Abstract：
:Combat trauma differs from its peacetime counterpart by involving a different spectrum of injuries, occurring in austere environments, dealing with mass casualties, and embodying inherent treatment delays. Thus, civilian trauma practices may be inappropriate in certain combat settings. A review of historical as well as current vivilian and military data is presented for four trauma topics (military antishock trousers, wound debridement, colon wounds, fluid resuscitation) in which civilian and military principles have clashed. The following recommendations are made. (1) Military antishock trousers are still useful in a combat setting. (2) Soft-tissue wound management should be directed by the wound rather than by the weapon. (3) Cautious avoidance of colostomy may be indicated in certain wartime colon wounds. (4) The majority of combat casualties require early vigorous fluid resuscitation. When civilian trauma experience challenges military dogma, it must be carefully considered before being applied to a combat setting.
journal_name
Mil Medjournal_title
Military medicineauthors
Wiedeman JE,Rignault DPkeywords:
subject
Has Abstractpub_date
1999-04-01 00:00:00pages
256-60issue
4eissn
0026-4075issn
1930-613Xjournal_volume
164pub_type
杂志文章abstract：UNLABELLED:U.S. Marines perform mission tasks under heavy loads which may compromise performance of combat tasks. However, data supporting this performance decrement are limited. PURPOSE:The aim of this study was to determine the effects of load on performance of combat-related tasks. METHODS:Subjects (N=18) ran a mo...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00432
更新日期：2015-03-01 00:00:00
abstract：OBJECTIVE:To examine incidence of mental health diagnoses during initial service of U.S. active duty military members and identify associations with deployment, attrition, and suicide. METHODS:A retrospective cohort of 576,502 service members (SMs) newly enlisted between 2003 and 2006 was identified. Data included med...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00051
更新日期：2012-10-01 00:00:00
abstract：:Spine injuries are more prevalent among Iraq and Afghanistan veterans than among veterans of previous conflicts. The purpose of this investigation was to characterize the context, mode, and clinical outcomes of spine injuries sustained by U.S. military personnel in theater. Injury and clinical data from patients who s...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00332
更新日期：2016-10-01 00:00:00
abstract：:Piercing in general and particularly tongue piercing is gaining popularity in the Western world. The French army and so the French air force are concerned by this phenomenon. A case report of a pilot suffering from dental pain with operational consequences due to a dental fracture during Operation Trident (Kosovo) is ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00149
更新日期：2010-10-01 00:00:00
abstract：:A medical readiness training exercise was conducted in conjunction with Task Force Bravo in Honduras during July and August 2000. Surgical teams from Madigan Army Medical Center performed 46 major pelvic reconstructive surgical procedures and treated more than 300 patients. The mission was an exceptional training oppo...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：:Erythema multiforme and Stevens-Johnson syndrome/toxic epidermal necrolysis are immune-mediated epidermal conditions with variable clinical presentations. Although their clinical presentations often overlap, they have distinct etiologies and potential outcomes, which necessitate specific management strategies. This ca...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa029
更新日期：2020-09-18 00:00:00
abstract：OBJECTIVE:Intubation is a difficult skill under normal circumstances and more so with a limited visual field such as wearing a protective mask in a chemical or biological incident. This study sought to determine whether successful intubation using the intubating laryngeal mask airway (ILMA) under protective mask condit...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-11-01 00:00:00
abstract：:Severely injured patients have difficulty recalling their intensive care unit (ICU) experience which may contribute to emotional trauma. An ICU patient journal contains a short summary of key events during the ICU stay, and has been shown to improve emotional well-being. This project evaluated the feasibility and perc...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00210
更新日期：2016-08-01 00:00:00
abstract：:Twenty-four pilots (age 20-32 years) were monitored with a Holter monitor during 26 hours including a high-Gz flight in order to evaluate heart rate (HR) and cardiac rhythm. Flight experience did not predict the mean in-flight HR (range 69-121 beats/minute), which decreased with increasing age and correlated to the ma...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-07-01 00:00:00
abstract：Introduction:The education of health professionals and the assessment of their long-term goals are essential. Additionally, in the military health system (MHS), such programs also have the goals of improving readiness, providing high-quality care and meeting the needs and challenges of the MHS. The Uniformed Services U...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy158
更新日期：2019-01-01 00:00:00
abstract：:Data are reported from a sample of 2,991 spouse physical abusers who received Air Force Family Advocacy Program (FAP) services and who volunteered to complete program evaluation measures that were administered before and after treatment and at a 6-month follow-up. As expected, after treatment compared with before trea...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-06-01 00:00:00
abstract：INTRODUCTION:Given the role of perceived stress in disability and suicidality in the military, intervening early before service members become at risk for severe injuries, hospitalizations, and chronic disability could improve health outcomes. The purpose of this study was to explore the feasibility and acceptability o...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz132
更新日期：2020-02-13 00:00:00
abstract：:Previous research has found that individual characteristics play an important role in psychological wellbeing and perception of stress. Although the Five Factor Model of personality has been found to consistently predict psychological well-being in the general population and among military personnel, hardiness has als...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00359
更新日期：2011-04-01 00:00:00
abstract：OBJECTIVE:The goal was to describe the association between post-traumatic stress disorder (PTSD) and in-service sexual harassment in a nationally representative sample of Department of Veterans Affairs PTSD disability applicants. METHOD:The study was a cross-sectional survey. RESULTS:Of 4,918 eligible veterans, 3,337...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.2.166
更新日期：2006-02-01 00:00:00
abstract：INTRODUCTION:The French army has implemented an algorithm based on the acronym "MARCHE RYAN," each letter standing for a key action to complete in order to help first care providers during emergency casualty care. On the battlefield, the risk of error is increased, and the use of cognitive aids (CAs) might be helpful t...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz482
更新日期：2020-08-14 00:00:00
abstract：:Health information booklets deliver information to large groups quickly and economically. Rapidly deploying soldiers are a group that needs such information. Military personnel responsible for the health of troops should know of the materials produced to meet this need so that they can facilitate booklet distribution....
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-03-01 00:00:00
abstract：INTRODUCTION:Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments and exercises, necessitating aeromedical evacuation. Current Defence Policy states ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz451
更新日期：2020-08-14 00:00:00
abstract：BACKGROUND:Scientific publication in academic literature is a key venue in which the U.S. Department of Defense's Global Emerging Infections Surveillance and Response System (GEIS) program disseminates infectious disease surveillance data. Bibliometric analyses are tools to evaluate scientific productivity and impact o...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00276
更新日期：2017-05-01 00:00:00
abstract：:A 26-year-old pregnant female was treated for an intralobar sequestration presenting as exsanguinating hemoptysis. The case brings forth strong evidence supporting an acquired rather than a congenital cause of some intralobar sequestrations. We discuss the anatomy, epidemiology, and pathogenesis of bronchopulmonary se...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：:Four cases of splenic infarction/sequestration in sickle cell trait (SCT) patients are presented. All four patients were undergoing moderate exercise at elevations ranging from 5,500 to 12,000 feet. The patients include two African-American males, a Hispanic male, and a white female. All four presented with the acute ...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1999-03-01 00:00:00
abstract：:This study was undertaken to determine why U.S. Marine Hospital #17, Port Townsend, Washington, closed at the peak of its utilization. A social history approach was taken, examining the hospital's developmental changes in the context of its role in the larger society. Both firsthand and interpretive sources were revie...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/milmed.170.4.259
更新日期：2005-04-01 00:00:00
abstract：:Among Army aviators, the incidence of total hip arthroplasty (THA) is unknown. This study analyzes the incidence and aeromedical disposition of THA among Army aviators. The U.S. Army Epidemiology Data Register was queried for a 10-year period from calendar year 1987 to 1996. The aviators selected for this study cohort...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-02-01 00:00:00
abstract：:Studies have shown that 21% to 51% of African-American women (AAW) reported breastfeeding, lagging behind Caucasian (61%-71%) and Hispanic (67%-71%) women despite breastfeeding's health benefits. This study aimed to assess AAWs "intent" to breastfeed and describe the relationship among knowledge, age, education, parit...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.2.111
更新日期：2004-02-01 00:00:00
abstract：INTRODUCTION:Prolonged field care for junctional wounds is challenging and involves limb movement to facilitate transport. No studies to date have explored the efficacy of gauze products to limit rebleeding in these scenarios. MATERIALS AND METHODS:We randomly assigned 48 swine to QuikClot Combat Gauze, ChitoGauze, Nu...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa403
更新日期：2021-01-25 00:00:00
abstract：OBJECTIVE:The Beck Depression Inventory-II (BDI-II) is widely used as a screening instrument for depressive symptomatology in clinical settings. The factor structure has been researched in a variety of settings with results ranging from a single factor to a five-factor structure. The purpose of this study was to examin...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00048
更新日期：2014-08-01 00:00:00
abstract：:There is little research on whether the transient nature of the military family contributes to transition difficulty to parenthood or to the type of social supports utilized. Data were collected by mailed survey from a convenience sample of military and civilian mothers at 3 months after delivery. No significant diffe...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-01-01 00:00:00
abstract：PURPOSE:Skew deviation mimics superior oblique palsy. Associated findings can include ocular torsion, head tilt, headache, and neurologic symptoms that may help localize the responsible intracranial lesion. Accurate diagnosis is essential in determining and treating the underlying cause. Imaging options will be reviewe...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00292
更新日期：2015-01-01 00:00:00
abstract：BACKGROUND:Transfusion of freshly collected blood products (FCBP) is sometimes necessary to save service member (SM) lives in austere deployed environments. Recipients of FCBPs are administratively tracked and offered serial serologic testing via the Armed Services Blood Program "Blood Look Back" (BLB) program to assur...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00512
更新日期：2016-09-01 00:00:00
abstract：:The purpose of this study was to evaluate the effects of the M17 and M43 protective masks on stereoacuity. Twelve subjects were tested on the Keystone diagnostic series stereopsis test at nearpoint and the Howard-Dolman apparatus at 40 cm and 6 m. Stereopsis was evaluated without a mask and with the M43 and M17 masks....
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：:This article describes the circumstances surrounding an intense, constant pain in the temporal region (visual analog scale 9-10) experienced by a 22-year-old combat officer in the Israel Defense Forces following a mild facial injury. The officer's wound included penetration of shrapnel particles into the facial skin, ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.12.1284
更新日期：2007-12-01 00:00:00
