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  1. Article: A Case Series of Air Force Pararescue Long-Range Ocean Rescues.

    Mix, Jesse W / DeSoucy, Erik Scott / Hilser, Alex / Houser, Daniel J / Mhayamaguru, Kubwimana M / Dorsch, John / Gaither, Joshua B / Rush, Stephen C

    Journal of special operations medicine : a peer reviewed journal for SOF medical professionals

    2020  Volume 20, Issue 3, Page(s) 122–127

    Abstract: Background: US Air Force (USAF) pararescuemen (PJs) perform long-range ocean rescue missions for ill or injured civilians when advanced care and transport are not available. The purpose of this case series is to examine the details of these missions, ... ...

    Abstract Background: US Air Force (USAF) pararescuemen (PJs) perform long-range ocean rescue missions for ill or injured civilians when advanced care and transport are not available. The purpose of this case series is to examine the details of these missions, review patient treatments and outcomes, and describe common tactics, techniques, and procedures for these missions.
    Methods: Cases in which the USAF PJs preformed long-range ocean rescue for critically ill or injured civilians between 2011 and 2018 were identified. Case information was obtained, including patient demographics, location, infiltration/exfiltration methods, diagnoses, treatments, duration of patient care, patient outcome, and lessons learned.
    Results: A total of 14 pararescue missions involving 22 civilians were identified for analysis. Of the 22 patients, 10 (45%) suffered burns, six (27%) had abdominal issues, four (18%) had musculoskeletal injuries, one had a traumatic brain injury, and one had a necrotizing soft-tissue infection. Medical care of these patients included intravenous fluid and blood product resuscitation, antibiotics, analgesics, airway management, and escharotomy. The median duration of patient care was 51 hours.
    Conclusion: This case series illustrates the complex transportation requirements, patient and gear logistical challenges, austere medicine, and prolonged field care (PFC) unique to USAF PJ open-water response.
    MeSH term(s) Air Ambulances ; Brain Injuries, Traumatic ; Burns ; Humans ; Military Personnel ; Oceans and Seas ; Resuscitation
    Language English
    Publishing date 2020-09-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3006517-3
    ISSN 1553-9768
    ISSN 1553-9768
    DOI 10.55460/MD7K-AVF1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Vaginal bulge.

    Mhayamaguru, Kubwimana M / Means, Russel / Sanders, Arthur B / Amini, Richard

    The western journal of emergency medicine

    2015  Volume 16, Issue 3, Page(s) 424–425

    MeSH term(s) Female ; Humans ; Hysterectomy, Vaginal/adverse effects ; Ileum/pathology ; Intestinal Diseases/complications ; Intestinal Diseases/surgery ; Middle Aged ; Postoperative Complications/surgery ; Prolapse ; Robotic Surgical Procedures/adverse effects ; Treatment Outcome ; Vagina/surgery
    Language English
    Publishing date 2015-04-06
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2375700-0
    ISSN 1936-9018 ; 1936-9018
    ISSN (online) 1936-9018
    ISSN 1936-9018
    DOI 10.5811/westjem.2015.2.25766
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: The Effect of Head Rotation on the Relative Vascular Anatomy of the Neck: Implications for Central Venous Access.

    Merritt, Raymond L / Hachadorian, Michael E / Michaels, Kristof / Zevallos, Eric / Mhayamaguru, Kubwimana M / Closser, Zuheily / Derr, Charlotte

    Journal of emergencies, trauma, and shock

    2018  Volume 11, Issue 3, Page(s) 193–196

    Abstract: Context: Previous studies have shown that safe venous cannulation is difficult when the internal jugular vein (IJV) overlies the carotid artery (CA) as the probability of inadvertent arterial penetration is greatly increased.: Aims: The goal of this ... ...

    Abstract Context: Previous studies have shown that safe venous cannulation is difficult when the internal jugular vein (IJV) overlies the carotid artery (CA) as the probability of inadvertent arterial penetration is greatly increased.
    Aims: The goal of this study was to examine the anatomical relationships of the IJV and CA as a function of the degree of head rotation in order to minimize the risk for CA puncture.
    Settings and design: Our study was a prospective study using a sample of 496 Emergency Department patients.
    Methods and material: The anatomic relationships of the right and left IJVs and CAs were recorded with head rotation at three different positions. Patients who had the IJV in a 45 to 135 degree relationship to the CA were deemed to be in the high-risk zone for arterial puncture.
    Statistical analysis: Chi square, ANOVA.
    Results: Right IJVs were in the high risk zone for 39.5%, 47.8% and 60.9% of cases at 0, 45 and 80 degrees of head rotation, respectively (
    Conclusions: Head rotation should be minimized during IJV cannulation to decrease the overlap of CA by IJV. Cannulation of the left IJV appears to carry a higher degree of risk as compared to the right IJV. Placing the head in neutral position, avoiding rotation, and using ultrasound guidance are recommended to minimize complications during central venous access.
    Language English
    Publishing date 2018-11-14
    Publishing country India
    Document type Journal Article
    ZDB-ID 2461111-6
    ISSN 0974-519X ; 0974-2700
    ISSN (online) 0974-519X
    ISSN 0974-2700
    DOI 10.4103/JETS.JETS_5_18
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Vaginal Bulge

    Mhayamaguru, Kubwimana M. / Means, Russel / Sanders, Arthur B. / Amini, Richard

    Western Journal of Emergency Medicine, Vol 16, Iss 3, Pp 424-

    2015  Volume 425

    Keywords Medicine ; R ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
    Language English
    Publishing date 2015-05-01T00:00:00Z
    Publisher eScholarship Publishing, University of California
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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