Military medicine
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Comparative Study
Determining the pulse for infant CPR: time for a change?
The accepted standard for determining cardiac arrest in infants is the use of palpation of the brachial pulse to detect pulselessness. The investigators have observed that CPR-certified individuals have difficulty locating the brachial pulse in infants. ⋯ The study results demonstrated that there was a statistically significant (p less than 0.001) difference between the two methods for assessing pulses in infants. This indicates that the apical pulse method is a faster and more accurate method for locating the pulse in an infant, and should be used during cardiopulmonary resuscitation.
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Hypothermia has altered the course of military history. Military casualties tend to occur in epidemics, associated with cold weather combat or maneuvers, trauma, immobilization, improper clothing, exhaustion, and underlying illness. Symptoms of hypothermia begin subtly with fatigue and loss of concentration, but progress to stupor, coma, and resemble rigor mortis. ⋯ Moderate and severe cases require gentle evacuation and active core rewarming method(s). Inhalation of warm (40 degrees C, 104 degrees F) humidified oxygen is safe, effective, and can be begun in the field. Recognition of risk factors and active measures can lessen the menance of cold weather for military personnel.
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The Army dental care system has seen significant improvements since the Dental Reform Bill of 1977-1978. This bill initiated changes that improved the management and the productivity of the dental care system. Among the many improvements initiated by these reforms was the addition of a Medical Service Corps (MSC) officer as the executive officer. ⋯ The job of DENTAC executive officer has become very prestigious and one of the best assignments an MSC officer can receive during his military career. The alliance between the Dental Corps and the MSC officer has been highly successful and rewarding to both parties. The object of this paper is threefold: (a) to review how the dental organization operated before the Reform Bill; (b) to discuss the present role of the dental Executive Officer; and (c) to provide recommendations for the future role of the MSC officer within the Dental Corps.
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A study was conducted of travelers' diarrhea in a United States military population on deployment in Cairo, Egypt, during July and August 1987. Acute diarrhea requiring medical attention developed in 183 (4%) of 4,500 troops. A possible etiologic agent was identified in 49% of all diarrhea cases. ⋯ A survey of military personnel not requesting medical care indicated that up to 40% of troops may have had diarrhea during this deployment. Acute gastroenteritis is a potential cause of substantial morbidity in U. S. military personnel deployed to Egypt.
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A case report is presented of a young male who sustained a second-degree frostbite injury to the oral cavity, to include lower lip, hard palate, tongue, and buccal mucosa. This unusual injury occurred as a result of substance abuse: an attempt to inhale an aerosolized propane propellant as a means to achieve euphoria.