Abstract：
INTRODUCTION:Carbon monoxide (CO) is produced from incomplete combustion of hydrocarbons and is a by-product of tobacco smoking. Chronic cigarette smokers often have carboxyhemoglobin (COHb) concentrations as high as 10%. We report a case of severely elevated COHb and polycythemia because of tobacco smoking and provide a review of the literature regarding elevated COHb in smokers. MATERIALS AND METHODS:A comprehensive search of PubMed and Google Scholar was performed looking for articles on tobacco smoking and CO, COHb, CO poisoning, cigarettes, pipes, cigars and water pipes/hookah smokers. RESULT:COHb levels in frequent cigarette smokers generally range from 4.2% presmoking to 8.6% postsmoking. A heavy cigarette smoker presented twice with symptoms of CO toxicity and was found to have levels 21.8 to 24.2%. Cigar smokers have been found to have COHb ranging as high as 13.0 to 38.6% in case reports. Waterpipe or "hookah" smokers generally have COHb levels 10.1% +/-2.5% and case reports, and series of even higher levels associated with CO toxicity symptoms are common. Waterpipe smokers have been found to have COHb levels as high as 39.2% after smoking. CONCLUSIONS:Many active duty military and military veterans are tobacco smokers and these patients and their health care providers should be aware of the adverse effects of CO toxicity from tobacco smoking. Patients may have symptoms such as headaches, syncope, and ataxia in the setting of acute CO toxicity; however, the chronic effects of CO may not be completely understood. Future work could explore chronic CO toxicity and its effects on strength and exercise tolerance in military personnel and provide education to service members, veterans, and health care providers.
journal_name
Mil Medjournal_title
Military medicineauthors
Dorey A,Scheerlinck P,Nguyen H,Albertson Tdoi
10.1093/milmed/usz280subject
Has Abstractpub_date
2020-02-12 00:00:00pages
e61-e67issue
1-2eissn
0026-4075issn
1930-613Xpii
5610393journal_volume
185pub_type
杂志文章abstract：:Use of blood products are recommended worldwide as a substitution for whole blood. In the case of war wounds, because of their specificity, this is not possible. We studied prospectively the use of blood and blood products during management of the wounded in a field hospital during the war in Croatia. During a 6-month...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-02-01 00:00:00
abstract：:This is a case report of a patient who prematurely terminated two previous magnetic resonance imaging procedures because of his highly claustrophobic condition. The patient was induced into a hypnotic trance twice before his third magnetic resonance imaging examination and he was given posthypnotic suggestions for dec...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：:Lean Six Sigma (LSS) is a process improvement methodology developed in the manufacturing industry to increase process efficiency while maintaining product quality. The efficacy of LSS application to the health care setting has not been adequately studied. This article presents a quality improvement project at the U.S....
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00247
更新日期：2016-06-01 00:00:00
abstract：:Mass casualties during war, civil unrest, or natural disasters can generate chaos and disarray in the emergency room setting. The influx of numerous casualties in a short period of time can paralyze the medical facility and cause irreparable damage to the injured. Maintaining calm and order is very essential for triag...
journal_title：Military medicine
pub_type：
doi：
更新日期：2001-12-01 00:00:00
abstract：Objectives:Greater serum levels and dietary intake of vitamin D have been inversely associated with the risk of multiple cancers including colon cancer. Most colorectal cancers are thought to arise from adenomatous polyps, which become dysplastic under the influence of numerous factors. Prospective data are needed to d...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx152
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVE:To assess whether race is a significant factor in the ability of prostate-specific antigen velocity (PSAV) for predicting high-grade prostate cancer (HGPC). METHODS:Records of men who underwent prostate biopsy between January 2003 and December 2007 were retrospectively reviewed to collect demographic data, s...
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
abstract：:The efficacy of ultraviolet C (UVC) light (100-280 nm) in the decontamination of three hospital-related surfaces, namely, unpainted/painted aluminum (bed railings), stainless steel (operating tables), and scrubs (laboratory coats), was investigated. Acinetobacter baumannii cells were inoculated (10(5) or 10(3) cells) ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.11.1166
更新日期：2007-11-01 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
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：:The use of traction to transport patients with femur fractures is well accepted. This paper describes step-by-step the construction of a traction device suitable for use on military aircraft. This "Landstuhl frame" is easily constructed using materials readily available. It is quick and effective for the transportatio...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-07-01 00:00:00
abstract：INTRODUCTION:The U.S. Air Force utilizes specialized Critical Care Air Transport Teams (CCATT) for transporting "stabilized" patients. Given the drawdown of military forces from various areas of operation, recent CCATT operations have increasingly involved the evacuation of unstable and incompletely resuscitated patien...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy371
更新日期：2019-05-01 00:00:00
abstract：:The term "intersex" describes a variety of medical conditions in which sex determination is atypical. One of its most severe forms is an inadequate response to androgens due to mutations in the androgen receptor gene, which may manifest as a complete androgen insensitivity syndrome (CAIS). In this form of intersex con...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.11.1132
更新日期：2008-11-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to describe the epidemiology of suicides among U.S. Air Force, Army, Marine Corps, and Navy recruits from 1980 through 2004. METHODS:Recruit suicides were identified through the Department of Defense Recruit Mortality Registry. We calculated crude, category-specific, and age-adj...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.10.1024
更新日期：2007-10-01 00:00:00
abstract：:Sarcoidosis has been associated with various demographic risk factors, yet findings may be falsely influenced by effects such as socioeconomic status. We used univariate and multiple logistic regression to compare demographic data from military sarcoidosis hospitalizations with similar data from the general military p...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-08-01 00:00:00
abstract：:The diagnosis and management of concussion can be difficult in a combat environment, especially in the absence of loss of consciousness or post-traumatic amnesia. As no validated test exists to diagnose or grade neurocognitive impairment from a concussion, the military currently employs the Military Acute Concussion E...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-09-00258
更新日期：2010-07-01 00:00:00
abstract：:Critically injured patients are at risk for hypothermia. This study determined the efficacy of three hypothermia prevention strategies: the ChillBuster warming blanket, ChillBuster with a reflective blanket, and two wool blankets. A quasi-experimental design was used to compare changes in core temperature. Following r...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.3.322
更新日期：2007-03-01 00:00:00
abstract：OBJECTIVE:The purpose of this study is to report the device lessons learned from an emergency tourniquet program and, in particular, to emphasize analysis of discarded devices recovered after clinical use. METHODS:Discarded tourniquet devices were analyzed after use in emergency care of war casualties to determine wea...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00114
更新日期：2011-10-01 00:00:00
abstract：INTRODUCTION:Soldiers are exposed to extreme training regimens in order to optimally prepare for real battle. High attrition rates are a known issue during training courses, especially for elite troops. An underlying factor might be the disbalance between stress/strain and recovery. The aim of this review is to give in...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy274
更新日期：2019-05-01 00:00:00
abstract：:Aeromedical (AM) evacuation of trauma victims from action is an integral part of trauma care. The Israeli Air Force Rescue and Evacuation Unit is responsible for nearly all AM evacuations in Israel. We present three recent cases, within 1 year of operation, of engagement process failure during evacuations performed by...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.10.1004
更新日期：2008-10-01 00:00:00
abstract：:The objective of this project was to evaluate magnetic resonance imaging (MRI) issues at 3 T for an armor-piercing bullet and to determine if this item could be identified using a ferromagnetic detection system. An armor-piercing bullet (.30 caliber, 7.62 × 39, copper-jacketed round, steel core; Norinco) underwent eva...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-12-00374
更新日期：2013-03-01 00:00:00
abstract：:Suicide, as one of the greatest problems of maladjustment to the military environment, has been a subject of investigation in the Army of Serbia and Montenegro (former Yugoslav Army) for more than six decades. The Suicide Prevention Program was implemented in December 2003. The aim of the study was to follow-up the ap...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.5.551
更新日期：2007-05-01 00:00:00
abstract：:Although Japanese military officials had discovered that an improved diet could prevent beriberi by the late 19th century, their soldiers in the army suffered from beriberi during the Russo-Japanese War and World War II. A change in diet at the end of the Russo-Japanese War solved the problem and the army applied the ...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/milmed.171.4.333
更新日期：2006-04-01 00:00:00
abstract：:The results from a study undertaken to assess the smoking behavior of Greek warship personnel found that of the 274 participants, ages 19 to 38 years, 59.5% were current smokers who started the habit between the ages of 15 and 21 years. However, 33.1% of these current smokers started smoking after entering the Greek N...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-11-01 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：INTRODUCTION:Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments and exercises, necessitating aeromedical evacuation. Current Defence Policy states ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz451
更新日期：2020-08-14 00:00:00
abstract：INTRODUCTION:Department of Defense (DoD) has identified problem-solving training (PST) as a promising prevention/early intervention for mental health disorders. PST is a four-session group intervention that emphasizes building problem-solving and coping skills to mitigate emotional dysregulation and the adverse effects...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy229
更新日期：2019-05-01 00:00:00
abstract：:Arthrodesis is a surgical procedure that results in fusion of the joint and bony ankylosis. With this operation, we can achieve satisfactory function of the limb in cases in which options for different treatments no longer exist. Severe joint destruction, joint infections, and nonunions, as well as complex war injurie...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2005-02-01 00:00:00
abstract：BACKGROUND:Each time a deployed military member has an exacerbation of a pre-existing chronic disease there is a potential risk to mission success, individual health, and the safety of the unit. Currently, North Atlantic Treaty Organization (NATO) member nations employ different approaches to assessing an individual's ...
journal_title：Military medicine
pub_type： 杂志文章,实务指引
doi：10.7205/MILMED-D-14-00113
更新日期：2014-12-01 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：:This study investigated the microbial causes of diarrheal disease among U.S. troops deployed near Alexandria, Egypt, during October 1995. Bacterial causes associated with 19 cases of diarrhea included: enterotoxigenic Escherichia coli (ETEC), 42% (21% heat-stable, 11% heat-labile, and 11% heat-stable/ heat-labile prod...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-06-01 00:00:00
