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 electronically link deployed medical providers with subspecialty consultants to assist and guide triage and disposition. METHODS:Electronic consultation triggered a text page to an on-call staff cardiologist at Brooke Army Medical Center. Cardiology teleconsultations for the first 3.5 years were analyzed. RESULTS:Two hundred seven cardiology teleconsults were managed, with an average response time of 4 hours 54 minutes. The three most prevalent reasons for teleconsultation were electrocardiographic abnormalities, chest pain syndromes, and syncope. Six evacuations were avoided; 29 evacuations were facilitated. An estimated $144,000 was saved, plus intangible benefits. CONCLUSIONS:Cardiology teleconsultation provides a valuable service to deployed providers, decreases medical evacuation costs, and facilitates transfer of patients to appropriate facilities.
journal_name
Mil Medjournal_title
Military medicineauthors
Rand ER,Lappan CM,Lee JC,Furgerson JLdoi
10.7205/milmed-d-00-2309subject
Has Abstractpub_date
2009-11-01 00:00:00pages
1144-8issue
11eissn
0026-4075issn
1930-613Xjournal_volume
174pub_type
杂志文章abstract::Cluster headaches (CHs) are one of the most debilitating of all the identified headache syndromes. Their pathogenesis is poorly understood, which has made their treatment challenging. Various medicines and modalities have been put forth in an effort to minimize the symptoms, but none have proven to be consistently rel...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00713
更新日期:2015-10-01 00:00:00
abstract:INTRODUCTION:Having a mentor is associated with higher job satisfaction among U.S. physicians. The objective of this study was to assess satisfaction among military medical officers and to assess if mentorship and job satisfaction are associated with intention to continue military service. MATERIALS AND METHODS:This i...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz327
更新日期:2020-03-02 00:00:00
abstract:INTRODUCTION:Obstetric fistulae are a leading scourge for women in developing countries resulting, in severe individual suffering and devastating socio-economic repercussions for her family and community. The underlying causes of obstetric fistula stem from multiple factors to include poor nutrition, early marriage, in...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz172
更新日期:2020-02-12 00:00:00
abstract::A number of long-distance running events are held each year in the United States; the Army Ten Miler (ATM) is one such race held annually in Washington, DC. The purpose of the present study was to retrospectively analyze medical encounters for runners participating in the ATM from 1998 to 2004. Of the estimated 91,750...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00447
更新日期:2013-01-01 00:00:00
abstract::Military environmental survival training (EST) is designed and considered to evoke significant stressors to military personnel in preparation for combat-like scenarios. The aim of this study was to observe and report selected physiological, biochemical, psychological, and performance responses to this intense 15-day p...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00499
更新日期:2013-07-01 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::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:BACKGROUND:Tourniquets are issued to deployed members of both the United States (U.S. military and the Australian Defence Force (ADF). The ease of removing the tourniquet from the pocket of the combat uniform may influence its time to application. The ADF uniform uses buttons to secure the pocket, whereas the U.S. unif...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00028
更新日期:2016-08-01 00:00:00
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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
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-00-9509
更新日期:2009-10-01 00:00:00
abstract::This article describes, from the perspective of Project HOPE volunteers, the precedent-setting, military-civilian partnership in staffing the USNS Mercy as part of the rapid response of the United States to the overwhelming devastation and loss of life resulting from the tsunami off the coast of Indonesia. The article...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.1s.34
更新日期:2006-10-01 00:00:00
abstract::We report on a 22-year-old infantryman who sustained a right frontal wound to his head. He was treated and returned to duty immediately. During a computed tomography scan, 38 years after the incident, a metallic foreign body and disruption of the brain consistent with a projectile track were discovered in his brain. I...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-10-00323
更新日期:2011-02-01 00:00:00
abstract::The federal government is the largest single employer of clinically active physician assistants (PAs) in the United States, with > 3,000 PAs in 2008. PAs are present within the Departments of Defense, Veterans Affairs, Health and Human Services, Justice, and Homeland Security. Most are civil servants or hold a commiss...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.173.9.895
更新日期:2008-09-01 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::Using data from a nationally representative survey, we evaluated the prevalence of multiple risk factors known to predict increased health care utilization and adverse health outcomes, comparing U.S. men who rely solely on the Veterans Affairs Health Administration (VA) for health care to men in the general population...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.7.690
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:Bone and soft-tissue loss are common extremity injuries sustained in current military conflicts. Selected host national patients had their definitive orthopedic care performed at our combat support hospital. Soft-tissue reconstruction can be a challenging task in this environment. There are several situation...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2009-08-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-02-01 00:00:00
abstract::Data from 12 Department of Veterans Affairs patients hospitalized for status asthmaticus were analyzed to determine the rate and degree of response to therapy. The time to achieve recovery was directly related to the level of baseline obstruction at the time of hospital admission. The recovery rate was constant and co...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx192
更新日期:2018-09-01 00:00:00
abstract::The U.S. military was actively involved in humanitarian aid throughout the world for much of the 20th century and is likely to continue in this role well into the 21st century. During the recent Western Pacific Deployment, we were called on to provide assistance to the local population in East Timor in what is called ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.1.29
更新日期:2006-01-01 00:00:00
abstract::Damage control resuscitation (DCR) is a strategy for resuscitating patients from hemorrhagic shock to rapidly restore homeostasis. Efforts are focused on blood product transfusion with whole blood or component therapy closely approximating whole blood, limited use of crystalloid to avoid dilutional coagulopathy, hypot...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy112
更新日期:2018-09-01 00:00:00
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journal_title:Military medicine
pub_type: 传,历史文章,杂志文章
doi:10.7205/milmed-d-09-00261
更新日期:2010-11-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy401
更新日期:2019-07-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa251
更新日期:2020-09-10 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.1.100
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to report the device lessons learned from an emergency tourniquet program and, in particular, to emphasize analysis of discarded devices recovered after clinical use. METHODS:Discarded tourniquet devices were analyzed after use in emergency care of war casualties to determine wea...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00114
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:This study examined the prevalence and sources of occupational stress for military personnel and the relationship between work stress and emotional health in the military population. METHODS:Four hundred seventy-two active duty military personnel stationed at F. E. Warren Air Force Base completed a 65-item s...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:Cervical radiculopathy is a common disorder that portends significant morbidity. The presence of radiculopathy can have a debilitating effect on patients as well as a significant economic impact. Active duty military patients with increased physical occupational demands can be significantly impacted by cervi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00085
更新日期:2017-03-01 00:00:00
abstract:INTRODUCTION:The objective was to determine if the Mobile Device Outcomes-based Rehabilitation Program (MDORP) improved strength, mobility, and gait quality in service members (SMs) and Veterans with lower limb amputation (LLA). METHODS:Seven SMs and 10 Veterans with LLA enrolled and were trained to use a mobile senso...
journal_title:Military medicine
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
abstract::This article looks at the historical rationale behind the development of the healthcare administration structure currently used at Walter Reed Army Medical Center (WRAMC). This type of healthcare administration structure is unique to WRAMC and is not found in any other United States Army Medical Department healthcare ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00