2018 SOMSA Program Schedule ** Subject to Change ** Day 1: Sunday, May 13, 2018 - LABS Time Session Title Faculty 1300-1800 Wilderness and Austere Medicine (Off-site) MAJ J. Hunter Winegarner, MD No onsite registrations for this lab, maximum of 45 attendees SFC Austin Collins, 18D This lab will involve hands on training in 3 distinct aspects of Wilderness and Austere MAJ Mario Soto, MD Medicine. It will be held at the US National Whitewater Center, a world renowned MAJ Jon B. Christensen, APA-C, CCC-P, TP-C, location with access to varied environments for training. Instructors will be experts in HMO, FAWM, DiMM their field with experience in training special operations medics, law enforcement Anthony Baker and Aaron Peeler, Swift Water and paramedics. Expect to be in three small groups moving between 3 unique Rescue Instructor, U.S. National Whitewater stations that will hone your skills and knowledge. The stations will cover an intro to Center swift water rescue, 3:1 high angle rescue system overview and practice, altitude illness overview and portable Gamow bag use. BUS TRANSPORTATION will be supplied to and from the Charlotte Convention Center to the whitewater center. The bus will load outside the Martin Luther King St. entrance to the convention center at 11:30 am SHARP with arrival at the center at 12:15 pm for check-in. The bus will depart the whitewater center at 6:00 pm with arrival back at the convention center at 6:45 pm. If you miss the bus, it will be up to you to find transportation to the whitewater center via taxi. The address is: 5000 Whitewater Center Parkway Charlotte, NC 28214 DRESS CODE: "Roughs" field/outdoor work clothes appropriate for the weather and outdoor wear. You will have the opportunity to participate in the water rescue training which will involve getting in the water. If you would like to participate in this hands-on training, it is suggested that you pack clothes that you are ok with getting wet as well as a change of clothes. Bring sun protection and water. Food and water will be available for purchase.

1300-1700 Advanced Procedure Cadaver Lab LCDR Elliot Ross, MD, MPH This lab will describe the management of a complex trauma patient with PFC Scotty Bolleter, BS, EMT-P concepts. Intended for the experienced SOF medic, PA, physician. Very limited class Capt Erica Simon, DO, MHA size of 12. Vascular Access: Venous Cutdown Intraosseous Access Hemorrhage Control: REBOA demonstration and discussion Junctional Tourniquets Airway Management: Surgical Cricothyroidotomy RSI/DSI and Endotracheal Intubation Discussion Direct and Video laryngoscopy Chest Trauma: Chest Tubes Needle Decompression Finger Thoracostomies Additional Procedures: Lateral Canthotomy Field Amputation 1300-1600 Teleflex Prehospital and Emergency Care Procedural Cadaver Lab - Basic Dan Smith, RN, BSN, CFRN, CEN, Director, This hands-on practicum will provide a unique opportunity to review relevant Global Professional Affiliations anatomy associated with critical care and lifesaving emergency procedures. It will Clinical and Medical Affairs, Teleflex, Inc include the management of the basic combat trauma patient, anatomy overview, vascular access including IV and IO, hemorrhage control including tourniquets, wound packing, junctional devices, airway management including BVM, airway adjuncts and supraglottic airway devices, chest trauma management including needle decompression, and finger thoracostomies, IM and intranasal drug administration. 1300-1700 Fresh Whole Blood (FWB) Transfusion SGT Justin Anderson, (SOCM) SO-ATP, NREMT-P This lab will familiarize the student with and demonstrate whole blood transfusion SO1 Shane Kronstedt, (SOCM) SO-ATP procedures utilized by SOF medics in the field. Learn indications for and how to MAJ Andrew Fisher, PA-C, MS-2 perform a fresh whole blood transfusion. SSG Dennis Jarema, (18D) RN SFC Justin Zeller, (18D) SO-ATP 1300-1700 Introduction to Tactical Ultrasound for Tactical Operators and Providers LTC Eric Chin, MD This point-of-care ultrasound workshop is designed for tactical operators and MAJ John Knight, MD providers interested in learning how handheld ultrasound devices can improve LTC Brian Hall, MD, RDMS, RDCS medical care in far forward and tactical environments. Instead of feeling or listening CPT(P) Lissa Myers, MD for injuries, literally see through the body and identify life-threatening injuries like MAJ T.G. Nessler, CRDAMC US Fellow never before. This course will have brief lectures, followed by hands-on ultrasound MAJ Kerri Van Arnem, DSc-PA scanning of models and/or each other (please be sure to wear loose fitting clothing). CPT Nick Thompson, MD

1300-1700 Non-Trauma Modules: Preventive Medicine, Veterinary Medicine, and Mental MAJ Eli Edmunds Health LTC Chris Larsen The NTM is a supplemental program for 18D and SOCM who require this every 2 MAJ David Wood years for continued credentialing. Attendance at this module, plus a few specific lectures in the plenary and concurrent sessions, will convey credit for attending the NTM as required by USASOC. Topics covered in this lab include mental health, veterinary medicine, and preventive medicine. 1300-1500 Difficult Airway-Basic Marc S. Rosenthal, PhD, DO, FACEP, FAEMS This basic hands-on course covers management of a basic airway with intubation, Randel Davis, DO BVM use as well as supraglottic devices. Emphasis is on basic skills as well as pitfalls in procedures and preparation. 1300-1500 Wound Care and Suturing Techniques-Basic MAJ Daniel Winschel, PA-C This lab will review the basics and get you ready for the next step in wound care and LCDR Peter A. Carlo, PA-C, MPAS, NREMT-P advanced suturing techniques. 1500-1700 Difficult Airway-Advanced Marc S. Rosenthal, PhD, DO, FACEP, FAEMS This advanced hands-on course is for trained personnel, covers advanced methods of Randel Davis, DO intubation, including surgical airways, and other devices useful in an austere environment. This course may be completed independently or as a follow-on to the basic difficult airway course. 1500-1700 Wound Care and Suturing Techniques-Advanced MAJ Daniel Winschel, PA-C This lab offers a great review of advanced wound care and advanced suturing LCDR Peter A. Carlo, PA-C, MPAS, NREMT-P techniques and refers to real world, remote cases that require the skills when you are the only one out there. 1700-2000 SOF Dental Review COL Robert Harrington, DMD Dental emergencies can put a significant burden on operations, distracting the COL Jerold Kouchi, DDS 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. This is now a 3-hour lab. Day 2: Monday, May 14, 2018 - LABS Time Session Title Faculty 0800-1700 C-TECC Meeting at the Westin Hotel in Providence Ballroom 3 0800-1700 CONTOMS Medical Directors Course Denis Fitzgerald, MD The Medical Directors Course is an eight-hour course designed for physicians and Greg Smith, Medic others who provide medical control for pre-hospital personnel operating with tactical Richard Thomas, Medic law enforcement teams. This course details the rationale and scientific basis for Jeff Schneider modified standards and scope of practice in the tactical environment. Key topics Ken Burchell include: Background for TEMS practice Modifications in medical procedures and philosophy for care in the tactical environment TEMS Protocol development Step-by-step development of a TEMS program Quality assurance mechanisms Role of the physician in TEMS Controversial issues in TEMS Tactical Commander's perspective on TEMS 0800-1700 SOMA/NAEMSP EMS Medical Director Overview Course for Military Operations LCDR Elliot Ross, MD, MPH This is a high-yield exposure to the dynamic world of the EMS medical director. With Jeff Siegler, MD, EMT-P a unique emphasis on military-specific issues, this course will introduce the CPT(P) Caitlin Howard, MD participant to the history of EMS, foundational concepts of EMS medical direction, military-unique issues in medical oversight, EMS resiliency, and a case-based discussion with a panel of military EMS experts. 0800-1700 K9 Tactical Emergency Casualty Care Major Lee Palmer, DVM, MS, DACVECC, NRP, The K9 Tactical Emergency Casualty Care (K9-TECC) course is an 8 hour course that EMT-T, WEMT, CCRP, TP-C focuses on prehospital tactical casualty care for the injured Operational K9. The goal Bruce Carlton, FF/EMT-P of prehospital interventions is to eliminate THE MAJOR PREVENTABLE CAUSES OF John Kooistra, FF/EMT-P DEATH with the intent of only providing the medical or surgical procedures necessary Mike Ratcliff, DVM to manage problems that immediately threaten life, limb, or eyesight, and to prepare Nell Dalton, DVM the dog for evacuation to definitive veterinary care. The course incorporates current TCCC and TECC guidelines using the M3ARCH2 PAWS approach with adaptations relative to canine anatomy and physiology. Training includes didactic and hands-on, scenario-based training. Canine mannequins will be utilized to help simulate field- based scenarios. This course is applicable to military and civilian Operational K9 handlers, prehospital, emergency care professionals (EMTs, AEMTs, paramedics, police officers, and fire fighters) and veterinary personnel of all skill levels. 0800-1200 Prolonged Field Care (PFC) 101 - The Basics of the Core 10 Capabilities SFC Paul Loos, 18D, ATP Designed as an introduction for the less experienced participant and trainer in MAJ Doug Powell, MD Prolonged Field Care (PFC), this lab will review the core 10 PFC capabilities and Maj Jo Schmid, RN include didactics, discussions in small group breakouts, and demonstrations of MAJ Bill Vasios, PA-C various capabilities and training methods. SFC Roger Dail COL Sean Keenan, MD LTC Jeremy Pamplin, MD MAJ Andrew Schaffrinna 0800-1100 Teleflex Prehospital and Emergency Care Procedural Cadaver Lab - Basic Dan Smith, RN, BSN, CFRN, CEN This hands-on practicum will provide a unique opportunity to review relevant Director, Global Professional Affiliations anatomy associated with critical care and lifesaving emergency procedures. It will Clinical and Medical Affairs, Teleflex, Inc include the management of the basic combat trauma patient, anatomy overview, vascular access including IV and IO, hemorrhage control including tourniquets, wound packing, junctional devices, airway management including BVM, airway adjuncts and supraglottic airway devices, chest trauma management including needle decompression, and finger thoracostomies, IM and intranasal drug administration. 0800-1200 Fresh Whole Blood (FWB) Transfusion 1 SGT Justin Anderson, (SOCM) SO-ATP, NREMT-P This lab will familiarize the student with and demonstrate whole blood transfusion SO1 Shane Kronstedt, (SOCM) SO-ATP procedures utilized by SOF medics in the field. Learn indications for and how to MAJ Andrew Fisher, PA-C, MS-2 perform a fresh whole blood transfusion. SSG Dennis Jarema, (18D) RN SFC Justin Zeller, (18D) SO-ATP 0800-1200 Team Health: Assessment of Orthopedic Injuries and Operator Fitness Solutions 1 A.S. Woody Goffinett, MBA, ATC, AT, EMT-T, This two part lab is geared towards medical personnel that must make quick FF1 decisions evaluating and treating extremity injuries. Attention will also be given to Travis Snyder, ATC, AT, PTA, CMT, CSCS, EMT, common injuries seen with various fitness programs. Evaluation and quick tips how to EMT-T keep SWAT and Military Operators functional. Format is a lecture on basic anatomy and injuries followed by hands-on lab. Attendees are encouraged to bring shorts for lab component.

0800-1200 Osteopathic Manipulative Medicine 1 Maj Mike Mack, DO Musculoskeletal pain is a common occurrence for operators and desk jockeys alike. LtCol Greg Hawkesworth, DO Pain experienced can range from a minor annoyance to downright debilitating. This lab will teach you the skills to diagnose skeletal dysfunction and the techniques to fix them. You will also enhance your physical exam assessment with the palpatory skills that you will gain. 0800-1200 Advanced Tactical Ultrasound for Tactical Operators and Providers LTC Eric Chin, MD This workshop is designed for tactical operators and providers interested in learning MAJ John Knight, MD specific ADVANCED tactical ultrasound skills for use in far forward and tactical LTC Brian Hall, MD, RDMS, RDCS environments. Choose up to four different ultrasound skills to master with an expert CPT(P) Lissa Myers, MD by rotating to a different skills station every 60 mins. Topics covered include: MAJ T.G. Nessler, CRDAMC US Fellow Trauma-based E-FAST, ocular ultrasound, ultrasound-assisted regional anesthesia, MAJ Kerri Van Arnem, DSc-PA modified Rapid Ultrasound for Shock and Hypotension (Modified RUSH exam), CPT Nick Thompson, MD musculoskeletal and soft tissue (fracture, abscess, joint injections, tendon ruptures, etc.), focused cardiac ultrasound and hemodynamic assessment (echo, pericardiocentesis, IVC). This is a hands-on and interactive workshop where you will be scanning models and/or each other (please be sure to wear loose fitting clothing). No prior experience is necessary, however, the introductory ultrasound workshop is highly recommended for those completely new to POCUS.

0800-1200 Battlefield Auricular Acupuncture 1 (Certification Course) COL Dean Hommer, MD, FAAPMR, FAANEM Didactics and hands-on skills lab for certification in Battlefield Acupuncture, an Lt Col Dale Capener, MD auricular acupuncture protocol for the treatment of acute and chronic pain. 0800-1200 Potential Saves in Women's Health 1 COL(Ret) David Ludlow, MD This lab will introduce the pathophysiology and potential, simple treatments for several serious medical problems of pregnant and non-pregnant women and provide hands-on practice using a birthing manikin. 0800-1200 Maggot Debridement Therapy 1 SGM(Ret) Michael R. Hetzler, NRP, ATP This lab will cover the history, theory, use, and application of Maggot Debridement Ronald Sherman, MD Therapy in primitive medicine. 0800-1100 SOF Dental Review COL Robert Harrington, DMD Dental emergencies can put a significant burden on operations, distracting the COL Jerold Kouchi, DDS 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. This is now a 3-hour lab. 0800-1000 Difficult Airway-Basic Marc S. Rosenthal, PhD, DO, FACEP, FAEMS This basic hands-on course covers management of a basic airway with intubation, Randel Davis, DO BVM use as well as supraglottic devices. Emphasis is on basic skills as well as pitfalls in procedures and preparation. 1000-1200 Difficult Airway-Advanced Marc S. Rosenthal, PhD, DO, FACEP, FAEMS This advanced hands-on course is for trained personnel, covers advanced methods of Randel Davis, DO intubation, including surgical airways, and other devices useful in an austere environment. This course may be completed independently or as a follow-on to the basic difficult airway course. LUNCH on Your Own 1300-1700 Advanced Prolonged Field Care (PFC) - Updates to Enhance Your PFC Training SFC Paul Loos, 18D, ATP Designed as an immersive lab experience with experienced PFC Master Trainers, the MAJ Doug Powell, MD participant will gain exposure to recent PFC guidelines, technology, and updates. The MAJ Jo Schmid, RN format is minimally didactic with emphasis on discussion, case examples, sharing best MAJ Bill Vasios, PA-C practices in how participants' units train PFC, and demonstrations of principles and SFC Roger Dail technology in a small group format. COL Sean Keenan, MD LTC Jeremy Pamplin, MD MAJ Andrew Schaffrinna 1300-1700 Fresh Whole Blood (FWB) Transfusion 2 SGT Justin Anderson, (SOCM) SO-ATP, NREMT-P This lab will familiarize the student with and demonstrate whole blood transfusion SO1 Shane Kronstedt, (SOCM) SO-ATP procedures utilized by SOF medics in the field. Learn indications for and how to MAJ Andrew Fisher, PA-C, MS-2 perform a fresh whole blood transfusion. SSG Dennis Jarema, (18D) RN SFC Justin Zeller, (18D) SO-ATP 1300-1700 Team Health: Assessment of Orthopedic Injuries and Operator Fitness Solutions 2 A.S. Woody Goffinett, MBA, ATC, AT, EMT-T, This two part lab is geared towards medical personnel that must make quick FF1 decisions evaluating and treating extremity injuries. Attention will also be given to Travis Snyder, ATC, AT, PTA, CMT, CSCS, EMT, common injuries seen with various fitness programs. Evaluation and quick tips how to EMT-T keep SWAT and Military Operators functional. Format is a lecture on basic anatomy and injuries followed by hands-on lab. Attendees are encouraged to bring shorts for lab component.

1300-1700 Osteopathic Manipulative Medicine 2 Maj Mike Mack, DO Musculoskeletal pain is a common occurrence for operators and desk jockeys alike. LtCol Greg Hawkesworth, DO Pain experienced can range from a minor annoyance to downright debilitating. This lab will teach you the skills to diagnose skeletal dysfunction and the techniques to fix them. You will also enhance your physical exam assessment with the palpatory skills that you will gain. 1300-1700 Practical Tactical Ultrasound: Ultrasound Training Using Case-based Trauma and LTC Eric Chin, MD Medical Scenarios MAJ John Knight, MD This workshop is new for 2018 and designed for tactical operators and providers LTC Brian Hall, MD, RDMS, RDCS interested in learning how to integrate the use tactical ultrasound in various trauma CPT(P) Lissa Myers, MD and medical scenarios – undifferentiated shock, chest trauma, abdominal trauma, MAJ T.G. Nessler, CRDAMC US Fellow head injuries, extremity injuries, etc. This workshop will allow you to choose a MAJ Kerri Van Arnem, DSc-PA number stations with different tactical scenarios, discuss the case, and then learn CPT Nick Thompson, MD how to apply specific ultrasound evaluations to better care for injured or ill patients. This is a hands-on and interactive workshop where you will be scanning models and/or each other (please be sure to wear loose fitting clothing). No prior experience is necessary, however, the introductory ultrasound workshop is highly recommended for those completely new to POCUS.

1300-1700 Fundamentals of Moulage SSG David Cherolis, NRP, FP-C, CCP-C, EMS-I, Moulage fundamentals from basic locally sourced materials through highly AT-P specialized movie quality methods. Material selection including the when, where and David Shablak, NRP, CHSOS why to utilize different materials to meet training objectives. Best practices for high fidelity simulators, task trainers and human role players. Target audience includes all levels of medical provider or support element focused on medical training. 1300-1700 Battlefield Auricular Acupuncture 2 (Certification Course) COL Dean Hommer, MD, FAAPMR, MBA, CPE Didactics and hands-on skills lab for certification in Battlefield Acupuncture, an Lt Col Dale Capener, MD auricular acupuncture protocol for the treatment of acute and chronic pain. 1300-1700 Potential Saves in Women's Health 2 COL(Ret) David Ludlow, MD This lab will introduce the pathophysiology and potential, simple treatments for several serious medical problems of pregnant and non-pregnant women and provide hands-on practice using a birthing manikin. 1300-1700 Maggot Debridement Therapy 2 SGM(Ret) Michael R. Hetzler, NRP, ATP This lab will cover the history, theory, use, and application of Maggot Debridement Ronald Sherman, MD Therapy in primitive medicine. 1300-1500 Wound Care and Suturing Techniques-Basic MAJ Daniel Winschel, PA-C This lab will review the basics and get you ready for the next step in wound care and LCDR Peter A. Carlo, PA-C, MPAS, NREMT-P advanced suturing techniques. 1500-1700 Wound Care and Suturing Techniques-Advanced MAJ Daniel Winschel, PA-C This lab offers a great review of advanced wound care and advanced suturing LCDR Peter A. Carlo, PA-C, MPAS, NREMT-P techniques and refers to real world, remote cases that require the skills when you are the only one out there. Day 3: Tuesday, May 15, 2018 - General Session Time Session Title Faculty 0700-0800 Breakfast in Ballroom Foyer Master Chief Steve Viola, MA, NREMT-P 0750-0800 Opening Remarks LTC Will Smith, MD, EMT-P Col Chetan Kharod, MD, MPH 0800-0815 Senior Leader Welcome Mark Mitchell, OASD SO/LIC Capt (Ret) Nathaniel Nelson and Jennifer 0815-0845 Wounded Warrior Talk with Spouse Nelson SFC Justin Peck, ATP 0845-0915 SOF Combat Medic Vignette LTC Christina Hahn, MD 0915-1000 Strategic Overview Tim Nichols, PhD, Duke SOF Program 1000-1045 Refreshment Break/Visit Exhibitors William A. Walters, MD, Managing Director for Tom Deal Memorial Lecture: Medical Support to Protection, Security, and Crisis 1045-1130 Operational Medicine, Bureau of Medical Response Activities Overseas Services, U.S. Department of State Jean Ceccaldi, BE NSOCM Michael Turconi, IT NSOCM Case Study: Infant with Blast Injuries; Adrian Murphy, M.D. PhD, Program Director, 1130-1200 Foley as Hemorrhage Control in Neck Wound (Mosul); NATO Special Operations Medicine Current Challenges and Future Directions for Special Operations Medicine Development Initiative, University College Cork, Ireland 1200-1300 LUNCH On Your Own/Visit Exhibitors 1300-1330 Business Meeting Master Chief Steve Viola, MA, NREMT-P Viewing the Invisible Wound: Neuropathology Studies of Symptomatic Blast- 1330-1400 Daniel Perl, MD Exposed Service Members 1400-1430 Implementation and Training for Far-Forward REBOA MAJ Andrew Fisher, MPAS TBI and PCS (Post-Concussive Syndrome): Nutrition, Biomechanics, Tara Lillemon, DPT 1430-1500 Pathophysiology, and Treatment Strategies Laurel Wentz, PhD 1500-1545 Refreshment Break/Visit Exhibitors Benjamin Tristan 1545-1630 SOF Combat Medic Vignettes John Siedler 1630-1700 U.S. Global Health Engagement Strategy and SOF Mark Mitchell, OASD SO/LIC Tactical Medical Support for the RAID Unit and Lessons Learned from 2015 Terrorist 1700-1730 Matthieu Langlois, MD Attacks in Paris 1730-1930 Opening Reception - Exhibit Hall 1800-1900 Moderated Poster Session for CME Day 4: Wednesday, May 16, 2018 - Concurrent Tracks Time Concurrent Sessions Faculty 0700-0800 Breakfast in Ballroom Foyer Track 1: MilSOF 0800-0830 SOF Truths as Applied to SOF Medical Support LTC Cord Cunningham, MD 0830-0900 Advanced Field Care COL Jay Baker, MD 528th Surgeon 0900-0930 Expeditionary Combat Medic (ECM) MSG Erik Gonzalez, NCOIC CPHM LTC Ethan Miles, MD, 75th Ranger Regiment 0930-1000 Prehospital Initiatives Ranger Style Surgeon Track 2: TEMS 0800-0830 Protective Medicine: An International Eclectic Perspective Amado Baez, MD, MSc, MPH, FACEP, FCCM 0830-0915 Legal Implications in TEMS Kevin Gerold, MD, JD 0915-1000 Sick Call in TEMS Ameen Jamali, MD Track 3: Human Performance & Resiliency 0800-0830 Genetics Testing for Injury Prevention Stuart K. Kim Musculoskeletal injuries of elite military personnel can reduce military effectiveness, prevent completion of training, and increase the overall cost of training. New research has uncovered DNA markers for musculoskeletal injuries, including stress fractures, MCL rupture, ankle sprains and rotator cuff injuries. Genetic testing could inform athletes and military personnel about their risk for these injuries, enabling preventative diet, exercise and training regimens to be used before the injury occurs. 0830-0900 Nutrition for the SOF Operator Bob Calvin, MS, RD, LD, CSSD, CSCS This presentation will be a glimpse into a unique system for assessing nutritional needs and progressions of injured tactical athletes while opening communication with the coaching and therapy staffs. It will also expose an efficient and systematic approach to quantifying athlete readiness that can be communicated day to day with staff members. 0900-0930 State of the Art of Blood Flow Restriction Johnny Owens, MPT ACSM guidelines recommend resistive exercise loads between 65-80% 1RM to induce positive muscle strength and hypertrophy changes. However, most patients after surgery or injury are unable to tolerate these loads. Blood Flow Restriction (BFR) training has emerged from a novel technique to a potential rehabilitation tool to maximize muscle strength and combat disuse atrophy in the clinical setting. Johnny Owens will discuss the current understanding behind BFR, clinical applications and ongoing clinical trials. 0930-1000 Evolution Protocol COL James Lynch, MD The Evolution Protocol is an integrated multi-disciplinary program designed to LTC(P) Gary Means, MD promote sustained optimal performance of SOF Soldiers. This program utilizes organic medical capabilities in conjunction with on-post specialists to provide early detection and treatment of injury/illness. This presentation will discuss the development of the program, the implementation, and potential utilization at other facilities. Track 4: Global Health Engagement and Medical Support Operations for Unconventional Warfare

0800-0815 Introduction: Complex Operations and Changing Threats David W. Callaway, MD Mark Swayne, Deputy Assistant Secretary of 0815-0900 U.S. Global Health Engagement Strategy and SOF Defense 0900-0930 The WHO Emergency Medical Team Process and Relevance to Global Response Erin Noste, MD 0930-1000 Rules of the Road: Civil Military Engagement in ODTAAC CDR Kris Meyer Track 5: Research 0740-0800 Continuous Vital-Signs Monitoring from Medevac to Higher-Level Care Catherine Divingian, MS, PhD, MD Candidate 0800-0820 Forward Resuscitative Care (FRC) and the Future: Will ECMO Play a Role? LTC Drew Stephens, MD Venom sPLA2 Inhibition by LY315920 Rescues Mice From Lethal Experimental 0820-0840 Matthew R. Lewin, MD, PhD Envenomation and Appears to Preserve Clotting Function Freeze-dried Human Plasma Retains In Vitro Coagulation Activity Similar to That of 0840-0900 Ashley Parr, MPH Fresh Frozen Plasma Developing a Prolonged Field Care Human Performance Training and Testing 0900-0920 Sena Veazey Platform Monitoring Occupational Exposures to Blast – What Have We Learned? What Are 0920-0940 MAJ Walter Carr, PhD We Doing? 0940-1000 The Influence of Social Media on Prehospital Medical Education SGT Collin T. Dye Track 6: International 0800-0845 Medical Support for Domestic CT Operations - NATO SOF Approach OR07 Daniel Fletcher, Medic Ketamine S - Experience in the Clinic and Battlefield - A European Approach - 0845-0930 OF04 Florent Josse, MD Guidelines for Medics Development of Academic SOF Medicine 0930-1000 OF4 Adrian Murphy, MD NATO Special Operations Combat Medic Course 1000-1045 Refreshment Break/Visit Exhibitors 1045-1215 Track 1: MilSOF 1045-1115 Surgical Support During OIR - Lessons Learned in Syria MAJ Julie Rizzo, MD MSG Donald Hovander, Battalion 18D 1115-1145 Evaluating Host Nation Hospitals for Medical Contingency Planning MAJ Jason Pickett, Battalion Surgeon, 2/19 Special Forces Group (Airborne) 1145-1215 Expeditionary Resuscitation Surgical Teams (ERST) MSG Rich Jarrett, NCOIC CPHM Track 2: TEMS 1045-1145 Medical Best Practices at Hostile Mass Casualty Events Mike Clumpner 1145-1215 Novel Opioids Dave Neubert, MD Track 3: Human Performance & Resiliency 1045-1115 Biomarker Testing David LeMay, MD There are multiple tests available through serum, urine or saliva that can help a practitioner determine the effects of training and readiness of an athlete. This talk will look at tests that help to give indications of an athlete in a catabolic or breakdown state who would be at increased risk of injury and delay healing. 1115-1145 Optimizing SOF Soldiers in Environmental Stress Conditions COL Francis O'Connor, MD, MPH Warfighter performance can be dramatically affected by environmental extremes, with direct impact on the mission. In this session, Dr. O'Connor will review the physiologic stress of heat, altitude and cold on performance, and identify strategies for both prevention and optimization. 1145-1215 OTSG - Update on Concussion Management to Include Current Oculomotor and MAJ Tyson Baynes, PA-C Vestibular Rehabilitation Concepts During a previous assignment in the National Football League, MAJ Baynes learned emerging screening exams to evaluate potentially concussed athletes in the acute and rehabilitative setting. One of the exams, Vestibular/Ocular-Motor Screen (VOMS), has great applicability for the military community. It quickly, consistently and reliably assesses areas of the vestibular and ocular system that are responsible for integrating balance, vision and movement. VOMS requires minimal train-up time for the provider and can be administered in any environment. Track 4: Global Health Engagement and Medical Support Operations for Unconventional Warfare

1045-1130 SOF Medics Mission Planning Considerations for the UW/HA/GHE Mission Set SGM(Ret) Mike Hetzler, NRP, ATP 1130-1215 Lessons Learned: Delivering Trauma Care in Mosul, Iraq Katherine Bequary, NYC Medics Track 5: Research The United States Military Experience with Serum Buffering Agents for Combat- 1045-1100 Maj Christopher Hewitt, DO Related Trauma Befriending Death: An Ethical Evaluation of Prolonged Field Care's Need to Explore 1100-1120 E. Ann Jeschke, PhD the Process of Attending Death Combat Application Tourniquet (CAT) Leading to Increased Hemorrhage and Shock 1120-1140 Daniel J. Hull, MD, FACEP Post Gun Shot Wound (GSW) to the Hand 1140-1200 A Systematic Review of the Current Role(s) of Physicians in Tactical Medicine Keegan Bradley, MD 1200-1215 Is REBOA Feasible in the Pre-hospital Combat Casualty Care? Capt. T.T.C.F. van Dongen, MD, PhD Track 6: International 1030-1130 London’s Medical Response to Recent Terrorist Attacks OF05 Claire Park, MD 1130-1215 CBRN/Toxic Chemistry Industrial in Domestic CT/ for SOF Operations OF05 Roman Woelfel, MD, PhD, DTMH 1215-1330 LUNCH On Your Own/Visit Exhibitors The Second-Half Updates: - Scholarships Friendly to SOF Medics - 18D to PA Program Update 1215-1330 - Introducing SOMA Scholarship - CRNA Overview and pathway for SOF medics - Path-specific Breakout Sessions for PA/MD/DO/CRNA/USUHS - Participants will be free to roam and interact. 1330-1500 Track 1: MilSOF LtCol Stephen Rush, M.D., USAF Pararescue 1330-1400 Update on Pararescue Medical Operations Medical Director 1400-1430 Use of Pediatric BVM for Adult Patients? Jeffrey Siegler, MD, EMT-P 1430-1500 18D Refresher Course SFC Paul Loos Track 2: TEMS 1330-1430 Whole Blood Prehospital Kevin Schulz, MD 1430-1500 TEMS in Correctional Institutions Adolfo Savia, MD Track 3: Human Performance & Resiliency 1330-1400 Managing Operational Stress NBA Cares Ambassador Bob Delaney Bob Delaney's life story is one of resiliency and re-invention. Delaney infiltrated the Genovese and Bruno Organized Crime Families as an undercover New Jersey State Trooper posing as President of a waterfront trucking company in the 1970's; Delaney went on to become a highly respected NBA Referee and Crew Chief from 1987-2011 and then NBA Vice President serving as the Director of Officials 2014-2017. Delaney has shared his PTS education/awareness message to soldiers in Afghanistan, Iraq, Asia, Europe and US posts and bases and will relay some of his exceptional operational experience in PTS and resiliency. 1400-1430 Alpha Stim and Its Applications for Sleep, Depression and Anxiety Jeff A. Marksberry, MD, CCRP This session will introduce cranial electrotherapy stimulation (CES) as a safe and effective non-drug treatment option for anxiety, depression and insomnia. We will discuss treatment protocols, research and how CES can affect mission readiness. 1430-1500 Sleep Optimization to Enhance Performance for the SOF Operator COL Chris J. Lettieri, MD Insufficient sleep causes decrements in cognitive and physical performance, increases the risk for accidents, impairs recovery from injury, and adversely impacts long-term health. This presentation will highlight the role of sleep on performance and health, review studies exploring the effect of sleep debt in SOF operators, and discuss techniques to optimize sleep in garrison and operational settings in order to improve human performance and combat effectiveness. Track 4: Global Health Engagement and Medical Support Operations for Unconventional Warfare

1330-1430 CBRNE Threat in Current AO MSG Devin DeFeo 1430-1500 Operating Complex Environments: South Sudan Payal Modi, MD,MPH Track 5: Research Oxygen Requirements of Mechanically Ventilated Casualties – An Evidence Based 1330-1345 CMSgt(Ret), Dario Rodriquez, Jr Evolution Whole Blood Leukoreduction with Platelet Sparing Technology: Modified for Far 1345-1400 Warren Dorlac Forward Operations Evaluation of Human Simulation Models (HSM) - a current Chance for Replace or 1400-1420 André Lieber Reduce the Number of Animals in Live Tissue Training Fever of Unknown Origin in US Service Member – Medical Support Limited in 1420-1440 MAJ Paul Auchincloss, MPAS, APA-C Forward Location (West Africa) New Military Research Task Areas in Medical Robotics and Medical Autonomous 1440-1500 COL (Ret) Gary Gilbert, PhD and Unmanned Platforms Track 6: International 1330-1415 CBRN /Toxic Chemistry Industrial View from a SOF Medic Standpoint OR07 Daniel Fletcher, Medic 1415-1500 GSG 9 - The New Challenges of Medical Support for SOF Police OR02 Markus Moser, Medic Enabling Partner Forces: Forward CCP in Support of Massive Urban Operation - 1500-1545 OR04 Michael Turconi, NATO SOCM Operation Inherent Resolve 1500-1545 Refreshment Break/Visit Exhibitors 1545-1715 Track 1: MilSOF 1545-1615 Burn Care in the Austere Environment MAJ Julie Rizzo, MD 1615-1645 Pediatric Prehospital Trauma for the SOF Provider LTC Guyon Hill, MD Gregory Burnett 1645-1715 BATDOK (Battlefield Assisted Trauma Distributed Observation Kit) LtCol John Dorsch Track 2: TEMS 1545-1615 TEXAS DPS John Dunn, LP, DPS Taking TECC to Local Law Enforcement Agencies: Utilizing a Reasonable Amount of 1615-1715 John Stevens Training Time and Providing a Robust Practical Curriculum Track 3: Human Performance & Resiliency 1545-1615 UPDATE - USSOCOM Magnetic Resonance EEG Guided Transcranial Stimulation for COL Mark Baggett, PhD the Treatment of PTS/TBI Magnetic EEG Resonance Therapy (MeRT) is a modified version of Transcranial Magnetic Stimulation. This non-invasive brain stimulation technology is being studied to see if it can improve the symptoms associated with Traumatic Brain Injury and Post Traumatic Stress. The lecture will update the audience on the current studies being conducted at USSOCOM utilizing this neuromodulation therapy. 1615-1645 The Role of Specialized Resolving Mediators in Sport Related Health Conditions David LeMay, MD Inflammation is a normal process of tissue repair that is supposed to be a time limited process. Sports related activity creates a pro-inflammatory state. This lecture introduces the concept of pro-resolution mediators and their role in shifting a normal inflammatory response to a resolution phase. 1645-1715 Therapeutic Reprograming of Tissue within the Live Body Chandan K. Sen, PhD The notion of stem cell is interesting because these cells may generate other cell types of interest for therapeutic purposes. More recent work show that we may not need stem cells, adult cells can be reprogrammed too. Currently, such reprogramming happens in the laboratory and requires many laboratory procedures, several of them require expertise and are difficult to reproduce. Such reprogrammed cells are then introduced to the body for therapeutic purposes. Dr. Sen's team has introduced a technology called Tissue Nanotransfection (please Google) that can reprogram tissues within the live body. The procedure is simple lasting less than a second. Applications of this technology in trauma care will be discussed. Track 4: Global Health Engagement and Medical Support Operations for Unconventional Warfare

1545-1615 Operations in Complex Environments: YEMEN Chris Houston 1615-1645 Guerilla Hospitals in WWII European Theater COL(Ret) Warner 'Rocky' Farr, MD 1645-1715 UW in EUCOM COL Sean Keenan, MD Track 5: Research The Operational Advantages of Utilizing Enteral Resuscitation for Severe Burn Injury 1545-1600 David Burmeister, PhD in Prolonged Field Care Scenarios Diagnosis of ARDS from transcutaneous O2 saturation measurement in a combat 1600-1620 Andriy I. Batchinsky relevant model of prolonged field care and ground and high-altitude evacuation Seeing is Believing: Exhaled Carbon Dioxide Education Using a Live Tissue Model of 1620-1640 Hannelisa Callisen, PA-C Hemorrhagic Shock Police Department Tactical Medicine (TACMED) program impact on trauma patient 1640-1700 CDR Elliot Ross, MD, MPH mortality: A review of a large urban EMS and TACMED system. 1700-1720 Best teaching modality - simulation, live tissue or augmented reality? MAJ Tania Rogerson, MBBS, MPH Track 6: International Jean Ceccaldi, NATO SOCM 1545-1630 Case Study of a Belgian SOF Medic - Infant Arrives at CCP Francois Waroquier Starting Up a Human Performance Program Tailored to a SOF Unit: How to Mix 1630-1715 Nathalie Pattyn, MD, PhD, MPsy, MSc Cutting Edge Science with the Tried, Tested and Trusted 1800-1830 Mess Night Reception 1830-2100 Mess Night Day 5: Thursday, May 17, 2018 - General Session Time General Session Faculty 0700-0800 Breakfast in Ballroom Foyer 0800-0830 SOCOM Medical Update TBD 0830-0915 DARPA Update Eric Van Gieson, PhD 0915-1000 On Scene Medical Response to the Las Vegas Shooting Jeffrey Yost, EMT 1000-1030 Refreshment Break 1030-1100 The Death of the Golden Hour and the Return of the Future Guerrilla Hospital COL(Ret) Warner 'Rocky' Farr, MD 1100-1130 PFC Update COL Sean Keenan, MD 1130-1230 TCCC Update MSG(Ret) HR 'Monty' Montgomery 1220-1230 Concluding Remarks Steve Viola, Will Smith, Chetan Kharod