From the Battlefield to the Bedside

From the Battlefield to the Bedside:
How Military Medical and Combat Experience Can Help Civilian Patient Care

As witnessed in the Boston bombing, military medical experience has led to dramatic advances in medical care that saved the lives of the bombing victims. (Martin Levine, DO gives account of the Boston bombing: http://www.nbcnewyork.com/news/local/Boston-Marathon-Explosion-Injuries-Casualties-Limbs-Legs-Severed-New-Jersey-Doctor-Martin-Levine-Medical-Tent-203133461.html )

Given that military medical and combat experience provides physical and emotional benefits to civilian patient care, the AOA has launched From the Battlefield to the Bedside program. The goal is to provide best practice resources to the osteopathic profession in an effort to utilize those benefits in providing patient-centered care.

Currently, the AOA is a partner in the White House’s Joining Forces Initiative to raise awareness within the osteopathic physician community about the medical needs of military veterans. In addition, the nation’s 29 osteopathic medical schools have pledged to grow the body of knowledge leading to the improvement of health care and wellness of our veterans. (www.osteopathic.org/veterans; www.aacom.org/programs/joiningforces/Pages/default.aspx) (www.hsc.unt.edu/orc/research_completed.aspx; www.hsc.unt.edu/orc/research_publications.aspx)

AOA’s Battlefield to Bedside program takes AOA’s participation in Joining Forces to the next level -- to raise awareness within the osteopathic profession about the military medical advances that can be passed on to civilian counterparts. Ten percent of medical officers in the U.S. military are osteopathic physicians. A program that uses the benefits of military experience contributes to the osteopathic philosophy of treating the whole person, not just symptoms which is the cornerstone of patient-centered care. (The Hero Next Door: www.do-online.org/TheDO/?p=140981; In the Field: http://www.do-online.org/TheDO/?p=124561; Training Ground: http://www.do-online.org/TheDO/?p=125791)

In the effort to raise awareness, the AOA has compiled a list of resources for research and best practices involving military medicine.
U.S. Army Medical Department Journal
www.cs.amedd.army.mil/amedd_journal.aspx

Trauma and Acute Care Surgery
http://Journals.lww.com/jtrauma/toc/2012/12005

Military Medicine Archives
www.medgadget.com/military_medicine

Armed Forces Institute of Regenerative Medicine Annual Report 2012
www.afirm.mil/assets/documents/annual_report_2012.pdf

Defense Medical Research and Development Program
http://cdmrp.army.mil/dmrdp/highlights.shtml#2_12

Military Medicine Journal
www.highbeam.com/publications/military-medicine-p61575

U.S. Army Medical Research Institute of Infectious Diseases
www.usamriid.army.mil/

Medical Advances as a Result of War
www.advocatehealth.com/gsam/documents/newsletter/fall2008.pdf

Walter Reed National Military Medical Center
www.wrnmmc.capmed.mil/SitePages/home.aspx

Samueli Institute: Center for Military Medical Research
www.samueliinstitute.org/our-research/military-medical-research

US Army Institute of Surgical Research Clinical Practice Guidelines
http://www.usaisr.amedd.army.mil/clinical_practice_guidelines.html

MHS (Military Health System) Publication Search - ability to search peer-reviewed articles - subject areas includes TBI
http://www.health.mil/ArticleSearch/default.aspx

VA Epidemiology Research Listed by Title
http://www.publichealth.va.gov/epidemiology/publications.asp

VA Research on Military Exposures
http://www.publichealth.va.gov/exposures/

Environmental Exposure Pocket Card
http://www.publichealth.va.gov/docs/exposures/environmental-exposure-pocket-card.pdf

List of VA Research by Topic Areas - includes TBI and PTSD
http://www.research.va.gov/research_topics

Association of Military Surgeons of the U.S.
http://www.amsus.org/index.php/journal

Federal Practitioner: A peer reviewed journal for health care professionals
http://www.fedprac.com/

Other Information
Brainline.org - Comprehensive TBI site - contains section for health care professionals which includes research information, fact sheets, and other tools/resources
http://www.brainline.org/index.html

National Resource Directory - Contains research and health information for health professionals providing care to veterans
https://www.nrd.gov/health/health_care_provider_resources

The information below references information re: our Joining Forces webpage, but provides direct links to specific information:
VA Patient Treatment
http://www.publichealth.va.gov/patient-treatment.asp

Guidelines and Best Practices for such areas as: Hepatitis C, HIV/AIDS etc.
Clinician Pocket Guides:
Mild Traumatic Brain Injury -Concussion
http://www.publichealth.va.gov/docs/exposures/TBI-pocketcard.pdf

Malaria
http://www.publichealth.va.gov/docs/exposures/malaria-pocketcard.pdf

VA/DOD Clinical Practice Guidelines
http://www.healthquality.va.gov/

Topics listed for chronic disease, mental health, military-related conditions, pain, rehabilitation, and women’s health. Webpage includes pocket card for clinicians on shared decision-making
http://www.healthquality.va.gov/documents/CPGgenericSDMPOCKET_FINALSmall.pdf

Webpage also includes link to articles on pain care in military:
http://www.americannursetoday.com/article.aspx?id=8248&fid=8172

VA National Center for PTSD: Website contains information which includes a section specifically for physicians on screening and referring for PTSD, informational research and resources.
http://www.ptsd.va.gov/professional/pages/fslist-tx-medical-docs-and-obgyn.asp

Addiction Medicine
American Osteopathic Academy of Addiction Medicine Journal:
http://www.tandfonline.com/toc/wjad20/current

Other journals and information:
http://www.asam.org/publications/journal-of-addiction-medicine
http://www.acpm.org/?UseAbuseRxClinRef

Allergy and Immunology
Allergy and Immunology Resources
http://hsl.med.nyu.edu/subject/10

Anesthesiology
Military Advanced Regional Anesthesia and Analgesia Handbook
www.ambitpump.com/uploads/files/65_MARAA_00_Book_Complete.pdf

http://www.medgadget.com/2006/04/battlefield_cli_1.html
Dermatology
Chemical Warfare Agents
www.ncbi.nlm.nih.gov/pubmed/14673274

Emergency Medicine
Advances in pre-hospital trauma care
www.ncbi.nlm.nih.gov/pmc/articles/PMC3209988/
Evaluation of Junctional Tourniquet Designed for combat, human tissue study
www.medicalsci.com/files/jett_paper_11_jan_13.pdf
Trauma and Acute Care Surgery
http://journals.lww.com/jtrauma/toc/2012/12005
Pre-hospital Combat Casualty Care
www.cs.amedd.army.mil/AMEDDJournal/2011AprJun.pdf

Family Medicine
Military Family Doctor:
http://militaryfamilydoctor.org/

Internal Medicine
History of military contributions to the study of diarrheal diseases
www.ncbi.nlm.nih.gov/pubmed/15916281

Medical Informatics
Standardizing Medication Error Event Reporting in U.S. Department of Defense
www.ncbi.nlm.nih.gov/books/NBK20623/

Neurology and Psychiatry
www.ncbi.nlm.nih.gov/pubmed/?term=military+advances+pathology
Cortical Thinning in Patients with PTSD
www.ncbi.nlm.nih.gov/pmc/articles/PMC3374792/
Neuropsychological and neuroimaging findings in TBI and PTSD
www.ncbi.nlm.nih.gov/pmc/articles/PMC3182009/
Advances in neuroimaging of TBI and PTSD
www.ncbi.nlm.nih.gov/pmc/articles/PMC3233771/
Enhanced neuro-rehabilitation techniques in the DVBIC Assisted Living Pilot Project
www.ncbi.nlm.nih.gov/pubmed/20448315
Defense and Brain Injury Information Center: Site contains section for medical providers, which includes: online information on TBI, includes online education information, fact sheets, and webinars.
http://www.dvbic.org/audience/medical-providers
National Intrepid Center of Excellence
DoD institute dedicated to the evaluation, treatment, and research of TBI and psychological health conditions
www.nicoe.capmed.mil

Obstetrics and Gynecology
http://www.brooksidepress.org/Products/Military_OBGYN/Home.htm
Ophthalmology and Otolaryngology
Resident Manual of Trauma to the Face, Head, and Neck
www.entnet.org/mktplace/upload/Trauma-Chapter-8.pdf

Management of Facial Trauma: Lessons of War
www.ncbi.nlm.nih.gov/pubmed/21086234

Innovations in Military Handling of Facial Trauma
www.ncbi.nlm.nih.gov/pubmed/19164991

Orthopedics
http://ryortho.com/060209_War_Orthopedics_and_Great_Leaps_Forward.pdf
Orthopedic Surgery in the U.S. Army: Historical Review
www.ncbi.nlm.nih.gov/pubmed/21702390

Osteopathic Manipulative Medicine
http://www.ncbi.nlm.nih.gov/pubmed/21673084
http://www.jaoa.org/content/111/10/574.full

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267441/

Pediatrics
Virtual Reality & Interactive Gaming Technology for Obese and Diabetic Children: Is Military Medical Technology Applicable?
www.ncbi.nlm.nih.gov/pmc/articles/PMC3125910/

http://contemporarypediatrics.modernmedicine.com/contemporary-pediatrics/news/aap-children-military-have-unique-health-needs

Physical Medicine and Rehabilitation
New Nerve and muscle interfaces aid wounded warrior amputees
www.darpa.mil/newsevents/releases/2013/05/30.aspx
Military Lower Extremity Amputee Rehabilitation
www.ncbi.nlm.nih.gov/pubmed/11878083
Article from VA Journal on Rehabilitation Research and Development
http://www.rehab.research.va.gov/jour/09/46/6/pdf/jaffee.pdf

Proctology
Colorectal Cancer: Lessons Learned from U.S. Armed Forces
www.ncbi.nlm.nih.gov/pmc/articles/PMC3584831

Prolotherapy Regenerative Pain Management
New procedure revolutionizes battlefield approach to Pain
www.dvcipm.org/about-us/announcements/new-procedure-revolutionizes-battlefield-approach-to-pain
Pain Management Task Force Final Report 2010
www.armymedicine.army.mil/reports/Pain_Management_Task_Force.pdf
http://www.ncbi.nlm.nih.gov/pubmed/20188998
Radiology
Collaborative Effort with U.S. Military
www.pennmedicine.org/perelman/proton/walter_reed.html
Stereotactic Radiosurgery with Cyberknife
http://prostatecenter.georgetown.edu/care/treatment/radiation/35311.html
Armed Forces Radiobiology Research Institute
www.usuhs.mil/afrri/

Rheumatic Diseases
https://www.clinicalkey.com/topics/rheumatology/rheumatic-fever.html
http://ard.bmj.com/content/36/4/332

Sports Medicine
Advances in Wound Care: Volume 1
http://online.liebertpub.com/doi/pdfplus/10.1089/978193485401359
Mild Traumatic Brain Injury
http://deploymentpsych.org/topics-disorders/mild-traumatic-brain-injury-tbi

Surgery
Plastic Surgery Challenges in War Wounded
www.liebertpub.com/dcontent/files/samplechapters/Sample_AdvancesinWoundCareVolume1.pdf

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