scholarly journals Presentation of Caffeine Intoxication in an Active Duty Service Member Originally Believed to Have a Psychotic Disorder

Cureus ◽  
2021 ◽  
Author(s):  
Allison Duncan ◽  
David Dixon
Keyword(s):  
Psychotic Disorder ◽  
Active Duty ◽  
Service Member

Special Topics in Military Personnel

2014 ◽  
pp. 133-134
Author(s):  
David L Brody
Keyword(s):  
Military Personnel ◽  
Occupational Therapists ◽  
Active Duty ◽  
Service Member ◽  
Community Resources ◽  
Post Traumatic Stress ◽  
Active Duty Military ◽  
Post Traumatic ◽  
Return To Duty ◽  
Military Physicians

The best collateral source may be another service member with whom the patient has served in addition to a family member. Evaluate explicitly post-traumatic stress disorder (PTSD), chronic pain, sleep disorders, balance, and hearing loss, as these are common in military personnel with concussion, especially blast-related injuries. Maintain confidentiality. If the patient has been using drugs and/or alcohol, it may be wise to refer them for rehabilitation discretely, since active duty military personnel do not have the same privacy protections that civilians have, and this can jeopardize their future careers. Return-to-duty decision-making is best done in collaboration with military physicians and occupational therapists. Refer to community resources specifically dedicated to wounded warriors.

Preemptive Tecovirimat Use in an Active Duty Service Member Who Presented With Acute Myeloid Leukemia After Smallpox Vaccination

2019 ◽  
Vol 69 (12) ◽  
pp. 2205-2207 ◽  
Author(s):  
David A Lindholm ◽  
Raymond D Fisher ◽  
Jay R Montgomery ◽  
Whitni Davidson ◽  
Patricia A Yu ◽  
...  
Keyword(s):  
Acute Myeloid Leukemia ◽  
Acute Leukemia ◽  
Treatment Strategy ◽  
Myeloid Leukemia ◽  
Adverse Reactions ◽  
Active Duty ◽  
Service Member ◽  
Smallpox Vaccination ◽  
Increased Risk ◽  
Acute Myeloid

Abstract Smallpox vaccine is contraindicated in immunosuppression due to increased risk for adverse reactions (eg, progressive vaccinia). We describe the first-ever use of tecovirimat as a preemptive vaccinia virus treatment strategy during induction chemotherapy in an active duty service member who presented with acute leukemia and inadvertent autoinoculation after smallpox vaccination.

scholarly journals Total Artificial Heart Implantation as a Bridge to Heart Transplantation in an Active Duty Service Member With Amyloid Cardiomyopathy

2017 ◽  
Vol 182 (3) ◽  
pp. e1858-e1860 ◽  
Author(s):  
Michael S. Scully ◽  
Dylan E. Wessman ◽  
James M. McKee ◽  
Gregory M. Francisco ◽  
Keshav R. Nayak ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Artificial Heart ◽  
Active Duty ◽  
Service Member ◽  
Total Artificial Heart ◽  
Amyloid Cardiomyopathy ◽  
Heart Implantation ◽  
Artificial Heart Implantation

Correcting a rare Congenital Coronary Anomaly in an Adult—A Case Report

2019 ◽  
Vol 11 (2) ◽  
pp. 244-246
Author(s):  
John Duggan ◽  
William Parker ◽  
Junewai L. Reoma ◽  
Samuel Richey ◽  
Charles Huddleston
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Rare Condition ◽  
Active Duty ◽  
Service Member ◽  
Incidental Discovery ◽  
The Right ◽  
Congenital Coronary Anomaly ◽  
Coronary Dilation

Anomalous origin of the right coronary artery from the pulmonary artery is an extremely rare condition with an uncertain natural history. Here, we present an otherwise healthy active duty service member who was found to have anomalous right coronary artery arising from the pulmonary artery as an incidental discovery during a workup for possible pulmonary embolus. We describe a preoperative workup which showed dilation of the coronaries and evidence of ischemia. Operative technique for restoration of a two-vessel coronary system is described. Postoperative imaging demonstrated reduction in the coronary dilation and resolution of ischemia.

Concussion in Military Personnel

2019 ◽  
pp. 194-196
Author(s):  
David L. Brody
Keyword(s):  
Military Personnel ◽  
Occupational Therapists ◽  
Active Duty ◽  
Service Member ◽  
Community Resources ◽  
Post Traumatic Stress ◽  
Active Duty Military ◽  
Post Traumatic ◽  
Return To Duty ◽  
Military Physicians

Consider treating acute blast-related concussion patients with N-acetyl cysteine (NAC) when starting within 72 hours after injury. For more chronic issues, in addition to family members, the best collateral source may be another service member with whom the patient has served. Evaluate carefully for post-traumatic stress disorder (PTSD), chronic pain, sleep disorders, balance, and hearing loss given that these are especially common in military personnel with concussion. Maintain confidentiality; if the patient has been using drugs and/or alcohol, it may be wise to refer them for rehabilitation discretely, because active duty military personnel do not have the same privacy protections that civilians have, and this can jeopardize their future careers. Return-to-duty decision-making is best done in collaboration with military physicians and occupational therapists. Refer to community resources specifically dedicated to wounded warriors.

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