Self-Described Training Needs of Special Operations Forces Medics and the Birth of the TACMED Division.

Autor:	Yue IL; Naval Medical Center San Diego.; Combat Trauma ResearchGroup West, San Diego, CA., Allen DS; Navy Special Warfare Group One, Coronado, CA.; Combat Trauma Research Group West, San Diego, CA., Chung J; Naval Special Warfare Group One, Coronado, CA., Ruppert AS; Navy Special Warfare Group One, Coronado, CA.; Combat Trauma Research Group West, San Diego, CA., Papalski WN; Navy Special Warfare Group Two, Little Creek, VA., Sons N; Navy Special Warfare Group One, Coronado, CA.; Combat Trauma Research Group, San Diego, CA., Zarow GJ; Combat Trauma Research Group West, San Diego, CA., Good CJ; Navy Special Warfare Group One, Coronado,CA., Devenny LE; Navy Special Warfare Group One, Coronado, CA., Cady HJ; Navy Special Warfare Group One, Coronado, CA., Sonntag EMD; Navy Special Warfare Group One, Coronado, CA., Adams RC; Navy Special Warfare Group One, Coronado, CA., Hildreth AF; Uniformed Services University of the Health Sciences, Bethesda, MD.; Combat Trauma Research Group West, San Diego, CA.
Jazyk:	angličtina
Zdroj:	Journal of special operations medicine : a peer reviewed journal for SOF medical professionals [J Spec Oper Med] 2024 Oct 02; Vol. 24 (3), pp. 49-57.
DOI:	10.55460/TUHL-7Z28
Abstrakt:	Training needs of Special Operations Forces (SOF) medics were surveyed and new training initiatives have been created to meet their needs. SOF medics perform an array of medical procedures in austere environments with minimal supervision. Medical skills decay over time after initial training and the perceived training needs of active SOF medics were unclear. To fill this gap, active SOF medics (n=57) completed a survey that included confidence ratings and indications of whether additional training would make them more proficient in 70 medical knowledge and procedural skills, assembled into categories by a panel of experts (airway, trauma, neuro, differential diagnosis, administrative, infection, critical care, environmental, other). Data were analyzed with analysis of variance (ANOVA) and nonparametric statistics at P<.05. Confidence was highest in the trauma, administrative, and airway categories, and lowest in the infection, differential diagnosis, and neuro categories (P<.05 or less). Categories indicating the greatest need for additional training were environmental and critical care, while those indicating lowest need were the airway and trauma categories (P=.05). Additional training was endorsed by >75% of participants in each category. SOF medics also wanted additional training in all areas, preferably hands-on with live patients in realistic scenarios, taught by experienced medics. Findings highlight the training needs of SOF medics and demonstrate the value of bottom-up feedback toward optimizing sustainment training. Based on present findings, two TACMED (Tactical Medicine) Divisions at the SOF Echelon III level were created to meet the sustainment training needs of SOF medics. Competing Interests: The authors have no financial relationships relevant to this article to disclose. (2024.)
Databáze:	MEDLINE
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