component(s)
Presented by Melissa Givens, COL (ret), MD, MPH. The intent is to elucidate a major gap in our understanding of sex characteristics of TBI and to also inform leaders about the implications of future conflicts on our female service members. This project represents the largest retrospective analysis of female service members with TBI.
Traumatic Brain Injury (TBI) is often referenced as the "signature injury" of the Global War on Terrorism (GWOT) due to reports from the Defense and Veterans Brain Injury Center (DVBIC) which conclude that from 2000-2019 our service members suffered from 417,503 TBIs. While this large number is quoted in many manuscripts, there is still lack of data surrounding female service members. The author's of this presentation have utilized the Joint Trauma Systems (JTS) TBI registry to analyze the demographics, injury characteristics, and outcomes of female service members who suffered from TBI throughout the GWOT. The intent is to elucidate a major gap in our understanding of sex characteristics of TBI and to also inform leaders about the implications of future conflicts on our female service members. This project represents the largest retrospective analysis of female service members with TBI.
-
Contains 1 Component(s)
Review of neuro trauma protocols in the context of prior experience as an 18D with combat deployments. This presentation will provide practical considerations with the operational, logistical, and training constraints of the SOF medic in mind. Presented by Alexander Villahermosa, MD, Prior 18D/18Z
Review of neuro trauma protocols in the context of prior experience as an 18D with combat deployments. This presentation will provide practical considerations with the operational, logistical, and training constraints of the SOF medic in mind.
-
Contains 1 Component(s)
Brett A. Matzek, MD, MPH presents the DAP Operational Optimization Resolution Project results will highlight the neurological impacts on crewmembers serving on the DAP platform, insights into the methodologies employed during the study, the significance of our findings for future operational protocols, and the importance of prioritizing crew health in the design and deployment of advanced weapon systems.
The DAP Operational Optimization Resolution Project results will highlight the neurological impacts on crewmembers serving on the DAP platform, insights into the methodologies employed during the study, the significance of our findings for future operational protocols, and the importance of prioritizing crew health in the design and deployment of advanced weapon systems. This presentation aims to foster a collaborative dialogue among military personnel, health professionals, and researchers dedicated to enhancing operational safety and crew resilience.