Atypical Cartilaginous Tumors: Trends in Management.

Introduction: Chondrosarcomas are the most common primary bone malignancy in adults within the United States. Low-grade chondrosarcomas of the long bones, now referred to as atypical cartilaginous tumors (ACTs), have undergone considerable changes in recommended management over the past 20 years, although controversy remains. Diagnostic needle biopsy is recommended only in ambiguous lesions that cannot be clinically diagnosed with a multidisciplinary team.

Preventing and Mitigating Radiology System Failures: A Guide to Disaster Planning.

Disaster planning is a core facet of modern health care practice. Owing to complex infrastructure requirements, radiology departments are vulnerable to system failures that may occur in isolation or during a disaster event when the urgency for and volume of imaging examinations increases. Planning for systems failures helps ensure continuity of service provision and patient care during an adverse event.

Transthoracic Echocardiography: Beginner's Guide with Emphasis on Blind Spots as Identified with CT and MRI.

Transthoracic echocardiography (TTE) is the primary initial imaging modality in cardiac imaging. Advantages include portability, safety, availability, and ability to assess the morphology and physiology of the heart in a noninvasive manner. Because of this, many patients who undergo advanced imaging with CT or MRI will have undergone prior TTE, particularly when cardiac CT angiography or cardiac MRI is performed.

NSQIP Based Predictors of False Negative and Indeterminate Ultrasounds in Adults With Appendicitis.

Background: It has been well established that ultrasound (US) is the initial screening tool for children with suspected acute appendicitis. However, computed tomography (CT) has become the standard screening modality for adults presenting with abdominal pain. A recent review of National Surgical Quality Improvement Program (NSQIP) data revealed US is being utilized as a screening modality in adults.

The Isolated Surgeon: A Scoping Review.

Background: Surgeons in resource-limited environments often provide care outside the expected scope of current general surgery training. Geographically isolated patients may be unwilling or unable to travel for specialty care. These same patients also present with life-threatening emergencies beyond the typical breadth of a general surgeon's practice, in hospitals with limited professional and material support.

An Outbreak of Covid-19 on an Aircraft Carrier.

Background: An outbreak of coronavirus disease 2019 (Covid-19) occurred on the U.S.S.

The Israel Defense Forces Trauma Registry: 22 years of point-of-injury data.

Background: Trauma is the leading cause of death among casualties between 1 and 44 years. A large proportion of trauma deaths occurs even before arriving at a medical facility. The paucity of prehospital data is a major reason for the lagging development of prehospital trauma care research.

Healing Veterans Requires Caring For The Whole Person.

A new, integrative approach to care is changing the way veteran and military health care is practiced.

The promising future of drones in prehospital medical care and its application to battlefield medicine.

Unmanned aerial vehicles, commonly referred to as drones, have been made widely available in recent years leading to an exponential growth in their roles and applications. The rapidly developing field of medical drones is on the verge of revolutionizing prehospital medicine enabling advanced health care delivery to once-inaccessible patients. The aim of this review is to clarify the basic technical properties of currently available medical drones and review recent advances and their usefulness in military and civilian health care missions.

Laser scar management: focused and high-intensity medical exchange in Vietnam.

Over the last decade, the treatment of traumatic scars with lasers has emerged as a core component of multidisciplinary management. Military dermatologists have had a fundamental role in this shift by helping to develop new applications for existing technology and promulgate the techniques to reach additional providers and patients. International engagement is a prominent and highly attractive feature of military practice, and military dermatologists routinely participate in disaster response missions and ongoing planned operations.

Defining Adequate Quality and Safety Metrics for Burn Care.

While current evidence-based practices might be applicable to caring for patients with routine diseases and common injury patterns, their application to burn care is less clear. Quality metrics created for large patient populations have failed to account for diseases that are not included in landmark research. Tasked to provide not only medically appropriate but also high-quality and cost-effective care for patients, burn clinicians must find a balance between patient-specific quality metrics and external quality metrics.

Interprofessional Healthcare Teams in the Military: A Scoping Literature Review.

Introduction: Research into healthcare delivered via interprofessional healthcare teams (IHTs) has uncovered that IHTs can improve patient satisfaction, enhance collaborative behaviors, reduce clinical error rates, and streamline management of care delivery. Importantly, these achievements are attained by IHTs that have been trained via interprofessional education (IPE). Research indicates that IHT training must be contextualized to suit the demands of each care context.

Recent trends in survival from out-of-hospital cardiac arrest in the United States.

Background: Despite intensive efforts over many years, the United States has made limited progress in improving rates of survival from out-of-hospital cardiac arrest. Recently, national organizations, such as the American Heart Association, have focused on promoting bystander cardiopulmonary resuscitation, use of automated external defibrillators, and other performance improvement efforts.

Methods And Results: Using the Cardiac Arrest Registry to Enhance Survival (CARES), a prospective clinical registry, we identified 70 027 U.

The impact of age on colorectal cancer incidence, treatment, and outcomes in an equal-access health care system.

Background: Inferior outcomes in younger patients with colorectal cancer may be associated with multiple factors, including tumor biology, delayed diagnosis, disparities such as access to care, and/or treatment differences.

Objective: This study aims to examine age-based colorectal cancer outcomes in an equal-access health care system.

Design: This study is a retrospective large multi-institutional database analysis.

Disease-specific quality of life outcomes in functional rhinoplasty.

Objectives/hypothesis: The goal of this study was to assess disease-specific quality of life as well as cosmetic outcomes following functional rhinoplasty in adults with nasal obstruction.

Study Design: Prospective observational outcomes study.

Methods: Disease-specific quality of life determinations and cosmetic outcome assessments were performed using the Nasal Obstruction Symptom Evaluation scale (NOSE), the Sleep Outcomes Survey (SOS), and a cosmetic outcomes scale.

Exercise-related longitudinal tibial stress fracture in a young person.

A 22-year-old man presented to the Nuclear Medicine Clinic for evaluation of distal right tibial pain. The patient reported recently beginning a rigorous exercise program involving lower extremity impact temporally related to the onset and worsening of the pain. The physical examination was remarkable for significant tenderness to palpation of the distal one-third of his right tibia.