| Annual Safar Symposium (2nd). Addendum |
OCT 2005 |
6 pages |
| Authors:
PITTSBURGH UNIV PA
|
 | This grant funded expenses related to the second Safar Symposium held at the University of Pittsburgh School of Medicine on Oct 30, 2003. This is an ADDENDUM to the final report submitted October 14, 04. This symposium is held each year in honor of the late Dr. Peter Safar, pioneer of CPR, resuscitation, critical care, and disaster medicine. The symposium focused on two aspects of medical research of importance to ... |
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| A Randomized Clinical Trial of Cognitive Behavioral Treatment for PTSD in Women |
OCT 2005 |
11 pages |
| Authors:
Charles C. Engel; HENRY M JACKSON FOUNDATION FOR THE ADVANCEMENT OF MILITARY MEDICINE ROCKVILLE MD
|
| This study is a randomized clinical trial comparing two types of individual psychotherapy for treating Posttraumatic Stress Disorder (PTSD) in 284 female veterans and active duty personnel at 11 VA sites and one DoD Site. Prolonged Exposure and Present Centered Therapy are the two treatment conditions, the former a trauma-focused approach and the latter an approach focused on how the individual is functioning currently. The hypothesis is that Prolonged Exposure ... |
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| Scenario-Based Projections of Wounded-in-Action Patient Condition Code Distributions |
13 SEP 2005 |
23 pages |
| Authors:
James M. Zouris; G. J. Walker; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
|
| Modeling and simulation applications require accurate estimations of the number and type of injuries and illnesses. These estimates, called patient streams, include projections of the patient condition (PC) code frequencies needed for estimating medical resources for various types of military operations. They are the diagnostic nomenclature that modeling and simulation applications use. Currently, no quantitative process has been developed to estimate these patient streams. The objective of this research was ... |
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| Far Forward Battlefield Telemedicine: Ultrasonic Guidance in Diagnosis and Emergency Therapeutics |
SEP 2005 |
14 pages |
| Authors:
James D. Thomas; CLEVELAND CLINIC FOUNDATION OH
|
| To improve battlefield assessment of injured personnel we are exploiting several convergent trends in medicine and technology, including ultrasound miniaturization and wireless connectivity. Specific aims include (1) validation of portable ultrasound to diagnose cardiac tamponade, pneumothorax, intraabdominal hemorrhage, etc.; (2) extension of digital echocardiography and local telemedicine to assist remote centers in transesophageal echocardiography; (3) Development of wireless telemedicine systems to relay ultrasonic images and loops to a remote review ... |
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| Isolated Posterior Cerebral Artery Dissection: Report of Three Cases |
31 AUG 2005 |
16 pages |
| Authors:
Paul M. Sherman; JOHNS HOPKINS HOSPITAL BALTIMORE MD
|
| Isolated dissection of the posterior cerebral artery (pCA) is a rare but important cause of stroke in younger patients, particularly women. We present three cases of dissection of the P2 segment of the PCA. In two patients, an association with minor axial head trauma was documented, suggesting shearing injury of the PCA as it crosses over the free edge of the tentorium. The clinical and imaging findings are discussed, and ... |
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| Evaluation of Novel Hemostatic Agents in a Swine Model of Non-Compressible Hemorrhage |
AUG 2005 |
67 pages |
| Authors:
Ryan H. Dorfman; Kathy L. Ryan; Anthony E. Pusateri; Richard J. Jenny; Harold G. Klemcke; HAEMATOLOGIC TECHNOLOGIES INC ESSEX JUNCTION VT
|
| Uncontrolled hemorrhage is the leading cause of death from wounds on the battlefield, accounting for over 50% of mortality. Hemorrhage is also the second leading cause of death in civilian trauma. There is a significant correlation between increased evacuation time and deaths due to combat injuries which increases proportionally with increasing evacuation time. Of the increased death due to delayed evacuation, 62% are the result of hemorrhage. This represents a ... |
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| Physiological Monitoring During Simulation Training and Testing |
29 JUL 2005 |
36 pages |
| Authors:
Mark D. Wiederhold; VIRTUAL REALITY MEDICAL CENTER SAN DIEGO CA
|
| The effectiveness of a low fidelity, laptop training simulator has been proven in this study. Military personnel from elite units of the armed forces participated in simulation training prior to conducting real world training at Strategic Operations. Researchers observed, studied and quantified the training transfer that occurred from the laptop simulator to the real world. A series of performance assessment metrics and training effectiveness models were utilized in this study. ... |
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| Annual Safar Symposium (3rd) Held at University of Pittsburgh School of Medicine on 23 June 2005 |
JUL 2005 |
11 pages |
| Authors:
Patrick M. Kochanek; PITTSBURGH UNIV PA
|
| This grant funded expenses related to the third Safar Symposium held at the University of Pittsburgh School of Medicine on June 23, 2005. This symposium is held each year in honor of the late Dr. Peter Safar, pioneer of CPR, resuscitation, critical care, and disaster medicine. The symposium focused on two aspects of medical research of importance to the field of resuscitation medicine in its broadest scope, namely, a morning ... |
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| The 2004 Fitts Lecture: Current Perspective on Combat Casualty Care |
JUL 2005 |
14 pages |
| Authors:
John B. Holcomb; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
|
| I would like to thank the American Association for the Surgery of Trauma and President Cryer for the opportunity to deliver the 2004 Fitts Lecture. When Dr. Cryer asked me to deliver this lecture, I actually wondered whether he had called the wrong number. Dr. Basil Pruitt described Dr. William P. Fitts in his 1992 Fitts Lecture as a physician soldier in World War II, an author, a chairman, an ... |
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| Selected Results from the Navy-Marine Corps Combat Trauma Registry During Operation Iraqi Freedom |
22 JUN 2005 |
24 pages |
| Authors:
Jay Walker; Mike Galarneau; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Medical Surveillance Monthly Report (MSMR). Volume 11, Number 3, May/June 2005 |
Jun-2005 |
29 pages |
| Authors:
ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
|
| Individuals in active military service are young adults who volunteer to serve in occupations that are physically rigorous and sometimes dangerous. In addition, all active service members must pass medical examinations prior to entering service and periodically during service. Because of self and institutional selection factors such as these, members of the U.S. military tend to be healthier than the general population of young adults. In turn, morbidity and mortality ... |
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| Emotional, Biological, and Cognitive Impact of a Brief Expressive Writing Intervention for African American Women at Familial Breast Cancer Risk |
JUN 2005 |
6 pages |
| Authors:
Heiddie Valdimarsdottir; Dana Bovbjerg; MOUNT SINAI MEDICAL CENTER OF THE CITY OF NEW YORK
|
| Women at familial breast cancer risk have highly inflated perceptions of their risk of developing the disease, high levels of cancer specific distress, and lower levels of natural killer cell activity (NKCA) than women without familial breast cancer risk. To date, little research has been done on women of African descent with family histories of breast cancer, despite the fact that they may be at particularly high risk for chronic ... |
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| Knowledge, Attitudes, and Practices Regarding Epidemiology and Management of Travelers' Diarrhea: A Survey of Front-Line Providers in Iraq and Afghanistan |
JUN 2005 |
5 pages |
| Authors:
John W. Sanders; NAVAL MEDICAL RESEARCH UNIT NO 3 FPO NEW YORK 09527
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| To evaluate the relationship between medical knowledge and clinical practice, a survey on travelers' diarrhea was administered to military health care providers attending a professional development and trauma management conference. The survey was administered at the beginning of the conference and 58 of the 76 attendees participated by completing a questionnaire. Respondents were aware of the standard definition of travelers' diarrhea; however, their knowledge about the epidemiology and management of ... |
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| Preliminary Studies on the Effects of Androstenetriol Induced Immunomodulation in the Treatment of Traumatic Shock |
31 MAY 2005 |
13 pages |
| Authors:
Roger M. Loria; VIRGINIA COMMONWEALTH UNIV RICHMOND
|
| Specific Aim 1: Examine the ability of androstenetriol to improve survival in a rodent model of combined hemorrhage and tissue injury (traumatic shock). Hypothesis 1: The use of androstenetriol shortly after the onset of traumatic shock will improve survival in a rodent model of combined hemorrhage and tissue injury (traumatic shock). Specific Aim 2: Examine the ability of androstenetriol to modulate the immune and inflammatory response systemically and in multiple ... |
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| A Cost-Benefit Between Pyxis and Bar Coding for the Brooke Army Medical Center Operating Room |
29 APR 2005 |
58 pages |
| Authors:
James D. Schwartz; BROOKE ARMY MEDICAL CENTER FORT SAM HOUSTON TX
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| Brooke Army Medical Center (BAMC) is analyzing methods to optimize the operating room (OR). One goal of BAMC's OR is to capture supply costs associated with different procedures as well as to assign the costs to patients. Another goal is to provide real time access to supplies for patient care for a variety of elective and non-elective surgeries in a tertiary care medical center with a level I trauma mission. ... |
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| A Randomized Placebo-Controlled Trial of Citalopram for Anxiety Disorders Following Traumatic Brain Injury |
APR 2005 |
6 pages |
| Authors:
Deborah L. Warden; HENRY M JACKSON FOUNDATION FOR THE ADVANCEMENT OF MILITARY MEDICINE ROCKVILLE MD
|
| The overarching goal of this project is to study the effects of a serotonin reuptake inhibitor (SRI), citalopram, for the - treatment of anxiety experienced by individuals after traumatic brain injury (TBI). Specifically, this project seeks to treat individuals who meet criteria for DSM-IV diagnosis of Anxiety Disorder Due to a General Medical Condition, within 6 to 24 months of TBI. A randomized placebo controlled design with 1-year follow-up will ... |
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| Outcomes of Telehealth Group Psychosocial Interventions for Breast Cancer Patients and Their Partners |
MAR 2005 |
7 pages |
| Authors:
Debra L. Dunivin; WALTER REED ARMY MEDICAL CENTER WASHINGTON DC
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| Over 2000 DoD beneficiaries are diagnosed annually with breast cancer and approximately 1500 active duty service members received treatment for breast cancer during the past decade. This has major implications for immediate and long-term readiness of active duty personnel who are themselves diagnosed with breast cancer or experience this diagnosis within their families. An important component of treatment is psychosocial support for both patients with breast cancer and their partners/caregivers. ... |
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| Neuropsychological Functioning in Gulf War Veterans Exposed to Pesticides and Pyridostigmine Bromide |
FEB 2005 |
44 pages |
| Authors:
Maxine H. Krengel; BOSTON UNIV MA
|
| Gulf War (GW) veterans continue to complain of short-term memory and mood problems many years following their return from the Persian Gulf. Suspected causes for these health complaints continue to be investigated and include additive and/or synergystic effects of the varying combinations of exposures to pesticides, pyridostigmine bromide (PB), low-level nerve agents, and psychological trauma. Many pesticides are neurotoxicants as are PB and nerve agents. Two subsets of these chemicals, ... |
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| Neuroplasticity and Calcium Signaling in Stressed Rat Amygdala |
FEB 2005 |
166 pages |
| Authors:
He Li; Maria Braga; Chris Hough; Sean Manion; Xiaolong Jiang; Aiquin Chen; Eleanore H. Gamble; Preetha Abraham; V> Anderjaska; HENRY M JACKSON FOUNDATION FOR THE ADVANCEMENT OF MILITARY MEDICINE ROCKVILLEMD
|
| Posttraumatic stress disorder (PTSD) is a syndrome of symptoms indicative of emotional dysfunction, which develop after exposure to life- threatening events. Prevalent symptoms are exaggerated fear and anxiety, which become particularly intense during exposure to situations reminiscent of the traumatic events that precipitated the disease. The amygdala is a key component of the brain's neuronal network that determines the emotional significance of external events. Despite the central role of the ... |
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| Patient Warming Device for Casualty Care |
31 JAN 2005 |
29 pages |
| Authors:
Gary Hansen; Mark Albrecht; Ryan Barrows; Andrew McGregor; Ephraim Sparrow; ARIZANT HEALTHCARE EDEN PRAIRIE MN
|
| We have shown that convective air warming device (e.g., "Bair Hugger') is feasible for cold weather conditions and aeromedical evacuation. The goal of the project was to develop such a device that can keep patients warm in 0 deg C conditions and can run for 2 hours using battery power. Our testing showed that with appropriate insulation and recirculation of warm air from within the device, as little as 250W ... |
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| Effectiveness of an Outside-the-Boot Brace in Reducing Parachuting Related Ankle Injuries |
2005 |
8 pages |
| Authors:
M. D. Schmidt; S. I. Sulsky; P. J. Amoroso; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA MILITARY PERFORMANCEDIV
|
| Objectives: To examine the efficacy of an outside-the-boot parachute ankle brace (PAB) in reducing risk of ankle injury to army paratrooper trainees and to identify inadvertent risks associated with PAB use. Design: The authors compared hospitalization rates for ankle, musculoskeletal, and other traumatic injury among 223 172 soldiers trained 1985-2002 in time periods defined by presence/absence of PAB use protocols. Multiple logistic regression analysis estimated adjusted odds ratios (OR) and ... |
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| Acoustic Hemostasis and Hemorrhage Control in Combat Casualty Care |
DEC 2004 |
9 pages |
| Authors:
Lawrence Crum; Marilee Andrew; Stephen Carter; Francesco Curra; Peter Kaczkowski; Steve Kargl; Andrew Brayman; Shahram Vaezy; Henry Bass; Frank Barber; WASHINGTON UNIV SEATTLE APPLIED PHYSICS LAB
|
| High Intensity Focused Ultrasound (HIFU) is a new treatment modality that shows great promise for hemorrhage control and hemostasis in trauma applications. This paper discusses our multi-center multi-disciplinary effort to develop intraoperative and transcutaneous ultrasound-image-guided acoustic hemostasis treatment systems for use in combat casualty care. |
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| Human Recombinant Factor VIIa is Neuroprotective in a Model of Traumatic Brain Injury and Secondary Hypoxemia |
DEC 2004 |
9 pages |
| Authors:
R. A. Bauman; J. B. Long; L. H. Ketchum; V. W. MacDonald; WALTER REED ARMY INST OF RESEARCH SILVER SPRING MD
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| Factor VII (FVII) circulates in plasma as a zymogen until it is exposed to tissue factor (TF). When bound to TF, activated FVII (FVIIa) initiates the extrinsic coagulation cascade that results in the formation of a polymerized fibrin clot. In the untraumatized brain, TF is physically isolated from FVII. However, traumatic brain injury (TBI) frequently results in the disruption of the vascular endothelium and resultant exposure of FVII to subendothelial ... |
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| An Immersive Virtual Reality Therapy Application for Iraq War Veterans with PTSD: From Training to Toy to Treatment |
DEC 2004 |
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| Authors:
A. A. Rizzo; J. Pair; P. J. McNerney; E. Eastlund; B. Manson; J. Gratch; r. hill; B. Swartout; M. Roy; UNIVERSITY OF SOUTHERN CALIFORNIA MARINA DEL REY
|
 | Post Traumatic Stress Disorder (PTSD) is reported to be caused by traumatic events that are outside the range of usual human experiences including (but not limited to) military combat, violent personal assault, being kidnapped or taken hostage and terrorist attacks. Initial data suggests that 1 out of 6 Iraq War veterans are exhibiting symptoms of depression, anxiety and PTSD. Virtual Reality (VR) exposure treatment has been used in previous treatments ... |
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| Potential Use of Stem Cell Therapy for Traumatic Brain Injury |
DEC 2004 |
6 pages |
| Authors:
S. Moochhala; J. Lu; DSO NATIONAL LABORATORIES SINGAPORE
|
| Traumatic brain injury (TBI) accounts for a significant proportion of combat casualties as well as civilian trauma. Pharmaceutical interventions for brain trauma, in general, met with limited success and are often compounded by serious side effects. Recent research and technology on stem cell transplantation have opened up a novel means for ONS repair. This study aims to investigate the therapeutic potential of neural differentiation of stem cells from umbilical cord ... |
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| DoD CPB-ECMO Initiative - A Suspended Animation Front Lines Casualty Management System |
DEC 2004 |
3 pages |
| Authors:
Fernando Casas; Andrew Reeves; David Dudzinski; Stephen Weber; Markus Lorenz; Martin Sinkewich; Robert Foster; William A. Smith; LERNER RESEARCH INST CLEVELAND CLINIC FOUNDATION OH
|
| Cardiopulmonary bypass (CPB), the shunting of blood around the heart and lungs, is a well-established technique that permits difficult surgical procedures on the heart and its adjacent main blood vessels. Extracorporeal membrane oxygenation (ECMO) uses similar equipment, with the primary goal of temporary pulmonary support by increasing the oxygen content and decreasing the carbon dioxide content of the blood, without the intent of performing open chest surgery. It, too, is ... |
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| Modeling Thoracic Blunt Trauma; Towards A Finite-Element-Based Design Methodology for Body Armor |
DEC 2004 |
28 pages |
| Authors:
Martin N. Raftenberg; ARMY RESEARCH LAB ABERDEEN PROVING GROUND MD
|
| ARL is pursuing the goal of developing a finite element-based design methodology for thoracic body armor. We describe progress in modeling two essential ingredients, a Kevlar vest and the human thorax. Thoracic armor is generally designed by an experimental methodology, which, since the 1980s, has been based on the clay-backed test codified in an NIJ standard (National Institute of Justice, 1987). This test involves placing the armor on a standardized ... |
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| Telemedicine Network Expansion |
OCT 2004 |
10 pages |
| Authors:
Steven Allen; John Choi; HERMANN HOSPITAL HOUSTON TX
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| Memorial Hermann Hospital's resources of specialty physicians and highly acclaimed Level I trauma center is able to offer comprehensive consultative services to its extensive rural hospital affiliates. Telemedicine may serve as a solution to increase access to medical care and to capitalize on centralized computer informatics. Acute stroke treatment is well suited for telemedicine consultation given the narrow therapeutic time window. Data suggests that rural patients' travel time to the ... |
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| Annual Safar Symposium (2nd) |
OCT 2004 |
317 pages |
| Authors:
Patrick M. Kochanek; PITTSBURGH UNIV PA
|
| We have been working since the 1980s, for the past 5 yrs under DOD support, on novel ways to resuscitate "unresuscitable" trauma victims. We focus on combat casualties who exsanguinate internally resulting within a few min in cardiac arrest (CA). We have conceived and documented the concept of suspended animation (SA) for delayed resuscitation" using a hypothermic saline flush into the aorta after rapid (over 5 min) exsanguination (Ex) CA, ... |
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| A Randomized Clinical Trial of Cognitive-Behavioral Treatment for PTSD in Women |
OCT 2004 |
8 pages |
| Authors:
Charles C. Engel; HENRY M JACKSON FOUNDATION FOR THE ADVANCEMENT OF MILITARY MEDICINE ROCKVILLEMD
|
| This study is a randomized clinical trial comparing two types of individual psychotherapy for treating PTSD in 384 female veterans and active duty personnel at 11 sites. The treatments are a trauma-focused approach, Prolonged Exposure therapy, and an approach focused on current needs and problems, Present Centered Therapy. Each site will enroll 32 patients over the 24 months of active recruitment in the study. The hypothesis is that Prolonged Exposure ... |
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| Disaster Relief and Emergency Medical Services Project (DREAMS TM): science, Triage and Treatment (STAT) |
OCT 2004 |
119 pages |
| Authors:
S. W. Casscells; TEXAS UNIV HEALTH SCIENCE CENTER AT HOUSTON
|
| Science, Triage, and Treatment:STAT is the component of DREAMS (disaster Relief and Emergency Medical Services) that is developing new ways to diagnose and treat tissue injuries and infection. Progress been the pathophysiology and molecular biology of anthrax, human cytochrome P45O defenses, inflammatory oxidation, apoptosis, reperfusion injury, organ failure, and nitric oxide. New techniques have been developed to automatically diagnose ischemia and heart, kidney, and respiratory failure. STAT science have also ... |
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| Disaster Relief and Emergency Medical Services (DREAMS): Texas A&M digital EMS and the Detection and Remediation of Chemical Threat Agents |
OCT 2004 |
36 pages |
| Authors:
Richard E. Ewing; Larry Flournoy; Jim Wall; Jim Wild; Richard Crooks; Frank Raushel; Francois Gabbai; Ryland Young; TEXAS ENGINEERING EXPERIMENT STATION COLLEGE STATION
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| The Disaster Relief and Emergency Medical Services (DREAMS trade mark) project is a consortium of scientists, medical professionals, and engineers from The Texas A&M University System and the University of Texas Health Science Center at Houston. The goal of DREAMS is to improve the diagnosis and treatment of critically ill or injured soldiers in the field by expediting their access to medical experts at trauma centers or field hospitals. |
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| Novel Resuscitation From Lethal Hemorrhage Suspended Animation for Delayed Resuscitation, Year 7 |
OCT 2004 |
23 pages |
| Authors:
Patrick M. Kochanek; PITTSBURGH UNIV PA
|
| We have been working since the 1980s, for the past 5 yrs under DOD support, on novel ways to resuscitate "unresuscitable" trauma victims. We focus on combat casualties who exsanguinate internally resulting within a few min in cardiac arrest (CA). We have conceived and documented the concept of "suspended animation (SA) for delayed resuscitation" using a hypothermic saline flush into the aorta after rapid (over 5 min) exsanguination (Ex) CA, ... |
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| Center for Innovative Minimally Invasive Therapy (CIMIT) |
OCT 2004 |
133 pages |
| Authors:
John A. Parrish; GENERAL HOSPITAL CORP BOSTON MA
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| The Center for Integration of Medicine and Innovative Technology (CIMIT), is a consortium of nonprofit Massachusetts-based institutions led by Massachusetts General Hospital and includes Brigham and Women's Hospital, Massachusetts Institute of Technology and Draper Laboratory. CIMIT develops technologies to advance the diagnosis and treatment of patients using minimally invasive and less costly approaches. CIMIT coordinates and implements research programs in cardiovascular disease, cancer, trauma, and critical care, supported by basic ... |
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| Hemostatic Agents for Control of Intracavitary Non-Compressible Hemorrhage: An Overview of Current Results |
01 SEP 2004 |
11 pages |
| Authors:
Bijan Kheirabadi; Harold G. Klemcke; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
|
| The majority (~80%) of hemorrhagic deaths on the battlefield are due to intracavitary hemorrhage that is not accessible for direct compression and cannot be treated with externally applied hemostatic agents. In an attempt to address this issue, a project was initiated to evaluate the efficacy of different hemostatic products when introduced into a closed hemorrhaging body cavity. Two thrombin-based hemostatic agents have been tested thus far in rat and rabbit ... |
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| The Potential Role of Recombinant Activated Factor VIIa (rFVIIa) in Military Pre-Hospital Setting |
01 SEP 2004 |
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| Authors:
Uri Martinowitz; Amir Blumenfeld; Menashe Zaarur; Yaron Bar-Lavie; Yeheskel Levy; Giora Martonovits; CHAIM SHEBA MEDICAL CENTER TEL HASHOMBER (ISRAEL)
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| Hemorrhage is a major cause of death of combat casualties in the battlefield. Coagulopathy may develop soon after trauma and plays an important role in the development of uncontrolled bleeding. Thus, introduction of potent hemostatic agents that can overcome the complex coagulopathy of trauma may decrease mortality from exsanguinations. Recombinant factor VIIa (rFVIIa) has been shown to overcome a variety of coagulation and platelet disorders including trauma-related coagulopathy. Controlled animal ... |
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| Bone and Soft Tissue Trauma Research at the USAISR |
01 SEP 2004 |
11 pages |
| Authors:
David G. Baer; Thomas J. Walters; Steven J. Svoboda; John F. Kragh; Terry G. Bice; Joseph C. Wenke; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
|
| Since its establishment in 1943, the United States Army Institute of Surgical Research (USAISR) has conducted research focused on improving the surgical care given to soldiers. Just as our predecessors addressed the unacceptably high impact of thermal injury on combat casualties, the Bone and Soft Tissue Research Team focuses research on combat casualties by examining the epidemiology of combat wounds to identify needed improvements in combat casualty care. This paper ... |
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| The Medical Triage Assistant: A Diagnostic Sensor Suite for Far Forward Medical Care |
01 SEP 2004 |
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| Authors:
Geoffrey S. Ling; Adrian Urias; Ronalee Lo; Catherine Yun; Eleanor Lee; Jeffrey Becker; Sandy Bogucki; Peter Rhee; Hasan Alam; James Ecklund; UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD
|
| A new method for obtaining critical physiologic data in combat injured war fighters is presented. The device is called the Medical Triage Assistant (MTA). This method uses a wearable glove format that has embedded sensors for electrocardiogram (ECG), pulse oximetry and body temperature. Data is collected in real-time. Results are presented applying this device to measure physiologic changes in an anesthetized pig model subjected to hypoxia, cold induced hypothermia, and ... |
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| Prehospital Data Collection and Analysis for Combat Algorithm Design and Remote Triage |
01 SEP 2004 |
11 pages |
| Authors:
Jose Salinas; Victor A. Convertino; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
|
| Few data warehousing systems provide a complete and continuous history of trauma patients from the outset of prehospital care to the point of hospital discharge. Typical prehospital database systems are limited to data recorded by emergency personnel during patient transport and contain a minimal number of data points. This incomplete information provides a snapshot of patient status during the course of treatment, but does not present a complete picture. Furthermore, ... |
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| Experience and Consequences on the Deployments of the Medical Services of the German Army in Foreign Countries - Surgical Aspects |
01 SEP 2004 |
5 pages |
| Authors:
H. Gerngross; MILITARY HOSPITAL ULM (GERMANY)
|
| Several deployments supported by the German Army medical services lead to new experiences concerning personal, training, preparation, support, equipment and standardization. The consequences are not only important for the surgical work but also for anesthesiology, intensive care, internal medicine and neurology and psychiatry. The challenge for our medical services is the fast and complete facilitation of all purposes necessary for the adequate and modern care for our soldiers, the soldiers ... |
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| Lessons Learned from Bravo Surgical Company (Part of I MEF) in Operation Iraqi Freedom |
01 SEP 2004 |
11 pages |
| Authors:
V. Pothula; James Chimiak; Anil Taneja; NAVAL HOSPITAL YOKOSUKA (JAPAN)
|
| PROBLEM: The combat medical delivery system for the US Marines was redundant and seriously hampered by marginal leadership. BACKGROUND: There are multiple demands on a combat medical delivery system, which often are in direct opposition of one another. Compromise of these demands without careful forethought will significantly weaken a system and even lead to its ineffectiveness. One must remember that an advanced medical delivery system is a large logistical liability ... |
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| Compression Bandage, Not Tourniquet. Experience in 68 Patients With Traumatic Amputation after Mine Injuries |
01 SEP 2004 |
9 pages |
| Authors:
Johan Pillgram-Larsen; ULLEVAL UNIV HOSPITAL OSLO (NORWAY) DEPT OF CARDIOTHORACIC SURGERY
|
| Sixty eight patients with traumatic amputations after mine injuries were treated in the demilitarized zone between Iraq and Kuwait. Most were seen during a three week period of Iraqi mine harvesting. During the first days, continuos bleeding distally to applied tourniquets were frequently observed. Orders were issued to remove any applied tourniquets and dress the wounds with a tight elastic bandage. Three out of 18 patients died during the first ... |
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| A Role for Vasopressin During Resuscitation of Traumatic Shock |
01 SEP 2004 |
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| Authors:
Masamitsu Sanui; Stephen M. Cohn; David R. King; Ara J. Feinstein; Albert J. Varon; Kenneth G Proctor; MIAMI UNIV FL SCHOOL OF MEDICINE
|
| In the past few years, arginine vasopressin (AVP) has emerged as a rational alternative to catecholamines for the hemodynamic support of refractory vasodilatory shock and cardiopulmonary arrest. The therapeutic potential of AVP in traumatic shock is now being evaluated. Our laboratory investigations have revealed an apparent benefit of AVP when compared to standard fluid resuscitation in clinically relevant models of brain injury and chest injury. Further experimental work and subsequent ... |
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| Trauma Induced Pain and Wound Management in Emergency Environment by Low Energy Photonic Therapy |
01 SEP 2004 |
37 pages |
| Authors:
Natasha Salansky; Anthony Galea; Norman Salansky; INTERNATIONAL MEDICAL INSTRUMENTS INC TORONTO (ONTARIO)
|
| Low Energy Photonic Therapy (LEPT) is a new non-drug, non-invasive treatment modality for acute trauma and wound healing acceleration that utilizes monochromatic light. Various monochromatic optical sources (lasers, laser diodes and light emitting diodes) are used for LEPT. LEPT can be applied immediately after trauma. LEPT is administered with a short-term goal to achieve fast resolution of symptoms (pain, swelling, and inflammation) and function improvement. In the long run, LEPT ... |
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| Complement Inhibitor APT070 Dramatically Reduces the Need for Resuscitation and Improves Survival in Controlled Isobaric Rat Hemorrhage Model |
01 SEP 2004 |
9 pages |
| Authors:
Lajos Baranyi; Janos Szebeni; Timothy B. Bentley; Dirk Esser; Richard Smith; David Purger; Carl R. Alving; VACCINE AND IMMUNOLOGY RESEARCH INST WASHINGTON DC
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| The complement system (C) becomes activated during hemorrhagic shock in a rat isobaric hemorrhage model, a process significantly aggravating the outcome of shock. Consequently, inhibition of C activation may have beneficial effects on both survival and metabolic status of animals subjected to shock. |
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| Advanced Capabilities for Combat Medics |
01 SEP 2004 |
11 pages |
| Authors:
Victor A. Convertino; William H. Cooke; Jose Salinas; John B. Holcomb; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
|
| The US Army Institute of Surgical Research (USAISR) has the lead for directing the Research Program Area for Advanced Triage Capabilities for Combat Medics in the Medical Research and Materiel Command (MRMC) research program in Combat Casualty Care. The objective of this Program Area is to develop and demonstrate a semi-automated trauma triage capability that provides critical casualty information remotely to the battlefield medic. When this goal is met, the ... |
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| Strategies for Small Volume Resuscitation: Hyperosmotic-Hyperoncotic Solutions, Hemoglobin Based Oxygen Carriers and Closed-Loop Resuscitation |
01 SEP 2004 |
37 pages |
| Authors:
George C. Kramer; Charles E. Wade; Michael A. Dubick; James L. Atkins; TEXAS UNIV MEDICAL BRANCH AT GALVESTON
|
| Logistic constraints on combat casualty care preclude traditional resuscitation strategies which can require volumes and weights 3 fold or greater than hemorrhaged volume. We present a review of quantitative analyses of clinical and animal data on small volume strategies using 1) hypertonic-hyperosmotic solutions (HHS); 2) hemoglobin based oxygen carriers (HBOCs) and 3) closed-loop infusion regimens. Literature searches and recent queries to industry and academic researchers have allowed us to evaluate ... |
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| Development of Hemostatic Dressings for Use in Military Operations |
01 SEP 2004 |
13 pages |
| Authors:
Bijan S. Kheirabadi; Anthony E. Pusateri; Jill L. Sondeen; Angel V. Delgado; Harold E. Modrow; John R. Hess; John B. Holcomb; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
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| On the battlefield, hemorrhage from wounds remains the leading cause of mortality, accounting for 50% of all deaths [1]. Hemorrhage is also the second leading cause of mortality among injured civilians, accounting for 39% of civilian trauma deaths [2-4]. The primary field-ready methods for control of hemorrhage tourniquets, direct pressure, bandages, and clamping have not changed greatly in several centuries [5]. These interventions, even in the hands of experts, are ... |
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| Devices for Emergency Hypothermia and Military Applications |
SEP 2004 |
176 pages |
| Authors:
Ralph Gill; ARDIEM MEDICAL INC INDIANA PA
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| Recent work in the field of emergency and therapeutic hypothermia shows excellent results through the induction of mild-to-moderate profound hypothermia (SA) in laboratory animals using devices developed and fabricated by Ardiem Medical, Inc. An engineering prototype of a device used for the induction of mild- (34 deg C) to-moderate (30 deg C) hypothermia was delivered to SCRR center for Resuscitation Research (SCRR) in the last reporting period (01 Sept. 2002-31 ... |
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| Modeling for Military Operational Medicine Scientific and Technical Objectives |
SEP 2004 |
29 pages |
| Authors:
James H. Stuhmiller; Weixin Shen; Eugene Niu; Adam Fournier; JAYCOR SAN DIEGO CA
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| In FY04, we continued the effort to produce a methodology that estimates the probability/severity of specific injuries from nonpenetrating, body armor impact and that can indicate the effects of body differences. We've made significant progress on the main tasks and successfully accomplished all the milestones in FY04. In summary, (1) the ATM was refined to provide more and better behind body armor impact force and motion responses; the ATM response ... |
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