Journal articles on the topic 'Medici militari'
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Scartabellati, Andrea. "Un Wanderer dell'anormalitŕ? Un invito allo studio di Placido Consiglio (1877-1959)." RIVISTA SPERIMENTALE DI FRENIATRIA, no. 3 (November 2010): 89–112. http://dx.doi.org/10.3280/rsf2010-003008.
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Placido Consiglio fu tra i piů eminenti psichiatri militari dell'Italia d'inizio '900. Nondimeno, la sua poliforme opera resta in larga parte inesplorata, e la sua figura ancora oggi parzialmente conosciuta. Dopo un'introduzione di carattere generale, si propongono al lettore due testi di Consiglio del 1911 e del 1923. Saggi che testimoniano, una volta di piů, della vitalitŕ dell'approccio positivista nei circoli medici italiani.
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BĂIȚAN, George-Florin. "PLIOMETRIA ȘI CALISTENIA – METODE DE ANTRENAMENT FIZIC SPECIFICE PREGĂTIRII FIZICE A MILITARILOR." Buletinul Universității Naționale de Apărare „Carol I” 10, no. 4 (December 29, 2021): 137–42. http://dx.doi.org/10.53477/2065-8281-21-52.
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Pregătirea fizică a militarilor trebuie să fie una extrem de dură, deoarece aceasta constituie un suport pentru programele de instruire din armată. Mai mult decât atât, trebuie să-i pregătească pe militari pentru ca aceștia să facă față oricărei situații pe care ar putea-o întâlni pe câmpul de luptă: de la escaladarea unui perete înalt de 3 metri, sub focul inamicului, până la alergarea în teren variat, având în spate o raniță de 30 kg și în mâini armamentul individual din dotare. În plus, menținerea sau îmbunătățirea performanței fizice a militarilor profesioniști în diferite medii militare este crucială pentru pregătirea militară generală. Când începem un program de antrenament specific mediului militar, avem siguranța că suntem pe drumul cel mai rapid către obținerea unor rezultate serioase. Militarii vor deveni mai puternici, cu o mare forță fizică, având o constituție fizică robustă și armonioasă. În acest articol, vom prezenta pe scurt două dintre metodele de antrenament fizic specifice instruirii militarilor (pliometria și calistenia), pe care specialiștii în educație fizică militară ar trebui să le utilizeze permanent, pentru ca luptătorii să atingă un nivel superior al pregătirii fizice.
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Monti, Jonathan D., and Michael D. Perreault. "Impact of a 4-hour Introductory eFAST Training Intervention Among Ultrasound-Naïve U.S. Military Medics." Military Medicine 185, no. 5-6 (February 15, 2020): e601-e608. http://dx.doi.org/10.1093/milmed/usaa014.
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Abstract Introduction Advances in the portability of ultrasound have allowed it to be increasingly employed at the point of care in austere settings. Battlefield constraints often limit the availability of medical officers throughout the operational environment, leading to increased interest in whether highly portable ultrasound devices can be employed by military medics to enhance their provision of combat casualty care. Data evaluating optimal training for effective medic employment of ultrasound is limited however. This prospective observational cohort study’s primary objective was to assess the impact of a 4-hour introductory training intervention on ultrasound-naïve military medic participants’ knowledge/performance of the eFAST application. Materials and Methods Conventional U.S. Army Medics, all naïve to ultrasound, were recruited from across JBLM. Volunteer participants underwent baseline eFAST knowledge assessment via a 50-question multiple-choice exam. Participants were then randomized to receive either conventional, expert-led classroom didactic training or didactic training via an online, asynchronously available platform. All participants then underwent expert-led, small group hands-on training and practice. Participants’ eFAST performance was then assessed with both live and phantom models, followed by a post-course knowledge exam. Concurrently, emergency medicine (EM) resident physician volunteers, serving as standard criterion for trained personnel, underwent the same OSCE assessments, followed by a written exam to assess their baseline eFAST knowledge. Primary outcome measures included (1) post-course knowledge improvement, (2) eFAST exam technical adequacy, and (3) eFAST exam OSCE score. Secondary outcome measures were time to exam completion and diagnostic accuracy rate for hemoperitoneum and hemopericardium. These outcome measures were then compared across medic cohorts and to those of the EM resident physician cohort. Results A total of 34 medics completed the study. After 4 hours of ultrasound training, overall eFAST knowledge among the 34 medics improved from a baseline mean of 27% on the pretest to 83% post-test. For eFAST exam performance, the medics scored an average of 20.8 out of a maximum of 22 points on the OSCE. There were no statistically significant differences between the medics who received asynchronous learning versus traditional classroom-based learning, and the medics demonstrated comparable performance to previously trained EM resident physicians. Conclusions A 4-hour introductory eFAST training intervention can effectively train conventional military medics to perform the eFAST exam. Online, asynchronously available platforms may effectively mitigate some of the resource requirement burden associated with point-of-care ultrasound training. Future studies evaluating medic eFAST performance on real-world battlefield trauma patients are needed. Skill and knowledge retention must also be assessed for this degradable skill to determine frequency of refresher training when not regularly performed.
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Fulton, Lawrence V., Matthew S. Brooks, Timothy K. Jones, Matthew J. Schofield, and Hershell L. Moody. "Policy Implications for Female Combat Medic Assignment." Armed Forces & Society 38, no. 3 (November 3, 2011): 500–512. http://dx.doi.org/10.1177/0095327x11426253.
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The current military assignment policy of United States prohibits the assignment of females to billets with high risk of combat exposure. As part of an Army review of this policy, the authors analyzed deployment and promotion risk for combat medics. The effect of current policy on male deployment and female promotion risk was unknown. In light of other countries’ policies and current operational considerations, senior military leaders sought to understand the effects of existing policy on a low-density, high-value occupational specialty, the combat medic. The authors found evidence that male medics deployed 2.07 times more frequently than female medics. The authors also found evidence that senior male medics (staff sergeants) deployed even more frequently (3.65–1) than their female counterparts. Perhaps as a result, the male combat medics experience higher likelihood of promotion from staff sergeant (E-6) to the rank of sergeant first class (E-7); however, the magnitude of that benefit was about one-third of the deployment risk. The results confirm the existence of gender-based deployment risk and promotion disparity. Based upon this analysis, the authors recommended the deprecation of current gender coding for combat medics to the senior levels of the US Army.
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Schauer, Steven G., Cord W. Cunningham, Andrew D. Fisher, and Robert A. DeLorenzo. "A Pilot Project Demonstrating that Combat Medics Can Safely Administer Parenteral Medications in the Emergency Department." Prehospital and Disaster Medicine 32, no. 6 (August 15, 2017): 679–81. http://dx.doi.org/10.1017/s1049023x17006902.
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AbstractIntroductionSelect units in the military have improved combat medic training by integrating their functions into routine clinical care activities with measurable improvements in battlefield care. This level of integration is currently limited to special operations units. It is unknown if regular Army units and combat medics can emulate these successes. The goal of this project was to determine whether US Army combat medics can be integrated into routine emergency department (ED) clinical care, specifically medication administration.Project DesignThis was a quality assurance project that monitored training of combat medics to administer parenteral medications and to ensure patient safety. Combat medics were provided training that included direct supervision during medication administration. Once proficiency was demonstrated, combat medics would prepare the medications under direct supervision, followed by indirect supervision during administration. As part of the quality assurance and safety processes, combat medics were required to document all medication administrations, supervising provider, and unexpected adverse events. Additional quality assurance follow-up occurred via complete chart review by the project lead.DataDuring the project period, the combat medics administered the following medications: ketamine (n=13), morphine (n=8), ketorolac (n=7), fentanyl (n=5), ondansetron (n=4), and other (n=6). No adverse events or patient safety events were reported by the combat medics or discovered during the quality assurance process.ConclusionsIn this limited case series, combat medics safely administered parenteral medications under indirect provider supervision. Future research is needed to further develop this training model for both the military and civilian setting.SchauerSG, CunninghamCW, FisherAD, DeLorenzoRA. A pilot project demonstrating that combat medics can safely administer parenteral medications in the emergency department. Prehosp Disaster Med. 2017;32(6):679–681.
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BĂIȚAN, George-Florin. "DISPONIBILITATEA FIZICĂ PROMPTĂ A MILITARILOR – CONCEPTE, PRINCIPII, COMPONENTE." Buletinul Universității Naționale de Apărare „Carol I” 9, no. 2 (July 2, 2021): 118–25. http://dx.doi.org/10.53477/2065-8281-21-14.
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Rezistența (capacitatea de a susține activitatea), forța (capacitatea de a depăși rezistența) și motricitatea (aplicarea funcțională a forței și a rezistenței pentru a reacționa operativ la stimuli, sub forma unei mișcări eficiente) sunt trăsături esențiale pentru randamentul fizic al militarilor și, pe o scară mai mare, pentru succesul lor în sistemul militar. Disponibilitatea fizică promptă este capacitatea de a satisface cerințele fizice ale oricărei situații de serviciu sau de luptă, în scopul de a îndeplini misiunea sau de a continua lupta până la obținerea victoriei. Privind în perspectivă, abordarea multidomeniu în cadrul operațiilor militare identifică nevoia ca militarii să fie în permanență pregătiți din punct de vedere fizic, astfel încât aceștia să aibă disponibilitatea de a lupta în medii extrem de disputate și de dificile. Atât pregătirea tactică, cât și cea fizică vor rămâne componente cheie ale pregătirii pentru luptă, iar specialiștii în domeniul educației fizice militare trebuie să găsească soluții pentru a integra antrenamentul fizic în exercițiile tactice de antrenament în teren.
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Wong, Kenneth H., Shijir Bayarsaikhan, Betty A. Levine, and Seong K. Mun. "Prototype of a Military Medic Smartphone Medical Graphical User Interface for Use by Medics in Deployed Environments." Military Medicine 185, Supplement_1 (January 2020): 536–43. http://dx.doi.org/10.1093/milmed/usz225.
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ABSTRACT Introduction Prompt and effective combat casualty care is essential for decreasing morbidity and mortality during military operations. Similarly, accurate documentation of injuries and treatments enables quality care, both in the immediate postinjury phase and the longer-term recovery. This article describes efforts to prototype a Military Medic Smartphone (MMS) for use by combat medics and other health care providers who work in austere environments. Materials and Methods The MMS design builds on previous electronic health record systems and is based on observations of medic workflows. It provides several functions including a compact yet efficient physiologic monitor, a communications device for telemedicine, a portable reference library, and a recorder of casualty care data from the point of injury rearward to advanced echelons of care. Apps and devices communicate using an open architecture to support different sensors and future expansions. Results The prototype MMS was field tested during live exercises to generate qualitative feedback from potential users, which provided significant guidance for future enhancements. Conclusions The widespread deployment of this type of device will enable more effective health care, limit the impact of battlefield injuries, and save lives.
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Muñoz Gualán, Germán Geovanny. "El Sistema Educativo Militar del Ecuador: un modelo innovador." Revista Cognosis. ISSN 2588-0578 5, no. 3 (September 28, 2020): 45. http://dx.doi.org/10.33936/cognosis.v5i3.2448.
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La educación en el Ecuador es un derecho de las personas a lo largo de su vida y un deber ineludible e inexcusable del Estado. En este contexto la educación militar, busca dar solución al requerimiento del estado ecuatoriano de contar con profesionales altamente capacitados en el área de seguridad y defensa, quienes constitucionalmente son los responsables de velar por la defensa de la soberanía e integridad territorial, así como apoyo a las instituciones del estado. El objetivo general planteado del presente trabajo investigativo es analizar pedagógicamente el Sistema de Educación Militar ecuatoriano. Para lo cual es imprescindible el cumplir con los siguientes objetivos específicos: a) establecer la estructura pedagógica del Modelo Educativo de Fuerzas Armadas, b) indicar la estructura pedagógica del Diseño Curricular de la Carrera de Ciencias Militares, y c) mencionar las cualidades innovadoras del sistema educativo militar. El presente trabajo investigativo es un estudio crítico, que presenta un enfoque cualitativo, basado en un diseño no experimental, con un alcance exploratorio, de tipo análisis documental. Con lo cual se llega a la conclusión que el Modelo de Educación de Fuerzas Armadas y el Diseño Curricular de la Carrera de Ciencias Militares, son instrumentos educativos dinámicos, que cuentan con un diseño pedagógico acorde a las exigencias actuales, además, el Sistema de Educación Militar presenta un proyecto innovador con modalidad de educación DUAL, el cual se basa en un conjunto de modelos teóricos de conocimientos, con un enfoque en competencias.
PALABRAS CLAVE: modelo educativo militar; diseño curricular; innovación; educación dual; ciencias militares.
ECUADOR'S MILITARY EDUCATION SYSTEM: AN INNOVATIVE MODEL
ABSTRACT
Education in Ecuador is a right of people throughout their lives and an inescapable and inexcusable duty of the State. In this context, military education seeks to solve the requirement of the Ecuadorian state to have highly trained professionals in the area of security and defense, who are constitutionally responsible for ensuring the defense of sovereignty and territorial integrity, as well as support for state institutions. The general objective of this investigative work is to pedagogically analyze the Ecuadorian Military Education System. Para lo cual es imprescindible el cumplir con los siguientes objetivos específicos: a) establecer la estructura pedagógica del Modelo Educativo de Fuerzas Armadas, b) indicar la estructura pedagógica del Diseño Curricular de la Carrera de Ciencias Militares, y c) mencionar las cualidades innovadoras del sistema educativo militar. The present investigative work is a critical study that presents a qualitative approach, based on a non-experimental design, with an exploratory scope, of a documentary analysis type. With which the conclusion is reached that the Armed Forces Education Model and the Curricular Design of the Military Sciences Career are dynamic educational instruments, which have a pedagogical design according to current requirements, in addition, the Education System Military presents an innovative project with a DUAL education modality, which is based on a set of theoretical knowledge models, with a focus on competencies.
KEYWORDS: military educational model; curricular design; innovation; dual education; military science.
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Simonenko, V. B., and M. Sh Knopov. "Military medics – holders of military orders." Clinical Medicine (Russian Journal) 100, no. 6 (September 15, 2022): 332–36. http://dx.doi.org/10.30629/0023-2149-2022-100-6-332-336.
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The article is devoted to brief characteristics of the military medical service leaders and their activities during the Great Patriotic War. All those were awarded Orders of Suvorov, Kutuzov, Alexander Nevsky, Bogdan Khmelnitsky, the highest military orders for the success in battlefi elds and enemy’s defeat.
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Pearn, John. "Militares Medici in Nummis Repraesentati: The Heritage of Military Medicine in Coins and Medals." Military Medicine 167, no. 1 (January 1, 2002): 1–9. http://dx.doi.org/10.1093/milmed/167.1.1.
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Souza, Rochele Couto Campos de, Patrícia Bitencourt Toscani Greco, Emanuelli Mancio Ferreira da Luz, Letícia Martins Machado, Daniel Fenner, and Marcos Vinícius Paludett. "Prevalência de estresse ocupacional e distúrbios psíquicos menores em militares." Revista Recien - Revista Científica de Enfermagem 12, no. 40 (December 18, 2022): 142–52. http://dx.doi.org/10.24276/rrecien2022.12.40.142-152.
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As situações desgastantes no ambiente laboral podem desencadear condições negativas relacionadas à saúde dos trabalhadores. O objetivo consiste em verificar a prevalência de Estresse Ocupacional e de Distúrbios Psíquicos Menores em militares de saúde do Exército Brasileiro no Rio Grande do Sul. Estudo transversal desenvolvido com militares de uma Organização Militar de Saúde, utilizando um questionário autoaplicável de caracterização sociodemográfica, laboral, hábitos e saúde, Escala de Estresse no Trabalho e Self-Report Questionnaire-20. Participaram do estudo 49 militares. Utilizou-se para a análise dos dados a estatística descritiva. A média geral da EET evidenciou um escore de 50,14% e a prevalência global de suspeição para DPM foi de 30,6%. O estresse e os distúrbios psíquicos menores ocasionam prejuízo à saúde biopsicossocial dos militares. Os gestores devem estar atentos e vigilantes às condições de trabalho e no planejamento de estratégias para reduzir a sobrecarga e incentivar a autonomia dos militares.
Descritores: Saúde do Trabalhador, Estresse Ocupacional, Enfermagem, Militares.
Prevalence of occupational stress and minor psychic disorders in military
Abstract: Stressful situations in the work environment can trigger negative conditions related to workers' health. The objective is to verify the prevalence of Occupational Stress and Minor Psychic Disorders in health soldiers of the Brazilian Army in Rio Grande do Sul. A cross-sectional study developed with soldiers from a Military Health Organization, using a self-administered questionnaire of sociodemographic, work, habits and health, Work Stress Scale and Self-Report Questionnaire-20. A total of 49 military personnel participated in the study. Descriptive statistics were used for data analysis. The general average of TSE showed a score of 50.14% and the global prevalence of suspicion for MPD was 30.6%. Stress and minor psychic disorders cause damage to the biopsychosocial health of the military. Managers must be attentive and vigilant to working conditions and planning strategies to reduce the burden and encourage the autonomy of the military.
Descriptors: Occupational Health, Occupational Stress, Nursing, Military.
Prevalencia de estrés laboral y trastornos psíquicos menores en militares
Resumen: Las situaciones estresantes en el ambiente de trabajo pueden desencadenar condiciones negativas relacionadas con la salud de los trabajadores. El objetivo es verificar la prevalencia de Estrés Ocupacional y Trastornos Psíquicos Menores en soldados de salud del Ejército Brasileño en Rio Grande do Sul. Estudio transversal desarrollado con soldados de una Organización Militar de Salud, utilizando un cuestionario autoadministrado de características sociodemográficas, trabajo, hábitos y salud, Escala de Estrés Laboral y Cuestionario de Autoinforme-20. Un total de 49 militares participaron en el estudio. Se utilizó estadística descriptiva para el análisis de datos. El promedio general de EET mostró una puntuación de 50,14% y la prevalencia global de sospecha para MPD fue de 30,6%. El estrés y los trastornos psíquicos menores provocan daños en la salud biopsicosocial de los militares. Los administradores deben estar atentos y vigilantes a las condiciones de trabajo y planificar estrategias para reducir la carga y fomentar la autonomía de los militares.
Descriptores: Salud Laboral, Estrés Laboral, Enfermería, Personal Militar.
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Higgins, R. A. "MEDEVAC." AACN Advanced Critical Care 21, no. 3 (July 1, 2010): 288–97. http://dx.doi.org/10.4037/15597768-2010-3007.
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In current military operations, the survival rates of critically injured casualties are unprecedented. An often hidden aspect of casualty care is safe transport from the point of injury to a field hospital and subsequently on to higher levels of care. This en route critical care, which is provided by flight medics under the most austere and rigorous conditions, is a crucial link in the care continuum. This article introduces the role and capabilities of US Army MEDEVAC and reflects the author’s recent experience in Afghanistan as a flight medic. This article provides an assessment of the operational issues, medical capabilities, and transport experiences to provide a real-world view of critical care transport from the battlefield. The MEDEVAC helicopter environment is one of the most difficult, if not the most demanding, critical care environments. This overview brings to light a small but important piece of the care continuum.
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Barrera-González, Julián Garib. "Atención Pre-Hospitalaria de combate y cuidado del herido, ángeles en medio del infierno: una visión al interior de la APH Militar." Revista científica anfibios 3, no. 2 (December 9, 2020): 93–100. http://dx.doi.org/10.37979/afb.2020v3n2.77.
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Las Fuerzas Militares de Colombia desarrollan operaciones en todos los rincones del país, como parte de su misión constitucional de defender la soberanía, la independencia y la integridad del territorio nacional, para esto cuenta con un equipo de militares especialistas en diferentes áreas, una de ellas es la atención pre-hospitalaria, cuyo objetivo es brindar atención medica inicial al herido o lesionado en combate. Este artículo de revisión, se centra en el análisis documental de datos enfocados a la situación actual de la labor de la atención pre-hospitalaria militar en Colombia, especialmente en la Armada Nacional. Entre los principales hallazgos, se muestra el contexto de esta labor al interior de la Fuerzas Armadas, luego se hace una mirada a la historia de la atención de enfermería de combate, posteriormente se hace un análisis a la importancia del Socorrista Militar y Enfermero de Combate desde la percepción interna de los actores y finalmente se enfatiza la necesidad de brindar una educación en atención pre-hospitalaria de calidad, basada en el contexto real y mediante un modelo pedagógico que facilite el aprendizaje significativo de los estudiantes de estos cursos.
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Kennedy, Bruce W. "Training military medics with animal models." Lab Animal 42, no. 7 (June 19, 2013): 259. http://dx.doi.org/10.1038/laban.321.
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Qin, Hao, Daocheng Liu, Sixu Chen, Mingrui Lyv, Lei Yang, Quanwei Bao, and Zhaowen Zong. "First-aid Training for Combatants Without Systematic Medical Education Experience on the Battlefield: Establishment and Evaluation of the Curriculum in China." Military Medicine 185, no. 9-10 (June 30, 2020): e1822-e1828. http://dx.doi.org/10.1093/milmed/usaa152.
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Abstract Introduction For combatants without systematic medical education experience (CSMEE), it is necessary to participate in first-aid on the battlefield, but currently there is no effective training curriculum for CSMEE in Chinese military. Materials and Methods A list of first-aid techniques based on expert consensus was formed, and then a curriculum was established according to the list. The effectiveness of the curriculum was further evaluated by comparing the scores among group A (the reserve officers trained by this curriculum), group B (the reserve officers in the military medical college trained by professional medic training system), and group C (the fresh officers trained by the Outline of Military Training and Assessment of Chinese military), through a 5-station assessment in a simulated battlefield environment, which included the following 5 techniques: tourniquet for massive extremities hemorrhage, thyrocricocentesis, thoracentesis, fixation of long bone fractures, and wound dressing with hemostatic bandage. Results The training curriculum entitled “Implementation and Assessment Standards of First-aid Training for Combatants on the Battlefield” was established. The comparison of average scores in the 5-station assessment showed that group A had better scores than group C in tourniquet for massive extremity hemorrhage, thyrocricocentesis, and thoracentesis, with no significant differences compared with group B. Also, no significant difference between groups A and B in overall completion time and overall scores was observed, whereas an excellent candidate rate in overall score of group B was better than that of group A (87.4% vs. 80.9%, χ2 = 4.40, p = 0.036), and group A was better than group C (80.9% vs. 37.5%, χ2 = 62.01, p < 0.001). Conclusion The established training curriculum is indeed effective, which improved the CSMEE’s first-aid capacity on the battlefield, and is equivalent to the level of medics.
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Schiavone, Oscar. "Luca Martini (1547–61): A case study in the military administration and commercial exploitation of the northern Tyrrhenian in the Renaissance." International Journal of Maritime History 31, no. 4 (November 2019): 688–706. http://dx.doi.org/10.1177/0843871419881013.
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From 1547 to his death in 1561, Luca Martini (1507–1561), a Florentine polymath and bureaucrat, was appointed superintendent of the Ufficio dei fossi in Pisa. Duke Cosimo I de’ Medici tasked him with the reorganisation of coastal Tuscany, which entailed reclaiming the Pisan plain, restoring and embellishing major and minor urban centres and reviving trade in the area. In his capacity as superintendent, however, he was also in charge of supervising Pisa’s shipyard, building a new military and commercial fleet and renovating the coastal defence system. This article will show how Martini’s unique concentration of power was instrumental in reorienting the Medici perception of the Tyrrhenian as a ‘last frontier’ to be exploited and defended.
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Daher-Nashif, Suhad. "The work of transnational forensic medicine experts in colonised zones: the Palestinian case." Human Remains and Violence 5, no. 2 (October 2019): 17–33. http://dx.doi.org/10.7227/hrv.5.2.3.
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This article aims to shed light on the post-mortem practices for Palestinian dead bodies when there is suspicion of human rights violations by Israeli military forces. By focusing on the case of Omran Abu Hamdieh from Al-Khalil (Hebron), the article explores the interactions between Palestinian social-institutional agents, Israeli military forces and international medico-legal agents. Drawing on ethnographic and archival data, the article explores how the intersectionality between the various controlling powers is inscribed over the Palestinian dead bodies and structures their death rites. The article claims that inviting foreign medico-legal experts in the Palestinian context could reveal the true death story and the human rights violations, but also reaffirms the sovereignty of the Israeli military forces over the Palestinian dead and lived bodies.
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Su, Huantong, Shuda Wei, Fangping Chen, Ruihua Cui, and Changsheng Liu. "Tranexamic acid-loaded starch hemostatic microspheres." RSC Advances 9, no. 11 (2019): 6245–53. http://dx.doi.org/10.1039/c8ra06662k.
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Westcott, Sally, Benjamin Walrath, Jeremy Miller, Melissa Trumbull, and Craig Manifold. "Transition From Military Prehospital Medicine to Civilian EMS." Military Medicine 185, no. 9-10 (June 4, 2020): e1803-e1809. http://dx.doi.org/10.1093/milmed/usaa099.
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Abstract Introduction Currently, there is a disconnection between veteran military medics and the civilian Emergency Medical Services (EMS) workforce. This project aimed to characterize the rate of civilian certification among military medics, both active duty and retired, and identify perceived barriers to continuing a career in EMS after military separation. Materials and Methods The National Association of Emergency Medical Technicians (EMTs) administered a 21-question online survey to participants. Individuals were recruited through the National Association of EMTs membership communications, Military Relations Committee members, and social media. All responses were anonymous and no identifiable information was collected. Survey questions were compiled and reported as a percentage of respondents. Free-text responses were categorized based on broad themes identified by the authors and are reported as a percentage of respondents. Results Results included 456 veteran and active duty respondents, of whom 304 (70.7%) had prehospital experience while in the military and 250 (58.1%) had emergency department experience. Over 60% of respondents participated in combat-related duty with 37% having at least 18 months of overseas deployment. Civilian EMT certification was held by 164 (36.7%) survey participants and 170 held paramedic certification (38.1%), while 65 (14.6%) held no EMS certification. There were 119 (28.1%) respondents who stated that they did not plan to work in civilian EMS. Top selected reasons for not pursuing civilian EMS careers included: pursuing a medical career that was not prehospital (28.5%), pay disparity (18.1%), and no interest in civilian prehospital medicine (16.4%). Write in responses indicated general frustration with maintaining certification and a desire for advanced certification (AEMT, paramedic) to be supplied by the military prior to transitioning to a civilian workforce as many respondents felt their military-endowed skills and experiences were better aligned with these advanced EMS licenses. Conclusion The majority of survey respondents held an EMS certification of some kind and suggests that recent efforts to supply military medics with civilian certifications have been largely successful. However, there is still a large portion that remains noncertified or expresses disinterest with entering the civilian workforce. Generally, many of those certified feel their military scope of practice exceeded civilian EMT certification and requested AEMT or paramedic licensure opportunities while still active duty military.
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Kotsyubynska, Yu Z. "CURRENT ISSUES OF FORENSIC MEDICINE IN THE CONDITIONS OF MILITARY ACTIONS." Art of Medicine 23, no. 3 (October 18, 2022): 129–33. http://dx.doi.org/10.21802/artm.2022.3.23.129.
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Forensic medicine is a science that uses medical and general biological knowledge to solve issues that arise in the practice of law enforcement agencies. Therefore, the range of issues studied by forensic doctors is quite wide. This includes the study of death and cadaveric changes (forensic thanatology), the study of injuries (forensic traumatology), forensic medical examination of living persons regarding bodily injuries, sexual crimes, etc., forensic medical examination of material evidence, identification of a person, forensic medical examination in cases of medical errors and offenses and many others. The fact of military operations on the territory of Ukraine requires that in the training of medical students and interns in the field of «forensic medical examination», special attention should be paid to the issues that a doctor may encounter both in the combat zone and in rear health care facilities. After all, in the conditions of martial law, not only military personnel, but also medical workers are on the front line in the fight against military aggression. Therefore, it is important to pay great attention to the training of medical personnel at a high level, regardless of the difficulties faced by medical education institutions under martial law. That is why this article highlights the key points and problematic issues that must be paid attention in the course of training students and interns at the Department of Forensic Medicine and Medical Law. Algorithms for solving problematic practical tasks that arise before the forensic medical expert in the conditions of martial law are also proposed to ensure high professionalism and reliability of the performed forensic medical examinations. Thus, focusing the attention of forensic medics on the main principles and algorithms, highlighting and discussing problematic issues related to the actions of forensic medics in wartime, namely those issues related to the order of dissection of corpses, their identification and description of bodily injuries have the priority place and are able to significantly facilitate the work of forensic medical experts in such a difficult time. After all, every forensic medic who competently performs his work before conducting active military operations must be familiar with a clear algorithm of actions, which does not contradict the main provisions of Resolution No. 205 dated 03.05.2022 "On approval of the procedure for ensuring the collection of bodies (remains) of fallen military personnel of the state- of the aggressor (the Russian Federation), as well as illegal armed formations, in particular from the temporarily occupied territories in certain areas of the Donetsk and Luhansk regions", which was approved by the Cabinet of Ministers of Ukraine with the beginning of a full-scale military invasion of the territory of Ukraine by the aggressor state. This resolution regulates the actions of military administrations, the territorial defense forces of the Armed Forces, the National Guard, the National Police, the State Emergency Service, representatives of the relevant expert (medical) services, interested bodies and public organizations (associations), which are aimed at ensuring collection in the territories of military operations (armed confrontation) unburied bodies (remains) of fallen servicemen of the aggressor state (Russian Federation), as well as illegal armed formations, in particular from temporarily occupied territories in certain areas of Donetsk and Luhansk regions (hereinafter - bodies), in order to prevent the deterioration of the sanitary and epidemic situations, the occurrence of dangerous infectious diseases on the territory of Ukraine.
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Novak, Laurie Lovett, Christopher L. Simpson, Joseph Coco, Candace D. McNaughton, Jesse M. Ehrenfeld, Sean M. Bloos, and Daniel Fabbri. "Understanding the Information Needs and Context of Trauma Handoffs to Design Automated Sensing Clinical Documentation Technologies: Qualitative Mixed-Method Study of Military and Civilian Cases." Journal of Medical Internet Research 22, no. 9 (September 25, 2020): e17978. http://dx.doi.org/10.2196/17978.
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Background Current methods of communication between the point of injury and receiving medical facilities rely on verbal communication, supported by brief notes and the memory of the field medic. This communication can be made more complete and reliable with technologies that automatically document the actions of field medics. However, designing state-of-the-art technology for military field personnel and civilian first responders is challenging due to the barriers researchers face in accessing the environment and understanding situated actions and cognitive models employed in the field. Objective To identify design insights for an automated sensing clinical documentation (ASCD) system, we sought to understand what information is transferred in trauma cases between prehospital and hospital personnel, and what contextual factors influence the collection, management, and handover of information in trauma cases, in both military and civilian cases. Methods Using a multi-method approach including video review and focus groups, we developed an understanding of the information needs of trauma handoffs and the context of field documentation to inform the design of an automated sensing documentation system that uses wearables, cameras, and environmental sensors to passively infer clinical activity and automatically produce documentation. Results Comparing military and civilian trauma documentation and handoff, we found similarities in the types of data collected and the prioritization of information. We found that military environments involved many more contextual factors that have implications for design, such as the physical environment (eg, heat, lack of lighting, lack of power) and the potential for active combat and triage, creating additional complexity. Conclusions An ineffectiveness of communication is evident in both the civilian and military worlds. We used multiple methods of inquiry to study the information needs of trauma care and handoff, and the context of medical work in the field. Our findings informed the design and evaluation of an automated documentation tool. The data illustrated the need for more accurate recordkeeping, specifically temporal aspects, during transportation, and characterized the environment in which field testing of the developed tool will take place. The employment of a systems perspective in this project produced design insights that our team would not have identified otherwise. These insights created exciting and interesting challenges for the technical team to resolve.
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GROSS, MICHAEL L. "Teaching Military Medical Ethics: Another Look at Dual Loyalty and Triage." Cambridge Quarterly of Healthcare Ethics 19, no. 4 (August 18, 2010): 458–64. http://dx.doi.org/10.1017/s0963180110000344.
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Military medical ethics is garnering growing attention today among medical personal in the American and other armies. Short courses or workshops in “battlefield ethics” for military physicians, nurses, medics, social workers, and psychologists address the nature of patient rights in the military, care for detainees, enemy soldiers and local civilians, problems posed by limited resources, ethical questions arising in humanitarian missions, as well as end-of-life issues, ethics consultations, care for veterans, advance directives, and assisted suicide. Although many of these issues are the core subjects of any bioethics curriculum, military medical ethics presents unique challenges to bioethics educators.
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Levin, Aaron. "Israeli Military Helps Medics Cope With Combat Stress." Psychiatric News 45, no. 14 (July 16, 2010): 7–25. http://dx.doi.org/10.1176/pn.45.14.psychnews_45_14_013.
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Mason, Roger. "The Medici-Lazara Map of Alanya." Anatolian Studies 39 (December 1989): 85–105. http://dx.doi.org/10.2307/3642815.
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The discovery of a hitherto unknown map of Alanya dating from the early seventeenth century enables a comparison to be made between the very detailed fortifications that it depicts and those that are standing today. Such a comparative analysis should permit some inferences about the form of the Seljuk and early Ottoman fortifications that are now ruinous. The Italian military provenance of the map gives an opportunity to illuminate briefly the depredations of the Medici navy in southern and western Anatolia.Most historians have been reluctant to use maps as evidence, the few who have done so have often fallen into the pit of misinterpretation that the former, and perhaps wiser, have avoided: but the study of the history of cartography is gradually emerging from the exclusively archaeological stage, in which it has been delving for over a century, and the corpus of information about maps has now grown to the point where no historian can afford to ignore their value as evidence, provided that he is able to evaluate them accurately. It is in evaluation that the historian of cartography owes a duty to his fellow historians.
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McCarthy, Michael. "US military revamps combat medic training and care." Lancet 361, no. 9356 (February 2003): 494–95. http://dx.doi.org/10.1016/s0140-6736(03)12494-4.
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Wilkins, Daniel, D. S. Burns, D. Wilson, D. A. Warrell, and L. E. M. Lamb. "Snakebites in Africa and Europe: a military perspective and update for contemporary operations." Journal of the Royal Army Medical Corps 164, no. 5 (April 5, 2018): 370–79. http://dx.doi.org/10.1136/jramc-2017-000883.
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Snakebite envenoming is rare among military patients, with few cases reported in recent years. Increasingly, however, military operations are taking place in remote parts of Africa, which are inhabited by numerous species of venomous snake, and in Europe, where dangerous species exist but are less common. Bites from a venomous snake may prove fatal, and therefore military medics must be adequately prepared to manage them. This paper reviews the most medically significant species of venomous snake present in Africa and Europe, before suggesting an evidence-based approach to snakebite prevention and management, including possible changes to the UK’s Clinical Guidelines for Operations.
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Ferraresi, Alessandra. "La scuola militare di Modena: un modello di formazione professionale." SOCIETÀ E STORIA, no. 124 (October 2009): 325–30. http://dx.doi.org/10.3280/ss2009-124006.
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- The paper focuses, in Napoleonic Italy, on the innovative role of the Modena Military School in the complete education of Artillery officials and Engineers and the legacy it left in engineering culture and the profession during the first modernization of Italy.Parole chiave: scuole militari; ingegneri; formazione; professioni; modernizzazione.Key words: Military Institutions; engineers; education; professions; modernization.
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Levati, Stefano. "Il contributo degli ufficiali "italici" alle lotte risorgimentali e alla modernizzazione ottocentesca della Penisola." SOCIETÀ E STORIA, no. 124 (October 2009): 331–36. http://dx.doi.org/10.3280/ss2009-124007.
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- Taking as its starting point Bruno Giordano's book, the author investigates the complex reasons that caused many officers of the Italic army to give up the military career and highlights the important role played by some technicians educated at the Modena Military School in the advances made by the country as a whole and particularly by the Lombard-Venetian KingdomParole chiave: esercito; etÀ napoleonica; istituzioni militari; Risorgimento; modernizzazione economica.Key Words: army; Napoleonic age; Military institutions; Risorgimento; economic development.
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Kirkpatrick, Andrew W., Jessica L. Mckee, Itamar Netzer, Ian A. Mckee, Paul McBeth, Juan P. Wachs, Chad G. Ball, and Elon Glassberg. "A Randomized Trial of Mentored vs Nonmentored Military Medics Compared in the Application of a Wound Clamp Without Prior Training: When to Shut Up and Just Watch!" Military Medicine 185, Supplement_1 (January 2020): 67–72. http://dx.doi.org/10.1093/milmed/usz251.
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ABSTRACT Introduction Hemorrhage control is a basic task required of first responders and typically requires technical interventions during stressful circumstances. Remote telementoring (RTM) utilizes information technology to guide inexperienced providers, but when this is useful remains undefined. Methods Military medics were randomized to mentoring or not from an experienced subject matter expert during the application of a wound clamp (WC) to a simulated bleed. Inexperienced, nonmentored medics were given a 30-second safety briefing; mentored medics were not. Objective outcomes were time to task completion and success in arresting simulated bleeding. Results Thirty-three medics participated (16 mentored and 17 nonmentored). All (100%) successfully applies the WC to arrest the simulated hemorrhage. RTM significantly slowed hemorrhage control (P = 0.000) between the mentored (40.4 ± 12.0 seconds) and nonmentored (15.2 ± 10.3 seconds) groups. On posttask questionnaire, all medics subjectively rated the difficulty of the wound clamping as 1.7/10 (10 being extremely hard). Discussion: WC application appeared to be an easily acquired technique that was effective in controlling simulated extremity exsanguination, such that RTM while feasible did not improve outcomes. Limitations were the lack of true stress and using simulation for the task. Future research should focus on determining when RTM is useful and when it is not required.
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Gilgenkrantz, Simone. "Petit traité d’art militaire… deShigella." médecine/sciences 21, no. 4 (April 2005): 443–44. http://dx.doi.org/10.1051/medsci/2005214443.
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POPOV, A. V. "MEDICO-SOCIAL ASPECTS OF THE LIFESTYLE OF MILITARY RETIREES." Nauka molodykh (Eruditio Juvenium) 5, no. 3 (September 30, 2017): 408–15. http://dx.doi.org/10.23888/hmj20173408-415.
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Mabry, Robert L. "Use of a Hemorrhage Simulator to Train Military Medics." Military Medicine 170, no. 11 (November 2005): 921–25. http://dx.doi.org/10.7205/milmed.170.11.921.
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Halloran, Edward J. "Missed Opportunities for Military Medics in the Nursing Profession." AJN, American Journal of Nursing 118, no. 1 (January 2018): 10. http://dx.doi.org/10.1097/01.naj.0000529699.17107.f0.
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Degli Esposti, Fabio. "Sulla pelle dei soldati. Razioni di guerra, approvvigionamenti alimentari e speculazioni industriali (1914-1922)." ITALIA CONTEMPORANEA, no. 293 (August 2020): 9–46. http://dx.doi.org/10.3280/ic2020-293001.
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Nello scenario della guerra totale 1914-1918 la questione degli approvvigionamenti alimentari divenne un fattore essenziale. Il saggio prende in considerazione le politiche attuate dal governo italiano in un settore fondamentale, quello del consumo di carne. La strategia seguita fu in primo luogo quella di scoraggiare i consumi civili, che tuttavia, già piuttosto bassi, non poterono essere contratti in misura sufficiente. Le preoccupazioni sul progressivo depauperamento del patrimonio zootecnico nazionale per effetto delle massicce requisizioni militari indussero i vertici delle forze armate, dietro consiglio degli igienisti militari, a ridurre a fine 1916 anche la razione delle truppe mobilitate. Un provvedimento che, nei mesi successivi a Caporetto, suscitò accese polemiche nella classe medica, in quanto il peggioramento dell'alimentazione dei soldati fu individuata da alcuni come una delle concause del cedimento dell'autunno 1917. Una delle possibili soluzioni, l'incremento dell'importazione di carni congelate, era resa difficile da ostacoli di ordine tecnico come la pochezza della flotta frigorifera, la mancanza di grandi impianti frigoriferi e le deficienze nella rete di distribuzione che, dai porti tirrenici, doveva far arrivare il prodotto al fronte. Pur con gravi ritardi e sprechi, la guerra portò a una notevole espansione dell'industria del freddo italiana. Fra le novità del conflitto ci fu anche un fortissimo incremento nel consumo dei prodotti in conserva da parte dell'esercito. Il settore, gestito inizialmente da stabilimenti statali, vide nel corso della seconda parte del conflitto l'ingresso di un buon numero di industrie private. Queste tuttavia, secondo le indagini condotte nel dopoguerra dalla Commissione parlamentare d'inchiesta sulle spese di guerra, si resero protagoniste di vere e proprie truffe nei confronti dell'amministrazione militare, rimaste in gran parte impunite.
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Pohlmann, Guenther P., Norman C. Reynolds, and Richard C. Zimmerman. "Training Military Reserve Medics in Combat Casualty Care: An Example of Military-Civilian Collaboration." Military Medicine 151, no. 2 (February 1, 1986): 97–100. http://dx.doi.org/10.1093/milmed/151.2.97.
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Williams, A. "Hypokalaemic ECG changes secondary to intramuscular adrenaline after a snake bite in Sierra Leone." Journal of The Royal Naval Medical Service 104, no. 2 (2018): 93–95. http://dx.doi.org/10.1136/jrnms-104-93.
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AbstractThis case report describes a young UK military medic who suffered a snakebite while working in Sierra Leone. He was given intramuscular adrenaline (epinephrine) and was subsequently found to have hypokalaemia, hypoglycaemia and a wide pulse pressure. His ECG showed changes typical of moderate hypokalaemia.
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Bać, Dorota, and Janusz Cwanek. "Adam Gruca – “Military Medic” in the Years 1914-1920." Ortopedia Traumatologia Rehabilitacja 20, no. 3 (June 30, 2018): 181–87. http://dx.doi.org/10.5604/01.3001.0012.0766.
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Adam Gruca was born on 3 December 1893 in MajdanSieniawski. In 1902 he began his education in a 4-year primary school. Thanks to the support of his teacher, Helena Ostrowska, in 1906 he became a student in a Gymnasium in Jarosław. On 16 June 1913 Adam Gruca passed his secondary school leaving exam and in autumn he started his studies at the Faculty of Medicine at John Casimir University in Lviv. His studies were interrupted by the outbreak of World War I. On 1 July 1914, he was conscripted into the Austro-Hungarian Army. After sixweeks’ training he was assigned to a hospital at the Merciful Brothers Monastery in Kalwaria Zebrzydowska. Subsequently, he worked for two years at the Field Hospital No. 2 in Andrychów, where he first started learning surgery. On 1 May 1916,Gruca was promoted to second lieutenant and was granted a three-month leave, during which he completed the 2nd year of his studies. In July 1917, he was transferred to the Italian front. Adam Gruca served in the Austrian army until 31 October 1918. On 6 November 1918 he volunteered to join the new Polish Armed Forces and was incorporated into the 2nd Squadron, 6th Cavalry Regiment. After one year of service in the Polish Armed Forces, he was transferred to Lviv, where he completed his 3rd year of studies. On 30 August 1920, he was assigned to the 34th Infantry Regiment. In 1921 he was promoted to captain and moved to the reserve. During the 5-year army service,the young student was able to gain practical knowledge and medical experience. On 24 June 1922, after nine years, he obtained a diploma in Medicine.
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Goethals, Jessica. "The Patronage Politics of Equestrian Ballet: Allegory, Allusion, and Satire in the Courts of Seventeenth-Century Italy and France." Renaissance Quarterly 70, no. 4 (2017): 1397–448. http://dx.doi.org/10.1086/695350.
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AbstractEquestrian ballet was a spectacular genre of musical theater popular in the Baroque court. A phenomenon with military roots, the ballet communicated both the might and grace of its organizers, who often played starring roles. This essay explores the ballet’s centrality by tracing the itinerant opera singer and writer Margherita Costa’s use of the genre as a means of securing elite patronage: from an elegant manuscript libretto presented to Grand Duke Ferdinando II de’ Medici and later revised in print for Cardinal Jules Mazarin in Paris, to occasional poetry written for the Barberini in Rome, and even burlesque caricatures.
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Russell, Cristel Antonia, S. W. Gibbons, P. A. Abraham, E. R. Howe, P. Deuster, and D. W. Russell. "Narrative approach in understanding the drivers for resilience of military combat medics." Journal of the Royal Army Medical Corps 164, no. 3 (December 10, 2017): 155–59. http://dx.doi.org/10.1136/jramc-2017-000877.
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IntroductionQualitative insights may demonstrate how combat medics (CM) deal with stressors and identify how resilience can potentially develop. Yet, qualitative research is scant in comparison to the many quantitative studies of health outcomes associated with military service.MethodSemistructured qualitative interviews were used to collect personal narratives of US Army CMs who had previously served in Iraq or Afghanistan.ResultsThematic analysis revealed three key driving forces for how resilience develops in the context of combat and war. The first was patriotism, which captures loyalty and full commitment to the military and its missions. The second was commitment to their family, reflecting the balance of responsibility to family of origin with the obligation one feels towards their military family. The last driving force was faith, or the drive to reach towards the transcendent to provide a moral compass and develop empathy in the face of difficult situations.ConclusionsAn individual’s commitment to country, military family and faith strengthens their resilience, and this can be used to inform future research efforts as well as current clinical practice.
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Gefner, Olga V. "“It Was Not Able to Live Without Work”: Military Medic Pavel F. Breytigam (1844-1920) in Memories of the Son Vladimir P. Breytigam." Herald of Omsk University. Series: Historical Studies 7, no. 2 (26) (October 8, 2020): 140–44. http://dx.doi.org/10.24147/2312-1300.2020.7(2).140-144.
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The article describes the social and scientific activities of a member of the intelligentsia of Omsk at the second half of the 19th - beginning of the 20th century military medic Pavel F. Breytigam. For the first time, the memoirs of his son, Vladimir P. Breytigam, about the father will be published.
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Dauer, Gabriel Roberto. "A visita da Comissão Interamericana de Direitos Humanos na Argentina durante a ditadura civil-militar (1976-1983) | The Inter-American Commission on Human Rights’ on-site visit in Argentina during the civil-military dictatorship (1976-1983)." Mural Internacional 12 (July 17, 2021): e58852. http://dx.doi.org/10.12957/rmi.2021.58852.
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As violações de direitos humanos na ditadura civil-militar argentina (1976-1983) foram tema de foros multilaterais, sendo um deles a Comissão Interamericana de Direitos Humanos (CIDH) da Organização dos Estados Americanos. Nesse contexto, este trabalho analisa como a ditadura respondeu às críticas aos direitos humanos, particularmente quando da visita in loco da CIDH na Argentina em 1979 até a publicação de seu informe em 1980. Utilizamos da Análise de Política Externa para compreender as tomadas de decisão da ditadura para receber a CIDH, os atores envolvidos e as consequências nacionais e internacionais desse evento. A visita transformou o campo de oportunidades de denúncia e visibilidade de opositores ao expor as atrocidades da ditadura. Contudo, as decisões do regime não foram lineares: os militares não eram os únicos interessados em defender seus interesses; grupos de direitos humanos, exilados e organizações internacionais disputaram esse campo, somadas desavenças internas na Junta Militar que dificultaram uma congruência diplomática.Palavras-chave: Argentina; Ditadura; Comissão Interamericana de Direitos Humanos.ABSTRACT:Human rights violations during the argentine civil-military dictatorship (1976-1983) were a theme on multilateral forums, such as the Inter-American Commission on Human Rights (IACHR) of the Organization of American States (OAS). The article analyzes how the dictatorship reacted to criticisms regarding human rights violations in Argentina, especially during the IACHR's on-site visit in Argentina in 1979 until the publication of its report in 1980. Theoretically, Foreign Policy Analysis concepts were articulated to understand the decision-making of the dictatorship to receive the IACHR, the actors involved, and the national and international consequences of the event. IACHR's visit transformed the field of human rights actors’ opportunities of complaints and the visibility of opponents by exposing the atrocities of the dictatorship, whose decisions were not linear: the military was not the only interested actor in defending its interests; human rights groups, exiles, and international organizations also disputed this narrative, while internal disputes in the Military Junta made Argentina's diplomatic congruence difficult.Keywords: Argentina; Dictatorship; Inter-American Commission on Human Rights. Recebido em: 31 mar. 2021 | Aceito em: 23 jun. 2021.
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Scott, Remi William, and Knut Fredriksen. "Extracurricular work experience and its association with training and confidence in emergency medicine procedures among medical students: a cross-sectional study from a Norwegian medical school." BMJ Open 12, no. 9 (September 2022): e057870. http://dx.doi.org/10.1136/bmjopen-2021-057870.
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ObjectiveProficiency in basic emergency procedures is important for junior doctors, but the amount of practical exposure may vary. We studied the association between students’ extracurricular healthcare-related (ECHR) work experience and self-reported practical training and confidence in selected emergency medicine procedures.Study designCross-sectional study.Materials and methodsMedical students and first-year graduates answered a Likert-based questionnaire probing self-reported amount of exposure to (‘training amount’) and confidence with selected emergency medicine procedures. Participants also reported ECHR work experience, year of study, previous healthcare-related education, military medic training and participation in the local student association for emergency medicine (Tromsø Acute Medicine Students’ Association (TAMS)). Differences within variables were analysed with independent samples t-tests, and correlation between training amount and confidence was calculated. Analysis of covariance and mixed models were applied to study associations between training amount and confidence, and work experience (primary outcomes) and the other reported factors (secondary outcomes), respectively.Results539 participants responded (70%). Among these, 81% had ECHR work experience. There was a strong correlation (r=0.878) between training amount and confidence. Work experience accounted for 5.9% and 3.5% of the total variance in training amount and confidence (primary outcomes), and respondents with work experience scored significantly higher than respondents without work experience. Year of study, previous education, military medic training and TAMS participation accounted for 49.3%, 8.7%, 6.8% and 23.6%, and 58.5%, 5.1%, 4.7% and 12.3% of the total variance in training amount and confidence, respectively (secondary outcomes). Cohen’s D was 0.48 for training amount and 0.32 for confidence level, suggesting medium and weak medium-sized associations with work experience, respectively.ConclusionECHR work experience is common among medical students and was associated with more training amount and higher confidence in the procedures. Year of study, previous relevant education and TAMS participation, but not military medic training, were also significantly associated with training amount and confidence.
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Harper, Stephen, Remle Crowe, Melissa Bentley, Chetan Kharod, and Benjamin Walrath. "An Assessment of National EMT Certification Among Enlisted Military Medics." Military Medicine 182, S1 (March 2017): 336–39. http://dx.doi.org/10.7205/milmed-d-16-00238.
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Faria, Sherman Pinheiro, Maria Elisa Miranda, Priscila dos Santos Bunn, and Rodrigo Gomes de Souza Vale. "Medidas de prevenção à rabdomiólise em militares: uma revisão narrativa." Revista de Educação Física / Journal of Physical Education 90, no. 4 (January 15, 2022): 334–42. http://dx.doi.org/10.37310/ref.v90i4.2818.
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Introdução: A rabdomiólise é uma síndrome ocasionada pela liberação de conteúdo intracelular na circulação, devido à lesão em células musculares. Objetivo: Elencar as medidas de prevenção e os sintomas iniciais da rabdomiólise, destacando suas aplicações em contexto operacional militar. Métodos: Uma revisão narrativa da literatura, foram incluídas pesquisas científicas indexadas no MEDLINE, Science Direct, Cochrane e LILACS, em julho de 2021. Para isso, utilizou-se os descritores: “rhabdomyolysis”, “prevention & control”, “military personnel” e respectivos sinônimos. Resultados e Discussão: Após uma pesquisa eletrônica de banco de dados, 22 estudos preencheram os critérios de inclusão para a revisão. Foi identificada uma ampla diversidade entre os estudos científicos analisados quanto ao desenvolvimento do tema, muito em função da rabdomiólise ter etiologia multifatorial e apresentar diversos quadros clínicos de acordo com o paciente. Contudo, as medidas preventivas contra a síndrome foram agrupadas em preventivas atitudinais e laboratoriais. Nas medidas atitudinais encontra-se o controle da temperatura e hidratação, o controle do condicionamento físico em função da sobrecarga física imposta na operacionalidade militar, o controle nutricional, o consumo de suplementos e a exposição a agentes tóxicos. Quanto às medidas preventivas laboratoriais bioquímicas, destaca-se o monitoramento periódico por análises bioquímicas e características da urina. Conclusão: Estas ações de prevenção têm maiores potencialidades de efeito quando recebe suporte das instituições para sua aplicação e divulgação. É importante que se torne um hábito a organização de palestras e orientações coletivas dos militares a partir da organização militar ao qual está inserido.
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Savitskii, V. L., M. G. Prodanchuk, L. A. Ustinova, O. O. Bobyliova, H. I. Petrashenko, V. A. Barkevych, and N. V. Kurdil. "On the results of the online scientific-practical conference with international participation "Experience of military formations in the aftermath of the Chernobyl accident through the prism of modern radiation and chemical threats" April 15-16, 2021, Kyiv." One Health and Nutrition Problems of Ukraine 55, no. 2 (October 20, 2021): 100–117. http://dx.doi.org/10.33273/2663-9726-2021-55-2-100-117.
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The Scientific-practical conference "Experience of military formations in the aftermath of the Chernobyl accident through the prism of modern radiation and chemical threats" (hereinafter - the Conference) was organized by the Ukrainian Military Medical Academy in conjunction with the National Research Center for Radiation Medicine of the National Academy of Medical Sciences of Ukraine and conducted on the basis of SE "Research Center of Preventive Toxicology, Food and Chemical Safety named after Academician L.I. Medved of the Ministry of Health of Ukraine" in Kyiv on April 15-16, 2021. Aim. The Conference was dedicated to the 35th anniversary of the Chernobyl disaster, current issues of CBRN medical care and generalization of experience in eliminating the radiation accident, taking into account the current structure of medical forces and troops of the CBRN protection. The main purpose of the Conference was to spread the scientific and pedagogical experience of the Ukrainian Military Medical Academy as the only medical institution in the country for the training of military medical personnel. The event was attended by representatives of the Department of Military Education and Science of the Ministry of Defense of Ukraine, Command of the Medical Forces of the Armed Forces of Ukraine, higher military primary institutions of the Ministry of Defense of Ukraine, radiation, chemical, biological protection of the Armed Forces and Defense Forces of Ukraine, higher medical primary institutions of Ukraine, health care institutions of Ukraine, representatives of the Malaysian Armed Forces and colleagues from Canada. Conclusions. The conference provided an opportunity for military medics, scientists, and civil servants to come together to share experiences on a wide range of issues. Measures to eliminate the radiation accident were discussed; measures of medical protection and rendering of medical care in the conditions of radiation infection; the role of the medical service of the Armed Forces in the elimination of radiation accidents; coordination and interaction between departments and institutions of different subordination in the field of medical care and radiation protection with the involvement of military specialists in the elimination of the consequences of a radiation accident; integration of scientific and educational activities in the system of higher military medical education; application of new scientific and technical knowledge during the training of military medics and the formation of scientific personnel potential. The conference was attended by about 90 experts in the field of theoretical and clinical medicine and CBRN defense, who presented 20 plenary and 10 section reports, prepared 39 abstracts, which were reflected in the scientific journal "Ukrainian Journal of Military Medicine" (Vol. 2. №1. 2021. Appendix). Key Words: radiation accidents, military radiology, military medicine, medical protection.
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Wojtkowiak, Mieczysław. "Selected Problems of Space Medicine. Early Physiological Research at the Military Institute of Aviation Medicine." Polish Journal of Aviation Medicine and Psychology 19, no. 3 (July 2, 2013): 37–44. http://dx.doi.org/10.13174/pjamp.19.03.2013.5.
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Turos, Maria Joanna. "Walki o Warszawę 6–7 IX 1831 – oczami medyków widziane." Medycyna Nowożytna 27, no. 1 (2021): 37–59. http://dx.doi.org/10.4467/12311960mn.21.002.14215.
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The last days of the Polish-Russian war of 1831 are the storming of Warsaw. This fact is generally perceived through the prism of military operations, but no less important was the operation of the military health service headed by Karol Kaczkowski acting as the chief staff doctor. Risking his own life, he rushed to help soldiers injured in combat, along with his subordinate medics, including foreigners. After the capitulation of the capital, the Russians who entered the city treated the wounded and sick with all brutality. Traces have survived, among others in the little-known in Poland diary of the Swedish physician Sven Jonas Stille.
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Harari, Reut. "Between trust and violence: medical encounters under Japanese military occupation during the War in China (1937–1945)." Medical History 64, no. 4 (October 2020): 494–515. http://dx.doi.org/10.1017/mdh.2020.44.
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AbstractDuring the War in China (1937–1945), the Japanese military combined warfare with the maintenance of a military occupation. To sustain its tentative grasp over the occupied territories, the Japanese military vied to cultivate trust among the local population. This was a challenging task in the midst of a violent war which as many historical works described was accompanied by brutal war crimes. A less explored aspect of the occupation was medical care. This article unfolds this history by analysing medical encounters between Japanese military medics and military affiliated agents, and members of the local population in the rural Chinese countryside. Testimonies reveal that these encounters – some spontaneous and others deliberate – were small moments of humanity and benevolence within a violent environment. Concomitantly, they demonstrate the overarching tension in this unequal encounter and the use of medicine as a pacifying tool that also served as means to build and maintain the occupation through the transference of medical trust towards the military at large. Thus, this article presents a different aspect of the role of trust and distrust in medical care, as well as expanding the analysis of medicine as a ‘tool of empire’ to the context of military occupation.
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Muller, Kurtis L., Cynthia A. Facciolla, Jonathan Monti, and Aaron Cronin. "Impact of Succinct Training on Open Cricothyrotomy Performance: A Randomized, Prospective, Observational Study of U.S. Army First Responders." Military Medicine 185, no. 9-10 (June 22, 2020): e1779-e1786. http://dx.doi.org/10.1093/milmed/usaa035.
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Abstract Introduction Primary airway failure has become the second most common cause of potentially survivable battlefield fatality. Cricothyrotomy is taught to all U.S. military providers as a means of securing an airway in extremis. However, retrospective studies show that cricothyrotomy failure rates for U.S. military first responders performing the procedure in combat is 33%. Our hypothesis was that these rates could be improved. Materials and Methods We conducted a randomized, prospective, observational study to evaluate the effects of inexpensive, succinct training on open cricothyrotomy performance by studying two unique U.S. Army First Responder participant groups. One participant group consisted of regular U.S. Army Medics (68 Ws). The second group was Special Operations Combat Medics. We evaluated both groups’ baseline ability to correctly perform a cricothyrotomy and then randomly assigned individuals within each group to either a training or practice group. Results The training group had a higher proportion of success and performed the cricothyrotomy faster than the practice group with 68 Ws group appearing to benefit most from training: their procedural success rates increased by an average of 23%, and their average time-to-correct-placement decreased by 21 seconds—a 33% improvement over baseline. Conclusion With one manikin, a qualified trainer, and $35 worth of expendable supplies, 10 medics could be trained in the procedure in just 2–3 hours. Our study suggests that this simple intervention has the potential to significantly improve U.S. Army First Responders’ ability to correctly perform an open cricothyrotomy and drastically decrease the time needed to perform this lifesaving procedure correctly, possibly saving one in four potentially survivable combat casualties suffering from airway compromise.
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Roshchin, G. G., Ya M. Susak, I. J. Slychko, O. V. Mazurenko, N. I. Iskra, and V. Yu Kuzmin. "Experience of interinstitutional interaction while delivering of surgical aid in the disasters environment." Klinicheskaia khirurgiia 87, no. 3-4 (June 26, 2020): 65–68. http://dx.doi.org/10.26779/2522-1396.2020.3-4.65.
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Objective. Investigation of interinstitutional interaction environment while delivering of surgical aid in conditions of disaster, the need in certain kinds of surgical operations estimation of efficacy of civil-military interaction in sector of the antiterrorist operation conduction.
Materials and methods. The results of surgical treatment of 290 wounded persons and patients in medical company of Military Forces of Ukraine, which have functioned in a health care facility on Lugansk direction in summer 2015 yr, were presented. The efficacy of a civil-military interaction was estimated. Methods of the system analysis, clinical, medic-statistic and economic were there applied.
Results. Introduction of system of the civil-military interaction while conduction of to all wounded persons and patients, to enhance the resource support of a health care facility by 39.7%.
Conclusion.Joint usage of present civil and military resources for delivery of medical help to patients and wounded persons impacts on the treatment results positively.