Abstract:
:The Wars in Afghanistan and Iraq witnessed the first widespread use of U.S. Army Forward Surgical Teams (FSTs). Although doctrinally designed to support maneuver brigades in a linear front conflict, FSTs were quickly adapted to fulfill area support and special operation support missions as part of Operation Enduring Freedom and Operation Iraqi Freedom. FST's were also split to cover a greater area in both theaters. We now report further adaptation of the split FST role to meet the unique requirements encountered during the final phase of Operation New Dawn. Maintaining resuscitative surgical capabilities for U.S. Forces withdrawing under combat conditions required changes in techniques, tactics, and procedures. We describe our experience within three different scenarios in which elements of an FST were successfully employed and discuss operational planning considerations.
journal_name
Mil Medjournal_title
Military medicineauthors
Counihan TC,Danielson PDdoi
10.7205/milmed-d-12-00137subject
Has Abstractpub_date
2012-11-01 00:00:00pages
1267-71issue
11eissn
0026-4075issn
1930-613Xjournal_volume
177pub_type
杂志文章,评审abstract::Ankle-arm index (AAI) and pulse volume recording (PVR) are commonly used in the early postoperative period to measure the outcome after lower-extremity revascularization. They are also used in addition to duplex scan for long-term follow-up of these patients. We noticed that in some patients the AAI and/or PVR after r...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract::Segmental bony defects in open fractures of the tibia are bridged with bone grafting, free vascularized fibular grafts, or an external ring fixator. A 33-year-old man sustained a gunshot injury to his left leg, resulting in Gustillo type IIIB open fractures of the tibia and fibula. The tibia had a segmental massive de...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.5.418
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVE:Intubation is a difficult skill under normal circumstances and more so with a limited visual field such as wearing a protective mask in a chemical or biological incident. This study sought to determine whether successful intubation using the intubating laryngeal mask airway (ILMA) under protective mask condit...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::Suicide, as one of the greatest problems of maladjustment to the military environment, has been a subject of investigation in the Army of Serbia and Montenegro (former Yugoslav Army) for more than six decades. The Suicide Prevention Program was implemented in December 2003. The aim of the study was to follow-up the ap...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.5.551
更新日期:2007-05-01 00:00:00
abstract:Introduction:In 2013, the U.S. Army Surgeon General implemented the Performance Triad (P3), an educational initiative to improve health-related behaviors of soldiers throughout the U.S. Army. The components of P3 are Sleep, Activity, and Nutrition with tenet behaviors for each component. This study reports the results ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy059
更新日期:2018-11-01 00:00:00
abstract:INTRODUCTION:Military personnel must remain physically active to meet operational requirements. Military physical training not only provides the performance capabilities required for performing occupational tasks but also fosters the development of sport. Thus, Armed Forces across the world have historically invested i...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz003
更新日期:2019-12-01 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::Adolescent pregnancy is a significant public health problem in the United States, but little is known about this condition in military-affiliated populations. This article reviews what is known about adolescent pregnancy among (1) dependent children of active duty and retired personnel and (2) active duty military per...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.173.7.658
更新日期:2008-07-01 00:00:00
abstract::Our purpose was to demonstrate the consistency of radiologists' three-dimensional measurements of simulated blast fragment locations in vitro in an effort to objectively localize retained fragments and wound paths. We designed a phantom consisting of 10 nail heads (simulating blast fragments) glued to wooden pegs that...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00058
更新日期:2011-11-01 00:00:00
abstract::These tests were conducted to develop a database that could be used to assess risks to soldiers from exposure to aerosolized metallic particulates when the crew compartment of an Abrams tank is perforated by a kinetic energy penetrator. Quantitative data are reported for aerosols produced by kinetic energy penetrators...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.4.393
更新日期:2007-04-01 00:00:00
abstract::A mathematical model revealing the relationships between bed capacity, average patient admission rate, average patient length of stay, utilization rate, and overfill rate in intensive care units is developed and explained. Mathematical model predictions are compared to predictions of two kinds of discrete event intens...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-05-01 00:00:00
abstract::Questionnaires were sent to directors of the 118 oral and maxillofacial surgery training programs in the United States and its territories to survey current trends and recent experience with maxillo-mandibular fixation (MMF). Eighty-eight percent of the respondents indicated that it was customary to keep wire cutters ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-05-01 00:00:00
abstract::In this study, patients with acute renal failure as a result of crush syndrome after the Marmara earthquake were evaluated retrospectively. Six hundred thirty injured patients were evaluated after the Marmara earthquake at Gülhane Military Medical Academy. Acute renal failure in association with crush syndrome develop...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00
abstract::Non-cardiogenic pulmonary edema (NCPE) is a rare entity manifested by pulmonary edema with normal pulmonary arterial pressures. NCPE has been described in children and recently reported in adults. Onset is rapid and late recognition or inappropriate treatment may lead to a fatal outcome. Most adult cases have been att...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract::From 1976 to 1993 we inserted 160 chronic peritoneal dialysis catheters for renal failure patients. Three of these patients developed sudden onset of penile and scrotal edema after the catheter had been in place for several months. The first patient was diagnosed by instilling technetium sulfur colloid in the peritone...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-11-01 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:OBJECTIVES:A prenatal vitamin supplementation program for female basic military trainees at Joint Base San Antonio-Lackland was initiated in June 2012 with the goals of decreasing attrition and improving performance. This project examined whether supplementation influences attrition rates, incidence of stress fractures...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00258
更新日期:2015-05-01 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 Israel Defense Forces (IDF) Medical Corps provides medical services-routine and emergency--to all IDF personnel (conscripts, career personnel, and reservists). Despite the fact that there are no differences in prevalence of disease in the IDF compared with the civil sector, health consumer appraisal, in the milita...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.4.282
更新日期:2004-04-01 00:00:00
abstract::The modern military battlefields are characterized by the use of nonconventional weapons such as encountered in the conflicts of the Gulf War I and Gulf War II. Recent warfare in Iraq, Afghanistan, and the Balkans has introduced radioactive weapons to the modern war zone scenarios. This presents the military medicine ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00256
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Post-traumatic stress disorder (PTSD) is one of the more commonly occurring mental disorders following potentially traumatizing events soldiers may encounter when deployed abroad. One of the first-line recommended treatment options is eye movement desensitization and reprocessing (EMDR). The number of studie...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00307
更新日期:2017-05-01 00:00:00
abstract::A new technique called osseointegration was introduced recently by intimately connecting the artificial limb prosthesis to the residual bone, eliminating the problematic socket-residuum interface. The objective here is to describe the two-stage strategy for the osseointegrated reconstruction of amputated limbs and dis...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx185
更新日期:2018-03-01 00:00:00
abstract:INTRODUCTION:Commercially available junctional tourniquets (JTQs) have several drawbacks. We developed a low-cost, compact, easy to apply JTQ. The aim of this study was to assess the tourniquets' safety and efficacy in a swine model of controlled hemorrhage. MATERIALS AND METHODS:Five pigs were subjected to controlled...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz351
更新日期:2020-01-07 00:00:00
abstract::Academic medical centers (AMCs) have traditionally symbolized technological advancements and specialization in patient care. AMCs are defined as institutions that include at a minimum a hospital and associated clinics and a medical education role. Today, these institutions face a transition to managed care and radical...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1999-08-01 00:00:00
abstract::Hymenoptera venom allergy accounts for approximately 17% of all cases of anaphylaxis. Insect stings are a common occurrence across the world, with significant impact on active duty personnel. Venom immunotherapy (VIT) provides an effective treatment for those with systemic reactions to insect stings and other similar ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00536
更新日期:2016-10-01 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::Few studies have measured combat exposure during deployment to a war zone. Valid, reliable, and specific measurement is needed to broaden existing knowledge of combat experiences to accurately answer clinically important questions regarding postcombat treatment and recovery, particularly with the recognition of new ki...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00223
更新日期:2013-04-01 00:00:00
abstract:INTRODUCTION:Ibuprofen is commonly used by warfighters in the deployed environment. This study investigated its dose effects on in vitro coagulation in human and pig blood. METHODS:Blood samples were collected from 6 normal volunteers and 6 healthy pigs and processed to make platelet-adjusted samples (100 × 10(3)/μL, ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00381
更新日期:2016-05-01 00:00:00
abstract::Vitamin D insufficiency remains a costly pandemic in veterans. Treatment requires achievement of desired 25-hydroxyvitamin D [25(OH)D] concentrations. The frequency with which 25(OH)D should be measured following treatment remains speculative. A retrospective analysis of veterans with vitamin D insufficiency was condu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00282
更新日期:2010-06-01 00:00:00
abstract::Presented is the first descriptive data on a large military Podiatry Clinic supporting largely combat troops. Data consist of initial podiatric problems of soldiers and other beneficiaries of podiatric care. Demographic, physician referral patterns, and other pertinent summarized survey information of outpatient utili...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00