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Military Medicine

  • Organization of Urgent Medical Aid, Including Mass Casualty and Triage -- Wound Ballistics and Tissue Damage -- Damage Control Orthopaedics -- Crush Injury of the Limbs and Acute Mechanical Muscle-Crush Compartment Syndrome -- Anesthesia and Intensive Care of the Patient with Severe Extremity Trauma -- Hemotransfusion in Combat Trauma -- Diagnostic Imaging in Combat Trauma -- Tissue Debridement -- Primary External Fixation -- Prevention of Infection and Antibiotic Use in the Management of Armed Conflict Injuries to the Extremities -- Vascular Trauma to the Limbs -- Peripheral Nerve Injury -- Tissue Coverage After War Trauma -- Definitive Bone Fixation and Reconstruction: Conversion from Temporary External Fixation to Internal Fixation Methods -- Definitive Skeletal Reconstruction: Conversion to the Ilizarov Method -- War Injuries of the Hand -- Foot Surgery in War Trauma -- Limb Salvage Versus Amputation: The Dilemma -- Amputation in Combat Trauma -- Delayed Union and Nonunions -- Osteomyelitis -- Chronic Pain Subsequent to Armed Conflict Injuries to the Extremities.
  • Bioterrorism sourcebook 2006, AccessMedicine
    Introduction to terrorism and bioterrorism -- A clinical approach to biological, chemical, and nuclear terrorism -- Clinicians' roles in public health preparedness and emergency response -- Environmental terrorism -- Surveillance systems and bioterrorism -- Vulnerable groups: a summary of relevant concerns -- Psychological effects of the BCN threat -- Toxicology and bioterrorism -- Legal and ethical issues -- A brief history of biological weapons -- Introduction to biological agents -- Smallpox (Variola major) -- Viral hemorrhagic fevers -- Anthrax -- Plague (Yersinia pestis) -- Tularemia (Francisella tularensis) -- Introduction to biotoxins -- Botulinum toxin -- Ricin -- Category B and C and additional agents -- Introduction to chemical weapons -- A brief history of chemical weapons -- Pulmonary agents -- Vesicants or blistering agents -- Nerve and incapacitating agents -- Blood agents -- A brief history of nuclear weapons and the atomic age -- An overview of radiation physics and injury -- Introduction to nucelar and radiation weapons -- Radiologic terrorism.
  • 1. The Combat Environment: Preparation for Deployment -- 2. Echelons of Combat Casualty Care and Associated Imaging Resources -- 3. Blast and Ballistics: Types, Background, Terminology -- 4. Introduction to Imaging of Penetrating/Perforating Blast and Ballistic Injuries -- 5. Significant Medical Advances on the Battlefield and the Changing Roles of Imaging -- 6. Imaging Thresholds of Salvageability of Life, Limb, and Eyesight -- 7. Imaging Traumatic Brain Injury On and Off the Battlefield -- 8. Chest Imaging in a Battlefield Hospital -- 9. Abdomen and Pelvis Imaging in Iraq -- 10. Skeletal Trauma in Iraq.
  • This book is designed as an easy to read reference and practical guide to the management of combat extremity injuries, which account for a high percentage of the injuries sustained in recent and current conflicts. The surgical techniques appropriate to the full range of extremity injuries and some other frequent injuries, such as trauma to the spine and pelvis, are clearly described with the aid of helpful illustrations. In each chapter a bottom line up front approach is adopted, providing key messages first; a further important feature is the emphasis placed on case-based information and lessons learned from practice. Care has been taken to ensure that the advice provided is straightforward and in line with military clinical practice guidelines.
  • Prehospital and enroute care -- Combat triage and mass casualty management -- Initial management priorities: beyond ABCDE -- Damage control resuscitation -- To operate or image?: pulling the trigger -- Ultrasound in combat trauma -- The bowel: contamination, colostomies, and combat surgery -- Liver and spleen injury management in combat (old school) -- Pancreatic and duodenal injuries (sleep when you can ...) -- Operative management of renal injuries -- Major abdominal vascular trauma -- To close or not to close: managing the open abdomen -- Choice of thoracic incision -- Lung injuries in combat -- Diagnosis and management of penetrating cardiac injury -- Thoracic vascular injuries: operative management in "enemy territory" -- Chest wall and diaphragm injury -- Soft tissue wounds and fasciotomies -- Extremity injuries and open fractures -- Mangled extremities and amputations -- Peripheral vascular injuries -- The neck -- Geritourinary injuries (excluding kidney) -- Neurosurgery for dummies -- Spine injuries -- Face, eye, and ear injuries -- Burn care in the field hospital -- The pediatric patient in wartime -- The combat ICU team -- Postoperative resuscitation -- Monitoring -- Ventilator management: a practical approach to respiratory failure in combat casualties -- Practical approach to combat-related infections and antibiotics -- Stabilization and transfer from the far forward environment -- Humanitarian and local national care -- Expectant and end of life care in a combat zone.
  • The challenges of implementing evidence-based practice guidelines in clinical settings have been widely recognized in the health care field. This implementation guide is designed as a "how-to" resource for managers and clinicians in the Military Health System who seek practical techniques to help them integrate evidence-based practice guidelines into the medical care processes at their medical treatment facilities (MTFs). The guide will be of particular use because its content is based on both published research on clinical guideline implementation and more than two years of experience with guideline implementation during the Army Medical Department/RAND Guideline Implementation project. In this project, three regional demonstrations tested methods for implementing three different guidelines, with the participation of eleven Army MTFs. Lessons learned from the project have been incorporated into the information provided in this guide as well as in field note examples highlighted throughout the document.
  • This Forum on Health and National Security, directed to addressing stigma and barriers to care, brought together a diverse group of leaders in order to expand horizons on these issues of important national need in times of war, disaster and terrorism. The individuals represented national leaders, educators, researchers and health care planners across mental health, health care systems, military and disaster care and the specific issues of stigma and barriers to care. The goal was for individuals who did not usually talk with each other or even know of each other's work, to hear new perspectives and create a new vantage point on this difficult topic.
  • From the stresses of repeated deployments to the difficulties of re-entry into civilian life, we are just beginning to understand how protracted conflicts, such as those in Iraq and Afghanistan, are affecting service members. Issues such as risky health behaviors and chemical dependence raise productivity concerns as they do with all organizations, but they also have a profound impact on the safety and readiness of troops--and by extension, the military as a whole--in life-or-death situations. Understanding Military Workforce Productivity cuts through the myths and misconceptions about the health and resilience of today's active-duty armed forces. This first-of-its-kind volume presents up-to-date findings across service branches in core health areas including illness and injury, alcohol and drug abuse, tobacco use, obesity, and mental health. The short- and long-term implications discussed relate to the quality of the lives of service members and their families, the quality and preparedness of the military as a workforce, and prevention and intervention efforts.

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