Abstract：
:This article considers two historical military casualties in the context of present day Advanced Trauma Life Support (ATLS) teaching. The death of Admiral Lord Nelson, Royal Navy, at the Battle of Trafalgar in 1805 has been well documented while that of Lieutenant Luke, an American aviator, U.S. Army Air Service, in France in 1918 has been almost disregarded. Both suffered a gunshot wound to the chest with the responsible weapon similarly sited. Nelson's dying was witnessed and recorded in detail by his surgeon. Luke's death was unwitnessed and has been the subject of considerable speculation. A recent monograph removes much of this speculation but cannot describe his last few minutes of life. This article describes both events and considers the mechanism of injury. It presents speculative radiological reconstructions and an outline of emergency management according to ATLS for both and further clinical speculation on Luke's demise.
journal_name
Mil Medjournal_title
Military medicineauthors
Bridgewater FHdoi
10.7205/milmed-d-09-00261subject
Has Abstractpub_date
2010-11-01 00:00:00pages
827-34issue
11eissn
0026-4075issn
1930-613Xjournal_volume
175pub_type
传,历史文章,杂志文章abstract：:The basic premise of symptom validity tests (SVTs) is that appropriate effort can be assessed because the designs of SVT measures are thought to be insensitive to all but the most extreme forms of impairment of memory. In patients with mild traumatic brain injury in particular, it is thought that failure on effort mea...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00168
更新日期：2011-12-01 00:00:00
abstract：:A systematic random sample of 962 dental records of soldiers in class 2 was reviewed by six general dentists and their estimates of periodontal and non-periodontal treatment time were recorded. The majority (88.9%) required some treatment. Periodontal treatment time ranged from 0 to 18 hours with a median and mode of ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-02-01 00:00:00
abstract：:This study examined predictors of smoking relapse in the year after the mandatory smoking ban during basic military training (BMT) in the U.S. Air Force. Participants were all smokers who completed BMT from August 1995 to August 1996 and relapsed to smoking in the subsequent year (N = 4,303). Results demonstrated that...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-11-01 00:00:00
abstract：:Gingival diseases are the most widely dispersed diseases in the United States. In some patients, periodontal disease appears in a generalized form, but more often it appears in localized areas. Furthermore, after treatment with scaling and root planing in generalized cases, the disease is often reduced to a few local ...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：2001-11-01 00:00:00
abstract：:Adherence to the Maximal Allowable Weight (MAW) standards established by regulation can be difficult for many active duty personnel. We have discovered some members of this group utilizing the potentially dangerous rapid weight loss methods that are commonly seen in patients with bulimia and anorexia nervosa. Two case...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-12-01 00:00:00
abstract：:Operation Desert Shield/Storm provided an opportunity to evaluate current medical assets and doctrine in support of Army air-land battle operations. The missions assigned to a medical company (clearing) during Operation Desert Shield/Storm demonstrated the value of the area support medical battalion as authorized unde...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：INTRODUCTION:Anorectal diseases, among the most common surgical conditions, are underrepresented in medical training. The Fundamentals of Anorectal Technical Skills course was developed to provide cost-effective formal training in diagnosis of common anorectal conditions and in commonly performed anorectal procedures u...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa070
更新日期：2020-09-18 00:00:00
abstract：:Post-conflict hospitalization rates of active duty Marines deployed to the Persian Gulf War were compared with hospitalization rates of similar Marine Corps units returning from the Vietnam conflict. The aggregated Gulf War units exhibited lower hospitalization rates than their Vietnam counterparts. Examined separatel...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-07-01 00:00:00
abstract：:In a deployment setting, orthopedic and musculoskeletal injuries represent the majority of both combat-related and noncombat-related injuries. To expeditiously and efficiently manage the large influx of patients, our experience revealed the tremendous benefits of having physical therapy colocated with an orthopedic su...
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
abstract：:This article reports preliminary data on trauma and post-traumatic stress disorder (PTSD) prevalence, as well as test psychometrics, among 35 cognitively intact veterans residing in long-term care settings. Participants received a traumatic event screening, the Mini-Mental Status Examination, Combat Exposure Scale (CE...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.10.862
更新日期：2005-10-01 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 regulatory aspects of generic drug substitution and the scientific concepts that serve as the basis for generic drug approval are discussed, with emphasis on the source of therapeutic equivalence information compiled by the Food and Drug Administration in Approved Drug Products with Therapeutic Equivalence Evaluat...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
abstract：:Since the 1960s there have been concerted efforts to initiate, develop, and promulgate quality assurance policies and protocols in healthcare facilities in the United States. These activities were spurred mainly by the Joint Commission on Accreditation of Healthcare Organizations, which ensures that hospitals monitor ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-06-01 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：INTRODUCTION:Since January 2002, pre-deployment training of forward resuscitative and surgical units has taken place at the U.S. Army Trauma Training Center (ATTC) in Miami, FL. In June 2019, the 240th Forward Resuscitative Surgical Team (FRST) conducted the first pre-deployment Surgical Readiness Training Exercise (SU...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa545
更新日期：2021-01-27 00:00:00
abstract：OBJECTIVE:To determine the clinical outcomes of an aggressive combined cooling technique for exertional heatstroke in Thailand. METHODS:We analyzed patients who were diagnosed with exertional heatstroke between 1995 and 2007. Outcomes were assessed both in hospital and at 3 months follow-up. RESULTS:Twenty-eight case...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-02-5908
更新日期：2009-05-01 00:00:00
abstract：:Prior to recent advances in the field of molecular biology, prenatal diagnosis of hemoglobinopathies was accomplished by direct analysis of the gene product(s) in samples obtained by fetoscopy or, more recently, percutaneous umbilical blood sampling. The use of the polymerase chain reaction enables quicker diagnosis t...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-12-01 00:00:00
abstract：Introduction:Smallpox, or vaccinia, has been eradicated worldwide as a disease; however, it may be weaponized and is thus a required immunization when military members deploy to certain parts of the world. Materials and Methods:We report two unusual cases of genital autoinoculation following smallpox vaccination. Res...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx089
更新日期：2018-05-01 00:00:00
abstract：INTRODUCTION:Deployment-related mild traumatic brain injury (mTBI) affects a significant proportion of those who served in Post-9/11 combat operations. The prevalence of head injuries, including those that lead to mTBI, is often reported quantitatively. However, service member (SM) and Veteran firsthand accounts of the...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa308
更新日期：2021-01-25 00:00:00
abstract：OBJECTIVES:Endotracheal intubation (ETI) is an important skill for all emergency providers; our ability to train and assess our learners is integral to providing optimal patient care. The primary aim of this study was to assess the inter-rater reliability (IRR) and discriminant validity of a novel field ETI assessment ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00570
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVE:To assess the impact of relaxed asthma recruitment standards adopted by the Australian Defence Force in 2007. METHODS:A retrospective audit was conducted on clinical and administrative data for recruits, with and without mild asthma, in their first year of service. RESULTS:There was no evidence that mild as...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00009
更新日期：2014-11-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1987-02-01 00:00:00
abstract：:One of the goals of the 1999 International Conference on Low-Level Radiation Injury and Medical Countermeasures was to review current and anticipated capabilities for measuring the quantity and quality of radiation exposures using personal dosimetry systems, fieldable spectroscopy equipment, and modeling strategies. T...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-02-01 00:00:00
abstract：INTRODUCTION:Baseline symptom, balance, and neurocognitive scores have become an integral piece of the concussion management process. Factors such as sleep, learning disorders, fitness level, and sex have been linked to differences in performance on baseline assessments; however, it is unclear how tobacco use may affec...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz352
更新日期：2020-03-02 00:00:00
abstract：:Routine military deployments place great stress on military families. Before South African soldiers can be deployed, they undergo a comprehensive health assessment, which includes a social work assessment. The assessment focuses on the resilience of the family system to estimate how well the family will cope when expo...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.5.480
更新日期：2008-05-01 00:00:00
abstract：INTRODUCTION:Veterans with mental illness tend to have shorter life spans and suboptimal physical health because of a variety of factors. These factors include poor nutrition, being overweight, and smoking cigarettes. Nonphysical contributors that may affect quality of life are the stigma associated with mental illness...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00405
更新日期：2017-09-01 00:00:00
abstract：:Telemedicine, an emerging technology which seeks to use advanced telecommunications equipment to enhance medical care, is progressing rapidly in the Department of Defense health care delivery system. This paper recommends that a cautious, preventive law approach be simultaneously initiated to ensure that the technolog...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-05-01 00:00:00
abstract：:A 26-year-old pregnant female was treated for an intralobar sequestration presenting as exsanguinating hemoptysis. The case brings forth strong evidence supporting an acquired rather than a congenital cause of some intralobar sequestrations. We discuss the anatomy, epidemiology, and pathogenesis of bronchopulmonary se...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：:During Operation Desert Shield/Storm, it was necessary to activate and deploy a large number of U.S. Army Reserve and National Guard medical units to augment the active Army health care treatment capability. In addition, a significant number of active Army physicians, nurses, dentists, and other health care providers ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-03-01 00:00:00
abstract：:Twenty-four pilots (age 20-32 years) were monitored with a Holter monitor during 26 hours including a high-Gz flight in order to evaluate heart rate (HR) and cardiac rhythm. Flight experience did not predict the mean in-flight HR (range 69-121 beats/minute), which decreased with increasing age and correlated to the ma...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-07-01 00:00:00
