195 results match your criteria hospitalization evacuated

Treatment of Patients Hospitalized with COVID-19 in a US Military Role 3 Facility in Afghanistan: A Case Series.

Med J (Ft Sam Houst Tex) 2021 Jan-Mar(PB 8-21-01/02/03):12-19

Background: COVID-19, caused by SARS CoV-2, is an acute respiratory viral illness. We present the experience of treating patients hospitalized with COVID-19 in a Role 3 hospital in an active warzone.

Methods: This is a retrospective care series of patients treated for COVID-19 at Craig Joint Theater Hospital, Bagram, Afghanistan from May to August 2020. Read More

View Article and Full-Text PDF

Cerebellar hemorrhage in a newborn: a case report in association with suspected arterial dissection of the posterior inferior cerebellar artery.

Childs Nerv Syst 2021 Jan 28. Epub 2021 Jan 28.

Department of Pediatric Neurosurgery, Matsudo City General Hospital, 993-1 Sendabori, Matsudo, Chiba, 270-2296, Japan.

We herein report a 5-day-old baby boy presented with a massive cerebellar hemorrhage due to suspected posterior inferior cerebellar artery (PICA) dissection. He was born by vacuum extraction at the gestational age of 41 weeks with 3370 g birth weight. On the fifth day of life, he developed dyspnea with worsening vital signs. Read More

View Article and Full-Text PDF
January 2021

Genomic analysis of mutations in platelet mitochondria in a case of benzene-induced leukaemia: A case report.

Medicine (Baltimore) 2021 Jan;100(1):e24014

Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, Guangdong.

Introduction: As a hematopoietic carcinogen, benzene induces human leukemia through its active metabolites such as benzoquinone, which may cause oxidative damage to cancer-related nuclear genes by increasing reactive oxygen species (ROS). Mitochondrion is the main regulatory organelle of ROS, genetic abnormality of mitochondrion can impede its regulation of ROS, leading to more severe oxidative damage. Mutations have been related to certain types of cancer in several mitochondrial genes, but they have never been completely analyzed genome-wide in leukemia. Read More

View Article and Full-Text PDF
January 2021

Long-term Health Outcomes Among Survivors Exposed to Sulfur Mustard in Iran.

JAMA Netw Open 2020 12 1;3(12):e2028894. Epub 2020 Dec 1.

Chemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Importance: The prevalence and severity of long-term health complications after exposure to sulfur mustard are unknown.

Objective: To investigate the long-term health outcomes among survivors exposed to sulfur mustard during the Iran-Iraq War.

Design, Setting, And Participants: In this retrospective cohort study, late-onset health complications of 64 190 Iranian survivors exposed to sulfur mustard during the Iran-Iraq War from 1980 to 1988 were investigated using descriptive statistics. Read More

View Article and Full-Text PDF
December 2020

Diving Accident Evacuations by Helicopter and Immersion Pulmonary Edema.

Aerosp Med Hum Perform 2020 Oct;91(10):806-811

Scuba diving activities expose divers to serious accidents, which can require early hospitalization. Helicopters are used for early evacuation. On the French Mediterranean coast, rescue is made offshore mainly by a French Navy Dauphin or at a landing zone by an emergency unit EC 135 helicopter. Read More

View Article and Full-Text PDF
October 2020

A DEA-Based Complexity of Needs Approach for Hospital Beds Evacuation during the COVID-19 Outbreak.

J Healthc Eng 2020 30;2020:8857553. Epub 2020 Sep 30.

Federal University of Pernambuco, Núcleo De Tecnologia, Av. Marielle Franco, s/n-Km 59-Nova Caruaru, Recife, Brazil.

Data envelopment analysis (DEA) is a powerful nonparametric engineering tool for estimating technical efficiency and production capacity of service units. Assuming an equally proportional change in the output/input ratio, we can estimate how many additional medical resource health service units would be required if the number of hospitalizations was expected to increase during an epidemic outbreak. This assessment proposes a two-step methodology for hospital beds vacancy and reallocation during the COVID-19 pandemic. Read More

View Article and Full-Text PDF
October 2020

Identification of factors associated with morbidity and postoperative length of stay in surgically managed chronic subdural haematoma using electronic health records: a retrospective cohort study.

BMJ Open 2020 06 30;10(6):e037385. Epub 2020 Jun 30.

Neurocritical Care Department and Department of Anaesthesia, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Introduction: Chronic subdural haematoma (cSDH) tends to occur in older patients, often with significant comorbidity. The incidence and effect of medical complications as well as the impact of intraoperative management strategies are now attracting increasing interest.

Objectives: We used electronic health record data to study the profile of in-hospital morbidity and examine associations between various intraoperative events and postoperative stay. Read More

View Article and Full-Text PDF

Flight of the COVID-19 patient: experience with a Wuhan evacuee: a case report.

J Med Case Rep 2020 Jun 11;14(1):66. Epub 2020 Jun 11.

Division of Hospital Medicine, University of California San Diego Health, 200 West Arbor Drive, MC 8485, San Diego, CA, 92103, USA.

Background: Coronavirus disease 2019, caused by severe acute respiratory syndrome coronavirus 2, was declared a global pandemic by the World Health Organization in March 2020.

Case Presentation: We report a case of a 51-year-old Chinese woman who was evacuated from Wuhan, China and diagnosed with coronavirus disease 2019 infection at a Southern California quarantine facility. Her clinical course was notable for high fevers, night sweats, productive cough, transient leukopenia, lymphopenia, thrombocytopenia, and transaminitis. Read More

View Article and Full-Text PDF

Managing mental health on a prolonged deployment: UK military exercise SAIF SAREEA 3.

BMJ Mil Health 2020 Dec 30;166(6):382-386. Epub 2020 May 30.

5 Armoured Medical Regiment, British Army, Catterick Garrison, UK

Introduction: This paper presents the burden of mental health cases throughout UK military exercise SAIF SAREEA 3 (SS3), a low-tempo armoured brigade exercise in Oman from June to November 2018, and aims to discuss ways that mental health may be better managed on future large exercises.

Methods: A retrospective review of all attendances at army medical facilities and relevant computerised medical records was undertaken.

Results: 14 mental health cases were identified, which required 51 follow-up presentations throughout the duration of SS3. Read More

View Article and Full-Text PDF
December 2020

Injuries Reported by Selected Health Facilities During the Arbaeenia Mass Gathering at Babel Governorate, Iraq, 2014: Retrospective Records Analysis.

JMIR Public Health Surveill 2020 05 28;6(2):e10877. Epub 2020 May 28.

Eastern Mediterranean Public Health Network (EMPHNET), Amman, Jordan.

Background: Arbaeenia is the largest religious mass gathering in Iraq. The conditions associated with mass gatherings result in high rates of injury. There have been no prior studies on injuries during the Arbaeenia mass gathering. Read More

View Article and Full-Text PDF

Inequality in in-hospital mortality due to road traffic accident between ethnic populations in specified groups living in the same country.

Isr J Health Policy Res 2020 04 20;9(1):17. Epub 2020 Apr 20.

Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Health Policy Research, Tel-Hashomer, Ramat Gan, Israel.

Background: Road traffic accidents (RTA) are not equally distributed between ethnic groups, disproportionately affecting minorities. In Israel, Arabs are at higher risk of involvement in RTA relative to their proportion in the population. This study aims to compare the risk of in-hospital mortality from RTA between Arabs and Jews in Israel and to identify the factors associated with mortality in each population group. Read More

View Article and Full-Text PDF

Acute respiratory distress syndrome in the forward environment. Retrospective analysis of acute respiratory distress syndrome cases among French Army war casualties.

J Trauma Acute Care Surg 2020 08;89(2S Suppl 2):S207-S212

From the Intensive Care Unit, Anesthesiology Department (J.S., P.G., E.M., J.B.), Sainte Anne Military Teaching Hospital, Toulon; Intensive Care Unit, Anesthesiology Department (M.B., P.P.), Percy Military Teaching Hospital, Clamart; Tropical Medicine Institute, French Defense Health Service (L.R.), Marseille; Army Medical Center (C.C.), Ventiseri, France); and French Defense Health Service Central Direction (A.L.), Paris, France.

Background: According to the Joint Theater Trauma Registry, 26% to 33% of war casualties develop acute respiratory distress syndrome (ARDS), with high mortality. Here, we aimed to describe ARDS incidence and severity among patients evacuated from war zones and admitted to French intensive care units (ICUs).

Methods: We performed an observational retrospective multicentric review of all patients evacuated from war zones and admitted to French ICUs between 2003 and 2018. Read More

View Article and Full-Text PDF

Streptococcus Gallolyticus endocarditis in patient with liver cirrhosis: a case report.

J Infect Dev Ctries 2019 04 30;13(4):352-356. Epub 2019 Apr 30.

Clinic for Infectious and Tropical Diseases, Clinical Center of Serbia, Belgrade, Serbia.

Streptococcus gallolyticus (S. gallolyticus) bacteremia is commonly associated with endocarditis and diseases of gastrointestinal tract, especially with colorectal carcinoma. On the other side, it is rarely connected to liver disease, especially alcoholic liver disease. Read More

View Article and Full-Text PDF

Timing to perform VATS for traumatic-retained hemothorax (a systematic review and meta-analysis).

Eur J Trauma Emerg Surg 2020 Apr 17;46(2):337-346. Epub 2019 Dec 17.

Chief of Thoracic Surgery, Division of Cardiovascular and Thoracic Surgery, Program Director, Cardiothoracic Fellowship Program, Division of Cardiothoracic Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX, 77555-0528, USA.

Purpose: In this systematic review, we analyzed the optimal time range to evacuate traumatic-retained hemothorax using video-assisted thoracoscopic surgery (VATS).

Methods: We searched PubMed, EMBASE, the Cochrane Register of Controlled Trials, Google Scholar, and the U.S. Read More

View Article and Full-Text PDF

Ketamine Administration During Hospitalization Is Not Associated With Posttraumatic Stress Disorder Outcomes in Military Combat Casualties: A Matched Cohort Study.

Anesth Analg 2020 02;130(2):402-408

From the Defense and Veterans Center for Integrative Pain Management, Department of Military & Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Rockville, Maryland.

Background: Ketamine is routinely used within the context of combat casualty care. Despite early concerns that ketamine administration may be associated with elevated risk of posttraumatic stress disorder (PTSD), more recent evidence suggests no relationship. Because PTSD occurs with regular frequency in Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) Service Members (SMs) and combat-related injuries are associated with higher likelihood of PTSD, it is important to investigate the relationship between ketamine exposure during inpatient medical and surgical care and PTSD symptoms in OIF/OEF SMs. Read More

View Article and Full-Text PDF
February 2020

Mutual maintenance of PTSD and physical symptoms for Veterans returning from deployment.

Eur J Psychotraumatol 2019 21;10(1):1608717. Epub 2019 May 21.

Department of Veterans Affairs, Bedford Memorial Hospital, Bedford, MA, USA.

: The mutual maintenance model proposes that post-traumatic stress disorder (PTSD) symptoms and chronic physical symptoms have a bi-directional temporal relationship. Despite widespread support for this model, there are relatively few empirical tests of the model and these have primarily examined patients with a traumatic physical injury. : To extend the assessment of this model, we examined the temporal relationship between PTSD and physical symptoms for military personnel deployed to combat (i. Read More

View Article and Full-Text PDF

U.S. Military Medical Evacuation and Prehospital Care of Pediatric Trauma Casualties in Iraq and Afghanistan.

Prehosp Emerg Care 2020 Mar-Apr;24(2):265-272. Epub 2019 Jun 19.

Traumatic injuries were the most common reason for pediatric admission to military hospitals during the recent wars in the Middle East. We describe injury characteristics and prehospital interventions performed on wartime pediatric trauma casualties in Afghanistan and Iraq, stratified by medical evacuation platform. We queried the Department of Defense Trauma Registry (DODTR) for all pediatric (age < 18 years) encounters from January 2007 to January 2016. Read More

View Article and Full-Text PDF
November 2020

Descriptive Analysis of Cardiac Patients Transported by Critical Care Air Transport Teams.

Mil Med 2019 07;184(7-8):e288-e295

US Air Force En Route Care Research Center 59 MDW/ST, Chief Scientist's Office - US Army Institute of Surgical research, JBSA Ft. Sam Houston, TX.

Introduction: Critical Care Air Transport Teams (CCATTs) transport critically ill patients within and out of theaters of combat operations. Studies of the CCATT population reveal as many as 35% of patients have a non-trauma diagnosis, of which more than half are cardiac.The purpose of this retrospective study was to describe the epidemiology of critically ill patients with cardiac diagnoses evacuated from theater via CCATT. Read More

View Article and Full-Text PDF

Pseudoaneurysm rupture causing hemoperitoneum following rectal impalement injury: A case report.

Pyong Wha Choi

Int J Surg Case Rep 2019 19;55:28-31. Epub 2019 Jan 19.

Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, 170, Juhwa-ro, Ilsanseo-gu, Goyang-si, Gyeonggi-do, 10380, Republic of Korea. Electronic address:

Introduction: Although vascular anatomy of the rectum is complex, pseudoaneurysm followed by massive hemoperitoneum after rectal impalement injury is extremely rare.

Case Presentation: A 43-year-old man presented with abdominal distension. One day earlier, he had undergone sigmoid loop colostomy for rectal implement injury at a local hospital. Read More

View Article and Full-Text PDF
January 2019

Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit Study.

Acta Med Port 2018 Dec 28;31(12):738-741. Epub 2018 Dec 28.

Orthopaedics and Trauma Department. Hospital Dr. Baptista de Sousa. Mindelo. São Vicente. Cape Verde.

Introduction: Cape Verde is a middle-income country benefiting from a health agreement with Portugal. The purpose of this study is to conduct a cost-benefit analysis on the enablement of Cape Verde to perform total hip replacement.

Material And Methods: We assessed records from the Orthopaedic Department of Baptista de Sousa Hospital and the Portuguese Directorate-General of Health regarding hip fracture with indication for total hip replacement and hip arthritis cases evacuated to Portugal. Read More

View Article and Full-Text PDF
December 2018

Management and outcomes of isolated interhemispheric subdural hematomas associated with falx syndrome.

J Neurosurg 2019 Jan;131(6):1920-1925

Objective: Large interhemispheric subdural hematomas (iSDHs) causing falx syndrome are rare; therefore, a paucity of data exists regarding the outcomes of contemporary management of iSDH. There is a general consensus among neurosurgeons that large iSDHs with neurological deficits represent a particular treatment challenge with generally poor outcomes. Thus, radiological and clinical outcomes of surgical and nonsurgical management for iSDH bear further study, which is the aim of this report. Read More

View Article and Full-Text PDF
January 2019

Risk Factors for Recurrent Hematoma After Surgery for Acute Traumatic Subdural Hematoma.

World Neurosurg 2019 Jan 10. Epub 2019 Jan 10.

Division of Clinical Neurosciences, Department of Neurosurgery, Turku University Hospital and University of Turku, Turku, Finland; Neurovascular Surgery Program, Section of Neurosurgery, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA. Electronic address:

Objective: The development of postcraniotomy hematoma (PCH) after surgery for acute traumatic subdural hematoma (aSDH) has been associated with an increased risk of a poor outcome. The risk factors contributing to PCH remain poorly understood. Our aim was to study the potential risk factors for PCH in a consecutive series of surgically evacuated patients with aSDH. Read More

View Article and Full-Text PDF
January 2019

Significant Morbidity and Mortality Associated with Fecal Impaction in Patients Who Present to the Emergency Department.

Dig Dis Sci 2019 05 8;64(5):1320-1327. Epub 2018 Dec 8.

Division of Gastroenterology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Background: Fecal impaction (FI) is defined as a large mass of stool in the rectum and/or colon that is unable to be evacuated. No study to date details demographics and outcomes in a sizeable sample of FI patients in the USA.

Aims: The present study aims to develop knowledge of FI by reporting descriptive measures and outcomes of patients presenting to a US emergency department (ED) with FI. Read More

View Article and Full-Text PDF

Inpatient treatment of trekkers and Nepalese workers in the high-altitude environment of Mt. Everest Region 1996-2011: A retrospective analysis.

Travel Med Infect Dis 2019 Sep - Oct;31:101356. Epub 2018 Nov 28.

Department of Occupational, Social and Environmental Medicine, RWTH Aachen University, Aachen, Germany; Department of Dental Preservation, Parodontology& Preventive Dentistry, RWTH Aachen Technical University, Aachen, Germany. Electronic address:

Background: The study investigates the diagnoses of inpatients (tourists and Nepali workers) of Kunde Hospital (Mt.Everest region) over 15 years.

Methods: Records from January 1996 to September 2011 were analyzed concerning date, gender, age group, nationality, purpose of visit, diagnosis, length of treatment, and condition at discharge. Read More

View Article and Full-Text PDF
February 2020

Catastrophic Non-Survivable Brain Injury Care-Role 2/3.

Mil Med 2018 09;183(suppl_2):73-77

Joint Trauma System, 3698 Chambers Pass, Joint Base San Antonio, Fort Sam Houston, TX.

A catastrophic brain injury is defined as any brain injury that is expected to result in permanent loss of all brain function above the brain stem level. These clinical recommendations will help stabilize the patient so that they may be safely evacuated from theater. In addition to cardiovascular and hemodynamic goals, special attention must be paid to their endocrine dysfunction and its treatment-specifically steroid, insulin and thyroxin (t4) replacement while evaluating for and treating diabetes insipidus. Read More

View Article and Full-Text PDF
September 2018

Same day discharge after thyroidectomy is safe and effective.

Surgery 2018 10 7;164(4):887-894. Epub 2018 Aug 7.

School of Mathematical and Statistical Sciences, UT Rio Grande Valley, Edinburg, TX.

Historically, thyroidectomies have been performed as inpatient operations due to concerns of postoperative bleeding and symptomatic hypocalcemia. We aim to demonstrate that outpatient thyroidectomy can be performed safely.

Methods: This report outlines a 7-year retrospective analysis (2009-2016) of outpatient vs inpatient thyroidectomies, with outcomes including hematoma, blood loss, recurrent laryngeal nerve injury, symptomatic hypocalcemia, and postoperative emergency room (ER) visits. Read More

View Article and Full-Text PDF
October 2018

Early Infections Complicating the Care of Combat Casualties from Iraq and Afghanistan.

Surg Infect (Larchmt) 2018 Apr 19;19(3):286-297. Epub 2018 Jan 19.

1 Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences , Bethesda, Maryland.

Background: During the conflicts in Iraq and Afghanistan, more than 52,000 U.S. military members were wounded in action. Read More

View Article and Full-Text PDF

[Thoracoscopic pulmonary resection for metastatic lesion without pleural drainage: initial experience].

Khirurgiia (Mosk) 2018(4):68-70

'Medsi' Сlinical Hospital #1, Moscow, Russia.

Aim: To analyze the possibility of thoracoscopic pulmonary resection for metastatic lesion without pleural drainage.

Material And Methods: There were 10 patients aged 53.8 years. Read More

View Article and Full-Text PDF
October 2018

Continuous Veno-Venous Hemofiltration During Intercontinental Aeromedical Evacuation.

Mil Med 2018 03;183(suppl_1):189-192

U.S. Army Institute of Surgical Research, 3698 Chambers Pass, Fort Sam Houston, TX 78234.

Overseas contingency operations which occur in areas lacking medical infrastructure pose challenges to the stabilization and transportation of critically ill patients. In particular, metabolic derangements resulting from acute kidney injury (AKI) make long-distance aeromedical evacuation risky. Here, we report the first modern use of in-flight continuous veno-venous hemofiltration (CVVH) for intercontinental aeromedical evacuation. Read More

View Article and Full-Text PDF

Effect of Early Postoperative Feeding on the Recovery of Children Post Appendectomy.

Gastroenterol Nurs 2018 Mar/Apr;41(2):131-140

Selda Rızalar, PhD, is Assistant Professor, Department of Surgical Nursing, Health Science Faculty, Medipol University, I·stanbul, Turkey. Ayfer Özbaş, PhD, is Associate Professor, Department of Surgical Nursing, Istanbul University Florence Nightingale Nursing Faculty, Abide-i Hurriyet cad. 34381 Şişli, Istanbul, Turkey.

The aim of this study was to determine the effect of early postoperative feeding on recovery after appendectomy in children. It was undertaken as a multicenter study. Patients were randomly assigned to 2 groups, each containing 46 children. Read More

View Article and Full-Text PDF
December 2018