Is Higher Volume in the Direct-Care Setting Associated with Fewer Complications?

Research Paper Title Is the current referral trend a threat to the Military Health System? Perioperative outcomes and costs after colorectal surgery in the Military Health System versus civilian facilities. Background TRICARE military beneficiaries are increasingly referred for major surgeries to civilian hospitals under “purchased care.” This loss of volume may have a negative impact… Read More

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How is the Management of Melanoma Patients by Non-Dermatologists in the Military Health System?

Research Paper Title Management of Melanoma Patients by Non-Dermatologists in the Military Health System: A Retrospective Observational Study. Background Compared to their civilian counterparts, military personnel can have more exposure to sunlight and, as recent studies have shown, do have an increased incidence of melanoma. Given the inherent challenges service members may face in getting… Read More

Adapting the Military Medical System to Cope with Wartime Injuries to the Spine

Research Paper Title The Military Medical System and Wartime Injuries to the Spine. Background War has historically been a major catalyst for advancement in military medical care and medicine in general. In more current conflicts, advances in battlefield medicine, evacuation techniques, and personal protective equipment have improved survival rates among members of the armed services.… Read More

Reviewing the Maxillofacial Fracture Patterns in Military Casualties

Research Paper Title Maxillofacial Fracture Patterns in Military Casualties. Background Morbidity and death after facial trauma are substantial issues of concern both in civilians and in military personnel. This cross-sectional retrospective study sought to assess the prevalence, pattern, treatment, and complications of soft and hard tissue injuries of the face in military personnel from 2012… Read More

A Review of Combat Casualties to Aid Care & Prevention

Research Paper Title Mortality Review of US Special Operations Command Battle-Injured Fatalities. Background Comprehensive analyses of battle-injured fatalities, incorporating a multidisciplinary process with a standardised lexicon, is necessary to elucidate opportunities for improvement (OFIs) to increase survivability. Methods A mortality review was conducted on United States Special Operations Command battle-injured fatalities who died from September… Read More

Military Providers, TCCC Certification, and the Use of Surgical Cricothyroidotomy

Research Paper Title Prehospital Battlefield Casualty Intervention Decision Cognitive Study. Background Airway compromise is the third most common cause of preventable battlefield death. Surgical cricothyroidotomy (SC) is recommended by Tactical Combat Casualty Care (TCCC) guidelines when basic airway manoeuvres fail. This is a descriptive analysis of the decision-making process of prehospital emergency providers to perform… Read More

Should Physician Assistants Have a Greater Role in the Defence Medical Services?

Research Paper Title Physician assistant utilisation in the US Armed Forces: applicability to the UK Defence Medical Services. Background Physicians assistants (PAs) are being increasingly utilised by the US Armed Forces both in homeland medical treatment provision as well as while on deployment. In a deployed environment, the US has the flexibility to interchange doctors… Read More