Emergency Department Use Among Combat and Non-Combat Post-9/11 Military Veterans
CONCLUSIONS: Those who deployed to a combat zone had a significantly higher rate of ED use compared to those who did not. Further, mental health-related ED diagnoses appeared to be more prevalent in combat Veterans. These findings highlight the unique health care needs faced by combat Veterans and emphasize the importance of tailored interventions and support services for this specific population.PMID:38613450 | DOI:10.1093/milmed/usae155 (Source: Military Medicine)
Source: Military Medicine - April 13, 2024 Category: International Medicine & Public Health Authors: Christopher J Carvalho Aaron L Dalton Derek Boothroyd Tracy H Urech Anita A Vashi Source Type: research

Military Blood Supply and Distribution in USCENTCOM
Mil Med. 2024 Apr 9:usad493. doi: 10.1093/milmed/usad493. Online ahead of print.ABSTRACTIn expeditionary environments, the consistent availability of blood for casualty care is imperative yet challenging. Responding to evidence and the specific needs of its expeditionary context, the US Central Command (USCENTCOM) prioritized supplying stored low titer O whole blood (LTOWB) to its units from March, 2023 onward. A strategy was devised to set minimal LTOWB on-hand supply benchmarks, determined by the number of operating beds and point of injury teams. This transition led to a 54% reduction in orders for packed red blood cell...
Source: Military Medicine - April 13, 2024 Category: International Medicine & Public Health Authors: Andrew Hall Cara Olsen Ryan Comes Steven McDaniel Michael Carrillo Ramey Wilson Matthew Hanson Source Type: research

Reappraising the Use of Systemic Immunomodulators for Psoriasis and Eczema in the Military
CONCLUSIONS: Systemic treatments have evolved to become highly specific for both eczema and psoriasis. These newer biologics and immunomodulators may be compatible with use in the deployed setting, especially those that have long dosing intervals and proven efficacy and safety. Of the biologics, dupilumab and risankizumab offer the best efficacy, safety, and dosing intervals for atopic dermatitis and psoriasis, respectively. Deucravcitinib is a recently FDA-approved oral immunomodulator for psoriasis that has an excellent safety profile and efficacy. Allowing the use of these medications on deployments will enable more peo...
Source: Military Medicine - April 12, 2024 Category: International Medicine & Public Health Authors: Alexius Russell Samantha Williamson Alexandra Rosenberg Sunghun Cho Source Type: research

Discharge Opioid Dose Indirectly Associated With Functional Outcomes 2 Weeks After Shoulder and Knee Arthroscopy in a US Military Sample
CONCLUSION: Excess opioid prescribing was common, did not result in improved pain alleviation, and was associated with poorer physical function and sleep 14 days after surgery. As such, higher prescribed opioid doses could reduce subacute functioning after surgery, without benefit in reducing pain. Future patient-centered studies to tailor opioid postsurgical prescribing are needed.PMID:38602453 | DOI:10.1093/milmed/usad495 (Source: Military Medicine)
Source: Military Medicine - April 11, 2024 Category: International Medicine & Public Health Authors: Germaine F Herrera Jeanne C Patzkowski Michael S Patzkowski Nicholas A Giordano Maya Scott-Richardson Michael Kent Krista B Highland Source Type: research

Impact of a Special Operations Forces Basic Training on Body Composition and Energy Expenditure
CONCLUSION: Tactical athletes must perform in hypo-energetic environment. Research in the future should investigate the impact of increased energy intake on body composition.PMID:38602455 | DOI:10.1093/milmed/usad494 (Source: Military Medicine)
Source: Military Medicine - April 11, 2024 Category: International Medicine & Public Health Authors: Patrick Mullie Source Type: research

Discharge Opioid Dose Indirectly Associated With Functional Outcomes 2 Weeks After Shoulder and Knee Arthroscopy in a US Military Sample
CONCLUSION: Excess opioid prescribing was common, did not result in improved pain alleviation, and was associated with poorer physical function and sleep 14 days after surgery. As such, higher prescribed opioid doses could reduce subacute functioning after surgery, without benefit in reducing pain. Future patient-centered studies to tailor opioid postsurgical prescribing are needed.PMID:38602453 | DOI:10.1093/milmed/usad495 (Source: Military Medicine)
Source: Military Medicine - April 11, 2024 Category: International Medicine & Public Health Authors: Germaine F Herrera Jeanne C Patzkowski Michael S Patzkowski Nicholas A Giordano Maya Scott-Richardson Michael Kent Krista B Highland Source Type: research

Impact of a Special Operations Forces Basic Training on Body Composition and Energy Expenditure
CONCLUSION: Tactical athletes must perform in hypo-energetic environment. Research in the future should investigate the impact of increased energy intake on body composition.PMID:38602455 | DOI:10.1093/milmed/usad494 (Source: Military Medicine)
Source: Military Medicine - April 11, 2024 Category: International Medicine & Public Health Authors: Patrick Mullie Source Type: research

Evaluation of Telemedicine Support for Medics from the Perspective of Course Instructors
CONCLUSIONS: Most of the instructors believed that telemedicine could carry the knowledge and skills of specialist physicians to the field of operation. Access to high-quality health services in a short time through telemedicine support can increase the courage and commitment of the personnel. It is thought that with telemedicine, medics will not feel alone in the field, their worries about making wrong decisions will decrease, and their knowledge and skills will increase. Participants were particularly concerned about who will be held responsible for problems arising from interventions carried out using telemedicine, and ...
Source: Military Medicine - April 8, 2024 Category: International Medicine & Public Health Authors: Mehmet Çetin Mehmet Y ıldırım Volkan T ürkmen Source Type: research

Correction To: Force Health Surveillance in NATO Does Not Meet the Needs of Its Users: A Structured Evaluation of EpiNATO-2
Mil Med. 2024 Apr 2:usae186. doi: 10.1093/milmed/usae186. Online ahead of print.NO ABSTRACTPMID:38573789 | DOI:10.1093/milmed/usae186 (Source: Military Medicine)
Source: Military Medicine - April 4, 2024 Category: International Medicine & Public Health Source Type: research

What Does the Military Health System Need to Support Future Combat Operations? Lessons from Aeromedical Evacuations from 2008 to 2020
CONCLUSIONS: The results of this study reveal what the MHS can expect in future conflicts. Most evacuations are for psychiatric-/injury-/musculoskeletal-related diagnoses, typically requiring care by psychiatrists, orthopedic surgeons, or general surgeons. Outpatient care is important, though it is critical to bolster inpatient care requirements as future conflicts may bring extensive numbers of inpatient casualties. The MHS should program and plan resources accordingly, planning for the care of surgical/injured and psychiatric patients.PMID:38573802 | DOI:10.1093/milmed/usae128 (Source: Military Medicine)
Source: Military Medicine - April 4, 2024 Category: International Medicine & Public Health Authors: Matthew M McDonough Isaiah R Gray Robert G Pickering Kyle N Remick Source Type: research

Correction To: Force Health Surveillance in NATO Does Not Meet the Needs of Its Users: A Structured Evaluation of EpiNATO-2
Mil Med. 2024 Apr 2:usae186. doi: 10.1093/milmed/usae186. Online ahead of print.NO ABSTRACTPMID:38573789 | DOI:10.1093/milmed/usae186 (Source: Military Medicine)
Source: Military Medicine - April 4, 2024 Category: International Medicine & Public Health Source Type: research

What Does the Military Health System Need to Support Future Combat Operations? Lessons from Aeromedical Evacuations from 2008 to 2020
CONCLUSIONS: The results of this study reveal what the MHS can expect in future conflicts. Most evacuations are for psychiatric-/injury-/musculoskeletal-related diagnoses, typically requiring care by psychiatrists, orthopedic surgeons, or general surgeons. Outpatient care is important, though it is critical to bolster inpatient care requirements as future conflicts may bring extensive numbers of inpatient casualties. The MHS should program and plan resources accordingly, planning for the care of surgical/injured and psychiatric patients.PMID:38573802 | DOI:10.1093/milmed/usae128 (Source: Military Medicine)
Source: Military Medicine - April 4, 2024 Category: International Medicine & Public Health Authors: Matthew M McDonough Isaiah R Gray Robert G Pickering Kyle N Remick Source Type: research

Correction To: Force Health Surveillance in NATO Does Not Meet the Needs of Its Users: A Structured Evaluation of EpiNATO-2
Mil Med. 2024 Apr 2:usae186. doi: 10.1093/milmed/usae186. Online ahead of print.NO ABSTRACTPMID:38573789 | DOI:10.1093/milmed/usae186 (Source: Military Medicine)
Source: Military Medicine - April 4, 2024 Category: International Medicine & Public Health Source Type: research