Abstract:
OBJECTIVES:Endotracheal intubation (ETI) is an important skill for all emergency providers; our ability to train and assess our learners is integral to providing optimal patient care. The primary aim of this study was to assess the inter-rater reliability (IRR) and discriminant validity of a novel field ETI assessment tool using a checklist-derived performance score (PS) and critical failure (CF) rate. METHODS:Forty-three participants (18 paramedic students, 11 paramedics, and 14 emergency physicians [EPs]) performed ETI during a simulated trauma scenario on a pseudo-ventilated cadaver. Each participant was assessed by two experienced raters. IRR was calculated using the intraclass correlation coefficient. Regarding discriminant validity, a Kruskal-Wallis test was used to analyze PSs and a χ2 test was used for CFs. Mean global rating scale (GRS) scores were compared using an analysis of variance. RESULTS:The ETI assessment tool had excellent IRR, with an intraclass correlation coefficient of 0.94. There was a significant difference in PSs, CFs, and GRSs (p < 0.05) between cohorts. CONCLUSION:The novel field ETI assessment tool has excellent reliability among trained raters and discriminates between experienced ETI providers (EPs) and less experienced ETI performers using PSs, CFs, and GRSs on a fresh cadaveric model.
journal_name
Mil Medjournal_title
Military medicineauthors
Hart D,Clinton J,Anders S,Reihsen T,McNeil MA,Rule G,Sweet Rdoi
10.7205/MILMED-D-15-00570subject
Has Abstractpub_date
2016-11-01 00:00:00pages
e1484-e1490issue
11eissn
0026-4075issn
1930-613Xjournal_volume
181pub_type
杂志文章abstract::Swimming-induced pulmonary edema (SIPE) is a noncardiogenic form of acute pulmonary edema infrequently described in the general military literature. Its pathophysiology is poorly understood. Treatment is supportive. Knowledge of SIPE is important for the military physician and should remain a top differential for any ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa118
更新日期:2020-09-18 00:00:00
abstract::Confederate Lieutenant General Thomas J. "Stonewall" Jackson was wounded by his own men at the Battle of Chancellorsville during the American Civil War. While being removed from the field, Jackson fell from the litter and struck the right side of his chest on a large stone or stump. Four days following the amputation ...
journal_title:Military medicine
pub_type: 传,历史文章,杂志文章
doi:10.7205/milmed-d-11-00272
更新日期:2012-03-01 00:00:00
abstract::This study examined the impact of a history of childhood abuse and neglect on soldiers' adaptation to Army life including commitment to the Army, confidence in leaders, and perceptions of unit cohesion and readiness. Childhood abuse and neglect were measured by the 30-item Childhood Trauma Questionnaire (CTQ) which co...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract::Microparticle immunoenzymatic assay (MEIA) is a new, ultrasensitive technique recently introduced for detection of prostatic specific antigen (PSA). It is easily performed, totally automated, and cheaper and faster than radioimmunometric techniques. In this study, the levels of PSA in 194 males with urologic problems ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-08-01 00:00:00
abstract::More than 300,000 cases of sudden cardiac death (SCD) occur in the United States each year. Left coronary artery anomaly (LCAA), although rare, is second only to hypertrophic cardiomyopathy as the most common cause of SCD associated with structural cardiovascular abnormalities. This case illustrates SCD secondary to L...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-02-01 00:00:00
abstract::Sulfur Mustard (SM) is a potent alkylating agent with electrophilic property which has been used as a chemical warfare agent in at least 12 conflicts. It has reemerged as a major threat in recent years. Medical attention is primarily concerned with its action on the skin, eyes, and respiratory tract which may be compl...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:2002-07-01 00:00:00
abstract::A 23-year-old active duty United States Air Force air crew male presented to the flight medicine clinic in Germany after experiencing sudden onset penile pain while flying as part of a long-range operational mission. He was admitted to the German hospital and empirically treated for infection with antibiotics, which d...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00506
更新日期:2015-05-01 00:00:00
abstract::This study determined the perception by 951 U.S. Army soldiers of positive and negative consequences of a peacekeeping deployment to Bosnia. Seventy-seven percent reported some positive consequences, 63% reported a negative consequence, and 47% reported both. Written comments were also provided. Of the 951 soldiers, 4...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.10.815
更新日期:2005-10-01 00:00:00
abstract::This study compared general psychological symptoms measures on all Brief Symptom Inventory symptom dimensions and the Global Severity Index from samples of deployed and nondeployed U.S. Army soldiers. Psychological symptom measures were taken from samples of soldiers during deployment to operations in the Persian Gulf...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00356
更新日期:2017-07-01 00:00:00
abstract::Cold-water immersion can include aspects of both hypothermia and near drowning. We present a case of a 22-year-old active duty service member who became a victim of cold-water immersion in Alaska. His rescue by the U.S. Coast Guard and subsequent treatment in a small community emergency room are reviewed using a case ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.5.459
更新日期:2006-05-01 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::The purpose of this article was to give a brief synopsis of the background and history of forensic nursing and how it can be translated into a military application. The unique setting of military health care and equally distinctive stressors placed upon members of the military calls for greater commitment by the Depar...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.1.42
更新日期:2008-01-01 00:00:00
abstract::Trauma and cancer are entities that are encountered frequently by surgeons and occasionally may exist simultaneously in certain patients. Illustrated here is the case of a man with a perinephric mass, discovered during evaluation for blunt abdominal trauma, which was originally thought to be a perinephric hematoma and...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract::Between 1954 and 1973, more than 2000 men entering military service as conscientious objectors participated in Project Whitecoat as medical research volunteers for the Army's biological warfare defense program. An assessment of self-reported, current health status among 358 "exposed" individuals and 164 unexposed cont...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/milmed.170.3.183
更新日期:2005-03-01 00:00:00
abstract::The use of explosive armaments during Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn has resulted in a significant number of injured U.S. service members. These weapons often generate substantial extremity trauma requiring multiple surgical procedures to preserve life, limb, and restore fu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00315
更新日期:2016-08-01 00:00:00
abstract::In June 1998, six unexpected anterior cruciate ligament (ACL) ruptures within 12 months were detected by routine injury surveillance in a cohort of Australian Army recruits. Local investigation, reported separately as a Case Report in this issue, suggested the cause to be an excessive coefficient of friction between r...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-04-01 00:00:00
abstract::This study evaluated the efficacy of a brief cognitive-behavioral program in modifying causal attributions, expectancy of control, coping strategies, and psychological adjustment in a sample of Australian Army soldiers undergoing a 45-day recruit training program. Participants (N = 174) were randomly allocated within ...
journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.7205/milmed.173.12.1151
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:The study of physical injury from terrorist explosives is an increasing international area of research. However, there are few data sets to characterize the scope of injury and death from these devices. Therefore, one option is to begin evaluating statistics reported by a nontraditional public health data sou...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.7.595
更新日期:2005-07-01 00:00:00
abstract::A case of human ehrlichiosis (caused by infection with Ehrlichia chaffeensis) is presented. The patient was a female Naval Academy midshipman with a 26-day history of daily field training with the U.S. Marines near Quantico, Virginia. She presented with a several-day history of myalgias, fever, and frontal headache. D...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-02-01 00:00:00
abstract::Using data from a nationally representative survey, we evaluated the prevalence of multiple risk factors known to predict increased health care utilization and adverse health outcomes, comparing U.S. men who rely solely on the Veterans Affairs Health Administration (VA) for health care to men in the general population...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.7.690
更新日期:2007-07-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00635
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Bone and soft-tissue loss are common extremity injuries sustained in current military conflicts. Selected host national patients had their definitive orthopedic care performed at our combat support hospital. Soft-tissue reconstruction can be a challenging task in this environment. There are several situation...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2009-08-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz462
更新日期:2020-03-02 00:00:00
abstract::The Clinical Breast Care Project (CBCP) is a congressionally mandated program that began in the year 2000. The military-civilian collaboration was founded on five pillars: (1) center of excellence in clinical care, (2) risk reduction for women at risk for developing breast cancer, (3) tissue banking to develop and mai...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00052
更新日期:2010-07-01 00:00:00
abstract::Not since 1945 has the world experienced nuclear warfare, although there has been the threat of nuclear terrorism and a large number of nuclear/radiological accidents. Most people fear a nuclear/radiological threat even more than a conventional explosion due both to their inability to perceive the presence of radiatio...
journal_title:Military medicine
pub_type:
doi:
更新日期:2001-12-01 00:00:00