Abstract:
:Hypothermia increases mortality rates and should be treated aggressively in the forward echelons of care, but no practical solution exists to accomplish such treatment. The enormous energy burden for this task requires maximal thermodynamic efficiency for a practical portable solution. This review article presents an overview of the clinical and thermodynamic challenges related to the development of a successful system for treatment of hypothermia in the forward echelons. Specific issues addressed include (1) the clinical and logistical reasons why thermal resuscitation should be attempted at all in such a difficult environment, (2) the thermodynamic reasons why warm intravenous fluids, although helpful in not worsening hypothermia, cannot safely transmit enough energy to treat established hypothermia, (3) which among the various methods of rewarming are most likely to result in successful therapy, and (4) the energetic considerations that dictate that any practical portable solution to the treatment of hypothermia must use hydrocarbon combustion as the source of heat.
journal_name
Mil Medjournal_title
Military medicineauthors
Gill BS,Cox CS Jrdoi
10.7205/milmed.173.8.743subject
Has Abstractpub_date
2008-08-01 00:00:00pages
743-8issue
8eissn
0026-4075issn
1930-613Xjournal_volume
173pub_type
杂志文章,评审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::Ethylene glycol is an inexpensive, readily available substance that may be associated with accidental or intentional toxicity. Toxicity from this substance may be encountered in the military and civilian populations. Because it is highly toxic and can result in death if not treated appropriately, it is imperative to r...
journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2004-08-01 00:00:00
abstract::In December 1913, a board of medical officers was appointed to adapt new U.S. Army equipment to the needs of the Hospital Corps. One of the improvements concerned substitution of the satchel-like Hospital Corps pouch used to carry first aid equipment. A waist belt with 10 pockets, known as the medical belt, was devise...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/MILMED-D-15-00390
更新日期:2016-10-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.3.220
更新日期:2006-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.7205/milmed.171.1.80
更新日期:2006-01-01 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
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract:OBJECTIVE:Problematic anger is a significant clinical issue in military personnel, and is further complicated by comorbid post-traumatic stress disorder (PTSD). Despite increasing numbers of military personnel returning from deployment with anger and aggression difficulties, the treatment of problematic anger has recei...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx115
更新日期:2018-09-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2004-10-01 00:00:00
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journal_title:Military medicine
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更新日期:2005-08-01 00:00:00
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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
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00027
更新日期:2010-11-01 00:00:00
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pub_type: 杂志文章,多中心研究
doi:10.1093/milmed/usz201
更新日期:2020-01-07 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.1.83
更新日期:2005-01-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-17-00054
更新日期:2017-07-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2018-03-01 00:00:00
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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
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journal_title:Military medicine
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2004-02-01 00:00:00
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更新日期:2005-06-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-11-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
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