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2.
J Spec Oper Med ; 19(3): 24-25, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31539430

RESUMEN

Fresh whole blood (FWB) is increasingly being recognized as the ideal resuscitative fluid for hemorrhagic shock. Because of this, military units are working to establish the capability to give FWB from a walking blood bank donor in environments that are unsupported by conventional blood bank services. Therefore, many military units are performing autologous blood transfusion training. In this training, a volunteer has a unit of blood collected and then transfused back into the same donor. The authors report their experience performing an estimated 3408 autologous transfusions in training and report no instances of hemolytic transfusion reactions or other major complications. With appropriate control measures in place, autologous FWB training is low-risk training.


Asunto(s)
Transfusión de Sangre Autóloga , Personal Militar/educación , Choque Hemorrágico/terapia , Bancos de Sangre/provisión & distribución , Humanos , Riesgo , Reacción a la Transfusión
3.
J Spec Oper Med ; 16(3): 93-96, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27734452

RESUMEN

During an assault on an extremely remote target, a US Special Operations Soldier sustained multiple gunshot and fragmentation wounds to the thorax, resulting in a traumatic arrest and subsequent survival. His care, including care under fire, tactical field care, tactical evacuation care, and Role III, IV, and V care, is presented. The case is used to illustrate the complex dynamics of Special Operations care on the modern battlefield and the exceptional outcomes possible when evidence-based medicine is taken to the warfighter with effective, farforward, expeditionary medical-force projection.


Asunto(s)
Servicios Médicos de Urgencia/métodos , Paro Cardíaco/etiología , Paro Cardíaco/terapia , Personal Militar , Traumatismos Torácicos/complicaciones , Traumatismos Torácicos/terapia , Guerra , Heridas por Arma de Fuego/complicaciones , Heridas por Arma de Fuego/terapia , Hemorragia/terapia , Hemostáticos/uso terapéutico , Humanos , Masculino , Traumatismo Múltiple/terapia , Toracotomía
4.
JAAPA ; 29(1): 31-2, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26704650

RESUMEN

Acute carpal tunnel syndrome is a rare diagnosis in orthopedic medicine. This article describes a 35-year-old man who presented to the ED with complaints of discomfort and paresthesias in his right wrist after a fall, and was subsequently diagnosed with acute carpal tunnel syndrome. The article reviews the pathophysiology of the syndrome and suggested treatment.


Asunto(s)
Síndrome del Túnel Carpiano/complicaciones , Parestesia/etiología , Accidentes por Caídas , Enfermedad Aguda , Adulto , Humanos , Masculino , Muñeca/fisiopatología
5.
J Am Osteopath Assoc ; 115(5): 338-41, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25938529

RESUMEN

Pneumomediastinum occurs as a result of traumatic or iatrogenic causes or in patients with preexisting lung conditions such as interstitial lung disease, asthma, and chronic obstructive pulmonary disease. Spontaneous pneumomedi-astinum (SPM), however, is rarely seen in clinical practice. The authors report the case of a 14-year-old boy who presented to the emergency department with chest discomfort and shortness of breath after a 1600-m run as part of a physical education class. The patient was found to have SPM, was admitted to the pediatric service for monitoring and pain control, and made a full recovery within 24 hours. This case is notable because SPM occurred in the absence of identifable organic causes and as the result of sustained noncontact physical activity. A review of the literature provides background information and highlights pathophysiologic processes of SPM and suggested treatment. Physicians should consider pneu-momediastinum in young patients or runners presenting with chest pain even in the absence of any known inciting event.


Asunto(s)
Enfisema Mediastínico/etiología , Neumotórax/complicaciones , Carrera , Adolescente , Diagnóstico Diferencial , Servicio de Urgencia en Hospital , Humanos , Masculino , Enfisema Mediastínico/diagnóstico , Neumotórax/diagnóstico , Radiografía Torácica
6.
J Spec Oper Med ; 14(3): 1-6, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25344704

RESUMEN

The authors report five cases of pelvic hematoma without associated pelvic fracture after military static-line parachute operations, a significantly underreported injury. The case reports and discussion include initial emergency department presentation, stabilization requirements, and imaging, disposition, and management recommendations. Data were collected retrospectively through review of medical records from a single institution over the course of a single calendar year, 2012-2013. Pelvic hematoma should be strongly considered in the patient with lower abdominal, hip, or pelvic pain after blunt injury from parachute landing fall even in the absence of associated fracture. The cases discussed display this underreported injury and highlight the frequent necessity for admission to a high-acuity care center for close monitoring.


Asunto(s)
Aviación , Hematoma/diagnóstico por imagen , Personal Militar , Pelvis/lesiones , Heridas no Penetrantes/diagnóstico por imagen , Adulto , Angiografía , Hematoma/terapia , Humanos , Masculino , Pelvis/diagnóstico por imagen , Estudios Retrospectivos , Heridas no Penetrantes/terapia
7.
JAAPA ; 26(6): 27-9, 2013 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-23805589

RESUMEN

Lunate and perilunate dislocations are rare in children, but should be suspected in patients with significant wrist swelling and decreased range of motion after trauma or falls on an outstretched hand.


Asunto(s)
Traumatismos de la Muñeca/diagnóstico por imagen , Traumatismos de la Muñeca/terapia , Preescolar , Humanos , Radiografía , Rango del Movimiento Articular , Traumatismos de la Muñeca/fisiopatología
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