Abstract：
INTRODUCTION:This article presents an emerging capability to project damage control procedures far forward for situations where evacuation to a formal surgical team is delayed. Specifically, we demonstrate the plausibility of using a wearable augmented reality (AR) telestration device to guide a nonsurgeon through a damage control procedure. METHODS:A stand-alone, low-profile, commercial-off-the-shelf wearable AR display was utilized by a remotely located surgeon to synchronously guide a nonsurgeon through proximal control of the distal external iliac artery on a surgical manikin. The manikin wound pattern was selected to simulate a rapidly exsanguinating junctional hemorrhage not controllable by nonsurgical means. RESULTS:This capability demonstration displayed successful use of AR technology, telecommunication, and procedural training and guidance in a single test pilot. The assisted physician assistant was able to rapidly control the simulated external iliac artery injury on this model. The telestration system used was commercially available for use with available civilian cell phone, wireless and satellite networks, without the need for dedicated high-speed networks. CONCLUSIONS:A nonsurgeon, using a wearable commercial on-visual-axis telestration system, successfully performed a damage control procedure, demonstrating the plausibility of this approach.
journal_name
Mil Medjournal_title
Military medicineauthors
Harris TE,DeLellis SF,Heneghan JS,Buckman RF,Miller GT,Magee JH,Vasios WN,Nelson KJ,Kane SF,Choi YSdoi
10.1093/milmed/usz298subject
Has Abstractpub_date
2020-01-07 00:00:00pages
521-525issue
Suppl 1eissn
0026-4075issn
1930-613Xpii
5740711journal_volume
185pub_type
杂志文章abstract：BACKGROUND:Structural changes in the human body resulting from aging may affect the response to altered levels of O2 and CO2. An abnormal ventilatory response to a buildup of CO2 in the inspired air due to rebreathing may result in adverse effects, which will impair the individual's ability to function under stress. Th...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00151
更新日期：2017-01-01 00:00:00
abstract：CONTEXT:There are few studies of the economic impact or value of lower extremity prosthetic services. Results from this study can inform the value proposition concerning prosthetic services within military health, where over 40,000 Veterans with limb-loss receive care for their amputations through the Veterans Administ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00545
更新日期：2016-02-01 00:00:00
abstract：:State-of-the-art three-dimensional motion analysis systems, which are utilized to predict, diagnose, and treat many musculoskeletal and neurological disorders, are expensive and space consuming. These systems have only been widely used in large research facilities because of their lack of this transportability. Since ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy312
更新日期：2019-03-01 00:00:00
abstract：INTRODUCTION:Youth with autism spectrum disorder (ASD) face high rates of unemployment, with unique challenges for military-dependent and -connected youth with ASD. This paper reports preliminary findings from Year One of a randomized waitlist controlled trial investigating the efficacy of the Project SEARCH + ASD Supp...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.1093/milmed/usz224
更新日期：2020-01-07 00:00:00
abstract：:We present the case of a 19-year-old woman with feeding intolerance, due to superior mesenteric artery (SMA) syndrome, after weight loss experienced during basic military training. She had previous good health and presented with vomiting 8 weeks after starting military training. She had experienced a 16-pound (7 kg) w...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.1.24
更新日期：2007-01-01 00:00:00
abstract：INTRODUCTION:The role of the Emergency Medicine (EM) physician in the U.S. military continues to expand, and current Accreditation Council for Graduate Medical Education general training requirements do not optimally prepare military EM graduates to be successful in postresidency operational assignments. To address thi...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz209
更新日期：2020-01-07 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
abstract：:Self-directed violence (SDV), which includes suicidal ideation with and without intent, suicidal preparatory behaviors and attempts with and without harm, non-suicidal self-directed violence, and completed suicide, has been a rising concern in the military. Military shipboard personnel may represent a unique subset of...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00257
更新日期：2016-04-01 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
abstract：Objective:To quantitatively measure tissue composition and hemodynamics during resuscitative endovascular balloon occlusion of the aorta (REBOA) in two tissue compartments using non-invasive two-channel broadband diffuse optical spectroscopy (DOS). Methods:Tissue concentrations of oxy- and deoxyhemoglobin (HbO2 and Hb...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx163
更新日期：2018-03-01 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：:Semmes-Weinstein monofilament (SWM) evaluation for protective sensation in diabetic feet is a widely used tool to guide patient care. Little evidence is available for alternative testing modalities for use when monofilament is not available or is deformed. Multiple varieties of intravenous angiocatheter tubing were su...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00423
更新日期：2014-04-01 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 command of a U.S. Army Reserve Combat Support Hospital designed this study to evaluate soldiers' behavior related to and attitudes toward skipping meals while on annual training (AT). METHODS:The command administered an anonymous survey on attitudes about weight loss and weightloss behavior while on AT. ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.7.678
更新日期：2006-07-01 00:00:00
abstract：INTRODUCTION:Chronic insomnia is a common and debilitating disease that increases risk for significant morbidity and workplace difficulties. Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment, but there is a critical lack of behavioral health providers trained in CBT-I because, in part, of a ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa359
更新日期：2021-01-25 00:00:00
abstract：INTRODUCTION:Baseline symptom, balance, and neurocognitive scores have become an integral piece of the concussion management process. Factors such as sleep, learning disorders, fitness level, and sex have been linked to differences in performance on baseline assessments; however, it is unclear how tobacco use may affec...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz352
更新日期：2020-03-02 00:00:00
abstract：:A case report of an army soldier presenting to the emergency department with acute metabolic derangement resulting in encephalopathy, cerebral edema, and death is presented. The patient had no medical diagnoses before entering military service and was triaged in the emergency department with the common complaint of pr...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa402
更新日期：2020-11-19 00:00:00
abstract：:Data from 12 Department of Veterans Affairs patients hospitalized for status asthmaticus were analyzed to determine the rate and degree of response to therapy. The time to achieve recovery was directly related to the level of baseline obstruction at the time of hospital admission. The recovery rate was constant and co...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-03-01 00:00:00
abstract：:The U.S. Army Special Forces Medic, Military Occupational Specialty 18D, is a unique, enlisted, medical asset. The training of the 18D is demanding, lengthy, and selective. The 18D is trained to independently assess, and provide acute and long-term medical care for, a variety of medical conditions in support of the Sp...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-02-01 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：:From May 21 to June 4, 1993, a collaborative training project involving U.S. Army veterinary personnel, the Lao-American Integrated Rural Development Project, and the Lao Department of Livestock and Veterinary Services occurred in the Houa Muang District of Houa Phan Province in northeastern Laos. The project focus wa...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
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
更新日期：2012-08-01 00:00:00
abstract：:Musculoskeletal disorders represent a prevalent source of outpatient visits, lost work time, hospitalization, and disability in the military. Recent research has identified patterns among military occupations, gender, and musculoskeletal disability. Although back disorders accounted for a high percentage of all cases,...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-06-01 00:00:00
abstract：OBJECTIVE:The objective was to test, refine, and implement an algorithm for early detection and referral of clinical scaphoid fractures by U.S. Army medical personnel. Our goal was to reduce complications resulting from delayed diagnosis and to improve outcomes affecting soldier health and unit readiness. METHODS:Data...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.5.404
更新日期：2006-05-01 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：:Burkholderia pseudomallei and B. mallei are two highly pathogenic bacteria responsible for melioidosis and glanders, respectively. Our laboratory developed hydrolysis probe-based real-time polymerase chain reaction assays targeting type three secretion system (TTS) and transposase family protein (TFP) of B. pseudomall...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00232
更新日期：2012-02-01 00:00:00
abstract：:We present the case of a young woman presenting to a military field hospital in Afghanistan with a non-ST-elevation myocardial infarction (NSTEMI) associated with the diet drug sibutramine. We also provide a brief literature review on the association between sibutramine and myocardial infarction. ...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-10-00011
更新日期：2010-08-01 00:00:00
abstract：:Community-acquired, methicillin-resistant Staphylococcus aureus (cMRSA), soft tissue infections are becoming increasingly prevalent in the outpatient setting. Few studies have been specifically designed to examine the efficacy of oral antibiotic therapy for these infections. We performed an observational study to dete...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.6.504
更新日期：2006-06-01 00:00:00
abstract：OBJECTIVE:To determine whether the presence of insulin resistance in obese subjects would adversely affect the rate of ovulation induction by clomiphene citrate. RESULTS:Fasting hyperinsulinemia was associated with the failure to ovulate in response to clomiphene. In addition, other parameters found to correlate with ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-12-01 00:00:00
abstract：:Dietary supplement use is common among military service members; approximately 17 to 20% report using high-risk weight-loss, performance-enhancing, and bodybuilding supplements. To date, no overarching policy or program has been approved or implemented to inform service members or educate health care providers on the ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00249
更新日期：2012-12-01 00:00:00
