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Journal Mil Med

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Hazards of Natural Rubber's MBT and Latex Contact in Injections.

Gavin Hamilton,

Mil Med (Military medicine)
[2020, :]

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Screening Positive for Military Sexual Harassment or Assault Is Associated With Higher Compulsive Sexual Behavior in Men Military Service Members/Veterans.

Rebecca K Blais,

INTRODUCTION:Compulsive sexual behavior (CSB) is understudied in military service members/veterans despite elevated risk for psychological disorders that are associated with CSB, including posttraumatic stress disorder (PTSD), depression, and alcohol misuse. Civilian research shows that sexual trauma is associated with higher CSB. Among military service members/veterans, sexual trauma that occurred before ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Facing COVID-19: Early Recognition and Triage Tool for Medical Treatment Facilities With Limited Resources.

Christoph Jänig, Jennifer M Gurney, Roger Froklage, Robin Groth, Christine Wirth, Hendrik van de Krol, Willi Schmidbauer, Christoph Güsgen,

INTRODUCTION:Coronavirus Disease 2019 (COVID-19) is spreading all over the world. Health systems around the globe have to deal with decreased capabilities and exhausted resources because of the surge of patients. The need to identify COVID-19 patients to achieve a timely opportunity to treat and isolate them is an ongoing challenge ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Practice Variation in Regional Anesthesia Utilization by Current and Former U.S. Military Anesthesiology Residents.

Edward Jaffe, Michael S Patzkowski, John A Hodgson, Derek L Foerschler, Sara C Gonzalez, Nicholas A Giordano, Maya P Scott-Richardson, Krista B Highland,

INTRODUCTION:Per Joint Trauma System guidelines, military anesthesiologists are expected to be ready to lead an Acute Pain Service with regional anesthesia in combat casualty care. However, regional anesthesia practice volume has not been assessed in the military. The objective of this study was to assess regional anesthesia utilization among current ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Case Series of Arterial Gas Embolism Incidents in U.S. Navy Pressurized Submarine Escape Training From 2018 to 2019.

Mia Edgar, Michael A Franco, Hugh M Dainer,

The goal of Pressurized Submarine Escape Training (PSET) is to prepare future submariners for the physical and mental challenges of escaping a disabled submarine and promote proper handling of the Beaufort Ltd Mk 11 Submarine Escape and Immersion Equipment suit. Training participants are only permitted to enter PSET after strict ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Turkish Armed Forces Combat Medic Course: Predictors of Trainee Success.

Mehmet Yıldırım, Mehmet Çetin,

Mil Med (Military medicine)
[2020, :]

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Melon with a Twist: A Case of Nicotine Overdose After Ingestion and Aspiration of Vape Liquid.

Joseph Jude, Hugh Hiller, Joel Miller,

We present the case of an active duty 21-year-old male with severe hypoxic respiratory failure after accidentally ingesting, and subsequently aspirating, vaping liquid while intoxicated. Because of the increasing prevalence of vaping devices, this case highlights a unique risk of vape liquids with concentrated nicotine levels and appetizing labels and ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Authors' Reply to the Response to Our Article ("A Comparison of Improvised and Commercially Available Point-of-Wounding Tourniquets in Simulated Traumatic Amputation with Catastrophic Haemorrhage").

Aurélie G C Hay-David, Jonathan B T Herron, Andrew Thurgood, Craig Whittle, Ansar Mahmood, Owen Bodger, Timothy J Hodgetts, Ian Pallister,

Mil Med (Military medicine)
[2020, :]

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An Assessment of Pre-deployment Training for Army Nurses and Medics.

Mithun R Suresh, Krystal K Valdez-Delgado, Amanda M Staudt, Jennifer D Trevino, Elizabeth A Mann-Salinas, Christopher A VanFosson,

INTRODUCTION:Although military nurses and medics have important roles in caring for combat casualties, no standardized pre-deployment training curriculum exists for those in the Army. A large-scale, survey-based evaluation of pre-deployment training would help to understand its current state and identify areas for improvement. The purpose of this study was to ... Read more >>

Mil Med (Military medicine)
[2020, :]

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The Impact of a Virtual Radiology Medical Student Rotation: Maintaining Engagement During COVID-19 Mitigation.

Chad C Adams, Robert Shih, Paul G Peterson, Mike H Lee, David A Heltzel, Grant E Lattin,

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. MATERIALS AND METHODS:The curriculum is ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Post-mTBI Pain Interference in a U.S. Military Population: A Chronic Effects of Neurotrauma Consortium Study.

Bilal R Khokhar, Megan A Lindberg, William C Walker,

INTRODUCTION:Chronic pain is a significant problem for service members and veterans with mild traumatic brain injury (mTBI). While the root cause of pain is not clearly understood, comorbidities may contribute to how their pain disrupts their functional status, a construct termed "pain interference." The purpose of this study is to ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Creation and Operation of a Task Force Hospital by Armed Forces in the Epicenter of Coronavirus Disease 2019.

Suryeong Go, Chan Young Jeong, Bang Sup Shin, Joosuk Ahn, In Mok Oh, Chulhee Park, Kwangdong Kim, Ji-Weon Seo, Hong Sang Oh,

Mil Med (Military medicine)
[2020, :]

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Penetrating Neck Injuries Treated at a U.S. Role 3 Medical Treatment Facility in Afghanistan During Operation Resolute Support.

John Breeze, William G Gensheimer, Joseph J DuBose,

INTRODUCTION:Military trauma registries can identify broad epidemiological trends from neck wounds but cannot reliably demonstrate temporal casualty from clinical interventions or differentiate penetrating neck injuries (PNI) from those that do not breach platysma. MATERIALS AND METHODS:All casualties presenting with a neck wound to a Role 3 Medical Treatment Facility in ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Prolonged Field Care Research Approach and Its Relevance to Civilian Medicine.

Adam B Cohen, Michael Davis, Sarah E M Herman,

In early March 2020, Johns Hopkins University Applied Physics Lab hosted an Association of Military Surgeons of the United States regional conference to address medical demands of the future battlefield for which prolonged field care is expected. Arising from this conference, we propose here an approach to prolonged field care ... Read more >>

Mil Med (Military medicine)
[2020, :]

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The Medical Relief in Place for United States Forces: Considerations, Risks, and Interoperability.

John M Curtin, Albert Marle, Coy Lock, Robert D McLeroy, Luis J Martinez, Ramey L Wilson,

Mil Med (Military medicine)
[2020, :]

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E-Cigarette or Vaping Product Use-Associated Lung Injury (EVALI) in an Active Duty Service Member.

Michael T Colesar, Daniel J McCollum,

E-cigarette or vaping product use-associated lung injury (EVALI) is a developing serious pulmonary disease associated with the increasing use of vaping products in both civilian and active duty populations. This case study describes an active duty trainee using unbranded vaping products who developed acute respiratory distress syndrome necessitating intubation and ... Read more >>

Mil Med (Military medicine)
[2020, :]

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"Road Rash" and Dizziness: A Case of Hemodynamically Significant Topical Clonidine Toxicity.

John W Downs, Kirk L Cumpston,

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 compounded preparation ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Health Behaviors Among Service Members Injured on Deployment: A Study From the Wounded Warrior Recovery Project.

Cameron T McCabe, Jessica R Watrous, Michael R Galarneau,

INTRODUCTION:Service members (SMs) who are injured on deployment are at risk for myriad long-term health problems that may be ancillary to their physical injury, including high rates of depression and posttraumatic stress disorder, and poor health behaviors (e.g., problem drinking, cigarette and tobacco use, poor sleep quality, and sedentary lifestyle). ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Triage Decisions in the Context of COVID-19: Old Burden, New Challenge—The Structured Approach for Intensive Care Unit Triage (SAINT) Protocol

Christoph Jänig, Roger Forklage, Jennifer M Gurney, Robin Groth, Christine Wirth, Hendrik van de Krol, Willi Schmidbauer, Christoph Güsgen,

ABSTRACT Introduction The medical treatment facilities (MTF) represent the equivalent of the healthcare system in the home countries, but they face the limitations of an outpost at the end of the supply chain. The capabilities are limited, and the necessary effort to extend the treatment capacity is tremendous. Algorithms based ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Migration of Broken Dental Needle Through the Internal Jugular Vein in the Parapharyngeal Space.

Jeffrey C Teixeira, Lingga Adidharma, George L Coppit, Wayne Cardoni,

Accidental broken dental needles during dental blocks have become a rare occurrence but still occur. Although the treatment for such occurrence is controversial, an increasing body of literature demonstrates that migration of such needles is possible. In this case, we report on a 48-year-old male with migration of a broken ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Toward a "Dashboard" Indicator of Retention in U.S. Navy Personnel.

Marcus K Taylor, Lisa M Hernández, A Monique Clinton-Sherrod,

INTRODUCTION:Retention is a top priority for the U.S. Navy. However, our understanding of factors influencing retention of Navy personnel is limited. Current research implies that poor mental health, low appraisals of unit cohesion, low leadership satisfaction, and low social support may adversely affect retention. There is a need to understand ... Read more >>

Mil Med (Military medicine)
[2020, :]

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A Survey of Energy Drink Consumption and Associated Adverse Effects in Air Force Personnel.

Nicholas A Milazzo, Diana X Cao, Gunjeeta Diwaker, Jennifer A Thornton, Sachin A Shah,

INTRODUCTION:Energy drinks are an increasingly utilized beverage and are gaining popularity in recent years. The U.S. Air Force (USAF) represents a unique population where energy drink consumption may be higher than the general population. To better understand the safety and health impact of energy drinks, this large-scale comprehensive survey was ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Oral Health Status Among Adults With and Without Prior Active Duty Service in the U.S. Armed Forces, NHANES 2011-2014.

David K Schindler, Gabriela V Lopez Mitnik, Aida M Soliván-Ortiz, Scott P Irwin, Shahdokht Boroumand, Bruce A Dye,

INTRODUCTION:Many veterans qualify for health benefits but generally not dental care. This study examines differences in oral health status between veterans and nonveterans in the U.S. to determine how various factors, including socioeconomic, general health, and tobacco use, impact former service members' oral health. MATERIALS AND METHODS:Data from 11,539 dentate ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Feasibility of a Clinical Decision Support Tool to Manage Resistant Hypertension: Team-HTN, a Single-arm Pilot Study.

Leilani A Siaki, Victor Lin, Robert Marshall, Robert Highley,

INTRODUCTION:Based on defining criteria, hypertension (HTN) affects 31% to 46% of the adult U.S. population and almost 20% of service members. Resistant HTN (rHTN) consumes significant resources, carries substantial morbidity and mortality risk and costs over $350 billion dollars annually. For multiple reasons, only 48.3% of people with HTN are ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Obstacles to an Effective Low-Titer O Walking Blood Bank: A Deployed Unit's Experience.

Micah J Gaspary, Adrianna I Kyle, Scott M Lawson, James Birkla, Elisha D Bolton, Kyle P Bergeron, Michael M Tiller,

INTRODUCTION:We present the experience of our U.S. Navy Role 2's deployment to the U.S. Central Command area of responsibility in support of Operation Inherent Resolve and serving a multinational, joint-service military base. We detail our efforts to establish a low-titer O (LTO) walking blood bank (WBB) in an effort to ... Read more >>

Mil Med (Military medicine)
[2020, :]

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