Abstract：
:Pain management is vitally important to injured patients being evacuated from the warzone. A prospective assessment of real-time ratings of pain acceptability, intensity, and satisfaction of a convenience sample of 114 less severely ill and injured U.S. military patients being evacuated on Aeromedical Evacuation (AE) missions from Ramstein Air Field, Germany, to Andrews Air Force Base, Maryland, was conducted. Data were collected before and during 12 AE flights in December 2012 and May 2013. Acceptable pain intensity was a median of 6/10 (range 2-9), with 76% of patients indicating an acceptable pain intensity greater than 4. During AE transport, 75% of patients reported at least one pain score≥4. Despite these high pain ratings, there was documentation of administration for only 58% of routine and 48% for as-needed analgesics/adjuvants. Over 47% of patients experienced pain that exceeded their acceptable intensity level, but of those patients with pain that was more severe than acceptable, only 10% rated their satisfaction with their pain management as poor or fair. This is the first study to provide real-time concurrent assessment of pain and pain management during en route care. The worst pain was reported for the hospital to aircraft arrival, suggesting the need for interventions to safely optimize pain management during this handoff period.
journal_name
Mil Medjournal_title
Military medicineauthors
Bridges E,Dukes S,Serres Jdoi
10.7205/MILMED-D-14-00407subject
Has Abstractpub_date
2015-03-01 00:00:00pages
44-9issue
3 Suppleissn
0026-4075issn
1930-613Xjournal_volume
180pub_type
杂志文章abstract：:Tuberculous spondylitis (Pott's disease) is an uncommon complication of Mycobacterium tuberculosis infection that may have serious consequences if the diagnosis is missed or delayed. A case of tuberculous spondylitis in a military dependent is presented. Clinical presentation, radiologic findings, laboratory findings,...
journal_title：Military medicine
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doi：
更新日期：1994-03-01 00:00:00
abstract：INTRODUCTION:This article presents an emerging capability to project damage control procedures far forward for situations where evacuation to a formal surgical team is delayed. Specifically, we demonstrate the plausibility of using a wearable augmented reality (AR) telestration device to guide a nonsurgeon through a da...
journal_title：Military medicine
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abstract：:Studies have shown that 21% to 51% of African-American women (AAW) reported breastfeeding, lagging behind Caucasian (61%-71%) and Hispanic (67%-71%) women despite breastfeeding's health benefits. This study aimed to assess AAWs "intent" to breastfeed and describe the relationship among knowledge, age, education, parit...
journal_title：Military medicine
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abstract：:Four cases of splenic infarction/sequestration in sickle cell trait (SCT) patients are presented. All four patients were undergoing moderate exercise at elevations ranging from 5,500 to 12,000 feet. The patients include two African-American males, a Hispanic male, and a white female. All four presented with the acute ...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1999-03-01 00:00:00
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journal_title：Military medicine
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journal_title：Military medicine
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doi：
更新日期：1995-04-01 00:00:00
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journal_title：Military medicine
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doi：
更新日期：1993-06-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.2.146
更新日期：2008-02-01 00:00:00
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journal_title：Military medicine
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doi：
更新日期：1993-04-01 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：2020-06-08 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa499
更新日期：2021-01-25 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00292
更新日期：2015-01-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章,多中心研究
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更新日期：2007-02-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00361
更新日期：2014-05-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.12.1069
更新日期：2005-12-01 00:00:00
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journal_title：Military medicine
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doi：10.7205/MILMED-D-15-00228
更新日期：2016-07-01 00:00:00
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journal_title：Military medicine
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doi：
更新日期：1997-03-01 00:00:00
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更新日期：2017-09-01 00:00:00
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journal_title：Military medicine
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更新日期：2008-12-01 00:00:00
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journal_title：Military medicine
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doi：10.7205/milmed.172.10.1084
更新日期：2007-10-01 00:00:00
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journal_title：Military medicine
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doi：
更新日期：1993-10-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章,评审
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更新日期：2016-06-01 00:00:00
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journal_title：Military medicine
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更新日期：2020-09-18 00:00:00
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journal_title：Military medicine
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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：
更新日期：1997-10-01 00:00:00
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journal_title：Military medicine
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更新日期：2019-10-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-10-01 00:00:00
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更新日期：2006-03-01 00:00:00
