Military Medicine

https://academic.oup.com/milmed

List of Papers (Total 3,810)

A Case of Neglected Achilles Rupture after an Ankle Sprain

Lateral ankle sprains are common injuries seen by primary care and podiatric specialties. However, lateral ankle pain from a suspected inversion injury of the ankle may be more than a Grades I, II, or III ankle sprain.

Posterior Shoulder Dislocation During Morning PT: A Case Report

Posterior shoulder dislocation should be considered in the differential diagnosis of acute shoulder pain and immobility following trauma. Although far less common then the anterior dislocation, it is associated with high rates of comorbidity. Seventy-nine percent of posterior shoulder dislocations are missed on initial presentation, which is partially responsible for the high...

Radiofrequency Identification of the ER-REBOA: Confirmation of Placement Without Fluoroscopy

Non-compressible torso hemorrhage accounts for 70% of battlefield deaths. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emerging technology used to mitigate massive truncal hemorrhage. Use of REBOA on the battlefield is limited by the need for radiographic guided balloon placement. Radiofrequency identification (RFID) is a simple, portable, real-time...

Achieving Mastery of General Surgery Operative Skill in the Army Healthcare System

Operative case volumes for military surgeons are reported to be significantly lower than civilian counterparts. Among the concern that this raises is an inability of military surgeons to achieve mastery of their craft.

OEF/OIF/OND Veterans Seeking PTSD Treatment: Perceptions of Partner Involvement in Trauma-Focused Treatment

Post-traumatic stress disorder (PTSD) has been linked to a variety of adverse mental and physical health outcomes including distressed relationships. Involving romantic partners in PTSD treatment appears to be a promising new avenue for PTSD treatment; however, additional research is necessary to clarify veteran preferences for inclusion of significant others in treatment and...

Personality Traits and Occupational Demands Are Linked to Dietary Supplement Use in Soldiers: A Cross-sectional Study of Sensation Seeking Behaviors

Military personnel use dietary supplements (DS) more frequently and in a higher quantity than the general population. Patterns of DS used and the motivation for use among the military population are different than those of the civilian population. Soldiers are much more likely to use potentially dangerous DS purported to enhance physical performance and/or promote weight loss in...

A Guide to Understanding Reimbursement and Value-Based Care in the Military Health System

With the continued rise in the cost of U.S. health care, there is an increased emphasis on value-based care methodologies. Value is defined as health outcomes achieved per dollar spent. Few studies have evaluated the role of value-based care in the Military Health System (MHS), especially in a format which physicians and providers can understand. The purpose of this article is to...

Combat Readiness, Harm Aversion, and Promotion Eligibility: A Qualitative Study of U.S. Servicemembers Views on Tobacco Use and Control in the Military

More than half a century after the first Surgeon General’s Report on Smoking and Tobacco Use, tobacco use remains the leading cause of preventable disease for the U.S. military. Military tobacco use impairs troop readiness, decreases productivity, reduces servicemember physical performance, and leads to chronic illness in veterans. The Department of Defense (DoD) spends...

Women’s Health and Contraceptive Practices of Army Physician Assistants

Women’s roles continue to increase within the U.S. Army. Medical readiness contributes to individual readiness and supports the Army’s warfighting mission. Army physician assistants are often the first-line medical providers for Soldiers and their practices, including women’s health practices, should support optimal Soldier readiness. Our objective was to survey Army physician...

Medical Suspension in Female Army Rotary-Wing Aviators

Female aviators with health conditions may face a variety of occupational impacts. Outcomes may include a waiver for continued flight or a permanent suspension, in which flight is no longer possible. The objective of this study is to determine the prevalence of medical diagnosis among female U.S. Army aviators over a ten year period and identify associations of clinical diagnoses...

Naval Medicine’s Involvement in Global Health: The Participation of Women’s Healthcare Providers in Continuing Promise 2017

This is a retrospective review of information collected during operation Continuing Promise 2017 from the Wayuu population in Colombia, South America.

Mental and Physical Health Correlates of Pain Treatment Utilization Among Veterans With Chronic Pain: A Cross-sectional Study

The annual cost of treatment and lost productivity due to chronic pain is estimated to be $635 billion within the USA. Self-management treatments for chronic pain result in lower health care costs and lower utilization of provider-management treatments, such as hospitalization and medication use. The current study sought to identify and characterize patient factors and health...

Renal Replacement Therapy Capability for the Treatment of Combat-Associated Acute Kidney Injury: A Historical Perspective to Plan for Future Conflicts

Trauma-induced acute kidney injury (AKI) has affected many U.S. warfighters throughout history. We seek to provide a historical review of the epidemiology of combat-acquired AKI and to highlight the importance of adapting current renal replacement therapy (RRT) capabilities to prepare for the next armed conflict. While severe AKI was rare in the recent conflicts in Iraq and...

Smallpox Autoinoculation Via Tattoo in a Soldier

Since the National Smallpox Vaccination Program began in 2002, over 2.4 million military servicemembers have been inoculated. Use of bifurcated needles to introduce live vaccinia virus by repeated skin trauma is largely the same process that was first developed over 200 years ago, and is similar to that of tattoo administration. Both tattoos and smallpox inoculation can cause...

Restructuring Blank Spaces: The Role of Cognitive-Behavioral Interventions for Two Patients With Post-traumatic Amnesia After Severe Traumatic Brain Injury

Differentiation of symptoms associated with post-traumatic amnesia (PTA) versus post-traumatic stress symptoms (PTSS) following trauma presents many treatment challenges among veterans and active duty service members receiving rehabilitation after traumatic brain injury (TBI). The acute phase of rehabilitation poses difficulties for amnestic individuals that may elicit classic...

TNF-α Stress Response Is Reduced Following Load Carriage Training

Tumor necrosis factor-alpha (TNF-α) is a potent pro-inflammatory cytokine involved in the acute phase stress response. The genetic variant, rs1800629, is located in the promoter region of the TNF-α gene and has been shown to affect the production of TNF-α. The purpose of this study was to determine whether the TNF-α pro-inflammatory response induced by an acute bout of exercise...

Current Practices in Anterior Cruciate Ligament Reconstruction in the U.S. Military: A Survey of the Society of Military Orthopaedic Surgeons

The subject of anterior cruciate ligament reconstruction (ACLR) contains a large volume of research but very little consensus for ideal surgical technique, graft implementation, and fixation strategy for improved clinical outcome. Previous studies have assessed surgeon preferences for ACLR in civilian populations, but no study to date has examined ACLR trends in military surgeons...

Low Rate of Return to Impact Activity Following Core Decompression for Femoral Head AVN in Military Servicemembers

Femoral head avascular necrosis (AVN) is a debilitating disease with core decompression commonly performed for early stage disease. However, the ability to return to high-activity levels following treatment is largely unknown.