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 wear and tear patterns, effectiveness rates, and associations among device designs. RESULTS:The 159 devices recovered comprised seven designs. Emergency & Military Tourniquet (92%) and Combat Application Tourniquet (79%) effectiveness rates were significantly different from each other and better than other tourniquets (p < 0.002) as the most effective ambulance and field tourniquets, respectively. Designs had specific pitfalls (e.g., sand-clogged ratchets) and strengths (the pneumatic design was least painful). Every device had wear, abrasions, or deformity about the band edges or bladder. User understanding of how devices work best helped attain better results. Some desirable traits (e.g., one-handed application, use for entrapped limbs) were rarely needed. Tourniquets fit casualty limbs well. CONCLUSIONS:Correct user actions (e.g., following the instructions to remove slack before twisting) led to device effectiveness, but misuse did not. Users often assumed that optimal use required more force, but this was associated with misuse. Training should include tourniquet pearls and pitfalls.
journal_name
Mil Medjournal_title
Military medicineauthors
Kragh JF Jr,O'Neill ML,Walters TJ,Dubick MA,Baer DG,Wade CE,Holcomb JB,Blackbourne LHdoi
10.7205/milmed-d-11-00114subject
Has Abstractpub_date
2011-10-01 00:00:00pages
1144-52issue
10eissn
0026-4075issn
1930-613Xjournal_volume
176pub_type
杂志文章abstract：:The use of the pneumococcal 7-valent conjugate vaccine (PCV7 [Prevnar], Wyeth Lederle Vaccines), and the impact it is likely to have on pneumococcal disease are reviewed. Pneumococcal disease in infants and young children is a major health care burden, and the increase in antibiotic resistance among pneumococci has co...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：2002-08-01 00:00:00
abstract：BACKGROUND:Superficial fungal foot infection is one of the most important dermatological diseases currently affecting military personnel. Many Thai naval rating cadets are found to suffer from superficial fungal foot infections and their sequels. OBJECTIVE:To investigate prevalence, potent risk factors, responding pat...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx187
更新日期：2018-09-01 00:00:00
abstract：INTRODUCTION:Genital human papillomavirus (HPV) is the most common sexually transmitted infection in the United States. The Center for Disease Control Advisory Committee on Immunization Practices (ACIP) has recognized the potential benefits of immunizing young men beginning at age 11 or 12 years and continuing through ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz403
更新日期：2020-06-08 00:00:00
abstract：OBJECTIVE:To describe the demographic characteristics and postwar health status of U.S. Gulf War veterans who participated in the Department of Veterans Affairs health examination registry program. DESIGN:Case records of 52,835 veterans who participated in a standardized health examination program were reviewed. SETT...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-05-01 00:00:00
abstract：:Laser in situ keratomileusis (LASIK) has become the community standard in corneal refractive surgery and is being performed by surgeons in the Army, Navy, and Air Force. LASIK differs from photorefractive keratectomy (PRK) in that a partial-thickness corneal flap is created in the LASIK procedure before removing a mic...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.4.334
更新日期：2004-04-01 00:00:00
abstract：:Arterial thromboembolic events are not common after chemotherapy. We present a case of a cerebrovascular accident, which developed after chemotherapy in a patient with a germ cell tumor. A 34-year-old man with a testicular germ cell tumor who did not have any comorbid disease was admitted to hospital. After a radical ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-01-3508
更新日期：2009-03-01 00:00:00
abstract：:Rapid user-friendly ABO-Rh blood typing kits (Eldon Home Kit 2511, ABO-Rh Combination Blood Typing Experiment Kit) were evaluated to determine their accuracy when used under simulated military field conditions and after long-term storage at various temperatures and humidities. Rates of positive tests between control g...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00339
更新日期：2011-04-01 00:00:00
abstract：INTRODUCTION:The development of methods that generate individualized assessments of the procoagulant potential of burn patients could improve their treatment. Beyond its role as an essential intermediate in the formation of thrombin, factor (F)Xa has systemic effects as an agonist to inflammatory processes. In this stu...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy397
更新日期：2019-03-01 00:00:00
abstract：:The Farnsworth Lantern (FALANT) is the definitive color vision test for the Navy, Marine Corps, and Coast Guard. It is also the definitive color vision test for aviation personnel in the Army. Results from it are also accepted by the Federal Aviation Administration. For various reasons, it is desirable to have an alte...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-12-01 00:00:00
abstract：INTRODUCTION:The purpose of this evaluation was to determine the effectiveness of the clinical nurse transition program (CNTP) for newly commissioned Army nurses. This is one of the first evaluations conducted to document the outcomes of the Army Nurse Corps (ANC) transition-to practice residency program. MATERIALS AN...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz108
更新日期：2019-12-01 00:00:00
abstract：:In a 2-year retrospective study, suicide prevention efforts produced a significant reduction in suicide attempts at a U.S. Navy training command. Evidence was presented that suicide prevention may be a more pressing issue at training commands than operational commands. The approach described here focused on instructor...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1990-04-01 00:00:00
abstract：:A retrospective audit of 17,028 emergency charts at USAF Medical Center, Scott was performed over two time periods to compare patient waiting times and selected quality assurance parameters with two methods of physician staffing. Phase 1 consisted of 4 months when the Emergency Department (ED) was manned with five phy...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：:This study investigated influences on physical fitness improvement among Navy remedial exercise program participants. Subjects were 27 Navy personnel who had failed to pass the body composition, aerobic fitness, or curl-up portion of the semiannual physical readiness test. The remedial exercise program consisted of th...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-06-01 00:00:00
abstract：:Clonidine is a central alpha-2 agonist well known to produce a syndrome of bradycardia and hypotension in overdose. However, few examples of overt clinical clonidine toxicity secondary to cutaneous absorption have been reported. We report a case of unintentional systemic clonidine toxicity in an adult because of a com...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa284
更新日期：2020-10-02 00:00:00
abstract：:The Military Health Services System is undergoing tremendous changes paralleling those seen in the civilian health care system. Many of the same problems and frustrations are being encountered in the military as it builds TRICARE, one of the largest managed care systems in the country. This paper describes how a team ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-10-01 00:00:00
abstract：INTRODUCTION:Combat deployment is associated with mental and physical health disorders and functional impairment. Mental health (MH) diagnoses such as adjustment and anxiety disorders have received little research attention but may reflect important postdeployment sequelae. The purpose of this study was to investigate ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa301
更新日期：2021-01-25 00:00:00
abstract：:Hepatitis B (HBV) markers were studied in 710 subjects who had been on active duty for over 6 months in the Italian Armed Forces. The prevalence of HBsAg carriers was found to be 4.4%, while 31.6% of the subjects were positive for various HBV antibodies. A total of 137 subjects were vaccinated with an anti-HBV vaccine...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-12-01 00:00:00
abstract：Background:Return to play and risk factors for functional limitations have been widely reported among athletes following anterior cruciate ligament reconstruction (ACLR) but has not been well studied in the military population. Methods:We conducted a retrospective review of all active duty service members who underwen...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx007
更新日期：2018-01-01 00:00:00
abstract：:A self-administered questionnaire was developed to assess the prevalence of urinary incontinence among active duty female soldiers. The questionnaire also addressed basic demographic information, including height, age, weight, and the subjects' present and past military activities. Adaptive measures that the soldiers ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-03-01 00:00:00
abstract：:Chyle leaks are a rare but potentially fatal complication of head and neck surgery carrying an incidence as high as 8.3%. The development of a chyle leak carries significant morbidity ranging from delayed wound healing to oropharyngeal fistulas. Presented here is a case of a chyle leak that developed following a left ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00240
更新日期：2016-09-01 00:00:00
abstract：Objectives:Greater serum levels and dietary intake of vitamin D have been inversely associated with the risk of multiple cancers including colon cancer. Most colorectal cancers are thought to arise from adenomatous polyps, which become dysplastic under the influence of numerous factors. Prospective data are needed to d...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx152
更新日期：2018-03-01 00:00:00
abstract：:The rate of war-related amputations in current U.S. military personnel is now twice that experienced by military personnel in previous wars. We reviewed the literature for health outcomes following war-related amputations and 17 studies were retrieved with evidence that (a) amputees are at a significant risk for devel...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-00-0608
更新日期：2009-06-01 00:00:00
abstract：:Recent advances in the learning sciences offer remarkable potential to improve medical education and maximize the benefits of emerging medical technologies. This article describes 2 major innovation areas in the learning sciences that apply to simulation and other aspects of medical learning: Perceptual learning (PL) ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00218
更新日期：2013-10-01 00:00:00
abstract：:In order to assess the reasons for high referral rates to secondary medical care services in the Israel Defence Force-Medical Corps, we conducted a study in which 28 physicians in five primary care clinics took part. Seven hundred thirty-seven patients were referred to specialists. The referral reasons were learned fr...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-08-01 00:00:00
abstract：OBJECTIVES:Many work to ensure that women veterans receive appropriate and timely health care, yet the needs of those living in rural areas are often ignored. This is a critical oversight given the multitude of reports documenting rural access problems and health disparities. Lacking this, we are unable to plan for and...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00367
更新日期：2016-09-01 00:00:00
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 ...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed.173.8.743
更新日期：2008-08-01 00:00:00
abstract：:This is a case report of a patient who prematurely terminated two previous magnetic resonance imaging procedures because of his highly claustrophobic condition. The patient was induced into a hypnotic trance twice before his third magnetic resonance imaging examination and he was given posthypnotic suggestions for dec...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-01-01 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：:A random clinical trial was performed to determine the immediate effects of early ankle mobilization on active duty military members with moderate and severe lateral ankle sprains. Sixty-four subjects were randomly allocated to one of three treatments: a plaster cast, an air-stirrup (Aircast Inc., Summit, New Jersey),...
journal_title：Military medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1994-01-01 00:00:00
abstract：:Adjustment disorder is a maladaptive response to a stressor that causes functional impairment. The contribution of deployment stress on the diagnosis and treatment of adjustment disorder has not been previously explored. Despite the high cost and commonality of adjustment disorder as a behavioral health condition diag...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-12-00057
更新日期：2012-09-01 00:00:00
