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：:The purpose of this study was to assess changes in alcohol, tobacco, and other drug use after the terrorist attacks of September 11 among a cohort of young military personnel consisting of 661 active duty Navy personnel, including 164 women. Paired sample t tests were computed to assess mean differences in substance u...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.10.829
更新日期：2004-10-01 00:00:00
abstract：:Chaplains play a unique role in the Veterans Affairs (VA) health care systems and have numerous responsibilities. Compassion satisfaction (CS), compassion fatigue (CF), and burnout (BO) are three major phenomenons that have been documented in other helping professions, but little is known about VA Chaplains' professio...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00021
更新日期：2013-06-01 00:00:00
abstract：OBJECTIVE:The purpose of this study is to determine the incidence of iron deficiency anemia in an obstetrics clinic with a secondary objective to determine predictors of iron deficiency anemia. METHODS:This is a retrospective study of obstetric patients from the Charleston Area Medical Center Women's Medicine Center, ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00445
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:The goal was to describe the association between post-traumatic stress disorder (PTSD) and in-service sexual harassment in a nationally representative sample of Department of Veterans Affairs PTSD disability applicants. METHOD:The study was a cross-sectional survey. RESULTS:Of 4,918 eligible veterans, 3,337...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.2.166
更新日期：2006-02-01 00:00:00
abstract：:Various studies examining the prevalence of personality disorders in civilian inpatient and outpatient populations have consistently found narcissistic personality disorder to be one of the least common. In striking contrast to this, a recently published study showed narcissistic personality features to be among the m...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-03-01 00:00:00
abstract：:Disseminated fungal infections are normally opportunistic infections in the immunocompromised population. Current literature has documented a high mortality rate with these infections in civilian trauma or as complications of severe burns. There is only one published case of fungal infection in a combat-injured indivi...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-12-00322
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVE:To assess the impact of relaxed asthma recruitment standards adopted by the Australian Defence Force in 2007. METHODS:A retrospective audit was conducted on clinical and administrative data for recruits, with and without mild asthma, in their first year of service. RESULTS:There was no evidence that mild as...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00009
更新日期：2014-11-01 00:00:00
abstract：:Advanced practice nurses (APN) who practice in the surgical subspecialty areas may have the opportunity to expand their scope of practice to include first assistant at surgery. Surgical APNs who practice as registered nurse first assistants (RNFA) should seek credentialing and apply for institutional privileges to ass...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/milmed.171.9.875
更新日期：2006-09-01 00:00:00
abstract：BACKGROUND:It was recently noted that a shortened activated partial thromboplastin time (aPTT) is associated with increased venous thromboembolic events. The prevalence of aPTT shortening remains unknown. METHODS:We conducted a retrospective analysis of aPTT results over a 2-month period. These results were not associ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00165
更新日期：2011-08-01 00:00:00
abstract：:To help preserve in-theater strength within deployed military units, commercially available, rapid, user-friendly ABO-Rh blood typing kits were evaluated to determine their stability in storage conditions commonly encountered by the warfighter. Methods for environmental exposure testing were based on MIL-STD-810F. Whe...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-00-0909
更新日期：2009-10-01 00:00:00
abstract：INTRODUCTION:U.S. Army Special Operations Forces (SOF) soldiers deploy frequently and conduct military operations through special warfare and surgical strike capabilities. Tasks required to execute these capabilities may induce physical and mental stress and have the potential to degrade soldier physiological status. N...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00022
更新日期：2017-03-01 00:00:00
abstract：:Combat trauma differs from its peacetime counterpart by involving a different spectrum of injuries, occurring in austere environments, dealing with mass casualties, and embodying inherent treatment delays. Thus, civilian trauma practices may be inappropriate in certain combat settings. A review of historical as well a...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-04-01 00:00:00
abstract：:Occupational upper-extremity disorders have been associated with prolonged pain and work disability. Using the U.S. Army Physical Disability Agency database, the present case-control studies (n = 434 and n = 342) investigated the contribution of demographic, physical, occupational psychosocial, and individual psychoso...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-08-01 00:00:00
abstract：:Army health care personnel play a key role in the Army's Family Advocacy Program, yet little is known about their beliefs toward domestic violence. This study surveyed the beliefs of selected Army Medical Department personnel concerning the extent, nature, causes, and management of spouse abuse. The study suggests tha...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-09-01 00:00:00
abstract：:Within the past few years, the U.S. Army and U.S. Marine Corps have either incorporated or in the process of incorporating physical fitness tests that assess a soldier's fitness capability in a combat environment. In this article, we investigate how the U.S. Air Force Physical Fitness Test (AFPFT) events compare to si...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00066
更新日期：2012-09-01 00:00:00
abstract：:Meals ready to eat (MRE) have undergone many revisions of their origins in the trench ration from World War I. The MRE was implemented in 1980. Its design allows extended storage and easy, safe meal preparation. MRE sodium content varies by meal and may range from 1.6 g/meal to 2.3 g/meal. The average MRE contains 1,2...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-09-00049
更新日期：2010-03-01 00:00:00
abstract：:An estimated 400,000 non-melanoma skin cancers occur each year. A majority of them will develop on sun-exposed areas of the face, head, and neck. By virtue of having assignments that involve outdoor duty, often in areas of high ultraviolet radiation exposure, military personnel are at increased risk of developing thes...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-05-01 00:00:00
abstract：:A functional capacity evaluation (FCE) evaluates the ability of an individual to perform activities related to employment. There is no FCE specific to the military population; therefore, a FCE for the military population (FCE-M) was developed to evaluate an injured service member's (SM) ability to return to duty. The ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00072
更新日期：2017-01-01 00:00:00
abstract：:The effects on hearing thresholds, sound attenuation, and consonant discrimination of wearing a balaclava under hearing-protecting earmuffs were studied. This combination is commonly worn during cold weather military operations. One group of 20 normal-hearing adults (10 male and 10 female subjects) was tested. Within-...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.10.976
更新日期：2006-10-01 00:00:00
abstract：:A 22-year-old male U.S. Navy airman with new nontender subcutaneous, 4-cm mass inferior to the right anterior costal margin was sent for routine biopsy. Sudden appearance of axillary lymph nodes prompted immediate excisional biopsy of the primary mass. Pathological evaluation was initially read as Onchocerca volvulus,...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00400
更新日期：2011-09-01 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：:In this report, we describe the organizational framework, operations and current status of the Central Simulation Committee (CSC). The CSC was established in 2007 with the goals of standardizing simulation-based training in Army graduate medical education programs, assisting in redeployment training of physicians retu...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00065
更新日期：2012-07-01 00:00:00
abstract：:Discharge diagnoses from October 1, 1987 to September 30, 1988 were analyzed to quantitate infection. Four hundred forty-nine (4.8%) of 9,290 discharges (excluding 1-day stays) were infections. Pneumonia, caused by all etiological agents, was responsible for 2.4% of the principal diagnoses. These data help define the ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-02-01 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：OBJECTIVE:Intubation is a difficult skill under normal circumstances and more so with a limited visual field such as wearing a protective mask in a chemical or biological incident. This study sought to determine whether successful intubation using the intubating laryngeal mask airway (ILMA) under protective mask condit...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-11-01 00:00:00
abstract：:The proper treatment of younger patients who have suffered ischemic stroke and who have no stroke risk factors other than antiphospholipid antibodies is unsettled. We propose a rationale to support adding dietary supplementation with calcium and vitamin D to the present standard regimen of anticoagulant therapy for th...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-06-01 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：:Telemedicine, an emerging technology which seeks to use advanced telecommunications equipment to enhance medical care, is progressing rapidly in the Department of Defense health care delivery system. This paper recommends that a cautious, preventive law approach be simultaneously initiated to ensure that the technolog...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-05-01 00:00:00
abstract：:This article looks at the historical rationale behind the development of the healthcare administration structure currently used at Walter Reed Army Medical Center (WRAMC). This type of healthcare administration structure is unique to WRAMC and is not found in any other United States Army Medical Department healthcare ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1990-11-01 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
