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  1. Article ; Online: The "Brookhaven Brassie" and the Response to the Three Mile Island Accident.

    Studer, Nicholas M

    Health physics

    2021  Volume 121, Issue 6, Page(s) 597–601

    Abstract: Abstract: In the mid-1970s, American civil defense authorities became increasingly concerned with the potential threat of fission reactor accidents. Research from the Defense Civil Preparedness Agency began to be aimed not just at the ever-present ... ...

    Abstract Abstract: In the mid-1970s, American civil defense authorities became increasingly concerned with the potential threat of fission reactor accidents. Research from the Defense Civil Preparedness Agency began to be aimed not just at the ever-present threat of nuclear warfare but also peacetime emergencies as part of a "dual use" philosophy. The Brookhaven National Laboratory received funding to create a prototype radioiodine air sampling system, with multiple publications detailing the creation of the air sampler itself and a special CD V-700 survey meter that accompanied it. In late March 1979, the system found its first operational employment at the reactor accident at Three Mile Island in Pennsylvania. Despite successful use and further study, the BNL Air Sampler was not widely fielded by the federal government. However, lessons learned from its employment and development may be applicable to contemporary radiological emergency response.
    MeSH term(s) Accidents ; Civil Defense ; Iodine Radioisotopes ; Nuclear Reactors ; Pennsylvania
    Chemical Substances Iodine Radioisotopes
    Language English
    Publishing date 2021-09-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2406-5
    ISSN 1538-5159 ; 0017-9078
    ISSN (online) 1538-5159
    ISSN 0017-9078
    DOI 10.1097/HP.0000000000001474
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 128: Show issues Location:
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  2. Article: Interference of Contralateral Permanent Pacemaker Placement With Emergent Central Venous Access.

    Studer, Nicholas M / Lucero, Pedro F

    The Journal of emergency medicine

    2018  Volume 55, Issue 5, Page(s) e129–e130

    MeSH term(s) Aged, 80 and over ; Catheterization, Central Venous/methods ; Humans ; Male ; Pacemaker, Artificial/adverse effects ; Radiography, Thoracic ; Sick Sinus Syndrome/therapy
    Language English
    Publishing date 2018-09-03
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2018.07.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1895: Show issues Location:
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  3. Article: Hyperbaric Oxygen Therapy for Vascular Air Embolism From Iatrogenic Intravenous Infusion of Air in a Patient With Atrial Septal Defect: A Case Report.

    Trent, Julian S / Hodgson, Joni K / Ackermann, Bret / Studer, Nicholas M

    Cureus

    2020  Volume 12, Issue 8, Page(s) e9554

    Abstract: Vascular air embolism (VAE) is an important complication of some routine medical procedures, particularly intravenous access for the administration of fluids or medications. The capillary bed of the pulmonary circulatory system is capable of compensating ...

    Abstract Vascular air embolism (VAE) is an important complication of some routine medical procedures, particularly intravenous access for the administration of fluids or medications. The capillary bed of the pulmonary circulatory system is capable of compensating for small amounts of air entrained into a vein. However, large amounts of air can overwhelm that system and lead to complications ranging from cough, chest pain, or shortness of breath to cardiopulmonary collapse. Additionally, air entrained directly into the arterial system, or that which crosses from the venous system to the arterial system through a shunt can cause the acute coronary syndrome, loss of consciousness, arrhythmias, altered mental status, stroke, or limb ischemia. We present a case in which a patient with a known atrial septal defect had a moderate volume of air entrained through an intravenous catheter requiring hyperbaric oxygen therapy.
    Language English
    Publishing date 2020-08-04
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.9554
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Needle Decompression.

    Studer, Nicholas M / Horn, Gregory T

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

    2016  Volume 16, Issue 1, Page(s) 72–73

    MeSH term(s) Decompression, Surgical/instrumentation ; Decompression, Surgical/methods ; Equipment Design ; Humans ; Needles ; Pneumothorax/etiology ; Pneumothorax/surgery ; War-Related Injuries/complications
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Letter
    ZDB-ID 2549862-9
    ISSN 1553-9768
    ISSN 1553-9768
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Re: Optimal training for emergency needle thoracostomy.

    Studer, Nicholas M / Horn, Gregory T

    The journal of trauma and acute care surgery

    2015  Volume 79, Issue 2, Page(s) 331

    MeSH term(s) Emergency Medical Technicians/education ; Female ; Humans ; Male ; Thoracostomy/education
    Language English
    Publishing date 2015-08
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 2651070-4
    ISSN 2163-0763 ; 2163-0755
    ISSN (online) 2163-0763
    ISSN 2163-0755
    DOI 10.1097/TA.0000000000000710
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 127: Show issues Location:
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  6. Article ; Online: Tips, tricks, and thoughts on the future of prehospital blood transfusions.

    Yazer, Mark H / Beckett, Andrew / Corley, Jason / Devine, Dana V / Studer, Nicholas M / Taylor, Audra L / Ward, Kevin R / Cap, Andrew P

    Transfusion

    2022  Volume 62 Suppl 1, Page(s) S224–S230

    MeSH term(s) Air Ambulances ; Blood Transfusion ; Emergency Medical Services ; Humans ; Resuscitation ; Wounds and Injuries
    Language English
    Publishing date 2022-06-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 208417-x
    ISSN 1537-2995 ; 0041-1132
    ISSN (online) 1537-2995
    ISSN 0041-1132
    DOI 10.1111/trf.16955
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 284: Show issues Location:
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  7. Article: Mobility Solutions After a Lower Extremity Fracture and Applicability to Battlefield and Wilderness Medicine.

    Childers, Walter L / Alderete, Joseph F / Eliason, Travis D / Goldman, Stephen M / Nicolella, Daniel P / Pierrie, Sarah N / Stark, Gerald E / Studer, Nicholas M / Wenke, Joseph C / Wilson, Jonathan B / Dearth, Christopher L

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

    2023  Volume 23, Issue 3, Page(s) 91–100

    Abstract: The potential for delayed evacuation of injured Service members from austere environments highlights the need to develop solutions that can stabilize a wound and enable mobility during these prolonged casualty care (PCC) scenarios. Lower extremity ... ...

    Abstract The potential for delayed evacuation of injured Service members from austere environments highlights the need to develop solutions that can stabilize a wound and enable mobility during these prolonged casualty care (PCC) scenarios. Lower extremity fractures have traditionally been treated by immobilization (splinting) followed by air evacuation - a paradigm not practical in PCC scenarios. In the civilian sector, treatment of extremity injuries sustained during remote recreational activities have similar challenges, particularly when adverse weather or terrain precludes early ground or air rescue. This review examines currently available fracture treatment solutions to include splinting, orthotic devices, and biological interventions and evaluates their feasibility: 1) for prolonged use in austere environments and 2) to enable patient mobilization. This review returned three common types of splints to include: a simple box splint, pneumatic splints, and traction splints. None of these splinting techniques allowed for ambulation. However, fixed facility-based orthotic interventions that include weight-bearing features may be combined with common splinting techniques to improve mobility. Biologically-focused technologies to stabilize a long bone fracture are still in their infancy. Integrating design features across these technologies could generate advanced treatments which would enable mobility, thus maximizing survivability until patient evacuation is feasible.
    Language English
    Publishing date 2023-09-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3006517-3
    ISSN 1553-9768
    ISSN 1553-9768
    DOI 10.55460/QM3U-JZB1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 7196: Show issues Location:
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  8. Article ; Online: Compatibility of Hydroxyethyl Starch and Tranexamic Acid for Battlefield Co-Administration.

    Studer, Nicholas M / Yassin, Ahmad H / Keen, Donald E

    Military medicine

    2016  Volume 181, Issue 10, Page(s) 1305–1307

    Abstract: Introduction: The current Tactical Combat Casualty Care Guidelines recommend tranexamic acid (TXA) administration for casualties in whom massive blood transfusion is anticipated. However, despite Hextend being the recommended resuscitation fluid, the ... ...

    Abstract Introduction: The current Tactical Combat Casualty Care Guidelines recommend tranexamic acid (TXA) administration for casualties in whom massive blood transfusion is anticipated. However, despite Hextend being the recommended resuscitation fluid, the guidelines recommend against using TXA with Hextend. This appears to be due to a concern about pharmaceutical compatibility, despite the absence of a direct study of compatibility in the literature.
    Methods: Two solutions of Hextend and TXA were examined for compatibility. One solution simulated direct Y-site injection of TXA, and a second solution replicated a typical piggyback infusion. These solutions, along with two control solutions, were observed for the formation of precipitants immediately on mixing, at 1 hour, and at 4 hours by unaided visual inspection, as well as with the use of a basic digital turbidimeter.
    Results: No evidence of chemical or physical interaction was noted by visual inspection at any time in either solution. In addition, turbidimeter results did not demonstrate a difference of greater than 10% from the control solutions, falling below the cutoff set in other studies as an indicator for precipitant formation.
    Conclusion: There was no evidence of incompatibility between the solutions of Hextend and TXA by either visual inspection or by digital turbidimeter.
    MeSH term(s) Drug Therapy, Combination/methods ; Drug Therapy, Combination/standards ; Fluid Therapy/methods ; Fluid Therapy/standards ; Hemorrhage/drug therapy ; Humans ; Hydroxyethyl Starch Derivatives/administration & dosage ; Hydroxyethyl Starch Derivatives/therapeutic use ; Tranexamic Acid/administration & dosage ; Tranexamic Acid/therapeutic use ; Wounds and Injuries/drug therapy
    Chemical Substances Hydroxyethyl Starch Derivatives ; Tranexamic Acid (6T84R30KC1)
    Language English
    Publishing date 2016-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 391061-1
    ISSN 1930-613X ; 0026-4075
    ISSN (online) 1930-613X
    ISSN 0026-4075
    DOI 10.7205/MILMED-D-15-00547
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Un I Zs.546: Show issues Location:
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  9. Article: A Herpes Zoster Outbreak on the Sinai Peninsula.

    Acierto, David / Savioli, Stephen / Studer, Nicholas M

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

    2016  Volume 16, Issue 2, Page(s) 1–4

    Abstract: Background: Infection with the varicella zoster virus, a type of herpesvirus, causes chickenpox in children and herpes zoster (commonly known as shingles) in adults.: Case presentation: Two 20-year-old male Soldiers returned from an outpost with a ... ...

    Abstract Background: Infection with the varicella zoster virus, a type of herpesvirus, causes chickenpox in children and herpes zoster (commonly known as shingles) in adults.
    Case presentation: Two 20-year-old male Soldiers returned from an outpost with a rash consistent with herpes zoster. Two other Soldiers with whom they were in close had had a similar rash 2 weeks earlier, which had since resolved at the time of initial presentation. Management and Outcome: Both Soldiers were started on an antiviral regimen and released to duty. They reported progressive relief, but both Soldiers redeployed to the United States before complete resolution.
    Conclusion: Herpes zoster cannot be transmitted from person to person. It is rare for young healthy people to become afflicted with it, let alone for two people to get it at the same time, which initially raised concern for infections mimicking herpes zoster. However, herpes zoster may be triggered by acute stress. Providers in deployed areas should consider the diagnosis in personnel who have had childhood varicella zoster infection (chickenpox).
    MeSH term(s) Antiviral Agents/therapeutic use ; Disease Outbreaks ; Herpes Zoster/drug therapy ; Herpes Zoster/epidemiology ; Humans ; Male ; Military Personnel/statistics & numerical data ; Young Adult
    Chemical Substances Antiviral Agents
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2549862-9
    ISSN 1553-9768
    ISSN 1553-9768
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Decompression sickness following altitude-chamber training.

    Studer, Nicholas M / Hughes, John R / Puskar, Joseph

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

    2015  Volume 15, Issue 1, Page(s) 11–15

    Abstract: Decompression sickness (DCS) is one of several dysbarisms (medical conditions resulting from a change in atmospheric pressure) that can be encountered by the Special Operations Forces (SOF) medical provider. DCS can present with several different ... ...

    Abstract Decompression sickness (DCS) is one of several dysbarisms (medical conditions resulting from a change in atmospheric pressure) that can be encountered by the Special Operations Forces (SOF) medical provider. DCS can present with several different manifestations. The authors present the case of a 23-year-old Airman who presented with vague neurologic symptoms following altitude-chamber training. They discuss the care of casualties with DCS and its implications for SOF.
    MeSH term(s) Adult ; Atmosphere Exposure Chambers/adverse effects ; Decompression Sickness/etiology ; Humans ; Male ; Military Personnel ; Young Adult
    Language English
    Publishing date 2015
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2549862-9
    ISSN 1553-9768
    ISSN 1553-9768
    Database MEDical Literature Analysis and Retrieval System OnLINE

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