Bronchoalveolar Lavage Fluid Cytology of Deployed Military Personnel With Chronic Respiratory Symptoms From the STAMPEDE III Study
CONCLUSIONS: The addition of BAL cytology did not help differentiate those patients with unexplained dyspnea from other etiologies.PMID:38430524 | DOI:10.1093/milmed/usae056 (Source: Military Medicine)
Source: Military Medicine - March 2, 2024 Category: International Medicine & Public Health Authors: Joshua M Boster William J Moore Iii Steven T Stoffel Jess T Anderson Michael A Gonzales Mateo C Houle Robert J Walter Michael J Morris Source Type: research

Hyperventilation During Manual Ventilation Can Be Reduced Using a Novel Ventilator but Not With Education Interventions
CONCLUSIONS: The use of a novel ventilator that limits RR and VT may be useful in preventing hyperventilation in TBI patients. Didactic education and simulator-based feedback training may not have significant impact on improving ventilation practices in prehospital providers.PMID:38430525 | DOI:10.1093/milmed/usae030 (Source: Military Medicine)
Source: Military Medicine - March 2, 2024 Category: International Medicine & Public Health Authors: Andrea R Trent Raymond Fang Hegang Chen Curtis C Copeland Napoleon P Roux Thomas E Grissom Source Type: research

Cryotherapy-Induced Iatrogenic Frostbite on Distal Digit: Case Report and Review of Management Strategies
Mil Med. 2024 Mar 1:usae051. doi: 10.1093/milmed/usae051. Online ahead of print.ABSTRACTCryotherapy is a widely utilized topical treatment for various dermatological conditions. While generally safe and effective, it carries potential risks, such as frostbite injury. Frostbite, a vascular condition causing skin and tissue freezing, is usually associated with prolonged exposure to freezing environments. Certain populations, like military personnel navigating frigid terrains, face an increased risk of frostbite and other cold-weather injuries. In this case, we present an unusual instance of iatrogenic frostbite in a 23-year-...
Source: Military Medicine - March 2, 2024 Category: International Medicine & Public Health Authors: Gehan Pendlebury Catherine Brahe Rudy Schmiedecke Source Type: research

Bronchoalveolar Lavage Fluid Cytology of Deployed Military Personnel With Chronic Respiratory Symptoms From the STAMPEDE III Study
CONCLUSIONS: The addition of BAL cytology did not help differentiate those patients with unexplained dyspnea from other etiologies.PMID:38430524 | DOI:10.1093/milmed/usae056 (Source: Military Medicine)
Source: Military Medicine - March 2, 2024 Category: International Medicine & Public Health Authors: Joshua M Boster William J Moore Iii Steven T Stoffel Jess T Anderson Michael A Gonzales Mateo C Houle Robert J Walter Michael J Morris Source Type: research

Hyperventilation During Manual Ventilation Can Be Reduced Using a Novel Ventilator but Not With Education Interventions
CONCLUSIONS: The use of a novel ventilator that limits RR and VT may be useful in preventing hyperventilation in TBI patients. Didactic education and simulator-based feedback training may not have significant impact on improving ventilation practices in prehospital providers.PMID:38430525 | DOI:10.1093/milmed/usae030 (Source: Military Medicine)
Source: Military Medicine - March 2, 2024 Category: International Medicine & Public Health Authors: Andrea R Trent Raymond Fang Hegang Chen Curtis C Copeland Napoleon P Roux Thomas E Grissom Source Type: research

Cryotherapy-Induced Iatrogenic Frostbite on Distal Digit: Case Report and Review of Management Strategies
Mil Med. 2024 Mar 1:usae051. doi: 10.1093/milmed/usae051. Online ahead of print.ABSTRACTCryotherapy is a widely utilized topical treatment for various dermatological conditions. While generally safe and effective, it carries potential risks, such as frostbite injury. Frostbite, a vascular condition causing skin and tissue freezing, is usually associated with prolonged exposure to freezing environments. Certain populations, like military personnel navigating frigid terrains, face an increased risk of frostbite and other cold-weather injuries. In this case, we present an unusual instance of iatrogenic frostbite in a 23-year-...
Source: Military Medicine - March 2, 2024 Category: International Medicine & Public Health Authors: Gehan Pendlebury Catherine Brahe Rudy Schmiedecke Source Type: research

Bronchoalveolar Lavage Fluid Cytology of Deployed Military Personnel With Chronic Respiratory Symptoms From the STAMPEDE III Study
CONCLUSIONS: The addition of BAL cytology did not help differentiate those patients with unexplained dyspnea from other etiologies.PMID:38430524 | DOI:10.1093/milmed/usae056 (Source: Military Medicine)
Source: Military Medicine - March 2, 2024 Category: International Medicine & Public Health Authors: Joshua M Boster William J Moore Iii Steven T Stoffel Jess T Anderson Michael A Gonzales Mateo C Houle Robert J Walter Michael J Morris Source Type: research

Hyperventilation During Manual Ventilation Can Be Reduced Using a Novel Ventilator but Not With Education Interventions
CONCLUSIONS: The use of a novel ventilator that limits RR and VT may be useful in preventing hyperventilation in TBI patients. Didactic education and simulator-based feedback training may not have significant impact on improving ventilation practices in prehospital providers.PMID:38430525 | DOI:10.1093/milmed/usae030 (Source: Military Medicine)
Source: Military Medicine - March 2, 2024 Category: International Medicine & Public Health Authors: Andrea R Trent Raymond Fang Hegang Chen Curtis C Copeland Napoleon P Roux Thomas E Grissom Source Type: research

Cryotherapy-Induced Iatrogenic Frostbite on Distal Digit: Case Report and Review of Management Strategies
Mil Med. 2024 Mar 1:usae051. doi: 10.1093/milmed/usae051. Online ahead of print.ABSTRACTCryotherapy is a widely utilized topical treatment for various dermatological conditions. While generally safe and effective, it carries potential risks, such as frostbite injury. Frostbite, a vascular condition causing skin and tissue freezing, is usually associated with prolonged exposure to freezing environments. Certain populations, like military personnel navigating frigid terrains, face an increased risk of frostbite and other cold-weather injuries. In this case, we present an unusual instance of iatrogenic frostbite in a 23-year-...
Source: Military Medicine - March 2, 2024 Category: International Medicine & Public Health Authors: Gehan Pendlebury Catherine Brahe Rudy Schmiedecke Source Type: research

A Novel Peritoneal Packing Method for Management of Hyperkalemia During Acute Kidney Injury in Trauma
CONCLUSIONS: This is the first demonstration of an effective technology for the management of hyperkalemia in trauma in the absence of standard of care; renal replacement therapy. We identified that PBP was able to consistently maintain a concentration gradient between dialysate in the peritoneum and system potassium concentration throughout the experiment. Furthermore, systemic potassium concentrations were reduced in a clinically relevant manner in the PBP group compared to CON. This suggests that peritoneal packing technology for the management of metabolic disturbances in trauma has potential for clinical application. ...
Source: Military Medicine - February 29, 2024 Category: International Medicine & Public Health Authors: Eric M Zimmerman Ian J Stewart Todd L Graham Timothy J Kovacs Tamaz Guliashvili Thomas D Golobish James D Ross Source Type: research

Mental and Physical Health-Related Quality of Life Following Military Polytrauma
CONCLUSIONS: Overall, HRQoL increased during the 2-year follow-up period, driven by PCS improvement. Increasing HRQoL was associated with time since hospital discharge and limb amputation, whereas a downward trend in HRQoL was associated with spinal injury and post-discharge infection. The longitudinal decline in MCS, driven by TBI occurrence, time since hospital discharge, and developing post-discharge infections, emphasizes the importance of longitudinal mental health care in this population.PMID:38421743 | DOI:10.1093/milmed/usae055 (Source: Military Medicine)
Source: Military Medicine - February 29, 2024 Category: International Medicine & Public Health Authors: Jay R McDonald Matthew Wagoner Faraz Shaikh Erica Sercy Laveta Stewart Emma R Knapp John L Kiley Wesley R Campbell David R Tribble Source Type: research

A Comprehensive Summary of the Meta-Analyses and Systematic Reviews on Platelet-Rich Plasma Therapies for Knee Osteoarthritis
CONCLUSION: The results of this review support the efficacy of PRP for relieving symptoms of pain and improving function, stiffness, and quality of life for patients experiencing knee OA within 12 months. As a result, leukocyte-poor-PRP could be considered for members of the CAF with mild to moderate knee OA (Kellgren-Lawrence grades 1-3) to slow the progression of OA and extend the military careers of CAF members. There continues to be a need for future studies to investigate the longer-term effects of PRP to verify sustained benefits at follow-up points greater than 12 months, including findings of improvement in a delay...
Source: Military Medicine - February 29, 2024 Category: International Medicine & Public Health Authors: Emily Mende Ryan J Love Jody-Lynn Young Source Type: research

An Augmented Reality Rifle Qualification Test for Return-to-Duty Assessment in Service Members
CONCLUSION: The complex scenario provoked dual-task interference in SMs as evidenced by worsening postural sway and reaction time differences between the cognitive and motor tasks. An AR RQT provides objective and quantitative outcomes during a military-specific task. Greater precision in evaluating cognitive and motor performance during a military-relevant task has the potential to aid in the detection and management of SMs and their RTD following MTBI.PMID:38422491 | DOI:10.1093/milmed/usae028 (Source: Military Medicine)
Source: Military Medicine - February 29, 2024 Category: International Medicine & Public Health Authors: Ryan D Kaya Karissa Hastilow Kelsey M Owen Eric M Zimmerman Anson B Rosenfeldt Jay L Alberts Source Type: research

A Novel Peritoneal Packing Method for Management of Hyperkalemia During Acute Kidney Injury in Trauma
CONCLUSIONS: This is the first demonstration of an effective technology for the management of hyperkalemia in trauma in the absence of standard of care; renal replacement therapy. We identified that PBP was able to consistently maintain a concentration gradient between dialysate in the peritoneum and system potassium concentration throughout the experiment. Furthermore, systemic potassium concentrations were reduced in a clinically relevant manner in the PBP group compared to CON. This suggests that peritoneal packing technology for the management of metabolic disturbances in trauma has potential for clinical application. ...
Source: Military Medicine - February 29, 2024 Category: International Medicine & Public Health Authors: Eric M Zimmerman Ian J Stewart Todd L Graham Timothy J Kovacs Tamaz Guliashvili Thomas D Golobish James D Ross Source Type: research

Mental and Physical Health-Related Quality of Life Following Military Polytrauma
CONCLUSIONS: Overall, HRQoL increased during the 2-year follow-up period, driven by PCS improvement. Increasing HRQoL was associated with time since hospital discharge and limb amputation, whereas a downward trend in HRQoL was associated with spinal injury and post-discharge infection. The longitudinal decline in MCS, driven by TBI occurrence, time since hospital discharge, and developing post-discharge infections, emphasizes the importance of longitudinal mental health care in this population.PMID:38421743 | DOI:10.1093/milmed/usae055 (Source: Military Medicine)
Source: Military Medicine - February 29, 2024 Category: International Medicine & Public Health Authors: Jay R McDonald Matthew Wagoner Faraz Shaikh Erica Sercy Laveta Stewart Emma R Knapp John L Kiley Wesley R Campbell David R Tribble Source Type: research