Journal of High Threat & Austere Medicine最新文献

Novel Measurement Approaches Are Needed In The Pre-Hospital Setting To Prevent Accidental Hypothermia. 院前需要新的测量方法来防止意外的体温过低。

Journal of High Threat & Austere Medicine Pub Date : 2021-11-19 DOI: 10.33553/jhtam.v3i1.37

T. Binyon, Benjamin R. Mackie

引用次数: 0

Application of the Ultraviolet Germicidal Irradiation system can reduce microbial surface contamination in ambulance compartments. 应用紫外线杀菌照射系统可以减少救护车车厢表面的微生物污染。

Journal of High Threat & Austere Medicine Pub Date : 2020-10-06 DOI: 10.33553/jhtam.v2i1.28

Dr Benjamin R Makie, Natalee Williams-Claasen, P. Gojkovic

引用次数: 0

Applied Pathophysiology of Blast Injuries 爆炸伤的应用病理生理学

Journal of High Threat & Austere Medicine Pub Date : 2019-09-10 DOI: 10.33553/jhtam.v1i1.20

John Moloney, M. Welch, A. Cardinal

引用次数: 2

Methodologies Utilized and Lessons Learned in High Threat Environments and Mass Casualty Environments. 在高威胁环境和大规模伤亡环境中使用的方法和经验教训。

Journal of High Threat & Austere Medicine Pub Date : 2019-08-18 DOI: 10.33553/JHTAM.V0I0.22

Andrew Bennett

{"title":"Methodologies Utilized and Lessons Learned in High Threat Environments and Mass Casualty Environments.","authors":"Andrew Bennett","doi":"10.33553/JHTAM.V0I0.22","DOIUrl":"https://doi.org/10.33553/JHTAM.V0I0.22","url":null,"abstract":"In May 2019, the author was awarded the Australian Tactical Medical Association (ATMA) study grant to attend the Special Operations Medicine Scientific Assembly (SOMSA) 2019 in Charlotte, North Carolina in the United States of America. Whilst in the U.S. the author had the opportunity to hear many talks, attend labs and talk to many first responders in high threat and austere environments to learn about how they operate, and the lessons learned from their experiences. \u0000This report highlights the two objectives of the study grant: \u0000 \u0000Record the key content and lessons learned by attendance at SOMSA 2019. \u0000Discuss techniques utilized and lessons learned by first responders operating in high threat environments and mass casualty incidents. \u0000 \u0000The SOMSA brings together many like-minded pre-hospital, tactical, wilderness, austere, disaster and deployed medicine operators from all around the world to share their learnings with a primary goal to \u0000advance the art and science of special operations medical care. It is a great opportunity for military and civilian providers to learn, network and engage with industry partners showcasing innovative products and technology.","PeriodicalId":320991,"journal":{"name":"Journal of High Threat & Austere Medicine","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132979088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

The Paris Terrorist Attacks – Implications for first responders 巴黎恐怖袭击-对急救人员的启示

Journal of High Threat & Austere Medicine Pub Date : 2019-07-29 DOI: 10.33553/JHTAM.V1I1.18

J. Moloney, D. Morgan

引用次数: 3

How Does the Response and Management of Terrorist Attacks by Emergency Medical Services in the UK Compare to Europe and the USA? 英国紧急医疗服务对恐怖袭击的反应和管理与欧洲和美国相比如何?

Journal of High Threat & Austere Medicine Pub Date : 2019-06-08 DOI: 10.33553/JHTAM.V1I1.15

A. Grant, S. Dady

{"title":"How Does the Response and Management of Terrorist Attacks by Emergency Medical Services in the UK Compare to Europe and the USA?","authors":"A. Grant, S. Dady","doi":"10.33553/JHTAM.V1I1.15","DOIUrl":"https://doi.org/10.33553/JHTAM.V1I1.15","url":null,"abstract":"Research question \u0000How does the response and management of terrorist attacks by emergency medical services (EMS) in the United Kingdom (UK) compare to Europe and the United States of America (USA)? \u0000 Introduction \u0000Terrorist attacks and active shooter events account for a growing number of mass casualty and major incidents in the UK, Europe and the USA. In order to better prepare for future incidents, analysis of prior events is essential. \u0000 Methods \u0000Systematic literature searches of papers published between 1/1/2004 and 5/31/2018 were conducted using two key databases: CINAHL Plus and PubMed (indexed from MEDLINE). Key contents of identified papers were abstracted, including EMS response and patient management, with emphasis placed upon identified recommendations and lessons learned. \u0000 Results \u0000Four hundred and forty-two records were identified in the preliminary search, with 176 records further screened using the title and abstract. Ten papers were included in the final review, reflecting 13 events from five countries across two continents. Three major themes identified throughout the papers were emergency preparedness, resilience and response (EPRR), casualty triage, and tactical emergency medical services (TEMS). These themes were present in 90%, 70% and 40% of the papers respectively. \u0000 Conclusion \u0000New and innovative EMS response strategies occurred over the study period, in part due to the dissemination of lessons learned. Despite advances in response to mass violence events, significant gaps remain, in part due to lack of adoption of recommendations. Recent experience with advanced TEMS providers capable of operating within the inner perimeter suggests that this approach should be further evaluated as part of the response plan for future events.","PeriodicalId":320991,"journal":{"name":"Journal of High Threat & Austere Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130316606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Foley catheter balloon tamponade for penetrating neck injury management in military medicine: a case report 军医Foley导管球囊填塞治疗穿透性颈部损伤1例报告

Journal of High Threat & Austere Medicine Pub Date : 2019-05-26 DOI: 10.33553/JHTAM.V1I1.14

Michael Turconi, T. Scarborough, J. Perez

{"title":"Foley catheter balloon tamponade for penetrating neck injury management in military medicine: a case report","authors":"Michael Turconi, T. Scarborough, J. Perez","doi":"10.33553/JHTAM.V1I1.14","DOIUrl":"https://doi.org/10.33553/JHTAM.V1I1.14","url":null,"abstract":"Background \u0000The use of Foley catheter balloon tamponade (FCBT) to address bleeding in the neck and maxillofacial area associated with penetrating trauma is widely accepted in South African Emergency Departments. Its efficacy has been documented in combat settings in the Iraqi area of operations, with significant improvement of patients survival rate. Despite such evidence, Special Operations Forces (SOF) medics training in these techniques is limited. \u0000Case \u0000We present the case of a partner forces (PF) soldier that received shrapnel injuries during combat operations, resulting in life-threatening haemorrhage from the neck. \u0000Conclusion \u0000The Special Operations Forces medics who treated this patient decided to apply FCBT to prevent re-bleeding during an unsupervised ground vehicle movement to the host nation (HN) definitive care. None of the SOF medics involved had received formal training in the technique prior to the case. Their only knowledge was based on anecdotal evidence and self-study of the literature. Due to the lack of accountability by admitting a patient into the HN chain of care, there is no information on the outcome other than the patient survived. FCBT was performed after the wound was packed ineffectively with hemostatic gauze resulting in an unstable clot that failed with patient movement resulting in a probable carotid artery Zone I I neck bleed. FCBT has the potential to be a quick and effective adjunct to control bleeding in the complicated narrow track wound patterns in the neck and maxillofacial area that are not amenable to manual pressure or hemostatic agents in combat trauma medicine. \u0000Keywords \u0000Foley; Foley catheter balloon tamponade; Special Operations forces Medics; Bleeding. \u0000 ","PeriodicalId":320991,"journal":{"name":"Journal of High Threat & Austere Medicine","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116338922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Characteristics of Prehospital Response to Terrorism: A systematic literature review 院前应对恐怖主义的特点:系统的文献综述

Journal of High Threat & Austere Medicine Pub Date : 2019-05-09 DOI: 10.33553/JHTAM.V1I1.4

Matthew P. J. Pepper, F. Archer, J. Moloney

{"title":"Characteristics of Prehospital Response to Terrorism: A systematic literature review","authors":"Matthew P. J. Pepper, F. Archer, J. Moloney","doi":"10.33553/JHTAM.V1I1.4","DOIUrl":"https://doi.org/10.33553/JHTAM.V1I1.4","url":null,"abstract":"Background: Terrorism is increasingly the aetiology of mass casualty incidents. Improved prehospital response capability targeted to the unique characteristics of high threat incidents is an area of urgent focus. Gaps in current knowledge coupled with inconsistent reporting and difficulties in accessing data create difficult conditions for capability enhancement. \u0000Methods: A systematic literature review was conducted to describe the characteristics of prehospital response to terrorism from 2011 -2017. Papers were included if they described a prehospital response to a terrorist incident, were in English or translatable to English and full text was available. \u0000Results: 6115 records were located in the initial search of grey and published literature, with 71 retrieved for full text after screening of title and abstract. 23 papers were included in the final analysis, describing 6 separate terrorist attacks. The majority of literature was published by physicians, all were from Western countries with advanced Emergency Medical Services(EMS) and a standard reporting template was not identified. The level of evidence was low to very low. Themes of tactical triage, coordinated activation and response, use of damage control resuscitation and tactical casualty care were common throughout the papers. \u0000Conclusions: The paucity of high level evidence and systematic reporting of lessons learned in the prehospital terrorism response field requires a renewed push for access to data and the establishment of reporting systems that are inclusive of all responders. \u0000Keywords: Terrorism, Pre-hospital, Response, Tactical Emergency Casualty Care, Tactical Combat Casualty Care","PeriodicalId":320991,"journal":{"name":"Journal of High Threat & Austere Medicine","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129907081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Governance and Interagency Collaboration in Tactical Medical Operations 战术医疗行动中的临床治理和机构间协作

Journal of High Threat & Austere Medicine Pub Date : 2019-02-10 DOI: 10.33553/JHTAM.V0I0.10

Matthew P. J. Pepper

引用次数: 0

Scholarship Supplement 奖学金的补充

Journal of High Threat & Austere Medicine Pub Date : 2019-02-08 DOI: 10.33553/jhtam.v1i2

引用次数: 0