Abstract：
:The National Academies of Sciences, Engineering, and Medicine Report on Zero Preventable Deaths highlighted the need for a military and civilian partnership to take lessons learned from the wars in Iraq and Afghanistan and incorporate them into a national learning trauma care system. One of the specific objectives in the report was to establish military preventable death metrics. Upon further inspection, it became apparent that the Department of Defense did not have an established methodology to reliably estimate and report preventable death metrics and opportunities to improve the military trauma care system. Over the last year, clinical and non-clinical subject matter experts from the Joint Trauma System and Armed Forces Medical Examiners System began the process of establishing a standard military preventable death review process to meet the objective outlined in the report. Based on an assessment to understand methodological best practices for preventable death reviews, this manuscript presents the conceptual framework that is guiding our effort to establish the first ever battle-related mortality surveillance system with preventable death metrics and opportunities to improve the trauma care system.
journal_name
Mil Medjournal_title
Military medicineauthors
Janak J,Stockinger Z,Mazuchowski E,Kotwal R,Sosnov J,Montgomery H,Butler F,Shackelford S,Gurney J,Spott M,Finelli L,Smith DJdoi
10.1093/milmed/usy149subject
Has Abstractpub_date
2018-09-01 00:00:00pages
15-23issue
suppl_2eissn
0026-4075issn
1930-613Xpii
5091152journal_volume
183pub_type
杂志文章abstract：:The work of the War Hospital in Tomislavgrad during the war in Bosnia and Herzegovina from 1992 to 1995 is described. The War Hospital in Tomislavgrad was one of the first medical institutions organized in Bosnia and Herzegovina, with the intention of providing surgical treatment and care to soldiers, local civilians,...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-01-01 00:00:00
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：
更新日期：1994-07-01 00:00:00
abstract：:Weight or fat reduction and maintenance among military personnel and attainment of desired body composition and physical appearance are considered important. A high level of body fat has been shown to have an adverse effect on performance in a number of military activities. The effect of rapid weight loss on performan...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed.171.6.550
更新日期：2006-06-01 00:00:00
abstract：OBJECTIVE:To investigate the delivery of health services to different ethnic groups in the war and postwar periods in the area of Livno, Bosnia and Herzegovina. METHODS:The total population, percentages by nationality, and numbers of persons medically or surgically treated at the War and General Hospital of Livno betw...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.9.810
更新日期：2005-09-01 00:00:00
abstract：:This article examines how the U.S. Army came to adopt the physical profile. In 1945, the Army adopted the physical profile system that has, with some changes, survived to this day. Although the profile system does not always work smoothly, it replaced a system that was failing completely to deliver physically fit men ...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/MILMED-D-13-00039
更新日期：2013-08-01 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：:The objective of this case report is to present an interesting case of a mixed malaria infection of Plasmodium falciparum and Plasmodium vivax in a U.S. service member deployed in support of Operation Enduring Freedom in Afghanistan and the use of rapid malaria tests with microscopy for the diagnosis of malaria and th...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00034
更新日期：2011-10-01 00:00:00
abstract：:Identifying potential modifiable determinants of functional movement ability and fatigue may inform efforts to maintain constant physical readiness, especially in active duty military over 40 years of age, who are largely sedentary throughout their work day. The primary aim of this study was to determine the associati...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00186
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:Many people are unaware of the science underlying the biophysical properties of Soldier clothing and personal protective equipment, yet there is a well-refined biomedical methodology initiated by Army physiologists in World War II. This involves a methodical progression of systematic material testing technol...
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
abstract：:A case of primary squamous cell carcinoma of the thyroid is presented. Squamous epithelium is normally not present in the thyroid gland, and this tumor is exceedingly rare. Proper workup is described, including the differentiation from metastatic disease. The case reported is of a 64-year-old woman who presented with ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-02-01 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：: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：:Erythema multiforme and Stevens-Johnson syndrome/toxic epidermal necrolysis are immune-mediated epidermal conditions with variable clinical presentations. Although their clinical presentations often overlap, they have distinct etiologies and potential outcomes, which necessitate specific management strategies. This ca...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa029
更新日期：2020-09-18 00:00:00
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
更新日期：2020-10-02 00:00:00
abstract：BACKGROUND:Reorganization of the Army and critical assessment of Army Graduate Medical Education programs prompted the Occupational and Environmental Medicine (OEM) Consultant to the Army Surgeon General to initiate a review of current Army OEM residency training. Available information indicated the Army OEM residency ...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/MILMED-D-16-00118
更新日期：2016-11-01 00:00:00
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：
更新日期：1996-08-01 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
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：INTRODUCTION:The role of testosterone in health and quality of life has become increasingly visible and overtly marketed to the public. Some evidence suggests that testosterone levels in men may be low because of a variety of reasons, including stress and environmental exposures. OBJECTIVE:This study examines trends i...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00496
更新日期：2015-07-01 00:00:00
abstract：INTRODUCTION:Today, the prevalence of overweight and obesity is, respectively, 49% and 17% among French adults. This research investigates their existence in the French Armed Forces, in terms of the impact on military operative response and military readiness. As no previous studies have evaluated the weight status of ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa369
更新日期：2020-12-17 00:00:00
abstract：:This study of 10 patients presents the early results of a protocol of debridement, antibiotic bead placement, and use of the Ilizarov method with a circular external fixator for treatment of infected nonunions of the tibia in a military population. The nonunions resulted from high-energy fractures in nine cases and an...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.9.728
更新日期：2004-09-01 00:00:00
abstract：INTRODUCTION:The purpose of this study is to introduce a virtual radiology rotation curriculum that is being used to safely maintain medical student and intern education and engagement with the Department of Radiology at Walter Reed National Military Medical Center during coronavirus disease 2019 (COVID-19) mitigation....
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa293
更新日期：2020-10-03 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
abstract：:Few studies have evaluated high altitude headache (HAH) and acute mountain sickness (AMS) in military populations training at moderate (1,500-2,500 m) to high altitudes (>2,500 m). In the current study, researchers interviewed active duty personnel training at Marine Corps Mountain Warfare Training Center. Participant...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00007
更新日期：2012-08-01 00:00:00
abstract：:Over the past few years, the indications for resuscitative thoracotomy in civilian trauma have been refined. The use of this procedure for military casualities has received only brief mention. We have described our experience with 93 consecutive thoracotomies performed in a level I trauma center and have attempted to ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-08-01 00:00:00
abstract：:Recently, pyogenic vertebral osteomyelitis has been documented following transcolonic passage of bullets lodging in or near the vertebral column. It is becoming more recognized that foreign body missiles are not as sterile as was once thought--especially after passage through the gastrointestinal tract--and that this ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-02-01 00:00:00
abstract：:The incidence of foot blisters and other overuse injuries of the lower limb is very high during basic military training (BMT). One hundred and eighty-nine subjects were divided into two intervention groups wearing alternative sock systems and one control group. Overall, 57% of the 173 recruits who completed the traini...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.7205/milmed-d-01-8508
更新日期：2009-02-01 00:00:00
abstract：:Recent studies suggest an increased risk of respiratory complaints associated with deployment. The objective measurement of lung function provided by portable spirometry is likely to improve the ability of military providers to diagnose and treat lung disease. A portable spirometer was taken to southern Afghanistan on...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-12-00175
更新日期：2013-01-01 00:00:00
abstract：Introduction:To develop a short form (SF) of the 45-item multidimensional Moral Injury Symptom Scale - Military Version (MISS-M) to use when screening for moral injury and monitoring treatment response in veterans and active duty military with PTSD. Methods:A total of 427 veterans and active duty military with PTSD sy...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.1093/milmed/usy017
更新日期：2018-11-01 00:00:00
abstract：OBJECTIVES:Military personnel risk injury due to accidents, disasters, and military threats during Phase Zero "shaping" operations. Medical facilities must be poised to respond. METHODS:The U.S. Pacific Command (PACOM) Area of Responsibility (AOR) covers more than 50% of the earth's surface; relevant Clinical Practice...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00167
更新日期：2017-03-01 00:00:00
