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"Operational Medicine"

Arn H Eliasson, Christopher Lettieri, Nikolaus Netzer
In August 2017, the US Military Health System held its sixth annual Research Symposium for medical researchers from the US Army, Navy, Air Force, and Public Health Service. The symposium provides a collaborative environment for academia, industry, and military researchers who address advancement in areas of Combat Casualty Care, Military Operational Medicine, Clinical and Rehabilitative Medicine, and Military Infectious Diseases. This year, Sleep Medicine received substantial attention with presentations scattered throughout the program, poster presentations as well as a scheduled breakout session with podium presentations...
November 18, 2017: Sleep & Breathing, Schlaf & Atmung
Kaitlin Duncan
No abstract text is available yet for this article.
October 10, 2017: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
A-M Bougeard, A Brent, M Swart, C Snowden
The majority of UK hospitals now have a Local Lead for Peri-operative Medicine (n = 115). They were asked to take part in an online survey to identify provision and practice of pre-operative assessment and optimisation in the UK. We received 86 completed questionnaires (response rate 75%). Our results demonstrate strengths in provision of shared decision-making clinics. Fifty-seven (65%, 95%CI 55.8-75.4%) had clinics for high-risk surgical patients. However, 80 (93%, 70.2-87.2%) expressed a desire for support and training in shared decision-making...
August 2017: Anaesthesia
Marnix Mus, Sanne Kreijkamp-Kaspers, Treasure McGuire, Laura Deckx, Mieke van Driel
OBJECTIVES: Immunisation is crucial to population health. This study aimed to identify the information needs and concerns of health consumers regarding childhood vaccination. METHODS: We analysed 1,342 calls concerning childhood vaccination to an Australian pharmacist-operated medicines call centre (MCC). Data were available from September 2002 until June 2010. We identified key themes and compared these for callers from high and low immunisation coverage areas...
February 2017: Australian and New Zealand Journal of Public Health
Nicola Di Lorenzo, Livia Cenci, Massimiliano Simi, Claudio Arcudi, Valeria Tognoni, Achille Lucio Gaspari, Pietro Valdastri
BACKGROUND: Minimally invasive surgery (MIS) is rising in popularity generating a revolution in operative medicine during the past few decades. Although laparoscopic techniques have not significantly changed in the last 10 years, several advances have been made in visualization devices and instrumentation. METHODS: Our team, composed of surgeons and biomedical engineers, developed a magnetic levitation camera (MLC) with a magnetic internal mechanism dedicated to MIS...
June 2017: Surgical Endoscopy
Stephen Winkler, Robert W Enzenauer, James W Karesh, Nshimyimana Pasteur, Derek L Eisnor, Rex B Painter, Christopher J Calvano
Special Operations Forces (SOF) medical personnel function worldwide in environments where endemic anthrax (caused by Bacillus anthracis infection) may present in one of three forms: cutaneous, pulmonary, or gastrointestinal. This report presents a rare periocular anthrax case from Haiti to emphasize the need for heightened diagnostic suspicion of unusual lesions likely to be encountered in SOF theaters.
December 0: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
F Stelzner
Anatomy is the basis of all operative medicine. While this branch of scientific medicine is frequently not explicitly mentioned in surgical publications, it is nonetheless quintessential to medical education. In the era of video sequences and digitized images, surgical methods are frequently communicated in the form of cinematic documentation of surgical procedures; however, this occurs without the help of explanatory drawings or subtexts that would illustrate the underlying anatomical nomenclature, comment on fine functionally important details or even without making any mention of the surgeon...
August 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Anthony P Tvaryanas, Genny M Maupin, Brittany L Fouts
OBJECTIVES: This study described the patient population and the health care services delivered in the Air Force Flight and Operational Medicine Clinics (FOMCs) over the past 10 years. METHODS: A cross-sectional analysis was performed on the retrospective cohort of patients who received care at a FOMC from 2003 to 2012. RESULTS: A total of 714,157 individuals, generating 4,829,626 encounters, were included in the cohort. They were predominately male service members under the age of 41...
May 2016: Military Medicine
Katarzyna Kasia Hampton, William N Vasios, Paul E Loos
Point-of-care ultrasonography has been recognized as a relevant and versatile tool in Special Operations Forces (SOF) medicine. The Special Operator Level Clinical Ultrasound (SOLCUS) program has been developed specifically for SOF Medics. A number of challenges, including skill sustainment, high-volume training, and quality assurance, have been identified. Potential solutions, including changes to content delivery methods and application of tele-ultrasound, are described in this article. Given the shift in operational context toward extended care in austere environments, a curriculum adjustment for the SOLCUS program is also proposed...
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
Camille L Stewart, Corinne D Nawn, Jane Mulligan, Greg Grudic, Steven L Moulton, Victor A Convertino
BACKGROUND: Humans are able to compensate for significant loss of their circulating blood volume, allowing vital signs to remain relatively stable until compensatory mechanisms are overwhelmed. The authors present several clinical and performance case studies in an effort to demonstrate real-time measurements of an individual's reserve to compensate for acute changes in circulating blood volume. This measurement is referred to as the Compensatory Reserve Index (CRI). METHODS: We identified seven clinical and two physical performance conditions relevant to military casualty and operational medicine as models of intravascular volume compromise...
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
D Dawson, M Singh, F Chung
No abstract text is available yet for this article.
March 2016: Anaesthesia
Eleanor Fleming, Scott Proescholdbell, Nidhi Sachdeva, Apostolos A Alexandridis, Lewis Margolis, Kelly Ransdell
INTRODUCTION: In 2013, a total of 1,085 North Carolina residents died due to unintentional poisoning; 91% of these deaths were attributed to medications or drugs (over-the-counter, prescription, or illicit). Proper disposal of unused, unneeded, and/or expired medications is an essential part of preventing these unintentional deaths, as well as averting the other adverse consequences of these drugs on the environment and population health. METHODS: Operation Medicine Drop is a medication take-back program coordinated by Safe Kids North Carolina, a county-level, coalition-based injury prevention organization...
January 2016: North Carolina Medical Journal
J B Carlisle, S M White, A E Tobin
No abstract text is available yet for this article.
January 2016: Anaesthesia
Sebastian Hafner, François Beloncle, Andreas Koch, Peter Radermacher, Pierre Asfar
This review summarizes the (patho)-physiological effects of ventilation with high FiO2 (0.8-1.0), with a special focus on the most recent clinical evidence on its use for the management of circulatory shock and during medical emergencies. Hyperoxia is a cornerstone of the acute management of circulatory shock, a concept which is based on compelling experimental evidence that compensating the imbalance between O2 supply and requirements (i.e., the oxygen dept) is crucial for survival, at least after trauma. On the other hand, "oxygen toxicity" due to the increased formation of reactive oxygen species limits its use, because it may cause serious deleterious side effects, especially in conditions of ischemia/reperfusion...
December 2015: Annals of Intensive Care
Stavros A Antoniou, George A Antoniou, Athanasios I Antoniou, Frank-Alexander Granderath
Laparoscopic surgery has generated a revolution in operative medicine during the past few decades. Although strongly criticized during its early years, minimization of surgical trauma and the benefits of minimization to the patient have been brought to our attention through the efforts and vision of a few pioneers in the recent history of medicine. The German gynecologist Kurt Semm (1927-2003) transformed the use of laparoscopy for diagnostic purposes into a modern therapeutic surgical concept, having performed the first laparoscopic appendectomy, inspiring Erich Mühe and many other surgeons around the world to perform a wide spectrum of procedures by minimally invasive means...
July 2015: JSLS: Journal of the Society of Laparoendoscopic Surgeons
B M Ansari, V Zochios, F Falter, A A Klein
Accurate assessment of intravascular fluid status and measurement of fluid responsiveness have become increasingly important in peri-operative medicine and critical care. The objectives of this systematic review and narrative synthesis were to discuss current controversies surrounding fluid responsiveness and describe the merits and limitations of the major cardiac output monitors in clinical use today in terms of usefulness in measuring fluid responsiveness. We searched the MEDLINE and EMBASE databases (2002-2015); inclusion criteria included comparison with an established reference standard such as pulmonary artery catheter, transthoracic echocardiography and transoesophageal echocardiography...
January 2016: Anaesthesia
Si Jack Chong, Lei Jiang, Wei-En Chow
The emphasis of naval operations has shifted from conventional naval warfare since World War II to Operations Other than War such as Peace Support Operations and Humanitarian Aid and Disaster Relief. Maritime forces are increasingly deployed in distant areas of operations such as the Somali Basin and Gulf of Aden for longer durations, in a possibly higher threat environment against nonconventional threats such as in counter piracy operations. There is therefore a need to balance the challenges of providing adequate forward naval surgical support with limitations in medical manpower, logistics as well as the need for a suitable surgical platform for these deployments...
August 2015: Military Medicine
Edward Scott Vokoun
Use of intravenous acetaminophen has increased recently as an opioid-sparing strategy for patients undergoing major surgery. Its characteristics and efficacy suggest that it would a useful adjunct in combat trauma medicine. This article reviews those characteristics, which include rapid onset, high peak plasma concentration, and favorable side-effect profile. Also discussed is the hepatotoxicity risk of acetaminophen in a combat trauma patient. It concludes that intravenous acetaminophen should be considered as an addition to the US Special Operations Command Tactical Trauma Protocols and supplied to medics for use in field care...
2015: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
S Kropf, E Burger, I Radinski, K Ridwelski, H Lippert, A Altendorf-Hofmann, J Bernarding
BACKGROUND AND AIM: In Germany, data of cancer patients are recorded not only in epidemiological registers but also in clinical cancer registers. To ensure the networking of all included medical partners, quality control, and clinical research it is necessary that cancer cases are captured more or less completely. The aim of the present study was to compare the data sets of two registers. PATIENTS AND METHODS: Data from patients with colorectal cancer from two large surgical clinics in Magdeburg are recorded in two registers - the Clinical Cancer Registry Magdeburg and the Institute of Quality Assurance in Operative Medicine at the Otto-von-Guericke University Magdeburg...
May 2015: Deutsche Medizinische Wochenschrift
Maik Sahm, Matthias Pross, Ronny Otto, Andreas Koch, Ingo Gastinger, Hans Lippert
OBJECTIVE: The treatment of acute appendicitis has seen changes in diagnosis and therapy in Germany. The objective of this analysis was to assess changes in therapy and outcome after open appendectomy (OA) and laparoscopic appendectomy (LA) over the last 21 years. BACKGROUND: The analysis was based on 3 prospective multicenter quality assurance studies conducted by the Institute for Quality Control in Operative Medicine of the University of Magdeburg. METHODS: All inpatients with a diagnosis of appendicitis in these studies (1988/1989, 1996/1997, 2008/2009) were included...
August 2015: Annals of Surgery
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