Abstract:
:Protective gear is mandatory for medical personnel treating casualties in a contaminated environment. In the present study, we assessed the ability of emergency medical technicians to insert an intravenous line in this situation. Sixty emergency medical technicians were randomized to a control group, wearing fatigues, and a study group, wearing full protective gear. The ability to insert an intravenous line in healthy volunteers was assessed 1, 2, 4, and 8 hours after randomization. We found no effect of protective gear (p = 0.543) or time in protective gear (p = 0.8869) on success rate or on time needed for successful task completion (p = 0.4005 and p = 0.9021, respectively). The overall success rate was 58.6%, 65% in the unprotected state and 56% in the protected state, and the time was 303 +/- 115 and 351 +/- 113 seconds, respectively. These findings suggest that introduction of an intravenous line is possible but time consuming even after a prolonged stay in full protective gear. Alternative methods for antidotal treatment, such as the use of automatic autoinjectors for intramuscular administration, might be suggested.
journal_name
Mil Medjournal_title
Military medicineauthors
Berkenstadt H,Arad M,Nahtomi O,Atsmon Jkeywords:
subject
Has Abstractpub_date
1999-10-01 00:00:00pages
737-9issue
10eissn
0026-4075issn
1930-613Xjournal_volume
164pub_type
临床试验,杂志文章,随机对照试验abstract:INTRODUCTION:The Veterans Team Recovery Integrative Immersion Process (Vet TRIIP) is a short-term multi-modality complementary, integrative immersion program for veterans with chronic pain, post-traumatic stress, and related symptoms. Geared toward Veterans, active duty servicemembers, family members, and caregivers, V...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa053
更新日期:2020-08-14 00:00:00
abstract::Swimming-induced pulmonary edema (SIPE) is a noncardiogenic form of acute pulmonary edema infrequently described in the general military literature. Its pathophysiology is poorly understood. Treatment is supportive. Knowledge of SIPE is important for the military physician and should remain a top differential for any ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa118
更新日期:2020-09-18 00:00:00
abstract::The medical literature describes very few cases of bilateral femoral neck stress fractures in healthy adolescents. We studied the case of a healthy adolescent male Marine who suffered severe bilateral femoral neck stress fractures within a span of 7 months. As his level of exercise was no different than his other coll...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.7.711
更新日期:2008-07-01 00:00:00
abstract:INTRODUCTION:Limited comprehensive data exist on risk behavior associated with sexually transmitted infections (STI) among ship-assigned US military personnel during the predeployment time period (PDT). This study examined whether sexual risk behaviors, alcohol use, involuntary drug consumption (IDC), posttraumatic str...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz070
更新日期:2019-12-01 00:00:00
abstract:INTRODUCTION:The aims of this study were as follows: first to quantify and review the types of surgical procedures performed by military surgeons assigned to a Forward Surgical Team (FST) providing medical support to the population (MSP) in the Ivory Coast (IC), and second to analyze how this MSP was achieved. METHODS...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00688
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Post-traumatic stress disorder (PTSD) is one of the more commonly occurring mental disorders following potentially traumatizing events soldiers may encounter when deployed abroad. One of the first-line recommended treatment options is eye movement desensitization and reprocessing (EMDR). The number of studie...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00307
更新日期:2017-05-01 00:00:00
abstract::Exogenous hormone exposure can cause early sexual development, but only one report suggests that this may occur secondary to the use of hair-care products. This study evaluated the usage frequency and biological effects of hormone-containing hair-care products. We reviewed the records of 102 consecutive dependent chil...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-12-01 00:00:00
abstract::A study was conducted in Honduras to address whether military personnel assigned to Joint Task Force-Bravo in Soto Cano, Honduras, routinely acquire parasite infections, and the results were compared with those collected from civilian base workers and the general local population in the nearby towns of Comayagua and L...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.11.903
更新日期:2004-11-01 00:00:00
abstract::The Sailors Health Inventory Program (SHIP) questionnaire is a medical and psychosocial history questionnaire completed by all Navy recruits. This study was an investigation of the potential usefulness of the SHIP questionnaire for screening to reduce basic training attrition. The sample consisted of 66,690 Navy recru...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
abstract::Blunt impact assessment of the Advanced Combat Helmet (ACH) is currently based on the linear head response. The current study presents a methodology for testing the ACH under complex loading that generates linear and rotational head motion. Experiments were performed on a guided, free-fall drop tower using an instrume...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy282
更新日期:2019-03-01 00:00:00
abstract::This quality improvement project implemented and evaluated an evidence-based practice (EBP) program at two Army outpatient health care facilities. The EBP program consisted of five implementation strategies that aimed to inculcate EBP into organizational culture as well as nursing practice and culture. A conceptual mo...
journal_title:Military medicine
pub_type: 临床试验,杂志文章
doi:10.7205/MILMED-D-13-00191
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:Addition of an oxygen concentrator into a control loop furthers previous work in autonomous control of oxygenation. Software integrates concentrator and ventilator function from a single control point, ensuring maximum efficiency by placing a pulse of oxygen at the beginning of the breath. We sought to verif...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00150
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:We examined associations between abusive childhood experiences and functioning and psychiatric symptoms in an active duty sample of U.S. Army soldiers. METHODS:Cross-sectional survey of 204 soldiers stationed at a southern U.S. Army facility. RESULTS:Forty-six percent of individuals reported childhood physi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00038
更新日期:2011-02-01 00:00:00
abstract::This study demonstrated that traits and features associated with several types of personality disorders are related to work performance and the ability to conform to requirements of military life. The Schedule for Nonadaptive and Adaptive Personality and a peer nomination procedure were used to assess traits associate...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.3.207
更新日期:2004-03-01 00:00:00
abstract:INTRODUCTION:Post-traumatic stress disorder (PTSD) is a severe and debilitating condition affecting a significant proportion of the veteran community. A substantial number of veterans with PTSD fail to benefit from trauma-focused psychological therapies or pharmacotherapy or are left with residual symptoms, and therefo...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa149
更新日期:2020-09-18 00:00:00
abstract:INTRODUCTION:This pilot study was conducted to examine, for the first time, the ongoing systems biology research and development projects within the laboratories and centers of the U.S. Army Medical Research and Materiel Command (USAMRMC). The analysis has provided an understanding of the breadth of systems biology act...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00446
更新日期:2017-09-01 00:00:00
abstract::Several sub-Saharan militaries have large percentages of troops with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome. With the arrival of avian influenza in Africa, the potential exists that some of those soldiers might also become infected with H5N1, the virus responsible for the disease. Two po...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.172.7.753
更新日期:2007-07-01 00:00:00
abstract::The results from a study undertaken to assess the smoking behavior of Greek warship personnel found that of the 274 participants, ages 19 to 38 years, 59.5% were current smokers who started the habit between the ages of 15 and 21 years. However, 33.1% of these current smokers started smoking after entering the Greek N...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::Occupational upper-extremity disorders have been associated with prolonged pain and work disability. Using the U.S. Army Physical Disability Agency database, the present case-control studies (n = 434 and n = 342) investigated the contribution of demographic, physical, occupational psychosocial, and individual psychoso...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVE:The objective of this project was to evaluate the use of preprocedural mouth rinses in Army dental clinics. MATERIALS AND METHODS:Three hundred six-question surveys were distributed to 10 Army dental organizations throughout the United States and Germany during the period from March 2001 to March 2002. Two h...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.8.600
更新日期:2004-08-01 00:00:00
abstract::Heat stroke is a rare clinical phenomenon, characterized by systemic heat and cytokine-induced organ damage. Permanent neurological deficits rarely develop following heat strokes, and cerebellar dysfunction predominates among these rare cases. We report a case of severe heat stroke with recovery from severe multiorgan...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.6.603
更新日期:2007-06-01 00:00:00
abstract:INTRODUCTION:Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) belonging to the family Coronaviridae and genus Betacoronavirus is the causative agent of COVID-19 disease and was first identified in Wuhan, China. SARS-CoV-2 spread globally with >28 million cases and 911,000 deaths recorded worldwide as of Sep...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa525
更新日期:2020-11-30 00:00:00
abstract::This article examines how the U.S. Army came to adopt the physical profile. In 1945, the Army adopted the physical profile system that has, with some changes, survived to this day. Although the profile system does not always work smoothly, it replaced a system that was failing completely to deliver physically fit men ...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/MILMED-D-13-00039
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVES:Many work to ensure that women veterans receive appropriate and timely health care, yet the needs of those living in rural areas are often ignored. This is a critical oversight given the multitude of reports documenting rural access problems and health disparities. Lacking this, we are unable to plan for and...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00367
更新日期:2016-09-01 00:00:00
abstract:INTRODUCTION:An anonymous online survey was presented to active duty U.S. Army, Reserve, and National Guard Soldiers with experience as en route care medical providers with the intent of identifying factors which contribute to musculoskeletal disorders in U.S. Army en route care medical providers. The survey looked at ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa223
更新日期:2021-01-25 00:00:00
abstract::During Operation Assured Response in Liberia and Sierra Leone, between May and July 1996, five confirmed cases of falciparum malaria occurred in U.S. Navy personnel. The threat of malaria in west central Africa was recognized from the outset, and preventive medicine guidance was given to all the units participating in...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract::In this study, patients with acute renal failure as a result of crush syndrome after the Marmara earthquake were evaluated retrospectively. Six hundred thirty injured patients were evaluated after the Marmara earthquake at Gülhane Military Medical Academy. Acute renal failure in association with crush syndrome develop...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00
abstract::Three time frames were studied during the 54-year history of the Golden Gate Bridge from 1937 to 1991. During that period of time, there were 918 documented jumps from this majestic structure to the water 250 feet below. The last 15 years provided us with 297 consecutive patients, all brought to one institution, which...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00
abstract::The standardized mortality rate of rhabdomyolysis (RM) in Active Duty U.S. Army Soldiers is considerably higher than in the civilian population. RM occurs when large amounts of intracellular contents from damaged skeletal muscle escape into circulation, leading to serious sequelae (e.g., acute renal failure, hyperkale...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00076
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To describe the development of the Combat Casualty Critical Care Database, a comprehensive database of critically injured combat casualties to identify potentially modifiable risk factors for morbidity and mortality in this population. METHODS:The Department of Defense's Joint Theater Trauma Registry was que...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-13-00393
更新日期:2014-04-01 00:00:00