scholarly journals COVID-19 Vaccine Distribution: Bolstering the Air Force Immunizations Model

2021 ◽  
Author(s):  
Karla E Adams ◽  
Derek Smith ◽  
Kevin White
Keyword(s):  
Air Force ◽  
Vaccine Delivery ◽  
Medical Community ◽  
Treatment Facility ◽  
Mass Immunization ◽  
Treatment Facilities ◽  
Military Treatment Facility ◽  
Vaccine Distribution ◽  
Military Treatment Facilities

ABSTRACT From its emergence and declaration as a worldwide pandemic, coronavirus disease-2019 (COVID-19) has been associated with significant medical and logistical challenges. Initial obstacles ranged from the need to develop testing platforms to the determination of effective treatments to decrease the significant morbidity and mortality associated with the disease. Due to significant scientific breakthroughs, the most recent pressing challenge has been the distribution of vaccines against severe acute respiratory syndrome coronavirus 2 to prevent the spread of the infection across the world. Historically, the U.S. Military has been involved in immunizations delivery to prevent disease among its troops. This experience has led to the establishment of programs designed to distribute safe vaccinations to service members and beneficiaries. It is upon this infrastructure that the Air Force (AF) medical community was thrust to devise and execute COVID-19 vaccine delivery implementation across all military treatment facilities. In the AF, specialty trained allergist and immunologists provide the technical expertise for the establishment and execution of the AF immunizations program. These medical professionals have the proficiency, knowledge, and experience to run efficient mass immunization events in order to provide vaccines in a safe and rapid environment. Despite this, significant challenges attributable to the variable and novel nature of COVID-19 vaccine logistical requirements have led to unanswered questions and debate that needed resolution before and during the launch of this program. Here we describe the process for establishing a mass vaccination program for COVID-19 vaccine delivery and our experience-based problem solving approach at a large AF military treatment facility.

scholarly journals Maintaining Surgical Readiness While Deployed to Low-Volume Military Treatment Facilities: A Pilot Program for Clinical and Operational Sustainment Training in the Deployed Environment

2020 ◽  
Vol 185 (Supplement_1) ◽  
pp. 508-512
Author(s):  
Jennifer M Gurney ◽  
Will C Cole ◽  
John C Graybill ◽  
Stacy A Shackelford ◽  
Darin K Via
Keyword(s):  
Pilot Program ◽  
Combat Casualty ◽  
Treatment Facilities ◽  
Military Treatment Facility ◽  
Low Volume ◽  
Operative Experience ◽  
Surgical Teams ◽  
Combat Casualties ◽  
Military Treatment Facilities ◽  
Combat Casualty Care

ABSTRACT Introduction Maintaining readiness among Army surgeons is increasingly challenging because of declining operative experience during certain deployments. Novel solutions should be considered. Materials and Methods A pilot program was conducted to rotate surgical teams from a military treatment facility with a low volume of combat casualty care to one with a higher volume. Pre- and postrotation surveys were conducted to measure relative operative experience, trauma experience, and perceived readiness among rotators. Results Operative volumes and trauma volumes were increased and that perceived readiness among rotators, especially those with the fewest previous deployments, was improved. Conclusions Maintaining readiness among Army surgeons is a difficult task, but a combination of increased trauma care while in garrison, as well as increased humanitarian care during deployments, may be helpful. Additionally, rotating providers from facilities caring for few combat casualties to facilities caring for more combat casualties may also be feasible, safe, and helpful.

scholarly journals Characteristics, Treatment, and Outcomes of Patients With Severe or Life-threatening COVID-19 at a Military Treatment Facility—A Descriptive Cohort Study

2021 ◽  
Author(s):  
Brian P Elliott ◽  
Gregory M Buchek ◽  
Matthew T Koroscil
Keyword(s):  
Severe Disease ◽  
Ambient Air ◽  
Active Duty ◽  
Urban Setting ◽  
Arterial Oxygen ◽  
Treatment Facility ◽  
Blood Oxygen Saturation ◽  
Life Threatening ◽  
Military Treatment Facility ◽  
Active Duty Personnel

ABSTRACT Introduction The treatment of severe and life-threatening COVID-19 is a rapidly evolving practice. The purpose of our study was to describe the characteristics and outcomes of patients with severe or life-threatening COVID-19 who present to a Military Treatment Facility (MTF) with an emphasis on addressing institutional adaptations to rapidly changing medical evidence. Materials and Methods A single-center retrospective study conducted on a prospectively maintained cohort. The MTF is a 52-bed hospital within an urban setting. Patients were included in the cohort if they had laboratory-confirmed severe or life-threatening COVID-19 with positive SARS-CoV-2 reverse transcription polymerase chain reaction. Severe disease was defined as dyspnea, respiratory frequency ≥30/min, blood oxygen saturation ≤93% on ambient air, partial pressure of arterial oxygen to fraction of inspired oxygen ratio <300, or lung infiltrates involving >50% of lung fields within 24-48 hours. Life-threatening COVID-19 was defined as respiratory failure, septic shock, or multiple organ dysfunction. The cohort included patients admitted from June 1 through November 13. Data were collected retrospectively via chart review by a resident physician. Results In total, our MTF saw 14 cases of severe or life-threatening COVID-19 from June 1 to November 13. Patients had a median age of 70.5 years, with 7% being active duty personnel, 21% dependents, and 71% retired military members. The median time to dexamethasone, remdesivir, and convalescent plasma administration was 4.7, 6.3, and 11.2 hours, respectively. The 28-day in-hospital mortality was 0%. Conclusions Patients who present to an MTF with severe or life-threatening COVID-19 are largely retirees, with only a small fraction comprising active duty personnel. The institution of order sets and early consultation can help facilitate prompt patient care for COVID-19.

scholarly journals An Orthopedic Performance Improvement Initiative at a Small Military Treatment Facility

2017 ◽  
Vol 182 (S1) ◽  
pp. 18-25 ◽  
Author(s):  
John Christopher McGee ◽  
Christopher G. Bise ◽  
Joel M. Stevens
Keyword(s):  
Performance Improvement ◽  
Treatment Facility ◽  
Military Treatment Facility

scholarly journals Anaerobic digestion life cycle assessment (LCA)

2020 ◽  
Vol 2 (5) ◽  
pp. 92-104
Author(s):  
Farhad Sakhaee
Keyword(s):  
Wastewater Treatment ◽  
Life Cycle Assessment ◽  
Life Cycle ◽  
Anaerobic Digestion ◽  
Training Center ◽  
Treatment Facility ◽  
Practical Solution ◽  
Treatment Facilities ◽  
Management Report

Abstract: Life cycle assessment (LCA) is a tool to evaluate environmental impacts based on products of a process. This research is a case study of wastewater treatment facilities of ERTC (Environmental Resources Training Center), SIUE University, based on available data for two semi-annual sludge quantities (year 2015) from sludge management report. The aim of this study is to compare set of possibilities for a wastewater treatment facility at ERTC. The simulation has been done through SimaPro model. Electricity and methane were considered and the cumulative weight of their impacts has been investigated. Total solids for two semi-annual sludge has been fed to the model in kilogram and different production (electricity and methane) configuration were investigated. The most plausible configuration based on the cumulative environmental impact proposed as best practical solution.

scholarly journals Alcohol and other drug treatment experiences of hepatitis C-positive and negative clients: implications for hepatitis C treatment

2009 ◽  
Vol 33 (1) ◽  
pp. 100 ◽  
Author(s):  
Loren Brener ◽  
Carla J Treloar
Keyword(s):  
Health Care ◽  
Hepatitis C ◽  
Drug Treatment ◽  
Health Care Workers ◽  
Differential Treatment ◽  
Treatment Facility ◽  
Hcv Treatment ◽  
Treatment Uptake ◽  
Care Workers ◽  
Treatment Facilities

To assess whether HCV-positive clients perceive that alcohol and other drug (AOD) staff discriminate against them, this study compared the treatment experiences of 120 HCV-positive clients with those of 120 HCV-negative clients attending the same AOD treatment facility. Despite the overall findings of favourable attitudes of HCV-positive clients toward their health care workers, these attitudes were less positive than those of their HCV-negative counterparts. Clients with HCV also rated their interpersonal treatment by their health care workers less favourably. These findings suggest that HCV-positive clients? attitudes towards their health care workers and their experiences of differential treatment by these health care workers might be a barrier to HCV treatment uptake in AOD treatment facilities.

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