Abstract：
BACKGROUND:Cervical spine clearance requires clinicians to assess the reliability of physical examination based on a patient's mental status and distracting injuries. Distracting injuries have never been clearly defined in military casualties. METHODS:Retrospective review was conducted of patients entered into Department of Defense Trauma Registry January 2008 to August 2013, identifying blunt trauma patients with cervical spine injury and Glasgow Coma Score ≥ 14. Physical examination and radiology results were abstracted from medical records and injury diagnoses were obtained from Department of Defense Trauma Registry. Groups were compared, p-value of < 0.05 was considered significant. RESULTS:A total of 149 patients met study criteria; 20 patients (13%) had a negative clinical examination of the cervical spine. Coexisting injuries identified in patients with negative physical examination included injuries in proximity to the neck (head, thoracic spine, chest, or humerus) in 17 (85%) patients. In 3 patients (15%), coexisting injuries were not in proximity to the neck and included pelvic, femur, and tibia fractures. All patients without coexisting injury (n = 37) had a positive physical examination. CONCLUSION:Physical examination of multitrauma casualties with neck injury may be unreliable when distracting injuries are present. When no distracting injuries were present, the physical examination was accurate in all patients.
journal_name
Mil Medjournal_title
Military medicineauthors
Drew J,Chou VB,Miller C,Borg B,Ingalls N,Shackelford Sdoi
10.7205/MILMED-D-14-00635subject
Has Abstractpub_date
2015-07-01 00:00:00pages
792-7issue
7eissn
0026-4075issn
1930-613Xjournal_volume
180pub_type
杂志文章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：INTRODUCTION:Dengue fever, caused by any of the four dengue viruses (DENV1-4), is endemic in more than 100 countries around the world. Each year, up to 400 million people get infected with dengue virus. It is one of the most important arthropod-borne viral diseases. Dengue's global presence poses a medical threat to de...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa553
更新日期：2021-01-11 00:00:00
abstract：:The success of any secondary prevention effort in identifying those in need for further services depends on the primary care team following all positive screening results with additional assessment or intervention. Initial research suggests possible differences in primary care responses to positive screens for hazardo...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00165
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVES:We aimed to describe differences in combat experience for male and female veterans and characterize differential effects on postdeployment physical and mental health symptoms, including aggression. METHODS:Retrospective cross-sectional health screening data from 554 Operation Enduring Freedom and Operation ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00255
更新日期：2015-03-01 00:00:00
abstract：:Recent interest in the relevancy of near vision tests for presbyopic aircrew members has led to the development of a photographic cockpit model. This model is used to prescribe more accurately for flying personnel. Prescriptions can be evaluated by use of trial lenses. This allows the aircrew members to experience the...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：INTRODUCTION:Gestational diabetes mellitus (GDM) affects approximately 1-14% of all pregnancies in the United States and has significant maternal and neonatal consequences. Developing GDM can increase a patient's risk of developing overt diabetes in the future which may impact a soldier's readiness. The purpose of this...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa400
更新日期：2020-11-24 00:00:00
abstract：INTRODUCTION:This study is the first to our knowledge to examine associations of survey-reported dietary supplement use with medical record diagnoses, rather than retrospective self-reported supplement use at the time of the medical encounter or case reports of adverse events. Dietary supplement (DS) use and adverse ev...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz053
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.6.563
更新日期：2008-06-01 00:00:00
abstract：INTRODUCTION:The Society of Military Orthopaedic Surgeons (SOMOS) is a robust academic organization with more than 1,000 members and has held annual academic scientific meetings since 1958. Currently, there is a paucity of data regarding the volume and quality of orthopaedic surgery presentations accepted for peer-revi...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00431
更新日期：2017-11-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-03-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.12.976
更新日期：2004-12-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00332
更新日期：2014-03-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00156
更新日期：2017-07-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-12-01 00:00:00
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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
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00451
更新日期：2017-01-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx133
更新日期：2018-09-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-17-00010
更新日期：2017-09-01 00:00:00
abstract：:We showed previously that treatment of gamma-irradiated female B6D2F1 mice with 5-androstenediol (AED) enhanced survival, stimulated myelopoiesis, and ameliorated radiation-induced decreases in circulating neutrophils and platelets. We have now tested survival in male CD2F1 mice, and we have investigated molecular and...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-02-01 00:00:00
abstract：:Spouse abuse is a major social issue in our country. Based on national samples, between 10 and 20% of couples report some type of violence during the course of their marriage. In the United States, 1.8 million women are physically abused by their spouses each year. Within the military, it is estimated that the inciden...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：:Cluster headaches (CHs) are one of the most debilitating of all the identified headache syndromes. Their pathogenesis is poorly understood, which has made their treatment challenging. Various medicines and modalities have been put forth in an effort to minimize the symptoms, but none have proven to be consistently rel...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00713
更新日期：2015-10-01 00:00:00
abstract：:A study of ambulatory mental health services on a U.S. Army post where logistic support personnel are stationed compared utilization of psychiatric services before, during, and after the Persian Gulf War. Rates were calculated for service utilization for the at-risk groups from consecutive cases presenting at the post...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-10-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00575
更新日期：2015-04-01 00:00:00
abstract：:A case of paraganglioma of the vagus nerve in a 69-year-old woman presented as a pulsatile neck mass of 20 years duration. Angiogram showed it to be a vascular tumor and suggested the diagnosis of carotid body tumor. At operation, the tumor was found to involve the vagus nerve, which needed to be resected. The relevan...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-02-01 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：INTRODUCTION:Positioning of implant components for total hip arthroplasty (THA) is important for polyethylene liner wear, prosthesis joint stability, and range of motion. The introduction of fluoroscopy for the direct anterior approach has been shown to improve physician accuracy for component positioning. Few studies ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa415
更新日期：2020-11-24 00:00:00
abstract：:Recently, fat distribution has become of clinical interest in assessing one's risk for coronary heart disease (CHD). Investigations have shown stronger relationships between abdominal, or central adiposity, and various well known risk factors for CHD, than peripheral and/or total adiposity. The simple waist-to-hip rat...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1992-04-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.5.361
更新日期：2004-05-01 00:00:00
abstract：OBJECTIVE:This study assesses the sensitivity of self-collected rectovaginal culture specimens for group B Streptococcus by pregnant patients. METHODS:A volunteer sample of 240 pregnant women at 28 weeks gestation self-collected rectovaginal culture swabs to screen for the presence of group B Streptococcus. The patien...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-07-01 00:00:00
abstract：PURPOSE:Alpha-blockers and calcium channel blockers have shown promise for medical expulsion therapy (MET) of distal ureteral calculi < 1 cm in size. Although MET has been discussed in urology for some time, little has been written about MET in the emergency medicine and primary care literature. We sought to evaluate c...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00100
更新日期：2010-11-01 00:00:00
