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 conditions was equivalent to standard endotracheal intubation. METHODS:A pilot study was conducted using emergency medicine personnel. Participant's attempted intubation of a manikin while wearing a standard U.S. Army M-40 protective mask. Two attempts were performed with each method. RESULTS:One hundred percent of the ILMA placements were successful with only 78% success with endotracheal intubation (p = 0.1). Time to successful intubation and ventilation was significantly less for the ILMA versus endotracheal intubation (p = 0.005). CONCLUSION:This study suggests that under simulated chemical and biological conditions using an M-40 protective mask, intubation is accomplished faster and with more success with the ILMA.
journal_name
Mil Medjournal_title
Military medicineauthors
Wedmore IS,Talbo TS,Cuenca PJkeywords:
subject
Has Abstractpub_date
2003-11-01 00:00:00pages
876-9issue
11eissn
0026-4075issn
1930-613Xjournal_volume
168pub_type
杂志文章abstract::This paper reports on data from a survey of international military mental health professionals. In a series of open-ended questions, respondents were asked to describe their country in terms of the field of military psychology, the role of mental health professionals on deployment, the degree to which the field of men...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00
abstract::Hip fractures in the young are exceedingly rare and are usually seen in instances of high energy trauma or metabolically altered bone states. In this case report, we present an occult femoral neck fracture, diagnosed by magnetic resonance imaging, in an otherwise healthy, young, active duty male patient with an isolat...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00321
更新日期:2012-05-01 00:00:00
abstract::The objective of this project was to evaluate magnetic resonance imaging (MRI) issues at 3 T for an armor-piercing bullet and to determine if this item could be identified using a ferromagnetic detection system. An armor-piercing bullet (.30 caliber, 7.62 × 39, copper-jacketed round, steel core; Norinco) underwent eva...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00374
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:To compare responses of practicing military and civilian primary care physicians to a series of standardized inhalational anthrax cases. METHODS:A series of three randomly selected case vignettes adapted from the 2001 anthrax attack along the East Coast of the United States were mailed to a convenience sampl...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00057
更新日期:2010-09-01 00:00:00
abstract::The purpose of this study was to compare the relationship of Temperament and Character Inventory (TCI) scores of three groups of U.S. Air Force basic trainees. The following groups were used: those who were psychiatrically hospitalized, a control group, and a group identified as being at risk for early separation from...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract::Mass casualties during war, civil unrest, or natural disasters can generate chaos and disarray in the emergency room setting. The influx of numerous casualties in a short period of time can paralyze the medical facility and cause irreparable damage to the injured. Maintaining calm and order is very essential for triag...
journal_title:Military medicine
pub_type:
doi:
更新日期:2001-12-01 00:00:00
abstract::Aristotle saw that the striving of humanity was toward being well - a physical, mental and spiritual state where life flourished. A contemporary definition of health recognizes that disease and disability can and often do co-exist with wellness. In this new conception, health is transformed from a state that requires ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy213
更新日期:2018-11-01 00:00:00
abstract::One hundred six astronaut applicants who had passed initial screening were evaluated for Axis I and Axis II DSM-III-R diagnoses using a structured psychiatric interview. Nine of 106 candidates (8.5%) met diagnostic criteria for six Axis I (including V-code), or Axis II disorders. The use of the NASA structured intervi...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::The purpose of this article was to give a brief synopsis of the background and history of forensic nursing and how it can be translated into a military application. The unique setting of military health care and equally distinctive stressors placed upon members of the military calls for greater commitment by the Depar...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.1.42
更新日期:2008-01-01 00:00:00
abstract::The work of the War Hospital in Tomislavgrad during the war in Bosnia and Herzegovina from 1992 to 1995 is described. The War Hospital in Tomislavgrad was one of the first medical institutions organized in Bosnia and Herzegovina, with the intention of providing surgical treatment and care to soldiers, local civilians,...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract:INTRODUCTION:Respiratory tract infections (RTI), such as those caused by influenza viruses and, more recently, the severe acute respiratory syndrome coronavirus-2, pose a significant burden to military health care systems and force readiness. The gut microbiota influences immune function, is malleable, and may provide ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa261
更新日期:2020-11-02 00:00:00
abstract:OBJECTIVE:Postexposure prophylaxis (PEP) is an important strategy to prevent human immunodeficiency virus acquisition after occupational and nonoccupational exposures. Since exposures to blood and other body fluids commonly occur in a combat setting, it is important to evaluate PEP utilization in the deployed environme...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00341
更新日期:2012-12-01 00:00:00
abstract::Cold-water immersion can include aspects of both hypothermia and near drowning. We present a case of a 22-year-old active duty service member who became a victim of cold-water immersion in Alaska. His rescue by the U.S. Coast Guard and subsequent treatment in a small community emergency room are reviewed using a case ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.5.459
更新日期:2006-05-01 00:00:00
abstract:INTRODUCTION:Tinnitus is an auditory problem frequently reported by military personnel and is currently responsible for 1 billion dollars annually in disability compensation. Recent military conflicts in Iraq and Afghanistan saw high levels of combat exposure coupled with a surge in blast weaponry, both of which can ad...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa103
更新日期:2020-09-18 00:00:00
abstract::This study describes injury and illness rates and some risk factors among soldiers from an armor division during a rotation at the National Training Center (Fort Irwin, California). Soldiers from a brigade of the 1st Cavalry Division were involved in a 5-week training exercise at the National Training Center. Health c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.11.1051
更新日期:2006-11-01 00:00:00
abstract::Medical imaging plays a critical role in the rapid diagnosis, effective triage, and management of complex poly-trauma patients. High-quality medical imaging can be accomplished successfully in a deployed or wartime setting. Due to advances in aggressive resuscitation techniques and the speed of the latest generation c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy063
更新日期:2018-09-01 00:00:00
abstract::This study reports dental emergency rates and distribution of causes of dental emergencies at two expeditionary medical support facilities supporting operations Enduring Freedom/ Iraqi Freedom. A retrospective cohort analysis of 9948 soldiers deployed to Prince Sultan Air Base, Kingdom of Saudi Arabia, and 1467 soldie...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.7.510
更新日期:2004-07-01 00:00:00
abstract:INTRODUCTION:Obesity is prevalent among users of Veteran's Health Administration services, where it is comorbid with depression, post-traumatic stress disorder, type 2 diabetes, cardiovascular disease, colon, and breast cancer. Among obese subjects, severe obesity represents a subpopulation with the highest risk of dep...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz475
更新日期:2020-06-08 00:00:00
abstract::This article describes Humanitarian Civic Action (HCA) activities performed by the Medical Element (MED EL) of Joint Task Force-Bravo in Honduras during 1988. The effort was designed to assist Honduras in nation building, to provide a maximal training experience for U.S. personnel, and enhance the image of the U.S. Wh...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract::U.S. military researchers have made major contributions to the discovery, diagnosis, treatment, and prevention of a number of parasitic diseases. We review the paramount U.S. military contributions to the understanding of leishmaniasis, filariasis, schistosomiasis, trypanosomiasis, gastrointestinal parasites, intestin...
journal_title:Military medicine
pub_type: 历史文章,杂志文章,评审
doi:10.7205/milmed.170.4s.17
更新日期:2005-04-01 00:00:00
abstract::The use of traction to transport patients with femur fractures is well accepted. This paper describes step-by-step the construction of a traction device suitable for use on military aircraft. This "Landstuhl frame" is easily constructed using materials readily available. It is quick and effective for the transportatio...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::A study of ambulatory mental health services on a U.S. Army post where logistic support personnel are stationed compared utilization of psychiatric services before, during, and after the Persian Gulf War. Rates were calculated for service utilization for the at-risk groups from consecutive cases presenting at the post...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-10-01 00:00:00
abstract::Health care managers are faced with difficult decisions on a daily basis. Some of those issues involve productivity. Statistical analyses of patient and provider population dynamics offer an important tool with which to base decisions. In this study, two representative clinics out of seven were selected. The patient a...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00037
更新日期:2010-12-01 00:00:00
abstract::The objective of this case report is to present an interesting case of a mixed malaria infection of Plasmodium falciparum and Plasmodium vivax in a U.S. service member deployed in support of Operation Enduring Freedom in Afghanistan and the use of rapid malaria tests with microscopy for the diagnosis of malaria and th...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00034
更新日期:2011-10-01 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::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:INTRODUCTION:Canadian Armed Forces adopted fibrinogen concentrate (RiaSTAP) for hemostatic resuscitation in the far-forward combat setting, given its potential benefits of reducing blood loss, blood transfusion and mortality, and its long storage stability and high portability. The current guidance recommends that RiaS...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa409
更新日期:2020-11-16 00:00:00
abstract::A prospective study of obstetrical patients from enrollment as outpatients until postpartum discharge was formulated at Madigan Army Medical Center. The control group included uncomplicated obstetrical patients from March 1 to August 31, 1994. The study group included uncomplicated obstetrical patients from March 1 to...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
abstract::A case of human ehrlichiosis (caused by infection with Ehrlichia chaffeensis) is presented. The patient was a female Naval Academy midshipman with a 26-day history of daily field training with the U.S. Marines near Quantico, Virginia. She presented with a several-day history of myalgias, fever, and frontal headache. D...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-02-01 00:00:00
abstract::A 36-year-old man with chronic severe exertional myalgias had a normal serum lactate elevation and diminished serum ammonia elevation on an ischemic forearm exercise test (IFET). The IFET is commonly performed in the evaluation of patients with complaints of exertional myalgias, cramps, and rhabdomyolysis. The finding...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-09-01 00:00:00