Abstract:
:A case of a woman presenting with an acute tension pneumothorax during a Navy humanitarian mission in East Timor is presented. The patient was treated at a local rural clinic run by our medical team. Prompt insertion of a chest tube saved the woman's life; however, there were no chest tube drains available. A field chest tube drain constructed out of an IV bag, a sterile water bottle, and tubing provided an adequate underwater seal and drain. Because of the remote location and limited resources, standard prehospital chest tube management had to be modified. A brief review of simple and tension pneumothoraces and management along with a description of the field chest tube drain is presented.
journal_name
Mil Medjournal_title
Military medicineauthors
Vinson EDdoi
10.7205/milmed.169.5.403keywords:
subject
Has Abstractpub_date
2004-05-01 00:00:00pages
403-5issue
5eissn
0026-4075issn
1930-613Xjournal_volume
169pub_type
杂志文章abstract::Ready or not, here they come! The triennial visit by surveyors from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) does not have to be an occurrence that strikes fear into the heart of the chief nurse and most of the nursing staff. If properly prepared, a nursing staff can actually look forw...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-07-01 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::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
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:BACKGROUND:Army vision standards have varied little from Aviation's nominal birth. On the basis of classic Snellen acuity, we simply cannot predict threshold skill levels of any one individual(s). A growing number of Army Flight Surgeons, clinicians, and vision scientists have argued for the inclusion of contrast acuit...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00208
更新日期:2017-03-01 00:00:00
abstract:INTRODUCTION:Military helicopters are increasingly agile and capable of producing significant G forces experienced in the longitudinal (z) axis of the body in a head-to-foot direction (+Gz). Dehydration and fatigue can adversely affect a pilot's +Gz tolerance, leading to +Gz-induced symptomatology occurring at lower +G...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00073
更新日期:2016-11-01 00:00:00
abstract:INTRODUCTION:Youth with autism spectrum disorder (ASD) face high rates of unemployment, with unique challenges for military-dependent and -connected youth with ASD. This paper reports preliminary findings from Year One of a randomized waitlist controlled trial investigating the efficacy of the Project SEARCH + ASD Supp...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.1093/milmed/usz224
更新日期:2020-01-07 00:00:00
abstract::Recent interest in the relevancy of near vision tests for presbyopic aircrew members has led to the development of a photographic cockpit model. This model is used to prescribe more accurately for flying personnel. Prescriptions can be evaluated by use of trial lenses. This allows the aircrew members to experience the...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::Potential health issues arising from embedded metal fragment injuries are an operational health issue in the military medical community. Embedded fragment injuries can occur not only from standard-use munitions, but also from improvised explosive devices (IEDs). With few exceptions, the behavior of metal fragments, wh...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-02-2808
更新日期:2009-03-01 00:00:00
abstract:INTRODUCTION:Positioning of implant components for total hip arthroplasty (THA) is important for polyethylene liner wear, prosthesis joint stability, and range of motion. The introduction of fluoroscopy for the direct anterior approach has been shown to improve physician accuracy for component positioning. Few studies ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa415
更新日期:2020-11-24 00:00:00
abstract::More than 300,000 cases of sudden cardiac death (SCD) occur in the United States each year. Left coronary artery anomaly (LCAA), although rare, is second only to hypertrophic cardiomyopathy as the most common cause of SCD associated with structural cardiovascular abnormalities. This case illustrates SCD secondary to L...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-02-01 00:00:00
abstract::A case is presented in which a patient was placed on phenytoin following open depressed skull fracture. He subsequently was lost to follow-up, and then presented with several complaints, among them mutism, found to be related to phenytoin toxicity. There are no reports to date of this condition being caused by phenyto...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVE:National Guard service members face deactivation from active duty soon after they return to the United States and rapid entry into the civilian workforce; therefore, it is important to examine employment among these Veterans. METHODS:The sample included 585 National Guard service members. Bivariate and multi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00450
更新日期:2011-06-01 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:INTRODUCTION:Military veterans diagnosed with dementia compose a large portion of our population. Often ignored are their caregivers and their plight as well as the availability, quality, and accessibility of health care for this demographic. The purpose of this systematic literature review is three fold: to identify o...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-16-00396
更新日期:2017-11-01 00:00:00
abstract:INTRODUCTION:The purpose of this study is to introduce a virtual radiology rotation curriculum that is being used to safely maintain medical student and intern education and engagement with the Department of Radiology at Walter Reed National Military Medical Center during coronavirus disease 2019 (COVID-19) mitigation....
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa293
更新日期:2020-10-03 00:00:00
abstract:BACKGROUND:Current military operations in the Middle East involve active duty, National Guard, and reserve troops from all services. Despite common misconceptions, the desert environment in this region has significant aeroallergen seasons that may exacerbate allergic rhinitis. OBJECTIVE:To review perennial and seasona...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.12.1026
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVE:Examine substance use and mental health issues among U.S. military personnel. METHODS:Data were from the 2008 (and before) population-based Department of Defense Health Related Behavior Surveys. The sample size for the 2008 survey was 28,546 (70.6% response rate). RESULTS:Analyses examined substance use, st...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00132
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Objective Structured Clinical Examinations (OSCEs) are used at the majority of U.S. medical schools. Given the high resource demands with constructing and administering OSCEs, understanding how OSCEs relate to typical performance measures in medical school could help educators more effectively design curricu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00237
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:We assessed the relationship between active duty status and daily insufficient sleep in a telephone survey. METHODS:U.S. military service status (recent defined as past 12 months and past defined as >12 months ago) and daily insufficient sleep in the past 30 days were assessed among 566,861 adults aged 18 to...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00158
更新日期:2015-01-01 00:00:00
abstract::Improvised explosive devices and mines pose a formidable threat to military convoys traveling in Iraq. This study evaluated battle injuries sustained by a mechanized battalion operating against this threat. The objective was to gain insight into injury profiles and prevention. In the period examined, 32 attacks injure...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.6.546
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND:Global operations place large numbers of military and nonmilitary personnel in austere environments. Aeromedical evacuation for cardiovascular issues is periodically required. The Army Knowledge Online (AKO) Telemedicine Consultation Program was initiated by the Office of the Surgeon General to electronicall...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-00-2309
更新日期:2009-11-01 00:00:00
abstract::Carotid atherosclerosis affects thousands of individuals each year. A history of transient ischemic attacks should alert the clinician to the possibility of carotid artery disease. Carotid endarterectomy is of proven benefit in both symptomatic and asymptomatic individuals, with angiographically confirmed carotid sten...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-03-01 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
abstract::We present the case of a young woman presenting to a military field hospital in Afghanistan with a non-ST-elevation myocardial infarction (NSTEMI) associated with the diet drug sibutramine. We also provide a brief literature review on the association between sibutramine and myocardial infarction. ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-10-00011
更新日期:2010-08-01 00:00:00
abstract::When the evaluation of newly elevated liver enzymes is unrevealing, a common diagnosis of exclusion is drug-induced liver injury. A 39-year-old active duty service member who presented with jaundice after returning from a mission in Thailand was found to have an acute hepatitis and developing acute liver failure. He w...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy272
更新日期:2019-05-01 00:00:00
abstract::The results of a drug use evaluation of lisinopril at a large teaching military medical center are reported. Indicators and thresholds were developed and approved by the Pharmacy and Therapeutics Committee. The medical charts of 227 patients for whom lisinopril was prescribed from June 1991 to June 1992 were reviewed ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-02-01 00:00:00
abstract::Camp Bullis, Texas, is an active training facility for the U.S. Army and Air Force with a storied history dating back to the late 19th century. In the early 1940s, an epidemic of a seasonal tick-borne rickettsial-like illness occurred at Camp Bullis; the last case was reported in 1947. To date, the etiology of this di...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/milmed.169.11.863
更新日期:2004-11-01 00:00:00
abstract::We compared demographic profiles across two rural-urban classification schemes to determine whether rural-urban disparities in health status persisted among Veterans Administration (VA) users over time. Using demographic and SF-12 survey data collected from 2002 to 2006, we conducted serial cross-sectional analyses of...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00048
更新日期:2010-04-01 00:00:00
abstract:INTRODUCTION:The severity of exertional heat illnesses (EHI) ranges from relatively minor heat exhaustion to potentially life-threatening heat stroke. Epidemiological surveillance of the types of and trends in EHI incidence depends on application of the appropriate International Classification of Disease, 9th Revision ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00429
更新日期:2017-09-01 00:00:00