SOMA Annual Report 2018

2018 2018 Annual Report

SOMA

2018

Special Operations Medical Association

President’s Message

Board of Directors

2018 was recognized as the 30th anniversary of the Special Operations Medical Association. While there has been much change over the last 30 years, in truth the fundamentals of special operations medicine have remained the same. The most important fundamental is the expectation of delivering the best medical care to our operators in some of the most austere and dangerous circumstances. We remain committed to finding the best ways to provide our medics and providers with the best training, equipment and capability to perform their missions.

President: MSG (Ret) HR Montgomery

SOMA continues to be an organization committed to saving lives and relieving suffering of both military and civilians through advancing the science, technology, knowledge and skills of unconventional / SOF medicine. Achieving that mission requires stimulating collaboration. Through SOMA, we can link operator medics with researchers, educators, developers, and manufacturers, ensuring that they are connected to the science and technology that will further their knowledge and skills.

Secretary/Treasurer: COL (Ret) Chetan Kharod, MD

Much of 2018 focused on setting the stage for the future of SOMA. We have increased the number and responsibilities of our committees. We now have a functioning education, communications and an international committee working alongside our research, membership, scholarship & awards, prolonged field care, second-half, and program committees.

At-Large Member: COL Sean Keenan, MD

The following pages contain a snapshot of the progress SOMA made throughout 2018 and the challenges we face as we jump into 2019 and prepare for 2020 and beyond. The report outlines the work that the Board and Committees are doing to further SOMA’s mission and to support each of our members in their daily lives.

At-Large Member: LTC Ted Redman, MD, MPH

Our membership and their impact on special operations medicine is what it is all about. That said, we always need to increase our membership numbers and the contributions of those members toward the greater cause. Being a SOMA member and contributor really is about being part of something bigger than yourself and I hope and encourage all of you to do your part.

Harold “Monty” Montgomery SOMA President, MSG(Ret), SO-ATP

2018 Annual Report

Military Vice President: COL (Ret) Russ S. Kotwal, MD, MPH Civilian Vice President: Don Heath, Jr., BS, NRP, TP-C

Immediate Past President: Master Chief (Ret) Steve Viola, SOCM, ATP, NREMT-P At-Large Member: MAJ Regan Lyon, MD

At-Large Member: Ethan Miles, MD

Non-Voting Members Membership Committee Co-Chairs: SFC Michael Jackson John Steinbaugh Senior Advisors: Stanley McChrystal, Gen(Ret) Richard H. Carmona, MD, MPH, FACS Paul K. Carlton, Jr., Lt Gen(Ret) USAF, MD, FACS Philip Volpe, MG(Ret), DO Frank K. Butler, Jr., MD, CAPT, MC, USN(Ret) Mike Hall, CSM(Ret) Bryan B. Battaglia, SMMC (Ret) Craig Llewellyn, COL (Ret), MD

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2018

Special Operations Medical Association

Executive Office Staff Executive Director: Stephanie Newman, CAE snewman@kellencompany.com Meeting Planner: Deborah Jennings djennings@kellencompany.com

Committee Participation Communications Committee

Research Committee

Chair: Andrew Fisher, PA-C

Chair: COL (Ret) Dr. Gary Gilbert, PhD

SOF Medic Advisor: SFC Paul Loos

SOF Medic Advisor: Matthew Brown

Member: B. Carius

Members: K. Kemplin R. Poropatich J. Pamplin J. Dominguez K. Eltzroth B. Benson J. Salinas

Exhibit/Sponsorship Manager: Trina Jordan SOMA-Exhibits@kellencompany.com

Education Committee

Education Coordinator: Melinda O’Brien mobrien@kellencompany.com

Historical Committee Chair: MSG (Ret) Sammy Rodriguez

Scholarship Committee

Administrative Assistant: Diane Northup SOMA@kellencompany.com

Membership Committee

Chair: Taylor George, DrPH

SOMA Executive Office: 4400 College Blvd., Suite 220 Overland Park, KS 66211 Website: www.specialoperationsmedicine.org Email: SOMA@kellencompany.com Phone: 913-222-8659

Chair: Dennis Jarema, 18D, RN

Co-Chairs: SFC Michael Jackson John Steinbaugh

Members: S. Rush T. Redman J. Cain

Nominations/Elections

Second Half Initiative

Chair: Master Chief (Ret) Steve Viola, SOCM, ATP, NREMT-P

Co-Chairs: 1st LT James Johnston Karl Holt

Members: M. Sammis R. Kotwal M. Arnold C. Nilsson E. Barrows

SOMSA Program Committee

Prolonged Field Care Chair: LTC Jamie Riesberg SOF Medic Advisor: SFC Paul Loos Members: D. Jarema S. Koplin A. Schaffrinna D. Powell S. Keenan W. Vasios

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Co-Chairs: Col Chetan Kharod MD, MPH LTC Will Smith, MD, Paramedic Members: S. Viola B. Mabry C. Cunningham D. Callaway W. Anderson D. Haight J. Pickett F. Mehkri K. Rocklein Kemplin A. Murphy S. Heinrich N. Studer G. Olson

2018

Special Operations Medical Association

SOMA Year in Review The SOMA Board of Directors, Committee Chairs and other volunteers have been actively supporting the SOMA mission.

This report documents the progress that SOMA made toward achieving its strategic goals in 2018.

Mission

Education Committee • Participated in evaluating Learning Management System (LMS) platform providers and made a recommendation to the Board of Directors.

• Began adding committee members to assist with developing and curating content to provide additional CME to SOMA members outside of the Scientific Assembly.

SOMA Historical Committee

To advance the science, technology, knowledge and skills of unconventional medicine to improve the survival, reduce suffering and speed recovery of those who become injured and ill in SOF operations or other Tactical settings.

Strategic Goals

In its second official year, the Special Operations Medical Association–Historical Committee (SOMA-HC) continued to work toward collecting, maintaining and archiving SOMA’s 30 plus years of storied history. SOMA’s unconventional medical knowledge must be preserved and shared with the next generation of SOF/Tactical medical providers. Not doing so risks re-learning hard lessons from years of combat and civilian tactical operations within our diverse operational communities.

A. SOMA will ensure its long-term viability as the most unique medical society in the world.

Board of Directors • Continued to build both a Reserve Fund to ensure the association’s long term financial stability as well as a Special Project Fund to finance projects that will directly benefit SOMA members.

• Renewed the agreement with Kellen Company to continue to provide the association with professional management services.

Communications Committee • Used Twitter on regular basis to promote SOMA and partner organizations.

• Used advertising funds to promote SOMA and SOMSA. • New Communications Committee member Brandon Carius, provided a detailed assessment of issues regarding the SOMA website.

• Increased followers on Instagram to 2,499.

1988 SOMA Meeting, Fort Bragg, North Carolina (Photo Courtesy — COL(R) Jimmie Coy)

SOMA–Historical Committee continues to work on: • Collecting historical documents, presentations and images from 1987–1993 on the origins of SOMA at Ft. Bragg, NC. • Development of a historic timeline outlining SOMA’s impact over 30 years on the SOF community, conventional military and international forces.

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2018

Special Operations Medical Association

Strategic Goals (continued) SOMA Membership by Category

• Tell SOMA’s history by continuing to collect written, audio, and video interviews from: o SOMA Founding members — How did SOMA begin and who was involved?

Student 6%

o Former SOMA Presidents — What did SOMA focus on while you were President? o Past SOMA Board members — How did SOMA evolve while you served?

Emeritus 2%

Lifetime 27%

Military Medics 11% Civilian Medics 24%

o SOMA membership — How has SOMA impacted your medical skills in saving lives, reducing patient suffering and reducing patient recovery time?

• SOMA Medic of the Year — Consolidated list of awardees and their nomination letter.

• Working to add an in-depth history page to the SOMA website that invites members to submit any historical presentations, documents and images from SOMA meetings.

Professional 10%

Physicians 20%

Membership Committee

Nominating Committee

• In 2018, SOMA had a slight decline in membership with 41 fewer members than the previous year.

The Nominations and Election Committee conducted the Call for Applications for the 2019–2021 Board of Directors slate and conducted a conference call to select the slate of nominees.

• In 2018, 169 new members joined SOMA. • Promoted SOMA membership at the World Trauma Symposium and EMS World Expo and through advertisements in JSOM, Combat Casualty Care and Social Media.

• Began offering an annual and quarterly auto-pay option to renewing members.

1600 1400 1200

1587 1149

1210

1321

1000

Prolonged Field Care (PFC) Committee 2014 2015 2016

800

2017

600 400

2018

200 0

1280

• Began planning for the 2020, 2021 and 2022 Scientific Assemblies by securing venues in Charlotte and Raleigh, North Carolina.

B. S OMA will advance the art and science of SOF and Tactical Medicine.

Total SOMA Membership 1800

Program Committee

Total Members

2018 Annual Report

PFC Working Group continued to push the art and science of clinical medicine into the unconventional realm of austere medical care by providing an interactive forum for teaching, learning and developing new clinical skills and practice guidelines: • Continued to expand a fully interactive, fully accessible website to exchange ideas, guidelines and clinical resources. The ongoing expert panel podcasts (8 new in 2018!) have been an outstanding success and are helping tactical medics tackle tough problems like traumatic brain injury, field analgesia and sedation.

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2018

Special Operations Medical Association

Strategic Goals (continued) • Continued to serve as one of the world thought-leaders for all aspects of Prolonged Field Care implementation. Members have served to guide research proposals through JPC-1 and JPC-6 mechanisms, have helped review Capabilities Based Assessments (CBAs), and serve on CoTCCC, CoERCC within the JTS. • Conducted the PFC Lab at SOMSA with a strong emphasis on current battlefield medical problems, especially Prolonged Field Care training amongst various components.

Research Committee A total of 129 SOMSA Abstracts were received for review by the Research Committee; 23 oral presentation were accepted; 42 posters were selected. Award plaques were presented at the SOMSA meeting for the best oral presentation and best poster overall and one year SOMA memberships were awarded to the best oral presentation and best poster by a SOF medic.

The following received awards: • Best Oral Presentation: Dr. Andriy I. Batchinsky, Principal Investigator, The Geneva Foundation, Tacoma, WA; “Diagnosis of ARDS from transcutaneous O2 saturation measurement in a combat relevant model of prolonged field care and ground and high-altitude evacuation.”

• Best Oral Presentation by SOF Medic: SGT Collin T. Dye, 91st BN, 95th CA, Fort Bragg, NC, “The Influence of Social Media on Prehospital Medical Education” • Best Poster: Dr. Shean Phelps, MD, mPH, Emerson, GA; “Can unplanned extubation be prevented? Introducing a novel airway stabilization system for the critically ill SOF patient.”

• Best Poster by a SOF Medic: “Can unplanned extubation be prevented? Introducing a novel airway stabilization system for the critically ill SOF patient.” “This SORT of Night: Two Mass Casualty Events in Operation Inherent Resolve.”

C. SOMA will enhance the professional development of pre-hospital, tactical, wilderness, austere, disaster and deployed medicine providers.

Education Committee • Began capturing video content from the Scientific Assembly to provide to members through a Learning Management System.

Program Committee • Held the 2018 SOMSA in Charlotte, North Carolina. The 2018 SOMSA had 994 participants for the full Assembly from 48 U.S. States and 28 countries and 141 companies with exhibit booths.

Prolonged Field Care (PFC) Committee • Added key educational, training, and clinical practice guidelines to the website.

• Worked with the Joint Special Operations Medical Training Center (JSOMTC, Ft. Bragg) to incorporate prolonged field care CPGs into STP manual/CTL project at SOCM • Partnered with JTS to add Damage Control Resuscitation, Ocular injury, Nursing Care PFC and Documentation CPGs. Scholarship Committee • Awarded 2018 scholarships to Andrew Fisher (Ranger) and Chris Peterson (PJ).

• Collected $4,503 in donations during 2018. Current total fund amount sits at $55,084.

• Updated SOMA Scholarship fund website in preparation for new application and award cycle.

• Established electronic advertising campaign via SOMA. Primarily email-based to membership.

• Identified potential major donor sources in the community.

• Began to lay groundwork for revised Medic of the Year selection and award process. Held conference call with SOMA Executive Director and President. Work in progress.

Board of Directors • Selected a Learning Management System platform to offer continuing education to members and non-members in addition to the Scientific Assembly.

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2018

Special Operations Medical Association

Strategic Goals (continued) D. SOMA will expand its reach, influence and impact.

Board of Directors • Continued SOMA’s Strategic Partnerships with the National Association of EMS Physicians (NAEMSP), the National Association of EMTs (NAEMT) and the National Tactical Officers Association (NTOA).

• Agreed to participate in supporting National Stop the Bleed Day. Prolonged Field Care (PFC) Committee • PFC Working Group Members continue to provide input to Center of Excellence initiatives including the Extended Care Medic (ECM) program at Ft. Sam Houston, MARSOC PFC initiatives, and through various JTS committees.

PFC Working Group continues to partner with: • Department of State, US Marshalls, Department of Homeland Security, National Park Service, NATO Special Operations Headquarters (NSHQ) Medical Section, Mons, Belgium, NATO COMEDs, International Special Training Center (ISTC), Pfullendorf, Germany, European Special Operations Medical Symposium (EUSOMS), Germany, Wilderness Medical Society, Members work daily (and are staff) at SOCEUR, SOCAF, JSOMTC

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2018

Special Operations Medical Association

2018 SOMA Scientific Assembly SOMA held its 2018 Scientific Assembly, May 13–17 at the Charlotte Convention Center in Charlotte, North Carolina. The Assembly featured 37 pre-Assembly Labs and more than 80 general assembly and breakout sessions. The Assembly hosted 994 participants for the full Assembly and 169 single day participants.

Single Day 15%

Participant Countries

SOMSA 2018 Attendance

Afghanistan

Czech Republic

Italy

Singapore

Argentina

Denmark

Lithuania

Spain

Australia

Estonia

Mexico

Sweden

Austria

Finland

Netherlands

Switzerland

Belgium

Germany

Norway

United Kingdom

Brazil

Ireland

Poland

Canada

Israel

Qatar

Exhibit Booth Sales

Attendance by U.S. Region 450

155

350

150

300

145

250

140

200

169

150 100 50

151

150 141

130

Booths

61

38

157

141

135

147

107 48

158

160

396

400

Full Assembly 85%

Companies 2017

2016

2018

0

Northwest

West

Midwest Southwest

East

Northeast Southeast

Participant Demographics

Future Scientific Assembly Dates May 11–15, 2020 Raleigh Convention Center, Raleigh, NC May 24–27, 2021 Charlotte Convention Center, Charlotte, NC

Active Duty DoD Civilian

28%

Reserve

47%

Retired/Former Military National Guard

May 1–5, 2022 Raleigh Convention Center, Raleigh, NC

Civilian

7% 8%

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2%

8%

2018

Special Operations Medical Association

2018 SOMA Finances ASSETS

2017 2018

Current Assets

$538,874

$589,428

Other Current Assets

$102,919

$96,528

Total Assets

$641,793

$685,956

LIABILITIES & NET ASSETS 2017

2018

Liabilities

$175,129 $158,020

Net Assets

$466,664

$527,936

Total Liabilities & Net Assets

$641,793

$685,956

Revenues

2018 Revenues

In 2018 Revenues increased in all major areas compared to 2017.

SOMA’s membership numbers held steady and membership revenue exceeded budget projections by $6,687.

SOMA also saw growth at the 2018 Scientific Assembly. Total attendance numbers were higher than 2017 and there were also increases in Lab participation and single day attendance.

Overall, SOMA exceeded budgeted revenues by $39,039 and saw a gain of $47,564 over 2017.

Membership 18% Product/Service Revenue 3%

Scientific Assembly 79%

Other Revenue 0%

REVENUES

December 2017

2018 Budget

Membership $168,568 Product/Service Revenue $25,013 Other Revenue $62 Scientific Assembly $745,731 Total Revenue $939,374

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$173,063 $31,200 $100 $743,536 $947,899

December 2018 $179,750 $23,970 $1,388 $781,830 $986,938

2018

Special Operations Medical Association

Expenses

2018 Expenses

SOMA contained expenses by staying within the expense budget for most items.

The two largest overages were expenses that allowed us to expand SOMA’s influence internationally and increased expenses related to an increased number of SOMSA participants.

Scientific Assembly Expenses 71%

General Administration 15%

Products/ Services 3% Membership Expenses 11%

Overall, the expenses for 2018 came in at approximately $2,272 under budget for the year.

December 2017

2018 Budget

December 2018

$130,230

$142,149

$136,795

Products & Services

$20,940

$16,000

$22,420

Marketing Expense

$5,695

$13,000

$8,330

Board Activities

$17,567

$33,704

$18,411

Liaison Activities

$1,018

$3,000

$10,080

Committees/Task Forces

$4,571

$4,700

$3,222

$66,743

$66,975

$62,689

$621,804

$626,824

$642,132

Total Expenses

$868,569

$906,352

$904,080

Excess Revenues Over Expenses Paid

$70,805

$41,547

$82,858

EXPENSES General Administration

Membership Expenses Scientific Assembly Expenses

Bottom Line Overall for 2018, SOMA’s revenues have increased, expenses have held steady and the bottom line has improved compared to last year.

The year ended with a positive bottom line of $82,858.

The 2018 year end surplus was divided between a reserve fund to ensure the financial stability of the association and a special project fund designated for new services or other initiatives that will be of direct benefit to the membership.

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2018

Special Operations Medical Association

Revenue/Expense Comparison

$1,200,000.00 $1,000,000.00 $800,000.00 $600,000.00 $400,000.00 $200,000.00 $0.00 Revenues

Expenses

Bottom Line

($200,000.00) 2016

2017

2018

Bottom Line 2014–2018

$150,000.00 2014 $100,000.00

2017

$50,000.00 $0.00 ($50,000.00)

2016

($100,000.00) ($150,000.00)

2015

($200,000.00)

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2018