Case study illustrating risks of garrison unit watch for soldiers at risk of suicide.

Abstract:

:Unit watch over suicidal patients by nonmedical soldiers is often necessary in a deployed environment, but this strategy's risks may outweigh its benefits in a garrison environment. This case study illustrates risks of unit watches that are difficult for medical personnel to effectively mitigate. The suicidal soldier in question was placed on a unit watch in lieu of psychiatric hospitalization, utilizing a plan agreed upon by all parties. However, within 2 days, the plan had degenerated to an unacceptable degree. A commander is always legally responsible for subordinate soldiers' conduct, but from a patient safety perspective, medical professionals must account for the inevitable periods of decreased oversight within a unit. Medical professionals who recommend a unit watch must consider the risks associated with this course of action, including instances such as the error chain detailed in this case.

journal_name

Mil Med

journal_title

Military medicine

authors

Brown CS,Sheridan RJ Jr

doi

10.7205/MILMED-D-14-00519

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

e721-2

issue

6

eissn

0026-4075

issn

1930-613X

journal_volume

180

pub_type

杂志文章
  • Civilian versus military trauma dogma: who do you trust?

    abstract::Combat trauma differs from its peacetime counterpart by involving a different spectrum of injuries, occurring in austere environments, dealing with mass casualties, and embodying inherent treatment delays. Thus, civilian trauma practices may be inappropriate in certain combat settings. A review of historical as well a...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Wiedeman JE,Rignault DP

    更新日期:1999-04-01 00:00:00

  • Heart rate and cardiac arrhythmia during high-Gz flight.

    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:

    authors: Skyttä J,Karjalainen J,Aho J,Laitinen LA,Lindqvist A

    更新日期:1994-07-01 00:00:00

  • Characterization of Protection Mechanisms to Blast Overpressure for Personal Hearing Protection Devices - Biomechanical Measurement and Computational Modeling.

    abstract::Hearing damage induced by blast exposure is a common injury in military personnel involved in most operation activities. Personal hearing protection devices such as earplugs come as a standard issue for Service members; however, it is not clear how to accurately evaluate the protection mechanisms of different hearing ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy299

    authors: Gan RZ,Leckness K,Smith K,Ji XD

    更新日期:2019-03-01 00:00:00

  • Analysis of injuries from the Army Ten Miler: A 6-year retrospective review.

    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

    authors: Pasquina PF,Griffin SC,Anderson-Barnes VC,Tsao JW,O'Connor FG

    更新日期:2013-01-01 00:00:00

  • N-Acetyl-L-Cysteine Reduces Fibrosis and Improves Muscle Function After Acute Compartment Syndrome Injury.

    abstract:INTRODUCTION:Upon injury, skeletal muscle undergoes a multiphase process beginning with degeneration of the damaged tissue, which is accompanied by inflammation and finally regeneration. One consequence of an injured microenvironment is excessive production of reactive oxygen species, which results in attenuated regene...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz232

    authors: Yosef B,Zhou Y,Mouschouris K,Poteracki J,Soker S,Criswell T

    更新日期:2020-01-07 00:00:00

  • Fundamentals of Anorectal Technical Skills: A Concise Surgical Skills Course.

    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

    authors: Kucera WB,Nealeigh MD,Dyke C,Ritter EM,Artino AR,Durning SJ,Sweeney WB

    更新日期:2020-09-18 00:00:00

  • Occult inguinal hernia, a cause of rapid onset of penile and scrotal edema in patients on chronic peritoneal dialysis.

    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:

    authors: Deshmukh N,Kjellberg SI,Shaw PM

    更新日期:1995-11-01 00:00:00

  • An analysis of shoulder outcomes scores in 275 consecutive patients: disease-specific correlation across multiple shoulder conditions.

    abstract:OBJECTIVES:To determine the outcomes scores of military patients who initially present with a variety of shoulder conditions, identify which scores demonstrate the highest correlation per diagnosis, and determine if a difference exists for patients who went onto surgery. METHODS:Two-hundred and seventy five consecutiv...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-11-00234

    authors: Provencher MT,Frank RM,Macian D,Dewing CB,Ghodadra NS,Carney J,LeClere L,Solomon DJ

    更新日期:2012-08-01 00:00:00

  • Are 25-hydroxyvitamin D levels adequately monitored following evidence of vitamin D insufficiency in veterans?

    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

    authors: Peiris AN,Bailey BA,Manning T,Adebonojo L

    更新日期:2010-06-01 00:00:00

  • Dengue among United Nations mission in Haiti personnel, 1995: implications for preventive medicine.

    abstract::The incidence of dengue infections has been increasing in the Caribbean, and cases have been identified among successive deployments of multinational peacekeepers to Haiti (1994-1997). In the absence of an effective vaccine or chemoprophylaxis to prevent dengue fever, vector-control operations and use of personal prot...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Gambel JM,Drabick JJ,Swalko MA,Henchal EA,Rossi CA,Martinez-Lopez L

    更新日期:1999-04-01 00:00:00

  • Overview of outcome data of potential meditation training for soldier resilience.

    abstract::In order to identify potential training to enhance comprehensive soldier fitness, this analysis searched MEDLINE via PubMed and elsewhere for 33 reasonably significant modalities, screening over 11,500 articles for relevance regarding soldier resilience. Evaluation of modalities that are exclusively educational or cog...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:10.7205/milmed-d-11-00067

    authors: Rees B

    更新日期:2011-11-01 00:00:00

  • Ethical concerns for physicians deployed to Operation Desert Storm.

    abstract::A survey of 600 Army and Navy physicians deployed to the Persian Gulf during Operation Desert Storm was conducted to ascertain their concerns pertaining to the ethics of combat medicine and note any similarities with common ethical concerns in the peacetime practice of medicine. Despite expressed familiarity with the ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Carter BS

    更新日期:1994-01-01 00:00:00

  • An Exploratory Analysis of Self-Reported Protective Factors against Self-Harm in an Enrolled Veteran General Mental Health Population.

    abstract:INTRODUCTION:The purpose of this study is to characterize self-reported protective factors against suicide or self-harm within free-response comments from a harm-risk screening. MATERIALS AND METHODS:Veterans enrolled in Department of Veterans Affairs mental health care were administered a self-harm and suicide screen...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz111

    authors: Williamson AK,Riendeau RP,Stolzmann K,Silverman AF,Kim B,Miller CJ,Connolly SL,Pitcock J,Bauer MS

    更新日期:2019-12-01 00:00:00

  • Stated Pain Levels, Opioid Prescription Volume, and Chronic Opioid Use Among United States Army Soldiers.

    abstract:INTRODUCTION:The use of opioids has increased drastically over the past few years and decades. As a result, concerns have mounted over serious outcomes associated with chronic opioid use (COU), including dependency and death. A greater understanding of the factors that are associated with COU will be critical if prescr...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy026

    authors: Nelson DA,Bjarnadóttir MV,Wolcott VL,Agarwal R

    更新日期:2018-09-01 00:00:00

  • Prevalence of Tinnitus and Association with Self-Rated Health among Military Personnel Injured on Combat Deployment.

    abstract:INTRODUCTION:Tinnitus is an auditory problem frequently reported by military personnel and is currently responsible for 1 billion dollars annually in disability compensation. Recent military conflicts in Iraq and Afghanistan saw high levels of combat exposure coupled with a surge in blast weaponry, both of which can ad...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa103

    authors: MacGregor AJ,Joseph AR,Dougherty AL

    更新日期:2020-09-18 00:00:00

  • Jaundice in a Service member Returning From Taiwan; Diagnostic Challenges in a Case of Acute Hepatitis E.

    abstract::When the evaluation of newly elevated liver enzymes is unrevealing, a common diagnosis of exclusion is drug-induced liver injury. A 39-year-old active duty service member who presented with jaundice after returning from a mission in Thailand was found to have an acute hepatitis and developing acute liver failure. He w...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy272

    authors: Bush A,Sadowski B,Torres D

    更新日期:2019-05-01 00:00:00

  • Do iodine water purification tablets provide an effective barrier against Cryptosporidium parvum?

    abstract::U.S. Army Iodine Water Purification Tablets were tested to determine their efficacy against Cryptosporidium parvum, a protozoan resistant to chemical disinfection. Purified oocysts in phosphate-buffered water were treated with varying concentrations of iodine or with iodine tablets as per U.S. Army protocol. Neonatal ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.170.1.83

    authors: Butkus MA,Starke JA,Bowman DD,Labare M,Fogarty EA,Lucio-Forster A,Barbi J,Jenkins MB,Pavlo M

    更新日期:2005-01-01 00:00:00

  • Dose Responses of Ibuprofen In Vitro on Platelet Aggregation and Coagulation in Human and Pig Blood Samples.

    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

    authors: Martini WZ,Rodriguez CM,Deguzman R,Guerra JB,Martin AK,Pusateri AE,Cap AP,Dubick MA

    更新日期:2016-05-01 00:00:00

  • Identifying classes of veterans with multiple risk factors.

    abstract::As researchers examine the efficacy of interventions that simultaneously target more than 1 symptom, it is important to identify ways to help guide research and program development. This study used electronic medical record data to examine the covariation of multiple risk factors regularly assessed among primary care ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-14-00119

    authors: Funderburk JS,Kenneson A,Maisto SA

    更新日期:2014-10-01 00:00:00

  • "Road Rash" and Dizziness: A Case of Hemodynamically Significant Topical Clonidine Toxicity.

    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

    authors: Downs JW,Cumpston KL

    更新日期:2020-10-02 00:00:00

  • Low back pain in the uniformed service member: approach to surgical treatment based on a review of the literature.

    abstract::The clinical entity of chronic low back pain is not well understood at present. Disparate spinal conditions can result in symptoms of low back pain, and various treatment options have been proposed in the literature including surgical intervention and prolonged nonoperative therapy. Low back pain, as well as lumbar de...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:10.7205/milmed-d-10-00397

    authors: Schoenfeld AJ

    更新日期:2011-05-01 00:00:00

  • Evaluation of spouse abuse treatment: description and evaluation of the Air Force Family Advocacy Programs for spouse physical abuse.

    abstract::Data are reported from a sample of 2,991 spouse physical abusers who received Air Force Family Advocacy Program (FAP) services and who volunteered to complete program evaluation measures that were administered before and after treatment and at a 6-month follow-up. As expected, after treatment compared with before trea...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Brewster AL,Milner JS,Mollerstrom WW,Saha BT,Harris N

    更新日期:2002-06-01 00:00:00

  • Management of soft-tissue wounds, burns, and hand injuries in the field setting.

    abstract::In combat, the tactical situation can prevent rapid evacuation to definitive care, or casualty overload can tie up the surgical teams. All medical personnel and their supporting cadre should have the ability to manage wounds and burns. Controlling bleeding and airways, cleaning and debriding wounds, and dressing or sp...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Baker MS

    更新日期:1996-08-01 00:00:00

  • Feasibility and Acceptability of a Brief Acupuncture Intervention for Service Members with Perceived Stress.

    abstract:INTRODUCTION:Given the role of perceived stress in disability and suicidality in the military, intervening early before service members become at risk for severe injuries, hospitalizations, and chronic disability could improve health outcomes. The purpose of this study was to explore the feasibility and acceptability o...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz132

    authors: Abanes J,Hiers C,Rhoten B,Dietrich MS,Ridner SH

    更新日期:2020-02-13 00:00:00

  • Comparative safety and efficacy of subcutaneous and intradermal administration of inactivated Japanese encephalitis vaccine during predeployment preparations in the Australian Defence Force.

    abstract::Japanese encephalitis is a viral disease emerging in areas of influence for the Australian Defence Force immediately north of the continent, including the Torres Strait border of Australia and Papua, New Guinea. Only the mouse brain-derived, inactivated, Nakayama strain vaccine is commercially available to the Austral...

    journal_title:Military medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.7205/milmed.171.12.1190

    authors: Kitchener S,Nasveld P,Brennan L,Ward D

    更新日期:2006-12-01 00:00:00

  • Maintenance of water and food quality in the stabilization forces area of operations: German surveillance laboratories and the problem of expired field rations.

    abstract::The medical services of the German contingent of the Stabilization Forces in Bosnia maintain a high-standard-preventive health care system. Because knowledge about German food and water surveillance laboratories is not widespread, these and the methods used for sample examinations as well as their analytical capacitie...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Spieler P,Petersen H

    更新日期:2000-05-01 00:00:00

  • Impact of In-Person and Virtual World Mindfulness Training on Symptoms of Post-Traumatic Stress Disorder and Attention Deficit and Hyperactivity Disorder.

    abstract::Mindfulness meditation training has been shown to reduce stress and improve short-term memory for military personnel. However, no studies have investigated the effects of in-person and virtual world (VW) mindfulness training on Post-Traumatic Stress Disorder (PTSD) or Attention Deficit Hyperactivity Disorder (ADHD) sy...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx227

    authors: Rice VJ,Liu B,Schroeder PJ

    更新日期:2018-03-01 00:00:00

  • A Multidimensional Approach to Assessing Anthropometric and Aerobic Fitness Profiles of Elite Brazilian Endurance Athletes and Military Personnel.

    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

    authors: Xavier R,Sánchez C,Paulucio D,da Silva IM,Velasque R,Nogueira FS,Ferrini LSG,Dornelas Ribeiro M,Serrato M,Alvarenga R,Pompeu FAMS,Santos CGM

    更新日期:2019-12-01 00:00:00

  • Preparation for Desert Storm: expansion of an overseas Air Force hospital pharmacy to handle casualties.

    abstract::The planning and execution for contingency pharmacy services in support of Operations Desert Shield/Desert Storm in an overseas Air Force Medical Center are described. These operations presented the staff with far different challenges than the contingency support plan that had been in place for several years. That pla...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Diaz RA,Datena JM

    更新日期:1993-06-01 00:00:00

  • Mental health, help seeking, and stigma and barriers to care among 3- and 12-month postdeployed and never deployed U.S. Army Combat Medics.

    abstract::U.S. Army Combat Medic serves as both Soldier and provider of combat casualty care, often in the heat of battle and with limited resources. Yet little is known about their help-seeking behavior and perceived stigma and barriers to care. Participants were three groups of U.S. Army Combat Medics surveyed at 3- and 12-mo...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-12-00367

    authors: Chapman PL,Elnitsky C,Pitts B,Figley C,Thurman RM,Unwin B

    更新日期:2014-08-01 00:00:00