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https://www.readbyqxmd.com/read/29788111/acute-assessment-of-traumatic-brain-injury-and-post-traumatic-stress-after-exposure-to-a-deployment-related-explosive-blast
#1
Monty T Baker, John C Moring, Willie J Hale, Jim Mintz, Stacey Young-McCaughan, Richard A Bryant, Donna K Broshek, Jeffrey T Barth, Robert Villarreal, Cynthia L Lancaster, Steffany L Malach, Jose M Lara-Ruiz, William Isler, Alan L Peterson
Introduction: Traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) are two of the signature injuries in military service members who have been exposed to explosive blasts during deployments to Iraq and Afghanistan. Acute stress disorder (ASD), which occurs within 2-30 d after trauma exposure, is a more immediate psychological reaction predictive of the later development of PTSD. Most previous studies have evaluated service members after their return from deployment, which is often months or years after the initial blast exposure...
May 18, 2018: Military Medicine
https://www.readbyqxmd.com/read/29787545/recent-advances-in-austere-combat-surgery-use-of-aortic-balloon-occlusion-as-well-as-blood-challenges-by-special-operations-medical-forces-in-recent-combat-operations
#2
D Marc Northern, Justin D Manley, Regan Lyon, Daniel Farber, Benjamin J Mitchell, Kristopher J Filak, Jonathan Lundy, Joe J DuBose, Todd E Rasmussen, John B Holcomb
BACKGROUND: Resuscitative endovascular balloon occlusion of the aorta (REBOA) for control of non-compressible torso hemorrhage is a technology that is increasingly being utilized in the combat casualty setting. Its use in the resource restricted environment holds potential to improve hemorrhage control, decrease blood product utilization, decrease morbidity, and improve combat mortality. The objective of this report is to present the single largest series of REBOA use on severely injured combat casualties...
April 30, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29785065/relation-between-coping-and-posttrauma-cognitions-on-ptsd-in-a-combat-trauma-population
#3
Christina M Sheerin, Nadia Chowdhury, Mackenzie J Lind, Erin D Kurtz, Lance M Rappaport, Erin C Berenz, Ruth C Brown, Treven Pickett, Scott D McDonald, Carla Kmett Danielson, Ananda B Amstadter
Individual differences in cognitive processes and coping behaviors play a role in the development and maintenance of posttraumatic stress disorder (PTSD). Given the large numbers of combat-exposed service members returning from the Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) conflicts, exploring individual differences in cognitive-affective processes is important for informing our understanding of PTSD etiology and early intervention in military samples. The present study examined the unique main and interactive effects of negative posttrauma cognitions (i...
2018: Military Psychology
https://www.readbyqxmd.com/read/29781641/mental-health-symptoms-and-treatment-utilization-among-trauma-exposed-college-students
#4
Tiffany M Artime, Katherine R Buchholz, Matthew Jakupcak
OBJECTIVE: Universities have demonstrated growing awareness of students impacted by interpersonal violence (e.g., sexual and physical assault) and veterans/service-members with combat-related trauma because of their sizable presence on campuses and unique vulnerabilities. This study sought to describe impacts of these two forms of trauma exposure on students' mental health and academic functioning and to compare mental health service utilization among students based on their experiences of trauma exposure...
May 21, 2018: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/29760853/emergency-physicians-at-war
#5
REVIEW
Andrew E Muck, Melissa Givens, Vikhyat S Bebarta, Phillip E Mason, Craig Goolsby
Operation Enduring Freedom (OEF-A) in Afghanistan and Operation Iraqi Freedom (OIF) represent the first major, sustained wars in which emergency physicians (EPs) fully participated as an integrated part of the military's health system. EPs proved invaluable in the deployments, and they frequently used the full spectrum of trauma and medical care skills. The roles EPs served expanded over the years of the conflicts and demonstrated the unique skill set of emergency medicine (EM) training. EPs supported elite special operations units, served in medical command positions, and developed and staffed flying intensive care units...
May 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29753547/an-analysis-of-casualties-presenting-to-military-emergency-departments-in-iraq-and-afghanistan
#6
Steven G Schauer, Jason F Naylor, Joshua J Oliver, Joseph K Maddry, Michael D April
BACKGROUND: During the past 17 years of conflict the deployed US military health care system has found new and innovative ways to reduce combat mortality down to the lowest case fatality rate in US history. There is currently a data dearth of emergency department (ED) care delivered in this setting. We seek to describe ED interventions in this setting. METHODS: We used a series of ED procedure codes to identify subjects within the Department of Defense Trauma Registry from January 2007 to August 2016...
May 2, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29741715/forward-surgical-team-experience-fste-is-associated-with-increased-confidence-with-combat-surgeon-trauma-skills
#7
D Joshua Mancini, Brian P Smith, Travis M Polk, C William Schwab
Introduction: Little is known regarding the confidence of military surgeons prior to combat zone deployment. Military surgeons are frequently deployed without peers experienced in combat surgery. We hypothesized that forward surgical team experience (FSTE) increases surgeon confidence with critical skill sets. Methods: We conducted a national survey of military affiliated personnel. We used a novel survey instrument that was piloted and validated by experienced military surgeons to collect demographics, education, practice patterns, and confidence parameters for trauma and surgical critical care skills...
May 8, 2018: Military Medicine
https://www.readbyqxmd.com/read/29740959/preparedness-for-treating-victims-of-terrorist-attacks-in-australia-learning-from-recent-military-experience
#8
Jeffrey V Rosenfeld, Biswadev Mitra, De Villiers Smit, Mark C Fitzgerald, Benjamin Butson, Michael Stephenson, Michael C Reade
The Australian health system is generally well prepared for mass casualty events. Fortunately, there have been very few terrorist attacks and these have involved low numbers of casualties compared with events overseas. Nevertheless, Australian health professionals need to be prepared to treat mass casualties with blast and ballistic trauma. The US military and its allies including Australia have had extensive experience with mass casualty management in the Middle East and Afghanistan wars for more than a decade...
May 9, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29738944/sex-differences-in-traumatic-events-and-psychiatric-morbidity-associated-to-probable-posttraumatic-stress-disorder-among-latino-prisoners
#9
Coralee Pérez-Pedrogo, Alfonso Martínez-Taboas, Rafael A González, José N Caraballo, Carmen E Albizu-García
Latinos comprised 17.1% of the U.S. population and 33.1% of US prisoners, yet they are underrepresented in the psychopathology literature. Despite higher rates of trauma among incarcerated individuals than in the general population, most of the previous research in this area focused primarily on women samples, and very few studies examined sex differences in PTSD and traumatic experiences. In addition, there is a need for research assessing traumatic experiences and probable PTSD in men and women Latino inmates to inform culturally competent care and sex sensitive care for this vulnerable and underserved population...
April 14, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29734981/sleep-disturbances-in-australian-vietnam-veterans-with-and-without-posttraumatic-stress-disorder
#10
Timothy Baird, Sarah McLeay, Wendy Harvey, Rebecca Theal, Dayna Law, Robyn O'Sullivan
STUDY OBJECTIVES: Posttraumatic stress disorder (PTSD) is a condition that may develop after a traumatic event, particularly combat-related trauma. Although sleep disturbance is a hallmark of PTSD, the prevalence of sleep disturbances in Australian veterans with PTSD remains uncertain. This study aimed to subjectively compare the prevalence of sleep disturbances in Australian Vietnam veterans with and without PTSD. METHODS: A cross-sectional cohort study compared trauma-exposed Australian Vietnam veterans with and without PTSD...
April 30, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/29733396/trends-in-mental-health-outcomes-and-combat-exposure-among-us-marines-returning-from-iraq-afghanistan-or-other-deployments-2004-13
#11
Jessica Kelley Morgan, Alison Levin-Rector, Richard A Van Dorn, James Trudeau, Laurel L Hourani, Joel K Cartwright, Pamela K Lattimore
Background: As of 2015, more than 2.7 million US military Veterans have served in support of the Global War on Terror. The negative sequelae associated with deployment stressors and related traumas are well-documented. Although data on mental health issues are routinely collected from service members returning from deployment, these data have not been made publicly available, leaving researchers and clinicians to rely on convenience samples, outdated studies and small sample sizes. Methods: Population-based data of US Marines returning from deployment between 2004 and 2013 were analyzed, using the Post-Deployment Health Assessment...
May 4, 2018: Journal of Public Health
https://www.readbyqxmd.com/read/29731409/penetrating-anorectal-injury-caused-by-a-wild-boar-attack-a-case-report
#12
Ichiro Okano, Yuki Midorikawa, Nobumasa Kushima, Yui Watanabe, Takuya Sugiyama, Katsutaka Mitachi, Kazuaki Shinohara, Takatoshi Sawada, Katsunori Inagaki
Wild boar attacks have rarely been reported in the medical literature. This is the case of an 83-year-old male farmer who was assaulted from behind by an injured adult wild boar. He presented with hemorrhagic shock after sustaining injuries to the right profunda femoris artery and right sciatic nerve as well as significant soft-tissue injuries, bilateral iliac wing fractures, an open pneumothorax, and an anorectal injury. The anorectal injury was treated with fecal diversion but was complicated by soft-tissue infection in the surrounding dead space...
May 3, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29728411/prehospital-haemostatic-dressings-for-trauma-a-systematic-review
#13
Adam J Boulton, Christopher T Lewis, David N Naumann, Mark J Midwinter
BACKGROUND: Haemorrhage is a major cause of mortality and morbidity following both military and civilian trauma. Haemostatic dressings may offer effective haemorrhage control as part of prehospital treatment. AIM: To conduct a systematic review of the clinical literature to assess the prehospital use of haemostatic dressings in controlling traumatic haemorrhage, and determine whether any haemostatic dressings are clinically superior. METHODS: MEDLINE and EMBASE databases were searched using predetermined criteria...
May 4, 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29724456/endophthalmitis-caused-by-fusarium-an-emerging-problem-in-patients-with-corneal-trauma-a-case-series
#14
José Luis Barrios Andrés, Leyre Mónica López-Soria, Ana Alastruey Izquierdo, Jaime Echevarría Ecenarro, Raquel Feijoó Lera, Jesus Garrido Fierro, Francisco Javier Cabrerizo Nuñez, Andrés Canut Blasco
BACKGROUND: Although fortunately very rare in countries with a temperate climate, certain factors, such as clinical or pharmacological immunosuppression, may cause Fusarium-related fungal infections to become an emerging problem. Moreover, Fusarium is one of the most important etiological agents in exogenous endophthalmitis, which is often favored by the disruption of the epithelial barriers. AIMS: The aim of this series of clinical cases is to identify characteristic clinical findings that may allow an early diagnosis and more efficient management of this ophthalmologic emergency...
April 30, 2018: Revista Iberoamericana de Micología
https://www.readbyqxmd.com/read/29723025/gender-differences-in-associations-between-dsm-5-posttraumatic-stress-disorder-symptom-clusters-and-functional-impairment-in-war-veterans
#15
Eric C Meyer, Brian Konecky, Nathan A Kimbrel, Bryann B DeBeer, Brian P Marx, Jeremiah Schumm, Walter E Penk, Suzy Bird Gulliver, Sandra B Morissette
Understanding the links between posttraumatic stress disorder (PTSD) symptoms and functional impairment is essential for assisting veterans in transitioning to civilian life. Moreover, there may be differences between men and women in the relationships between PTSD symptoms and functional impairment. However, no prior studies have examined the links between functional impairment and the revised symptom clusters as defined in the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5; American Psychiatric Association, 2013) or whether the associations between PTSD symptom clusters and functional impairment differ by gender...
May 2018: Psychological Services
https://www.readbyqxmd.com/read/29717911/epidemiology-of-trauma-related-infections-among-a-combat-casualty-cohort-after-initial-hospitalization-the-trauma-infectious-disease-outcomes-study
#16
David R Tribble, Margot R Krauss, Clinton K Murray, Tyler E Warkentien, Bradley A Lloyd, Anuradha Ganesan, Lauren Greenberg, Jiahong Xu, Ping Li, M Leigh Carson, William Bradley, Amy C Weintrob
BACKGROUND: The Trauma Infectious Disease Outcomes Study (TIDOS) cohort follows military personnel with deployment-related injuries in order to evaluate short- and long-term infectious complications. High rates of infectious complications have been observed in more than 30% of injured patients during initial hospitalization. We present data on infectious complications related to combat trauma after the initial period of hospitalization. PATIENTS AND METHODS: Data related to patient care for military personnel injured during combat operations between June 2009 and May 2012 were collected...
May 2, 2018: Surgical Infections
https://www.readbyqxmd.com/read/29707168/leadership-and-post-traumatic-stress-disorder-are-soldiers-perceptions-of-organizational-justice-during-deployment-protective
#17
Andreas F Elrond, Annie Høgh, Søren B Andersen
Background : Soldiers' perception of leadership during military deployment has gained research attention as a potentially modifiable factor to buffer against the development of postdeployment post-traumatic stress disorder (PTSD). Within nonmilitary research, the organizational justice (OJ) framework, i.e. distributive justice, procedural justice (PJ) and interactional justice (IJ), has been found to relate to mental health outcomes. Aspects of OJ may, therefore, be protective against PTSD. Objectives : We examined the prospective relationship between aspects of OJ, namely the perceptions of PJ and IJ by subordinate soldiers without leadership obligations in relationship to immediate superiors and PTSD...
2018: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/29687524/randomized-clinical-trial-pilot-study-of-prolonged-exposure-versus-present-centred-affect-regulation-therapy-for-ptsd-and-anger-problems-with-male-military-combat-veterans
#18
Julian D Ford, Damion J Grasso, Carolyn A Greene, Michelle Slivinsky, Jason C DeViva
A randomized controlled trial pilot study (www.ClinicalTrials.org; NCT01228539) with N = 31 U.S. male military recent combat veterans with PTSD and severe anger problems was conducted comparing 10-session individual therapy versions of Trauma Affect Regulation: Guide for Education and Therapy (TARGET) versus prolonged exposure (PE). TARGET had fewer drop-outs than PE (i.e., 29% vs. 64%). At post-test, improvements were found for both interventions in increased emotion regulation and hope, and reduced PTSD symptoms, hostility, experiential avoidance, and mental health problems...
April 23, 2018: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/29676496/suicide-ideation-in-female-survivors-of-military-sexual-trauma-the-trauma-source-matters
#19
Rebecca K Blais, Lindsey L Monteith
Female veterans who have experienced military sexual trauma (MST) are at elevated suicide risk, yet knowledge is limited regarding correlates of suicide ideation (SI) in this population. MST is associated with a higher risk of posttraumatic stress disorder (PTSD) relative to other trauma types; however, no studies have examined whether experiencing SI differs based on the source of PTSD symptoms (MST-related, non-MST-related). Female service members/veterans (SM/Vs; n = 311) who screened positive for MST and reported exposure to a Criterion A event completed an online survey assessing self-reported demographics, PTSD, depression, the source of their PTSD symptoms, and SI...
April 20, 2018: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/29662256/analysis-of-combat-casualties-admitted-to-the-emergency-department-during-the-negotiation-of-the-comprehensive-colombian-process-of-peace
#20
Carlos A Ordoñez, Ramiro Manzano Nunez, Michael W Parra, Juan Pablo Herrera, Maria Paula Naranjo, Sara Sofia Escobar, Marisol Badiel, Monica Morales, Cecibel Cevallos, Juan G Bayona, Alvaro Ignacio Sanchez, Juan Carlos Puyana, Alberto F García
Aim: Our objective was to describe the variations in casualties admitted to the emergency department during the period of the negotiation of the comprehensive peace agreement in Colombia between 2011 and 2016. Methods: A retrospective study of all hostile military casualties managed at a regional Level I trauma center from January 2011 to December 2016. Patients were subsequently divided into two groups: those seen before the declaration of the process of peace truce (November 2012) and those after (negotiation period)...
December 30, 2017: Colombia Médica: CM
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