1/3. In-flight transfusion of packed red blood cells on a combat search and rescue mission: a case report from operation enduring freedom.Injuries on the battlefield can occur far from the nearest medical treatment facility. This is especially likely for downed pilots and special operations personnel. Some of these injuries lead to significant blood loss requiring transfusion. We present two cases of injured coalition force members during Operation Enduring freedom that illustrate the potential need for a transfusion capability at the site of injury to prevent death. Consideration should be given to augmenting transfusion capabilities in military environments with predictably long evacuation times.- - - - - - - - - - ranking = 1keywords = environment (Clic here for more details about this article) |
2/3. resuscitation from hemorrhagic shock using rectally administered fluids in a wilderness environment.We report the successful use in a wilderness environment of rectally administered oral rehydation fluid to resuscitate a patient who was in shock. The subject was a 21-year-old Nepali man who had experienced a major upper gastrointestinal hemorrhage.- - - - - - - - - - ranking = 5keywords = environment (Clic here for more details about this article) |
3/3. Acute hemorrhagic diarrhea and cardiovascular collapse in a young child owing to environmentally acquired cocaine.Acute crack cocaine intoxication has become a significant problem in both adolescent and adult patients. Recently, cases of cocaine toxicity in infants and toddlers have been described. We report a four-year-old child with acute hemorrhagic diarrhea and shock after intoxication by crack cocaine. Acute cocaine intoxication should be considered in the differential for hemorrhagic diarrhea and shock. The gastrointestinal decontamination following cocaine ingestion is discussed.- - - - - - - - - - ranking = 4keywords = environment (Clic here for more details about this article) |