Risk and Resilience Factors in Combat Military Health Care Providers

2015 ◽  
pp. 181-193
Author(s):  
Susanne W. Gibbons ◽  
Edward J. Hickling
2012 ◽  
Vol 28 (1) ◽  
pp. 61-68 ◽  
Author(s):  
Heather L. Johnson ◽  
Susan W. Gaskins ◽  
Diane C. Seibert

AbstractIntroductionMilitary health care providers (HCPs) have an integral role during disaster, humanitarian, and civic assistance (DHCA) missions. Since 50% of patients seen in these settings are children, military providers must be prepared to deliver this care.PurposeThe purpose of this systematic, integrative review of the literature was to describe the knowledge and clinical skills military health care providers need in order to provide care for pediatric outpatients during DHCA operations.Data SourcesA systematic search protocol was developed in conjunction with a research librarian. Searches of PubMed and CINAHL were conducted using terms such as Disaster*, Geological Processes, and Military Personnel. Thirty-one articles were included from database and manual searches.ConclusionsInfectious diseases, vaccines, malnutrition, sanitation and wound care were among the most frequently mentioned of the 49 themes emerging from the literature. Concepts included endemic, environmental, vector-borne and vaccine-preventable diseases; enhanced pediatric primary care; and skills and knowledge specific to disaster, humanitarian and civic assistance operations.Implications for PracticeThe information provided is a critical step in developing curriculum specific to caring for children in DHCA. While the focus was military HCPs, the knowledge is easily translated to civilian HCPs who provide care to children in these situations.JohnsonHL, GaskinsSW, SeibertDC. Clinical skill and knowledge requirements of health care providers caring for children in disaster, humanitarian and civic assistance operations: an integrative review of the literature. Prehosp Disaster Med.2013;28(1):1-8.


PEDIATRICS ◽  
1987 ◽  
Vol 80 (5) ◽  
pp. 765-766
Author(s):  
THOMAS E. WISWELL

In Reply.— Dr Watson addresses an important question—what is the proper method of hygiene in the noncircumcised male infant? Our position has long been that there should be no forceful retraction of the prepuce and that the external surface of the foreskin should be gently cleansed as other parts of the body are. All military health care providers we have communicated with advocate similar philosophies and have done so for many years. Thus, we do not believe that in the population we described that vigorous cleaning and prepuce manipulation were "scientific interventions" that contributed to the increased incidence of urinary tract infection in the uncircumcised boy.1,2


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