Military medicine
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The article discusses important upcoming anniversaries of the historical development of the modern day Association of Military Surgeons of the United States (AMSUS) and its medical journal Military Medicine. It does this through chronicling the successive, antecedent military medical and dental associations and their journals which amalgamated to form AMSUS. It follows the development of the Association and the journal from the oldest constituent society.
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The impact of specialized training in critical care producing a heightened index of suspicion for the diagnosis of pneumothorax in intensive care unit (ICU) patients was prospectively examined. During a 12-month period, 28 ICU patients were found to have a pneumothorax. ⋯ Six of these nine initially misdiagnosed pneumothoraces (67%) were correctly diagnosed by a physician with specialized training and experience in critical care medicine prior to any clinical deterioration in the condition of the patients. This study suggests that specialized training and experience in the management of critically ill patients can significantly improve upon the diagnosis of pneumothorax in these patients and limit the occurrence of tension pneumothorax in the same patient population.