Clinical Topics


Battlefield Medicine

Military Services Develop Remote Monitoring to Improve Battlefield Medicine

What if battlefield medics could monitor multiple injured servicemembers in the field thought a new electronic monitoring tool?

Battlefield Medicine

Study Looks at Soldiers’ Pre-Deployment Respiratory Health

The respiratory health of military personnel deployed to Southwest Asia continues to be an issue of great concern in light of their exposures to a variety of environmental hazards.

Battlefield Medicine

‘Hacking’ to Improve Care for Wounded Warriors

Hacking isn’t always a bad thing, especially if the result is devices that can help protect servicemembers from injuries.

Battlefield Medicine

Military’s Early Use of Blood Transfusions Saved Lives of Wounded Warriors

Blood transfusion as quickly as possible was a lifesaver for wounded warriors in Afghanistan.

Battlefield Medicine

Device Developers ‘Kicked a Hornet’s Nest’ in Hemorrhage and Shock Treatment

For Air Force Col. Todd Rasmussen, MD, and Jonathan Eliason, MD, the idea for a new way to treat internal hemorrhaging on the battlefield was hard-won.

Battlefield Medicine

DoD Advances Development of Freeze-Dried Plasma for Battlefield Deployment

For the first time since the Korean War, American troops have access to freeze-dried plasma in the field. Currently only available to special forces, the blood product has already saved lives.

Battlefield Medicine

Award-Winning Army PA Seeks to Improve Battlefield Emergency Care

Maj. Jonathan Monti, DSc, PA-C, says he does not believe in haphazardly adding new technology to the already-overwhelming amount of gear carried by those providing medical care on the battlefield.

Battlefield Medicine

Battlefield Genitourinary Damage Alters Lives Beyond Physical Injuries

Recent improvements in battlefield medical care have allowed more servicemembers to survive devastating injuries.

Battlefield Medicine

Younger Veterans Much More Likely to Suffer Severe Pain Than Nonveterans

Veterans, especially those serving in Iraq and Afghanistan, are about 40% more likely to experience severe pain than nonveterans, according to a new study.

Battlefield Medicine

Major Military Advancement in Trauma Care Now Adopted by Civilian Medicine

By Brenda L. MooneyBOSTON — In yet another example of how battlefield medicine has altered civilian healthcare practice, damage-control resuscitation (DCR) now is being widely used in trauma centers across the United States.A survey of... View Article

Battlefield Medicine

Beyond Battlefield Medicine, Ketamine Helps Warriors Function Despite Injury

For 40 years, ketamine remained on the fringes of battlefield medicine. Now, the DoD has embraced ketamine both on the field and in the hospital.

Battlefield Medicine

Focus on Protecting Troops Against IEDs Continues After Conflicts End

With blast-induced traumatic brain injuries (TBIs) the signature injury of the conflicts in Iraq and Afghanistan, research and intense military focus on improvised explosive devices (IEDs) have continued even as the military engagements have wound down.

Battlefield Medicine

Heart Disease Added to List of Health Effects After Experiencing Combat

SEATTLE - While combat has long been known to increase the risk of musculoskeletal injuries, post-traumatic stress disorder (PTSD)

Battlefield Medicine

Pain Is a Growing Issue for Troops and Veterans; Safer Remedies Sought

WASHINGTON - Trauma-related pain – both acute and chronic -- has always been a universal problem among war-injured troops.

Battlefield Medicine

Military Focuses on Pre-Hospital Care to Further Improve Care of Injured Warriors

WASHINGTON - Despite all of the progress in battlefield medicine during the past 50 years, the greatest challenge remains how to keep critically injured military personnel alive until they can actually get to a hospital.

Battlefield Medicine

Warrior Transition Units Go Beyond Physical Recovery for Wounded Soldiers

By Sandra Basu WASHINGTON — For Capt. Edward “Flip” Klein, Oct. 22, 2012, was a life-changing moment. Deployed in Afghanistan, he was struck by a roadside bomb that resulted in the loss of both of... View Article

Battlefield Medicine

Simulation Training Duplicates Experience of Shipboard Trauma Care

SAN DIEGO — When a servicemember experiences physical trauma during deployment, it’s usually during circumstances that are loud, chaotic and happening at a speed too quickly to be followed by the untrained eye. The same... View Article

Battlefield Medicine

Battlefield Lessons Save Lives, Limbs after Boston Marathon Explosions

Annette M. Boyle SAN ANTONIO, TX – Ten years ago, many of the survivors of the Boston Marathon bombing with major lower body injuries would likely have spent the rest of their lives in a... View Article

Battlefield Medicine

Rabies Exposure Reports Skyrocket in Theater After Army Cracks Down on Pets

By Annette M. Boyle ABERDEEN PROVING GROUND, MD – While adopting a stray dog or a wild monkey might seem to be a relatively harmless way to boost a military unit’s morale, in countries such... View Article

Battlefield Medicine

Telephone Therapies Helped Elderly Veterans in Pain

Telephone Therapies Helped Elderly Veterans in Pain SAN FRANCISCO — Telephone-delivered cognitive behavioral therapy (CBT) and education (EDU) were helpful in management of chronic pain in older military veterans, according to a new study which... View Article

Battlefield Medicine

Compound Provides Noninvasive Battlefield Pain Relief

FORT BRAGG, NC — Oral transmucosal fentanyl citrate (OTFC) is a rapid and noninvasive pain-management strategy that provides safe and effective analgesia in the pre-hospital battlefield setting, according to a new study.1 The authors of... View Article

Battlefield Medicine

Amygdala Volume Associated with Combat Veterans’ PTSD

Amygdala Volume Associated with Combat Veterans’ PTSD DURHAM, NC — Combat veterans with post traumatic stress disorder (PTSD) tend to have significantly smaller volume in an area of the brain critical for regulating fear and... View Article

Battlefield Medicine

Learning More About Spinal Injuries in Wounded Servicemembers

FORT SAM HOUSTON, TX –Even though spinal injuries can be extremely disabling for wounded servicemembers, exactly how the injuries occur and what damage they cause has not been fully understood. A new study recently published... View Article

Battlefield Medicine

Higher Chest Injury Mortality Linked to Better Transport of Wounded

HOUSTON — Wounded patients with battlefield chest injuries sustained in Afghanistan and Iraq had higher mortality rates than did patients during the Korean and Vietnam wars, but that likely was because better transport and triage... View Article

Battlefield Medicine

Researchers Investigate Ways to Jointly Treat PTSD, TBI Subhead: Two Conditions Often Co-Morbid in Returning Troops

By Stephen Spotswood BOSTON – PTSD and TBI are frequently co-morbid in veterans from Iraq and Afghanistan – so frequently that physicians are surprised when they find one without the other. And yet the two... View Article

Battlefield Medicine

Invasive Fungal Infections Complicate Treatment, Increase Mortality of IED-Wounded Servicemembers

By Brenda L. Mooney U.S. Marine Cpl. Sean Grady, a dog handler and pointman with Echo Company, 1st Light Armored Reconnaissance Battalion, and Ace, an improvised explosive device detection dog, pause for a break while... View Article

Battlefield Medicine

Invasive Fungal Infections Complicate Treatment, Increase Mortality of IED-Wounded Servicemembers

By Brenda L. Mooney BETHESDA, MD – Invasive fungal wound infections are on the increase in military personnel wounded by improvised explosive devices, leading to significant morbidity and even death in some cases where the... View Article

Battlefield Medicine

No Longer Just a Horse Drug, Ketamine Increasingly Used for Military Pain Management

Annette M. Boyle ROCKVILLE, MD — Morphine has met its match — and then some. After 200 years as the gold standard in battlefield analgesia, morphine is increasingly giving way to ketamine, a phencyclidine (PCP)... View Article

Battlefield Medicine

Bill Seeks to Remove Barriers Keeping Military Medics from Getting Civilian Jobs

By Sandra Basu WASHINGTON — While military medics have been hailed for their bravery and lifesaving skills on the battlefield, many are out of work once they leave the military. Nearly 100,000 Army veterans applied... View Article

Battlefield Medicine

Military Medicine Comes Up with Novel Treatments for Phantom Limb: Pain Persists After Amputation

By Sandra Basu WASHINGTON — In October 2010, Marine Lance Cpl. Sebastian Gallegos stepped into a canal in Afghanistan just as a comrade stumbled onto an improvised explosive device (IED). The impact blew Gallegos forward... View Article

Battlefield Medicine

Can Virtual Reality Help Veterans Avoid As Well As Recover from PTSD?

By Stephen Spotswood  BETHESDA, MD — Research rooted in treating trauma in the civilian sector is examining how a combination of pharmaceuticals and virtual reality can help combat veterans recover more swiftly from chronic PTSD.... View Article

Battlefield Medicine

TXA Improves Cuagulopathy in Troops Injured in Battle

The use of Tranexamic Acid (TXA) with blood component-based resuscitation following combat injury results in improved measures of cuagulopathy and survival, a recent study has concluded, leading to the use of the agent in casualty... View Article

Battlefield Medicine

Pilot Program at Memphis VA Promises Patients Greater Autonomy after Spinal-Cord Injuries

By Annette M. Boyle MEMPHIS, TN — A pilot program in Memphis is bringing VA closer to meeting what perhaps is the greatest desire for its 42,000 veterans with spinal-cord injuries and disorders: more control... View Article

Battlefield Medicine

Human Performance Optimization Used to Prevent Common Injuries in Troops

By Stephen Spotswood NATIONAL HARBOR, MD — The term “human performance optimization” (HPO) emerged from a 2006 DoD quadrennial review which identified a need to promote warrior wellness and apply emerging technologies to human performance.... View Article

Battlefield Medicine

New Eye Centers Goal is Vision Rehabilitation and Restoration for Injured Troops

By Sandra Basu WASHINGTON — Eye wounds are devastating for deployed troops, and the past decade’s conflicts have created ample opportunities for that type of injury, with the prevalence of explosive devices, projectiles, chemicals, biohazards,... View Article

Battlefield Medicine

Mild TBI Remains Little Understood and Hard to Diagnose

BETHESDA, MD — With all of the attention given traumatic brain injury in recent years, it can be easy to forget that this is still a nascent area of medical science. It took six years... View Article

Battlefield Medicine

DoD, NIH Partner to Create TBI Research Database

BETHESDA, MD — Recent projects being overseen or funded at NIH hope to shed light on the biology of traumatic brain injury (TBI) and give physicians and future researchers better tools to understand, diagnose and... View Article

Battlefield Medicine

Military Battles to Improve Prehospital Care for Wounded Troops

WASHINGTON — Approximately 86% of all battlefield deaths occur within the first 30 minutes after wounding. That is one reason why care administered even before wounded troops make it to a combat-casualty care hospital is... View Article

Battlefield Medicine

Pulmonary Embolism Higher at Low Volume Hospitals

Patients who underwent elective total hip (THA) or total knee arthroplasty (TKA) surgeries in low-volume hospitals had a higher risk of venous thromboembolism and mortality following the procedure, a recent study suggests. For the study,... View Article

Battlefield Medicine

Military Hopes mTBI Care Will Be Improved by On-site MRIs in Afghanistan

WASHINGTON — Currently, when troops in Afghanistan suffer a head injury and require magnetic resonance imaging (MRI), they generally must be flown to Landstuhl Regional Medical Center in Germany. That ordeal may be keeping some... View Article

Battlefield Medicine

Robotics Explored for Treating Casualties in Difficult Battlefield Situations

WASHINGTON — Imagine that future soldiers could one day wear a nano patch as part of an advanced battlesuit that would relay their vital signals and administer medicine if they were injured in battle.... View Article

Battlefield Medicine

Researchers Test Innovations to Reduce Hemorrhage Deaths on Battlefield

Washington – Military scientists want to make sure that injured troops in the battlefield receive the same standard of care as they would receive in a stateside U.S. hospital, especially when it comes to managing... View Article

Battlefield Medicine

Walking a Tightrope: Military Tries to Balance Appropriate Pain Treatment with Growing Misuse of Prescription Drugs

Washington, DC – The military services, especially the Army, are walking a tightrope on how to appropriately treat wounded warriors’ pain without feeding into the growing problem of misuse of pain relievers and other prescription... View Article

Battlefield Medicine

mTBI Research Trial Comes Under Fire from DoD IG

WASHINGTON—A military research clinical trial evaluating the use of antioxidants to reduce sequela of mTBI in 80 troops after blast injury has come under fire by DoD’s Inspector General (IG). After receiving allegations of problems... View Article

Battlefield Medicine

Technology Makes For Efficient Application Of New mTBI Policy

WASHINGTON, DC—Last summer, DoD issued a policy designed to speed detection of mild traumatic brain injuries (mTBI) on the battlefield. Now, using new technologies to make the process as efficient as possible, the policy is... View Article

Battlefield Medicine

Republican-Led VA Committee Sets Oversight Agenda

WASHINGTON, DC—At the top of the agenda for the 112th Congress’s House Veterans Affairs Committee (HVAC ) is stricter oversight of VA, something that the new Republican leader of the committee believes has been allowed... View Article

Battlefield Medicine

Officials Examine Respiratory Issues in Theater

Has the health of servicemembers exposed to burn pit operations in theater been compromised? It is an issue of concern as servicemembers have attributed respiratory and eye symptoms to burn pit smoke. The Armed Forces... View Article

Battlefield Medicine

Air Guard Takes On CCATT Mission

WASHINGTON, DC—The Air National Guard is lending its expertise when it comes to transporting severely injured servicemembers in the aeromedical evacuation system. Last month, the Air National Guard added the Critical Care Air Transport Team... View Article

Battlefield Medicine

Military Battles Multidrug Resistant Infections

WASHINGTON, DC—Preventing the spread of infection from multidrug resistant organisms (MDROs) is a battle being fought, not just in civilian healthcare settings worldwide, but in the military healthcare system as well. Described by military officials... View Article

Battlefield Medicine

Research Needed on Stress in Combat Medics

BETHESDA, MD—Where do you find resiliency as a healer and a soldier? As the role of combat medics becomes more and more important to the increasing survival rate of combat casualties, that is a question... View Article

               
           

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