18 results match your criteria: "Brooke Army Medical Center Fort Sam Houston[Affiliation]"

Article Synopsis
  • Topical wound care after burns has changed how injuries are treated by using dressings that help prevent infections and promote healing while considering factors like pain and dressing change frequency.
  • This study looked at pain levels and opioid use related to different wound dressings, such as silver sulfadiazine, manuka honey, and negative-pressure wound therapy.
  • Results showed silver sulfadiazine typically resulted in lower pain scores and less opioid use compared to other dressings, suggesting the need for more detailed studies to better understand their impacts on pain management.
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A translational study evaluating a ruggedized portable oxygen concentrator versus an oxygen cylinder in simulated polytrauma intubation of swine.

J Am Coll Emerg Physicians Open

October 2024

Office of the Chief Scientist, 59th Medical Wing, Lackland Air Force Base Texas USA.

Article Synopsis
  • A portable oxygen concentrator (POC) is a special machine that helps people breathe by giving them pure oxygen instead of regular air.
  • In a study with pigs, researchers tested how well a POC worked during a serious medical situation where the pigs were hurt. They compared it to an oxygen tank and regular air.
  • The results showed that the oxygen tank was better at giving oxygen than the POC, and the POC worked no better than just using room air.
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Torsades de pointes in the PACU after outpatient endoscopy: a case report.

BMC Anesthesiol

December 2021

Brooke Army Medical Center - Fort Sam Houston, Anesthesiology Department, 3351 Roger Brooke Drive, San Antonio, TX, 78234, USA.

Background: This case demonstrates the severe electrolyte derangements that may present after a common therapy such as a bowel preparation for an outpatient procedure and the rare yet potential detrimental outcomes of those abnormalities. It also highlights the implications of long QT syndrome regarding pharmacology and treatment.

Case Presentation: We present a case of 48 year-old female with severe electrolyte derangements and long QT syndrome (LQTS) leading to Torsades de Pointes (TdP), pulseless ventricular fibrillation, and unsynchronized defibrillation in the post anesthesia care unit (PACU) after uneventful upper and lower endoscopy.

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Tranexamic acid in pediatric combat trauma requiring massive transfusions and mortality.

J Trauma Acute Care Surg

August 2020

From the Department of Pediatrics-Critical Care (M.H.), Tripler Army Medical Center, Honolulu, Hawaii; Brooke Army Medical Center Fort Sam Houston (J.K.A., M.A.B.), Houston, Texas; and Department of Pediatrics (M.H., M.A.B.), Uniformed Services University, Services University, Bethesda, Maryland.

Background: Tranexamic acid (TXA) has been demonstrated to decrease mortality in adult trauma, particularly in those with massive transfusions needs sustained in combat injury. Limited data are available for the efficacy of TXA in pediatric trauma patients outside of a single combat support hospital in Afghanistan.

Methods: The Department of Defense Trauma Registry was queried for trauma patients younger than 18 years from Iraq and Afghanistan requiring 40 mL/kg or greater of blood product within 24 hours of injury.

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Increasing rates of antimicrobial resistance among strains of Streptococcus, Staphylococcus, and Enterococcus spp. have been widely documented. At least 50% of nosocomial Staphylococcus aureus infections in intensive care units in the US and UK are due methicillin-resistant S.

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Disseminated phaeohyphomycosis is an uncommon infection affecting immunocompetent and immunocompromised individuals in which response to older antifungal agents has been variable. We compared the effect of six days of therapy with caspofungin, posaconazole, and amphotericin B in parallel studies of survival and fungal burden in an immunocompromised mouse model of Exophiala infection. Mice immunocompromised with cyclophosphamide were treated for 6 days starting one day after initiation of infection.

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The results from preclinical studies using murine tumor models show that the combination of docetaxel (Taxotere) and fluorouracil (5-FU) is highly synergistic. Phase I studies in patients with advanced solid tumors indicate that 60 mg/m2 of docetaxel administered as a 1-hour intravenous infusion followed by a daily intravenous bolus of 300 mg/m2 of 5-FU on days 1 through 5 is the recommended dose for phase II studies. Preliminary results from another phase I study using a continuous infusion regimen for 5-FU suggest that 85 mg/m2 of docetaxel administered as a 1-hour intravenous infusion followed by continuous infusion of 750 mg/m2 per day of 5-FU on days 1 through 5 may be the recommended dose for phase II studies.

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