Abstract：
INTRODUCTION:An anonymous online survey was presented to active duty U.S. Army, Reserve, and National Guard Soldiers with experience as en route care medical providers with the intent of identifying factors which contribute to musculoskeletal disorders in U.S. Army en route care medical providers. The survey looked at transport vehicle design, equipment, and awkward postures that could play a role in causing injuries. MATERIALS AND METHODS:Survey responses were received from 60 en route care providers regarding postures assumed during administration of en route critical care tasks, routine medical transport scenarios, and patient loading. Care providers reported gender, height, weight, experience, tasks, and awkward postures experienced. They also reported occupational injuries that occurred as a result of performing job duties, such as back, neck, and joint pain, injuries, and discomfort. RESULTS:The survey was answered by 56 (93.3%) males and 4 females (6.7%) with an average of 7.34 years of experience as en route care personnel. Lower back injuries were suffered by 87% of respondents. The most common causes were awkward positions and lifting patients. There are statistically significant relationships between shoulder injuries and overextending, lower back injuries and overextending, and lower back injuries and reaching backwards, ankle injuries and care provider height, and knee injuries and the frequency at which care providers utilized the postures of kneeling, squatting, reaching behind themselves, and straining to lift a heavy weight. Loading and unloading patients from evacuation platforms was among the top causes of all awkward postures among respondents. CONCLUSION:Results of this survey emphasize the need for injury mitigation and prevention strategies to reduce impacts on soldier health and readiness.
journal_name
Mil Medjournal_title
Military medicineauthors
Conti SM,Kroening LR,Molles JJ,Davenport ML,Kinsler RE,Lloyd ALdoi
10.1093/milmed/usaa223subject
Has Abstractpub_date
2021-01-25 00:00:00pages
305-310issue
Suppl 1eissn
0026-4075issn
1930-613Xpii
5910626journal_volume
186pub_type
杂志文章abstract：:Of 782 Army families with children that were surveyed, over 10% reported one or more member with health problems or handicapping conditions requiring special ongoing treatment. However, less than half of these were enrolled in the Exceptional Family Member Program. Families with illnesses/handicaps that were enrolled ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-02-01 00:00:00
abstract：:We report on two patients with head and neck injuries, who remained asymptomatic after the earthquake for 1 and 2 years, respectively. They developed late transient ischemic neurological signs and eventually presented with complete occlusion of the internal carotid artery. They made a good recovery with medical treatm...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.169.7.556
更新日期：2004-07-01 00:00:00
abstract：:Adherence to the Maximal Allowable Weight (MAW) standards established by regulation can be difficult for many active duty personnel. We have discovered some members of this group utilizing the potentially dangerous rapid weight loss methods that are commonly seen in patients with bulimia and anorexia nervosa. Two case...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-12-01 00:00:00
abstract：:Seasonal aeroallergens commonly cause allergic conjunctivitis, rhinorrhea, sinusitis, and cough in sensitized individuals. These clinical symptoms are the result of IgE-mediated type I hypersensitivity reactions, which trigger the degranulaton of mast cells and basophils. In contrast, aeroallergens are not common prec...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz106
更新日期：2019-12-01 00:00:00
abstract：UNLABELLED:Physical therapists (PTs) serve as physician extenders performing direct access evaluations for musculoskeletal conditions. The previous war-time mission of PTs was limited to level III medical care. Recently PTs began providing care at levels I/II with brigade combat teams (BCTs). PURPOSE:Determine the sen...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-09-00099
更新日期：2010-05-01 00:00:00
abstract：:The United States Army Europe Stress Management Team (USAREUR SMT) is designed to assist victims of hostage, terrorist, and disaster situations. Early intervention is intended to prevent the development of chronic posttraumatic stress disorder. This paper describes the operation of the SMT following the missile attack...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-08-01 00:00:00
abstract：:Since 1997, the absence of a global, DoD public health laboratory system has been identified as a vulnerability in the U.S. military's effort to identify and quickly respond to emerging infections. The AFHSC Division of GEIS Operations has attempted to mitigate this vulnerability by supporting initiatives such as the ...
journal_title：Military medicine
pub_type： 社论
doi：10.7205/milmed-d-11-00356
更新日期：2012-03-01 00:00:00
abstract：:After the conclusion of major ground combat operations during Operation Iraqi Freedom, the focus of the mission changed, although intense armed conflict continued. Included in this mission was management of security detainees, including provision of their medical care. We retrospectively reviewed the admission records...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.6.501
更新日期：2005-06-01 00:00:00
abstract：Introduction:The education of health professionals and the assessment of their long-term goals are essential. Additionally, in the military health system (MHS), such programs also have the goals of improving readiness, providing high-quality care and meeting the needs and challenges of the MHS. The Uniformed Services U...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy158
更新日期：2019-01-01 00:00:00
abstract：:In addition to common stressors, members of the U.S. Armed Forces experience a high level of stress unique to their status as service members. In an effort to combat stress, many military personnel report high levels of nicotine use. This study investigated the relationship between tobacco use and perceived stress amo...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.3.271
更新日期：2008-03-01 00:00:00
abstract：INTRODUCTION:Over 5,300 inguinal hernia repairs (IHR) were performed in the Military Health System in 2015. Chronic pain can be a debilitating complication, occurring in up to 34% of patients after IHR and impacts mission readiness. Gabapentin has been shown to be effective for postoperative analgesia in a variety of o...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.7205/MILMED-D-17-00107
更新日期：2017-11-01 00:00:00
abstract：:Serotonin syndrome (SS) is a life-threatening condition, usually precipitated by a combination of serotonergic agents. Data regarding the incidence and management of SS in obstetrics are limited. This study presents a case of SS provoked by an atypical antipsychotic in a second trimester, singleton gestation, and revi...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.1093/milmed/usy135
更新日期：2019-01-01 00:00:00
abstract：:Summer exercises in the continental United States bring many military personnel in contact with our four types of indigenous venomous snakes. Personnel with a knowledge of these snakes, their habits, and habitat, and who exercise common sense are much less likely to fall victim to a venomous bite. When a bite does occ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1990-12-01 00:00:00
abstract：INTRODUCTION:Obtaining vascular access is of paramount importance in trauma care. When peripheral venous access is indicated but cannot be obtained, the intraosseous route represents an alternative. The Bone Injection Gun (BIG) is the device used for intraosseous access by the Israeli Defense Force (IDF). The purpose o...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00013
更新日期：2014-11-01 00:00:00
abstract：:The impact of a pharmacy officer on patient compliance and blood pressure control on a deployed nuclear-powered aircraft carrier for a 2-week at-sea period was evaluated. Before any counseling by a pharmacy officer, 43 crewmembers on chronic medications anonymously completed a compliance questionnaire. The pharmacy of...
journal_title：Military medicine
pub_type： 临床试验,杂志文章
doi：
更新日期：2000-02-01 00:00:00
abstract：BACKGROUND:Scientific publication in academic literature is a key venue in which the U.S. Department of Defense's Global Emerging Infections Surveillance and Response System (GEIS) program disseminates infectious disease surveillance data. Bibliometric analyses are tools to evaluate scientific productivity and impact o...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00276
更新日期：2017-05-01 00:00:00
abstract：:Serotonin syndrome is a potential side effect of some psychotropic medications in common use today. With over 8000 adverse events related to this condition in 2004 alone, this risk warrants further attention. The deployed environment presents a unique set of stressors and risks involved in treatment with any psychothe...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00031
更新日期：2010-12-01 00:00:00
abstract：:This retrospective study examined spinal-related hospitalizations of U.S. Army soldiers deployed to Afghanistan and Iraq. Spinal cord injuries (SCI) and vertebral column injuries (VCI) were identified using International Classification of Disease, 9th Revision, Clinical Modification diagnosis codes. In our study, spin...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00061
更新日期：2015-02-01 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：: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
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：:Internal stenting (sutureless plication) for intestinal adhesions was performed operatively in 16 patients. Subsequent recurrent obstruction occurred in four patients. Other complications occurred in three patients and included retained tube, jejunostomy-site abscess, and intestinal fistulization. Four patients died f...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-07-01 00:00:00
abstract：:This article describes Humanitarian Civic Action (HCA) activities performed by the Medical Element (MED EL) of Joint Task Force-Bravo in Honduras during 1988. The effort was designed to assist Honduras in nation building, to provide a maximal training experience for U.S. personnel, and enhance the image of the U.S. Wh...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-06-01 00:00:00
abstract：:A survey of 600 Army and Navy physicians deployed to the Persian Gulf during Operation Desert Storm was conducted to ascertain their concerns pertaining to the ethics of combat medicine and note any similarities with common ethical concerns in the peacetime practice of medicine. Despite expressed familiarity with the ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：:Community-acquired pneumonia can compromise readiness of recruits and service members operating in confined spaces. Often respiratory pathogens are implicated in outbreaks. In July 2008, 5 Basic Underwater Demolition/SEAL students entering an intense period of training at Naval Amphibious Base Coronado reported with c...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00370
更新日期：2011-03-01 00:00:00
abstract：:Suicide is currently the second leading cause of death in the U.S. military. Little recent research has been done on a well-defined cohort at high risk for death by suicide, which consist of military patients who attempt suicide or are admitted for suicidal ideation. As a pilot investigation based on a literature revi...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-03-01 00:00:00
abstract：:The purpose of this study was to examine changes in select anaerobic and aerobic dependent physical performance tasks in U.S. Marines exposured to field operations at moderate altitude. The subjects (N = 16) completed Wingate anaerobic power, submaximal aerobic cycle ergometry, hand grip strength, and push-up tests on...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
abstract：:Recent conflicts have contributed to an escalation in combat-related psychiatric disorders, including post-traumatic stress disorder (PTSD). Although technological advances have increased the speed from which battlefield injuries reach definitive care, mental health conditions have continued to rise. This study sought...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00018
更新日期：2016-11-01 00:00:00
abstract：:A prospective study of obstetrical patients from enrollment as outpatients until postpartum discharge was formulated at Madigan Army Medical Center. The control group included uncomplicated obstetrical patients from March 1 to August 31, 1994. The study group included uncomplicated obstetrical patients from March 1 to...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-11-01 00:00:00
abstract：:Many preventable diseases affecting troop strength are directly attributed to disease-carrying insects. The first line of defense against arthropod vectors is the use of personal protective measures. The concurrent application of DEET (N,N-diethyl-m-toluamide) repellent on the skin and permethrin [(3-phenoxy-phenyl)me...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1998-05-01 00:00:00
