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Today, FDA published a guidance with the title: Considerations for the Conduct of Clinical Trials of Medical Products During Major Disruptions Due to Disasters and Public Health Emergencies. FDA led the global community in rapidly responding to disruptions resulting from the COVID pandemic including by publishing a guidance on managing disruptions to clinical trials. The concepts in the guidance published today are based on the details in the guidance that was published during the COVID-19 public health emergency addressing disruptions to trials caused by the pandemic. The new guidance addresses major disruptions due to disasters and public health emergencies in general and is not limited to COVID.    Why this is important? This guidance highlights that lessons from COVID are not forgotten and in fact, they are being considered as appropriate for major disruptions to clinical trials regardless of cause. This effort is informed by the clinical trial community's input and it highlights that we are collectively learning and adapting. Efforts are still ongoing to determine how to make such guidances even more useful to the clinical trial community. Thank you to CDR Mathilda Fienkeng, PharmD, MS., RAC, Dr. Stephanie Omokaro, Cecilia Almeida, Dat Doan, PharmD, BCACP, PMP, Dorothy West, MPH, @Tomeka Arnett, @Kayla Garvin, @Victor Crentsil, Rachel Unger, and many more across FDA.

IFM Releases Military and VA Initiatives Report Follow me for more #lifestylemedicine advice and programs to make a real change in your life! 💪 https://lnkd.in/e-vsY9D4 #bodyheartandsoul #bodyheartsoul #drnanecheung #nutrigenomic

In AJN's November issue, you'll find articles on military environmental exposures, assisted falls, recognizing transfusion-associated circulatory overload, and much more. Our recommended reading: https://lnkd.in/e_EpqzGy #nursing

News from Veterans Health Today: Military medicine plays a crucial role in advancing civilian and public health care. Recently published research outlines the potential benefits of increased collaboration between military and civilian health systems. Learn more about how reciprocal learning and collaborative research could strengthen our nation’s capacity to meet a growing array of health care issues and geopolitical threats. #VeteransHealthToday #VHT #veterans #militarymedicine #civillianhealth 

As we prepare to culminate our Combat Lifesaver training this week, I’m building a comprehensive whole blood transfusion session for both medical and non-medical personnel. I’ve found invaluable resources from the Next Generation Combat Medic website, complementing the wealth of knowledge from Deployed Medicine. On deployment, this is a crucial task for all members of the 4th Security Force Assistance Brigade in our small team layout. In 2014, the Joint Trauma System (JTS) DoD Center of Excellence for Trauma championed whole blood as the optimal resuscitation fluid. The 2018 update from the Committee of Tactical Combat Casualty Care (CoTCCC), noted the preferred resuscitation fluids for casualties experiencing hemorrhagic shock are ranked from most to least favored: 1. Whole blood 2. Plasma, red blood cells (RBCs), and platelets in a 1:1:1 ratio 3. Plasma and RBCs in a 1:1 ratio 4. Plasma or RBCs alone 5. Hextend 6. Crystalloid (Lactated Ringer’s or Plasmalyte-A) Normal Saline is not on this list. Great presentation: https://lnkd.in/geQvG4Zx and website: https://lnkd.in/ghMrdecv if you are looking to build a program within your unit or Emergency Department! #CombatLifesaver #TCCC #WholeBloodTransfusion #TraumaCare #MedicalTraining #CombatMedicine #TacticalMedicine #EmergencyMedicine #MilitaryMedicine #CoTCCC #JTS #pasgobeyond #pasdothat

The November issue of AJN is now live. What should nurses know about caring for people who have been exposed to potentially harmful agents—such as air pollutants, chemicals, radiation, warfare agents, and materials containing asbestos and lead—during military service? Read “Military Environmental Exposures” to find out. Our November CE article, “Recognizing Transfusion-Associated Circulatory Overload,” reviews the most [...] The post Military Environmental Exposures: Recommended Reading in AJN’s November Issue appeared first on Off the Charts.

Tactical medicine stands at the intersection of medical science and the critical missions carried out by law enforcement, EMS, and military. Let’s dive into the latest trends and pivotal considerations shaping the future of tactical medicine: In this line of work, precision, quick thinking, and teamwork come together to save lives in high-pressure situations. 1. Tactical Combat Casualty Care (TCCC) ➡ A gold standard in trauma care, TCCC brings battlefield-tested strategies to the forefront, focusing on critical areas like hemorrhage control, airway management, and pneumothorax treatment. ➡ Its adoption by Special Operations Medics has dramatically improved survival rates in combat scenarios. 2. Bridging Military Expertise with Civilian Medical Skills ➡ The invaluable lessons from military medics are now enriching civilian medical practices, especially in tactical settings. ➡The key factors for successful integration are innovation, effective teamwork, and overcoming training difficulties. 3. Empowering Tactical Medical Professionals ➡ The trend of arming Tactical Medical Professionals (TMPs) for their protection in volatile situations is gaining ground. ➡ This enables them to deliver critical medical aid while ensuring their safety amidst chaos. 4. The Power of Scenario-Based Training ➡ Realistic, scenario-based drills are indispensable. ➡ They ensure medics are well-versed in the tactical team’s movement protocols, communication styles, and coordination strategies, building a seamless bridge between medical expertise and tactical efficiency. 5. Selecting the Elite ➡ The criteria for choosing TMPs are stringent - intelligence, tactical awareness, physical fitness, and the ability to make decisive actions under pressure are non-negotiable. ➡ The key is to create a team where the skills and personalities complement each other, resulting in an unbeatable force. Tactical medicine is constantly changing, with every new innovation and lesson pushing us towards more effective and life-saving interventions during emergencies. Keeping up with these trends is not only advantageous but also vital for those committed to making a meaningful impact when it is most needed. We invite you to join The Raytom Group for a comprehensive training experience that addresses the gap between current practices and future needs. P.S. Contact us today to register for our Tactical Medical courses and become part of an elite group of professionals ready for anything! #TacticalMedicine #TCCC #PublicSafety #MilitaryMedicine #EmergencyResponse #LawEnforcement #Police #EMS #Military

The National Center for Rehabilitative Auditory Research (NCRAR) was established in 1997 at the Veterans Affairs (VA) Portland Health Care System (VAPORHCS) in Portland, Oregon. The NCRAR is one of 13 research centers supported by the VA Rehabilitation Research & Development (RR&D) Service. Each of the RR&D centers focuses on a specific health condition that is of relevance to United States military Veterans. The NCRAR is the only RR&D center that focuses on auditory and vestibular research. Whereas other researchers are focusing on finding a cure for tinnitus (permanent elimination or reduction of the tinnitus sensation), the NCRAR’s focus has been on developing and testing different methods of tinnitus clinical management with the overall purpose of validating clinical methodologies for routine application. Henry JA, Folmer RL, Zaugg TL, Theodoroff SM, Quinn CM, Reavis KM, Thielman EJ, Carlson KF. History of tinnitus research at the VA National Center for Rehabilitative Auditory Research (NCRAR), 1997-2021: Studies and key findings. Seminars in Hearing 45:4-28, 2024.

This Special Communication discusses how military medicine has advanced civilian health care and public health, and how miliary medicine research and development differs from that in the civilian world. https://ja.ma/3tbztH6

Clinical Paper: Evaluation of basic life support interventions for foreign body airway obstructions: A population-based cohort study https://lnkd.in/d_YZwK7s #Resuscitation