Clinical Readiness: Can Providers Learn to Perform Lower Leg Fasciotomy Through a Tablet-based Augmented Reality Surgical Training Environment?
CONCLUSIONS: Tablet-based AR procedural training improved procedural knowledge and tablet-based skills; however, those gains did not transfer to the ability to perform the procedure on a cadaver. The tablet's limited AR interface did not support the acquisition of requisite surgical technique, tissue handling, and decision-making in novice surgical trainees. Experienced surgeons may have different outcomes because their mature understanding of surgical constructs would allow extrapolation of abilities to other procedural contexts. Further investigation of the tablet-based training environments for surgical care is necessar...
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Kieran Wolf Mark Bowyer Matthew Bradley Brenton Franklin Elizabeth Weissbrod Ryan Dinnen Pamela Andreatta Source Type: research
Lessons Learned: Large-Scale Perfused Cadaver Training in Three Different Curricular Environments
CONCLUSION: Perfused cadavers can be implemented effectively for hemorrhage control training, surgical and procedure skills, and even exercises in austere environments, but require significant logistical and planning considerations. The training value is maximized with a progressive curriculum from hemorrhage control iterations to more invasive surgical procedures, such as thoracotomy and exploratory laparotomy.PMID:38554274 | DOI:10.1093/milmed/usae110 (Source: Military Medicine)
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Alex Y Koo David K Rodgers Marc H Hohman Jason R Muise Kyle S Couperus Jillian F Phelps Source Type: research
Addressing Differences in Knowledge and Experience in Trauma Care Capabilities Among an International Team of Military Medical Care Providers in a Deployed Setting
This article examines the specialized training US Military medical personnel undergo before deployment and the increasing trend of deploying as part of multinational forces in operations like those in Afghanistan with NATO and non-NATO countries. Integrating medical teams from diverse backgrounds poses significant challenges in maintaining a cohesive and efficient team due to varying trauma management training standards and medical practices among the allied forces. Tactical Combat Casualty Care (TCCC) training and the development of clinical practice guidelines (CPG) by the US Joint Trauma Service have been key strategies...
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Sarah Holvelinsky Taylor Travers Joshua B Stierwalt Paul Schunk Brian Patrick Murray Source Type: research
Exploring Knowledge, Skills, and Abilities Needed for Army Pharmacist Readiness Using the Nominal Group Technique
CONCLUSIONS: With modernized, relevant KSAs, the Army can measure and train a ready pharmacy force. Individual Critical Tasks augmented with KSAs are one potential approach we recommend as a strategy to improve Army pharmacist health profession education.PMID:38554276 | DOI:10.1093/milmed/usae111 (Source: Military Medicine)
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Ryan C Costantino Eulho Jung Michael Soh Anita Samuel Source Type: research
The Link Between Somatization and Dissociation and PTSD Severity in Veterans Who Sought Help From the IDF Combat Stress Reaction Unit
CONCLUSIONS: While there is direct reference to dissociation in the clinical assessment by PCL or CAPS, there is no such reference to somatization. Highly functioning combatants sometimes express their distress somatically. Our findings suggest regarding severe somatic symptoms as diagnostic criteria for PTSD.PMID:38554277 | DOI:10.1093/milmed/usae118 (Source: Military Medicine)
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Nizan Shabat Uzi Bechor Nirit Yavnai Lucian Tatsa-Laur Leah Shelef Source Type: research
Cumulative Blast Impulse Is Predictive for Changes in Chronic Neurobehavioral Symptoms Following Low Level Blast Exposure during Military Training
CONCLUSIONS: These results indicate that measures of cumulative blast impulse may have utility in predicting changes in NSI scores. Such paired dosimetry-symptom measures are expected to be an important tool in safely guiding Service members' occupational exposure and optimizing force readiness and lethality.PMID:38553989 | DOI:10.1093/milmed/usae082 (Source: Military Medicine)
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Cory McEvoy Adam Crabtree John Case Gary E Means Peter Muench Ronald G Thomas Rebecca A Ivory Jason Mihalik James S Meabon Source Type: research
A Case of Multidrug-Resistant Tuberculosis in an Active Duty Military Health Care Worker
We present a case of MDR-TB in an active duty U.S. Military health care worker and discuss several considerations for treatment that may present challenges for U.S. Military medical practitioners. A 30-year-old active duty Soldier was referred to Army public health services after a bronchoscopy sample was positive for Mycobacterium tuberculosis complex. Sputum smears were negative for acid-fast bacilli, suggesting lower risk for community spread. One month after initiation of the standard 4-drug regimen for active TB, genetic susceptibility testing found the patient's M. tuberculosis isolate to be resistant to rifampin, is...
Source: Military Medicine - March 30, 2024 Category: International Medicine & Public Health Authors: Amanda E Saunders Kevin M Shanahan John W Downs Source Type: research
Telemedicine for Potential Application in Austere Military Environments: Neurosurgical Support for a Decompressive Craniectomy
CONCLUSIONS: It is feasible to provide telemedicine neurosurgical support with a HMD during a decompressive craniectomy performed by a non-neurosurgically trained military surgeon. All military surgeons showed competence in performing a decompressive craniectomy after receiving a standardized concise lecture. The use of a HMD clearly demonstrated the potential to improve the quality of these neurosurgical procedures performed by military surgeons.PMID:38547413 | DOI:10.1093/milmed/usae094 (Source: Military Medicine)
Source: Military Medicine - March 28, 2024 Category: International Medicine & Public Health Authors: Pieter W Stark O J F van Waes John S Soria van Hoeve Boudewijn L S Borger van der Burg Rigo Hoencamp Source Type: research
The Impact of a Pandemic on a Military Oral and Maxillofacial Pathology Biopsy Service
CONCLUSIONS: Overall, preventative COVID-19 health measures and protocols resulted in a reduction in biopsy submission frequency, particularly during the second quarter (April to June) of 2020. However, case counts for malignant biopsies remained consistent between pre-COVID and COVID time intervals, suggesting that the identification and analysis of cases requiring follow-on care were unaffected by COVID-19 protocols.PMID:38536204 | DOI:10.1093/milmed/usae102 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Trevor E Miller Noel E Dickens Matthew R Rehmel Bradley E Jones Nicholas J Hamlin Quinn C Robbins Source Type: research
Identifying Risk Factors for Dental Emergency Visits in the US Army
CONCLUSION: This study supports a relationship between demographics, oral health characteristics, and dental emergencies. Age may be related to service members entering the military with untreated or managed dental needs, notably around the age of third molar eruption. Sex differences may be related to willingness or preference to utilize non-emergency dental care visits. The inverse relationship between caries risk and dental emergencies could be due to identification and management of high caries risk patients. This project highlights the need for further study and increasingly discrete measurement of oral health care ch...
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Patrick J Arbuckle Thomas Beltran Erik Reifenstahl Source Type: research
Don't Overlook Syphilis: An Atypical Rash in a Woman With Neurologic, Ocular, and Otic Involvement
We present a case of a 20-year-old immunocompetent heterosexual woman who presented with a rash atypical for secondary syphilis and accompanied by neurologic, ocular, and otic manifestations. This case highlights the importance of considering syphilis in the differential diagnosis of sexually active patients with a rash, even when their clinical presentations do not align with the textbook description of a syphilitic rash. Health care providers must remain vigilant for the diagnosis of syphilis in diverse clinical contexts, as early recognition and treatment are vital to prevent further syphilitic complications and transmi...
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Elena M Crouch Michael T O Stein Matthew R Geringer Aeja Weiss Molly Stalons Jamie L Geringer Source Type: research
Deployment-related Cigarette Smoking Behaviors and Pulmonary Function Among U.S. Veterans
CONCLUSIONS: Although cumulative pack-years smoking was modest in this cohort, an inverse association with pulmonary function was detectable. Deployment-related pack-years had a similar association with pulmonary function compared to non-deployment-related pack-years.PMID:38536226 | DOI:10.1093/milmed/usae049 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Authors: Jennifer R Maccarone Olivia R Sterns Andrew Timmons Anna M Korpak Nicholas L Smith Karen S Nakayama Coleen P Baird Paul Ciminera Farrah Kheradmand Vincent S Fan Jaime E Hart Petros Koutrakis Michael Jerrett Ware G Kuschner Octavian C Ioachimescu Philippe Source Type: research
Correction To: Maxillofacial Surgery in Ukraine During a War: Challenges and Perspectives-A National Survey
Mil Med. 2024 Mar 27:usae119. doi: 10.1093/milmed/usae119. Online ahead of print.NO ABSTRACTPMID:38537120 | DOI:10.1093/milmed/usae119 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Source Type: research
Correction To: Dynamics of the Oral Microbiome During Initial Military Training at Fort Benning, Georgia
Mil Med. 2024 Mar 27:usae130. doi: 10.1093/milmed/usae130. Online ahead of print.NO ABSTRACTPMID:38537122 | DOI:10.1093/milmed/usae130 (Source: Military Medicine)
Source: Military Medicine - March 27, 2024 Category: International Medicine & Public Health Source Type: research
