Andre Pennardt - Academia.edu (original) (raw)

Papers by Andre Pennardt

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2014

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2016

Tactical emergency medical support (TEMS) is a critical component of the out-of-hospital response... more Tactical emergency medical support (TEMS) is a critical component of the out-of-hospital response to domestic high-threat incidents such as hostage scenarios, warrant service, active shooter or violent incidents, terrorist attacks, and other intentional mass casualty-producing acts. From its grass-roots inception in the form of medical support of select law enforcement special weapons and tactics (SWAT) units in the 1980s, the TEMS subspecialty of prehospital care has rapidly grown and evolved over the past 40 years. The National TEMS Initiative and Council (NTIC) competencies and training objectives are the only published recommendations of their kind and offer the opportunity for national standardization of TEMS training programs and a future accreditation process. Building on the previous work of the NTIC and the creation of acknowledged competency domains for TEMS and the acknowledged civilian translation of TCCC by the Committee for Tactical Emergency Casualty Care (C-TECC), th...

Journal of Special Operations Medicine a Peer Reviewed Journal For Sof Medical Professionals, 2010

Public reporting burden for this collection of information is estimated to average 1 hour per res... more Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

Journal of Special Operations Medicine a Peer Reviewed Journal For Sof Medical Professionals, 2014

Med Sci Sport Exercise, 2008

Prehospital and disaster medicine: the official journal of the National Association of EMS Physicians and the World Association for Emergency and Disaster Medicine in association with the Acute Care Foundation

Current paramedic training mandates complete immobilization of all patients, symptomatic or not, ... more Current paramedic training mandates complete immobilization of all patients, symptomatic or not, whose mechanism of injury typically is viewed as conducive to spinal trauma. It is common to observe confrontations between paramedics and walking, asymptomatic accident victims who fail to understand why they should "wear that collar and be strapped to that board." Immobilized, frustrated patients then may wait for hours in a busy emergency department until a physician declares them to be without spinal injury. Patients frequently refuse treatment and transport. Algorithms exist for physicians to "clear" the cervical spine (C-spine) without radiography. It was hypothesized that paramedics routinely assess and document these indicators in their patient evaluations. A retrospective chart review was conducted on 161 patients (Group 1) admitted to a regional medical center with a diagnosis of C-spine injury over a 52-month period. The charts of 225 motor vehicle accident...

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals

Current Sports Medicine Reports

High-altitude pulmonary edema (HAPE) is a lethal, noncardiogenic form of pulmonary edema that aff... more High-altitude pulmonary edema (HAPE) is a lethal, noncardiogenic form of pulmonary edema that afflicts susceptible individuals after rapid ascent to high altitude above 2,500 m. Prevention of HAPE is achieved most effectively by gradual ascent allowing time for proper acclimatization. Certain prophylactic medications may further reduce the risk of ascending to high altitude in individuals with a prior history of HAPE. The most effective and reliable treatment of HAPE is immediate descent and administration of supplemental oxygen.

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2010

The leading cause of death on the battlefield is uncontrolled hemorrhage. Non-compressible (trunc... more The leading cause of death on the battlefield is uncontrolled hemorrhage. Non-compressible (truncal) hemorrhage is the cause over two thirds of these deaths. This makes truncal hemorrhage the leading cause of potentially survivable death on the battlefield. Over one third of the casualties who arrive at the emergency department (ED) or combat surgical hospital (CSH) in need of a blood transfusion are already suffering from acute traumatic coagulopathy which is associated with an 80% mortality. Early aggressive treatment and prevention of this coagulopathy through hemostatic resuscitation has been shown to increase survival. Hemostatic resuscitation involves the very early use of blood and blood products as primary resuscitation fluids to both treat intrinsic acute traumatic coagulopathy and prevent the development of dilutional coagulopathy. Few, if any, of the products used in hemostatic resuscitation are currently available to the Special Operations Forces (SOF) medic. Warm fresh ...

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2010

Tactical combat casualty care February 2010. Direct from the Battlefield: TCCC lessons learned in... more Tactical combat casualty care February 2010. Direct from the Battlefield: TCCC lessons learned in Iraq and Afghanistan. ... Deal VT, McDowell D, Benson P, Iddins B, Gluck G, Griffay A, Lutz R, Pennardt A, Kane S, Gilpatrick S, Bowling FY, Paisley JT, Williamson JR, Kiely R, ...

Medicine & Science in Sports & Exercise, 2009

Medicine & Science in Sports & Exercise, 2008

Medicine & Science in Sports & Exercise, 2010

Clinical and Translational Oncology, 2005

Introducción. El citrato de fentanilo oral transmucosa (CFOT) es el único fármaco desarrollado es... more Introducción. El citrato de fentanilo oral transmucosa (CFOT) es el único fármaco desarrollado específicamente para el tratamiento del dolor irruptivo (DI). Este estudio evalúa la seguridad y efectividad a largo plazo del CFOT en condiciones asistenciales habituales. Pacientes y métodos. Estudio observacional de 6 meses de duración, realizado en pacientes oncológicos con crisis de DI. Se evaluó la seguridad del fármaco recogiendo las reacciones adversas y su efectividad, midiendo intensidad y tiempo de respuesta del episodio de DI por el paciente. Resultados. Participaron 174 pacientes. Las reacciones adversas recogidas fueron leves o moderadas. El CFOT fue significativamente más rápido (tiempo hasta alivio del dolor: 12,7 ± 11,4 minutos frente a 32,7 ± 18,4 minutos; p < 0,001) y potente (reducción intensidad del DI: 3,4 ± 1,5; frente a 4,3 ± 1,5; p < 0,001) que los fármacos utilizados previamente.

Volume 8, Edition 3 V Vo ol lu um me e 8 8, , E Ed di it ti io on n 3 3 / / S Su um mm me er r 0 ... more Volume 8, Edition 3 V Vo ol lu um me e 8 8, , E Ed di it ti io on n 3 3 / / S Su um mm me er r 0 08 8 J Jo ou ur rn na al l o of f S Sp pe ec ci ia al l O Op pe er ra at ti io on ns s M Me ed di ic ci in ne e I IS SS SN N 1 15 55 53 3--9 97 76 68 8

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2014

Tactical teams are at high risk of sustaining injuries. Caring for these casualties in the field ... more Tactical teams are at high risk of sustaining injuries. Caring for these casualties in the field involves unique requirements beyond what is provided by traditional civilian emergency medical services (EMS) systems. Despite this need, the training objectives and competencies are not uniformly agreed to or taught. An expert panel was convened that included members from the Departments of Defense, Homeland Security, Justice, and Health and Human Services, as well as federal, state, and local law-enforcement officers who were recruited through requests to stakeholder agencies and open invitations to individuals involved in Tactical Emergency Medical Services (TEMS) or its oversight. Two face-to-face meetings took place. Using a modified Delphi technique, previously published TEMS competencies were reviewed and updated. The original 17 competency domains were modified and the most significant changes were the addition of Tactical Emergency Casualty Care (TECC), Tactical Familiarization,...

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2014

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2016

Tactical emergency medical support (TEMS) is a critical component of the out-of-hospital response... more Tactical emergency medical support (TEMS) is a critical component of the out-of-hospital response to domestic high-threat incidents such as hostage scenarios, warrant service, active shooter or violent incidents, terrorist attacks, and other intentional mass casualty-producing acts. From its grass-roots inception in the form of medical support of select law enforcement special weapons and tactics (SWAT) units in the 1980s, the TEMS subspecialty of prehospital care has rapidly grown and evolved over the past 40 years. The National TEMS Initiative and Council (NTIC) competencies and training objectives are the only published recommendations of their kind and offer the opportunity for national standardization of TEMS training programs and a future accreditation process. Building on the previous work of the NTIC and the creation of acknowledged competency domains for TEMS and the acknowledged civilian translation of TCCC by the Committee for Tactical Emergency Casualty Care (C-TECC), th...

Journal of Special Operations Medicine a Peer Reviewed Journal For Sof Medical Professionals, 2010

Public reporting burden for this collection of information is estimated to average 1 hour per res... more Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

Journal of Special Operations Medicine a Peer Reviewed Journal For Sof Medical Professionals, 2014

Med Sci Sport Exercise, 2008

Prehospital and disaster medicine: the official journal of the National Association of EMS Physicians and the World Association for Emergency and Disaster Medicine in association with the Acute Care Foundation

Current paramedic training mandates complete immobilization of all patients, symptomatic or not, ... more Current paramedic training mandates complete immobilization of all patients, symptomatic or not, whose mechanism of injury typically is viewed as conducive to spinal trauma. It is common to observe confrontations between paramedics and walking, asymptomatic accident victims who fail to understand why they should "wear that collar and be strapped to that board." Immobilized, frustrated patients then may wait for hours in a busy emergency department until a physician declares them to be without spinal injury. Patients frequently refuse treatment and transport. Algorithms exist for physicians to "clear" the cervical spine (C-spine) without radiography. It was hypothesized that paramedics routinely assess and document these indicators in their patient evaluations. A retrospective chart review was conducted on 161 patients (Group 1) admitted to a regional medical center with a diagnosis of C-spine injury over a 52-month period. The charts of 225 motor vehicle accident...

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals

Current Sports Medicine Reports

High-altitude pulmonary edema (HAPE) is a lethal, noncardiogenic form of pulmonary edema that aff... more High-altitude pulmonary edema (HAPE) is a lethal, noncardiogenic form of pulmonary edema that afflicts susceptible individuals after rapid ascent to high altitude above 2,500 m. Prevention of HAPE is achieved most effectively by gradual ascent allowing time for proper acclimatization. Certain prophylactic medications may further reduce the risk of ascending to high altitude in individuals with a prior history of HAPE. The most effective and reliable treatment of HAPE is immediate descent and administration of supplemental oxygen.

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2010

The leading cause of death on the battlefield is uncontrolled hemorrhage. Non-compressible (trunc... more The leading cause of death on the battlefield is uncontrolled hemorrhage. Non-compressible (truncal) hemorrhage is the cause over two thirds of these deaths. This makes truncal hemorrhage the leading cause of potentially survivable death on the battlefield. Over one third of the casualties who arrive at the emergency department (ED) or combat surgical hospital (CSH) in need of a blood transfusion are already suffering from acute traumatic coagulopathy which is associated with an 80% mortality. Early aggressive treatment and prevention of this coagulopathy through hemostatic resuscitation has been shown to increase survival. Hemostatic resuscitation involves the very early use of blood and blood products as primary resuscitation fluids to both treat intrinsic acute traumatic coagulopathy and prevent the development of dilutional coagulopathy. Few, if any, of the products used in hemostatic resuscitation are currently available to the Special Operations Forces (SOF) medic. Warm fresh ...

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2010

Tactical combat casualty care February 2010. Direct from the Battlefield: TCCC lessons learned in... more Tactical combat casualty care February 2010. Direct from the Battlefield: TCCC lessons learned in Iraq and Afghanistan. ... Deal VT, McDowell D, Benson P, Iddins B, Gluck G, Griffay A, Lutz R, Pennardt A, Kane S, Gilpatrick S, Bowling FY, Paisley JT, Williamson JR, Kiely R, ...

Medicine & Science in Sports & Exercise, 2009

Medicine & Science in Sports & Exercise, 2008

Medicine & Science in Sports & Exercise, 2010

Clinical and Translational Oncology, 2005

Introducción. El citrato de fentanilo oral transmucosa (CFOT) es el único fármaco desarrollado es... more Introducción. El citrato de fentanilo oral transmucosa (CFOT) es el único fármaco desarrollado específicamente para el tratamiento del dolor irruptivo (DI). Este estudio evalúa la seguridad y efectividad a largo plazo del CFOT en condiciones asistenciales habituales. Pacientes y métodos. Estudio observacional de 6 meses de duración, realizado en pacientes oncológicos con crisis de DI. Se evaluó la seguridad del fármaco recogiendo las reacciones adversas y su efectividad, midiendo intensidad y tiempo de respuesta del episodio de DI por el paciente. Resultados. Participaron 174 pacientes. Las reacciones adversas recogidas fueron leves o moderadas. El CFOT fue significativamente más rápido (tiempo hasta alivio del dolor: 12,7 ± 11,4 minutos frente a 32,7 ± 18,4 minutos; p < 0,001) y potente (reducción intensidad del DI: 3,4 ± 1,5; frente a 4,3 ± 1,5; p < 0,001) que los fármacos utilizados previamente.

Volume 8, Edition 3 V Vo ol lu um me e 8 8, , E Ed di it ti io on n 3 3 / / S Su um mm me er r 0 ... more Volume 8, Edition 3 V Vo ol lu um me e 8 8, , E Ed di it ti io on n 3 3 / / S Su um mm me er r 0 08 8 J Jo ou ur rn na al l o of f S Sp pe ec ci ia al l O Op pe er ra at ti io on ns s M Me ed di ic ci in ne e I IS SS SN N 1 15 55 53 3--9 97 76 68 8

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2014

Tactical teams are at high risk of sustaining injuries. Caring for these casualties in the field ... more Tactical teams are at high risk of sustaining injuries. Caring for these casualties in the field involves unique requirements beyond what is provided by traditional civilian emergency medical services (EMS) systems. Despite this need, the training objectives and competencies are not uniformly agreed to or taught. An expert panel was convened that included members from the Departments of Defense, Homeland Security, Justice, and Health and Human Services, as well as federal, state, and local law-enforcement officers who were recruited through requests to stakeholder agencies and open invitations to individuals involved in Tactical Emergency Medical Services (TEMS) or its oversight. Two face-to-face meetings took place. Using a modified Delphi technique, previously published TEMS competencies were reviewed and updated. The original 17 competency domains were modified and the most significant changes were the addition of Tactical Emergency Casualty Care (TECC), Tactical Familiarization,...