A Device for Sampling Earlobe Arterialized Blood in Space and Other Austere Environments

Traumatic brain injury is a rapidly increasing source of morbidity and mortality across the world. As such, the evaluation and management of traumatic brain injuries ranging from mild to severe are under active investigation. Over the last two decades, quantitative pupillometry has been increasingly found to be useful in both the immediate evaluation and ongoing management of traumatic brain injured patients. Given these findings and the portability and ease of use of modern pupillometers, further adoption and deployment of quantitative pupillometers into the preclinical and hospital settings of both resource rich and medically austere environments.

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Reproductive Health of Active Duty Women in Medically Austere Environments

Military Medicine ◽

10.7205/milmed-d-16-00274 ◽

2016 ◽

Vol 181 (9) ◽

pp. 1166-1166 ◽

Cited By ~ 2

Author(s):

Cara J. Krulewitch

Keyword(s):

Reproductive Health ◽

Active Duty ◽

Austere Environments

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Anaesthesia in austere environments: literature review and considerations for future space exploration missions

npj Microgravity ◽

10.1038/s41526-018-0039-y ◽

2018 ◽

Vol 4 (1) ◽

Cited By ~ 8

Author(s):

Matthieu Komorowski ◽

Sarah Fleming ◽

Mala Mawkin ◽

Jochen Hinkelbein

Keyword(s):

Literature Review ◽

Space Exploration ◽

Future Space ◽

Austere Environments

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Rapid sequence induction

Journal of The Royal Naval Medical Service ◽

10.1136/jrnms-102-104 ◽

2016 ◽

Vol 102 (2) ◽

pp. 104-109

Author(s):

R Fry ◽

T Scott

Keyword(s):

Current Practice ◽

Rapid Sequence Induction ◽

Military Medicine ◽

New Drugs ◽

Severely Injured ◽

Emergency Procedure ◽

Rapid Sequence ◽

Sequence Induction ◽

Domestic Practice ◽

Austere Environments

AbstractEmergency tracheal intubation undertaken by Rapid sequence induction (RSI) is a fundamental component of military anaesthesia. This common emergency procedure has evolved in both civilian and military practice, since it was first described, as new drugs have become available. Current practice now differs significantly from that undertaken by the procedure’s initial advocates. This is particularly the case in the deployed military environment. As military medicine continues to improve injury survivability, RSI will be undertaken in increasingly unstable casualties, requiring a bespoke emergency induction not commonly practised in the civilian setting.This article will discuss RSI as first described, explore how this technique has been modified in domestic practice and describe how it can be adapted for use in austere environments for our most severely injured personnel.

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Communicable diseases in humanitarian operations and disasters

BMJ Military Health ◽

10.1136/bmjmilitary-2020-001415 ◽

2020 ◽

pp. bmjmilitary-2020-001415 ◽

Cited By ~ 1

Author(s):

Ronan James Murphy

Keyword(s):

Communicable Disease ◽

Evidence Base ◽

Multidrug Resistant ◽

Communicable Diseases ◽

Control Measures ◽

Diagnostic Tools ◽

Humanitarian Operations ◽

The Uk ◽

Tools And Techniques ◽

Austere Environments

Military organisations have battled communicable disease for millennia. They have pioneered disease prevention from the Crusades to the World Wars and continue to do so today. Predeployment vaccinations and chemoprophylaxis are effective in preventing communicable disease, as is reliable vector destruction and bite prevention, especially in the era of multidrug resistant organisms. These measures are unlikely to be fully possible in disasters, but reactive vaccination and efforts to reduce exposure to communicable disease should be a priority. Communicable diseases can be challenging to diagnose—the UK Defence Medical Services have become familiar with tools such as multiplex PCR and mass spectrometry. These have the potential to accurately identify organisms and sensitivity patterns in austere environments. Management of communicable diseases depends on accurate diagnosis and has a largely well-established evidence base but can be limited by a lack of resources and skills in an austere setting, therefore telemedicine can assist diagnosis and treatment of infections by projecting specialist skill. Systems such as EpiNATO2 are useful in monitoring diseases and identifying trends in order to establish control measures. Many of these tools and techniques are effective in austere environments and offer learning opportunities for those providing care in similar settings. Further research is ongoing into diagnostic tools as well as remote management.

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