scholarly journals Aeromedical evacuation of a COVID-19 patient from a zonal hospital: A case report

2021 ◽  
Vol 65 ◽  
pp. 51-54
Author(s):  
S Patnaik ◽  
LK Dash ◽  
G Rajaram ◽  
C Chattophadhayay
Keyword(s):  
Armed Forces ◽  
Aeromedical Evacuation ◽  
Knowledge Based ◽  
Global Pandemic ◽  
Life Saving ◽  
Tertiary Healthcare ◽  
Airborne Rescue ◽  
Spread Of Infection ◽  
Saving Measure ◽  
First Time

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has affected the whole world including many healthcare workers. In this era of ongoing global pandemic, the patient surge for aeromedical evacuation is going to increase. Case Details: A 54-year, male healthcare worker with no known co-morbidities, presented with complains of fever, myalgia, and sore throat at a zonal hospital of Indian Air Force in the northeast part of India. He was diagnosed with COVID-19 related bilateral extensive pneumonia. Despite of standard treatment, his condition deteriorated. An aeromedical evacuation of the patient was carried out to a tertiary healthcare centre at Delhi which involved 4-h of flying time. The Airborne Rescue Pod for Isolated Transportation (ARPIT) isolation pod was used to minimize the risk of contamination. Discussion: This was the first time that a COVID-19 patient was air evacuated in an isolation pod in Indian Armed Forces to the best of our knowledge. Based on our experience, we recommend that air evacuation of such a patient may be resorted to only as a life saving measure. The use of an isolation pod remains an unsettled issue; whereas, it gives absolute containment to spread of infection, it poses unique challenges in terms of handling the patient in case of an in-flight emergency. Certain modifications in the isolation pod have been recommended.

scholarly journals Preparing Austere Maritime Surgical Teams for Deployment During the COVID-19 Global Pandemic: Is It Time to Change the Training Pipeline?

2021 ◽  
Author(s):  
Diego A Vicente ◽  
Obinna Ugochukwu ◽  
Michael G Johnston ◽  
Chad Craft ◽  
Virginia Damin ◽  
...  
Keyword(s):  
Communication Skills ◽  
Damage Control ◽  
Skills Training ◽  
Subject Matter Experts ◽  
Damage Control Resuscitation ◽  
Medical Department ◽  
Global Pandemic ◽  
Life Saving ◽  
Surgical Teams ◽  
Compare And Contrast

ABSTRACT Introduction Navy Medicine's Role 2 Light Maneuver (R2LM) Emergency Resuscitative Surgical Systems (ERSS) are austere surgical teams manned, trained, and equipped to provide life-saving damage control resuscitation and surgery in any environment on land or sea. Given the restrictions related to the COVID-19 pandemic, the previously established pre-deployment training pipeline for was modified to prepare a new R2LM team augmenting a Role 1 shipboard medical department. Methods The modified curriculum created in response to COVID-19 related restriction is compared and contrasted to the established pre-deployment R2LM ERSS curriculum. Subject Matter Experts and currently deployed R2LM members critically evaluate the two curricula. Results Both curricula included the team R2LM platform training and exposure to cadaver based team trauma skills training. The modified curriculum included didactics on shipboard resuscitation, anesthesia and surgery, shipboard COVID-19 management, and prolonged field care in austere maritime environments. Conclusions We describe Navy Medicines R2LM ERSS capability and compare and contrast the standard R2LM pre-COVID-19 curriculum to the modified curriculum. Central to both curricula, the standard R2LM platform training is important for developing and honing team dynamics, communication skills and fluid leadership; important for the successful function austere surgical teams. Several opportunities for improvement in the pre-deployment training were identified for R2LM teams augmenting shipboard Role 1 medical departments.

Die Bundeswehr und die Belgischen Streitkräfte in Deutschland

2021 ◽  
Author(s):  
Jonas Springer
Keyword(s):  
Local Level ◽  
Military Training ◽  
Armed Forces ◽  
History Of ◽  
Military Training Areas ◽  
The Military ◽  
First Time ◽  
The Relationship ◽  
Peak Phase ◽  
East West

This study is dedicated to the regional history of the East-West conflict on the basis of the relationship between the Germany military and the Belgian armed forces stationed in Germany. The central question it addresses is which factors were largely responsible for the interdependence between actors and institutions of both armies. In addition to analysing the limited time of the peak phase of Belgian military deployment in the Federal Republic 1946–1990, the book concentrates regionally on the military training areas of Vogelsang in the Eifel and the Wahner Heide near Cologne as military contact zones. For this purpose, the author evaluates unpublished archival sources at the local level for the first time.

Life-saving with a vaginal condom catheter in postpartum haemorrhage due to vaginal lacerations in a low-resource setting

2021 ◽  
Vol 14 (9) ◽  
pp. e245199
Author(s):  
Indunil Piyadigama ◽  
Chinthaka Banagala ◽  
Lakshman Kariyawasam ◽  
Madura Jayawardane
Keyword(s):  
Postpartum Haemorrhage ◽  
Foley Catheter ◽  
Labia Minora ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Life Saving ◽  
Saving Measure ◽  
Vaginal Introitus ◽  
Condom Catheter

Postpartum haemorrhage (PPH) due to multiple vaginal lacerations is difficult to manage and tamponade is used as a life-saving measure. Condom catheter with stay sutures at the vaginal introitus for this purpose has not been reported. We describe successfully managing PPH due to multiple vaginal lacerations following a forceps delivery using a condom tied to an 18 FG Foley catheter. The device was introduced to the vagina, inflated with 700 mL of normal saline and was held in situ by sealing the vaginal introitus with interrupted nylon stitches running between the labia minora. Condom catheter is cheap and freely available in low-resource settings. The preparation and application can be done by a less experienced operator.

scholarly journals Detection ofC. trachomatisin the Serum of the Patients with Urogenital Chlamydiosis

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Naylia A. Zigangirova ◽  
Yulia P. Rumyantseva ◽  
Elena Y. Morgunova ◽  
Lidia N. Kapotina ◽  
Lubov V. Didenko ◽  
...  
Keyword(s):  
Bacterial Load ◽  
Cell Monolayer ◽  
Immunogold Electron Microscopy ◽  
Rna Detection ◽  
Systemic Spread ◽  
Anatomical Localization ◽  
Taqman Pcr ◽  
Spread Of Infection ◽  
First Time

Extragenital chlamydial complications may be associated with systemic spread of infection, but haematogenous route forC. trachomatisdissemination has not been clearly demonstrated. Here we report that serum specimens obtained from patients with chlamydiosis contain elementary bodies ofC. trachomatisshown by culture and immunogold electron microscopy. We have found that 31 of the 52 patients had serum precipitates which were infective to McCoy cells. Immunostaining revealed very small inclusions resembling those reported during persistentC. trachomatisinfectionin vitro. DNA specimens from 49 (out of 52) patients with chlamydiosis gave positive PCR readings. The viability of the pathogen present in the sera was confirmed by chlamydial RNA detection in the cell monolayer inoculated by the serum precipitates. By using DNA isolation protocol from 1 mL of serum and quantitative TaqMan PCR, it was estimated that bacterial load in patients’ sera was2×102–103 GE/mL. These findings for the first time demonstrated thatC. trachomatiscan be disseminated directly by the plasma, independently from blood cell, which may represent a new possible pathway of the chronic infection development. Therefore, new methodological approaches for detection ofC. trachomatisin the serum of patients with complicated and chronic chlamydiosis could be important in the diagnosis of the infection regardless of its anatomical localization.

scholarly journals Corona Pandemic: Analyzing the Response of US, China, Russia, India and Pakistan

2020 ◽  
Vol III (I) ◽  
pp. 33-41
Author(s):  
Saad Kausar ◽  
Muhammad Imran Ashraf ◽  
Fiza Siddiq
Keyword(s):  
World Health Organization ◽  
Global Politics ◽  
World Health ◽  
Medical Interventions ◽  
Global Pandemic ◽  
Life Saving ◽  
Response Systems ◽  
Health Organization ◽  
Emergency Response Systems ◽  
Operational Capacity

This article is an effort to examine socio-political and economic impact of COVID-19 to state system global politics. Further, this study analyzes the response of US, China, Russia, India and Pakistan to Covid-19. Starting in December of 2019, first suspected as a mild cold in a seafood merchant of Hua'nan market was proved to be a fine example of "Butterfly" or you may call it "Domino" effect. At first it was taken by the world community an epidemic later regarded as a global pandemic engulfing over million of earthlings in matter of days, responsible for seizing its originating country and crippling the world's economy. As of 26 March 2020, the number of confirmed cases in the country is 1,179, with 21 recoveries and 9 deaths. World Health Organization has appreciated Pakistan for taking meaningful and timely steps deal with Corona Virus. The efforts to deal with Covid-19 by states with the help of World Health organization (WHO) are admirable. WHO is urging all countries to prepare for the potential arrival of COVID-19 by readying emergency response systems; increasing capacity to detect and care for patients; ensuring hospitals have the space, supplies and necessary personnel; and developing life-saving medical interventions. States in their own operational capacity are working around; Preparedness & Response, Containment and Mitigation.

scholarly journals SoK: Privacy-Preserving Collaborative Tree-based Model Learning

2021 ◽  
Vol 2021 (3) ◽  
pp. 182-203
Author(s):  
Sylvain Chatel ◽  
Apostolos Pyrgelis ◽  
Juan Ramón Troncoso-Pastoriza ◽  
Jean-Pierre Hubaux
Keyword(s):  
Learning Algorithm ◽  
Information Leakage ◽  
Privacy Preserving ◽  
Machine Learning Techniques ◽  
Model Learning ◽  
Protection Mechanism ◽  
Knowledge Based ◽  
Learning Techniques ◽  
Efficient Machine ◽  
First Time

Abstract Tree-based models are among the most efficient machine learning techniques for data mining nowadays due to their accuracy, interpretability, and simplicity. The recent orthogonal needs for more data and privacy protection call for collaborative privacy-preserving solutions. In this work, we survey the literature on distributed and privacy-preserving training of tree-based models and we systematize its knowledge based on four axes: the learning algorithm, the collaborative model, the protection mechanism, and the threat model. We use this to identify the strengths and limitations of these works and provide for the first time a framework analyzing the information leakage occurring in distributed tree-based model learning.

The Possibility of New Work in the COVID Era

2021 ◽  
Vol 187 ◽  
pp. 69-73
Author(s):  
Coleen Shirin MacPherson
Keyword(s):  
Summer Season ◽  
New Work ◽  
Global Pandemic ◽  
First Time

This article is written within the middle of the COVID-19 global pandemic and brings to light how SummerWorks Festival re-imagined their programming into a summer season for the first time in light of the national lockdown. Theatre artist, Coleen MacPherson, explores three key areas of innovation that emerged from this moment: the digital playground, the need for ephemerality and the possible futures of performance.

Defending the realm: Labour ministers, vetting and subversion1

2017 ◽  
Author(s):  
Daniel W. B. Lomas
Keyword(s):  
Armed Forces ◽  
Freedom Of Speech ◽  
Internal Security ◽  
Government Response ◽  
Security Service ◽  
Intelligence Services ◽  
Education Industry ◽  
The Government ◽  
First Time ◽  
At Home

Chapter Six focuses on the Government response to Communism at home. Shaped by their wartime experiences of intelligence and security, it argues that the popular perception that Ministers were suspicious of the intelligence services, particularly the Security Service, is unfounded, based largely upon Labour folklore. In fact, rather than viewing MI5 with distain, even alarm, Ministers in the new government were aware of the need for an internal security body; any changes in the security apparatus were the result of the recommendations made by Sir Findlater Stewart, whose report of November 1945 is examined here for the first time. The chapter also looks at the development of Whitehall security procedures using the minutes and memoranda of the Committee on Subversive Activities (GEN 183). It argues that, as in the field of British policy towards Russia, domestic countermeasures measures against Communists in the civil service were hidden until the spring of 1948 after attempts at Anglo-Soviet rapprochement finally broke down. Despite the introduction and later expansion of vetting, Ministers sought to balance anti-Communist measures alongside the need for freedom of speech and liberty. Nowhere is this clearer than in discussions for domestic anti-Communist propaganda. While the Labour Party and other organisations had participated in the distribution of such material, IRD had no specific mandate to conduct its activities at home. However, after the outbreak of hostilities in Korea, Ministers authorised a domestic campaign aimed at influential sections of the British public, with the study looking at the early development of this campaign, revealing IRD’s domestic activities in education, industry and the armed forces.

Study on Left Ventricular Pacing: A Desperate Life-saving Measure in Emergency Situation

2021 ◽  
pp. 48-54
Author(s):  
Ajaz Ahamad Lone ◽  
Mohd Iqbal Dar ◽  
Fayaz Ahamad Rather ◽  
Mohd Sultan Alai ◽  
Imran Hafiz ◽  
...  
Keyword(s):  
Emergency Situation ◽  
Left Ventricular ◽  
Ventricular Pacing ◽  
Life Saving ◽  
Left Ventricular Pacing ◽  
Saving Measure

The Backbone of Segregation

2021 ◽  
pp. 101-138
Author(s):  
Thomas A. Guglielmo
Keyword(s):  
World War Ii ◽  
African Americans ◽  
Civil Rights ◽  
Armed Forces ◽  
Federal Law ◽  
Core Element ◽  
White House ◽  
First Time ◽  
Military Units ◽  
Military Tradition

Chapter 3 examines African Americans’ struggle to integrate military units during World War II. Integration of this kind became for the first time ever a core element of black people’s civil rights demands, around which growing numbers of them and their allies rallied during the war. Their efforts fell far short of their intended goal. The forces in favor of the segregated status quo—Congress and the White House, military brass and military tradition, federal law and white public opinion—proved too formidable. Even so, African Americans’ wartime integrationist struggle laid the foundation for the postwar desegregation of the armed forces.

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