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combat lifesaver-trained, first-responder application of junctional tourniquets: A prospective, randomized,crossover trial

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Military Medical Research 2019年第2期6卷 105-110页

作者： Ismael Flecha Jason FNaylor Steven GSchauer Ryan ACurtis Cord WCunningham 21st combat Support Hospital Fort HoodKilleen76544TXUSA Madigan Army Medical Center JBLM Fort LewisLakewood98431USA San Antonio Military Medical Center JBSA Fort Sam HoustonSan Antonio78234TXUSA US Army Institute of Surgical Research JBSA Fort Sam HoustonSan Antonio78234TXUSA 59th MedicalWing JBSA LacklandSan Antonio78234TXUSA

Background:Junctional hemorrhage surpassed extremity hemorrhage as the leading cause of preventable death after the resurgence of limb tourniquets during the recent conflicts in Afghanistan and *** tourniquets(JTQs)were developed in response to this injury *** data for JTQ efficacy are limited and do not incorporate nonmedical,military first *** compared the time for effective placement and scores for device satisfaction between two different JTQs,stratified by combat lifesaver(CLS)and combat ***:We performed a prospective,randomized,crossover trial utilizing the SAM ’ Medical Junctional Tourniquet(SJT)and Junctional Emergency Treatment Tool(JETTTM).Investigators simple randomized CLS and combat medics to SJT or JETT for their first JTQ application on mannequins with penetrating inguinal ***,participants immediately placed the other JTQ on another casualty with the same *** primary outcome measured was time of successful applicatio *** was defined as proper JTQ placement and a pressu re reading of at least 180 *** compared outcomes between CLS and combat *** JTQ applications were excluded from the comparative ***:From June 2015 to August 2015,a total of 227 personnel(133 CLS and 94 combat medics)at Fort Hood,Texas,USA volunteered to participate in the ***-eight percent(38 of 133)of CLS and 40%(38 of 94)of combat medics placed both JTQs successfully,for a total of 152 applications(76 SJTs and 76 JETTs).We found a significant difference between applications of the JETT between the CLS and combat medics(92.0±37.7 s versus70.5±20.5 s,P=0.004).No other subg roup analyses,whether by device or user,demonstrated a sig nifica nt difference in application *** groups preferred the SJT over the *** disagreed with combat medics that the JETT could be easily applied by one person(median 3.0[2.0,4.0]versus median 4.0[3.0,5.0];P=0.006).Conclusions:Overall,succe

关键词： Junctional Tourniquet Hemorrhage combat Battlefield

Analysis on MAV/UAV cooperative combat based on complex network

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Defence Technology（防务技术） 2020年第1期16卷 150-157页

作者： Jie-ru Fan Dong-guang Li Ru-peng Li Yue Wang Beijing Institute of Technology BeijingChina Beijing Electro-mechanical Engineering Institute BeijingChina Beijing Institute of Electronic System Engineering BeijingChina

A formation model of manned/unmanned aerial vehicle(MAV/UAV) collaborative combat can qualitatively and quantitatively analyze the synergistic ***,there is currently no effective and appropriate model construction method or theory,and research in the field of collaborative capability evaluation is basically *** to the actual conditions of cooperative operations,a new MAV/UAV collaborative combat network model construction method based on a complex network is *** analyzing the characteristic parameters of the abstract network,the index system and complex network are ***,a method for evaluating the synergistic effect of the cooperative combat network is *** method provides assistance for the verification and evaluation of MAV/UAV collaborative combat.

关键词： Complex network Stochastic network MAV/UAV collaborative combat Evaluation

Impact of prehospital medical evacuation (MEDEVAC) transport time on combat mortality in patients with noncompressible torso injury and traumatic amputations: a retrospective study

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Military Medical Research 2019年第1期6卷 23-30页

作者： Joseph K.Maddry Crystal A.Perez Alejandra G.Mora Jill D.Lear Shelia C.Savell Vikhyat S.Bebarta US Air Force En route Care Research Center 59th MDW/ST Chief Scientist's Office –US Army Institute of Surgical research JBSA Ft.Sam Houston Department of Emergency Medicine San Antonio Military Medical CenterJBSA Ft. Sam Houston US Air Force En route Care Research Center 59th MDW/ST Chief Scientist's Office –US Army Institute of Surgical researchJBSA Ft.Sam Houston Department of Emergency Medicine University of Colorado School of Medicine

Background: In combat operations, patients with traumatic injuries require expeditious evacuation to improve survival. Studies have shown that long transport times are associated with increased morbidity and mortality. Limited data exist on the influence of transport time on patient outcomes with specific injury types. The objective of this study was to determine the impact of the duration of time from the initial request for medical evacuation to arrival at a medical treatment facility on morbidity and mortality in casualties with traumatic extremity amputation and noncompressible torso injury(NCTI).Methods: We completed a retrospective review of MEDEVAC patient care records for United States military personnel who sustained traumatic amputations and NCTI during Operation Enduring Freedom between January 2011 and March 2014. We grouped patients as traumatic amputation and NCTI(AMP+NCTI), traumatic amputation only(AMP),and neither AMP nor NCTI(Non-AMP/NCTI). Analysis was performed using chi-squared tests, Fisher's exact tests,Cochran-Armitage Trend tests, Shapiro-Wilks tests, Wilcoxon and Kruskal-Wallis techniques and Cox proportional hazards regression ***: We reviewed 1267 records, of which 669 had an injury severity score(ISS) of 10 or greater and were included in the analysis. In the study population, 15.5% sustained only amputation injuries(n=104, AMP only), 10.8% sustained amputation and NCTI(n=72, AMP+NCTI), and 73.7% did not sustain either an amputation or an NCTI(n=493,Non-AMP/NCTI). AMP+NCTI had the highest mortality(16.7%) with transport time greater than 60 min. While the AMP+NCTI group had decreasing survival with longer transport times, AMP and Non-AMP/NCTI did not exhibit the same ***: A decreased transport time from the point of injury to a medical treatment facility was associated with decreased mortality in patients who suffered a combination of amputation injury and NCTI. No significant association between transport time

关键词： Transport time Non-compressible torso injury Traumatic amputation combat

Chinese expert consensus on the treatment of modern combat-related spinal injuries

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Military Medical Research 2019年第2期6卷 93-104页

作者： Zhao-Wen Zong Hao Qin Si-Xu Chen Jia-Zhi Yang Lei Yang Lin Zhang Wen-Qiong Du Xin Zhong Ren-Jie Zhou Dan Tan Hao Wu State Key Laboratory of Trauma Burn and Combined InjuryDepartment of War Wound Rescue Skills TrainingBase of Army Health Service TrainingArmy Medical UniversityChongqing 400038China Department of Tactical Health Service NCO School of Army Medical UniversityShijiazhuang 050000China Xinqiao Hospital Army Medical UniversityChongqing 400037China

The battlefield treatments of spinal and spinal cord injury vary from civilian settings. However, there is no unified battlefield treatment guidelines for spine trauma in PLA. An expert consensus is reached, based on spine trauma epidemiology and the concepts of battlefield treatment combined with the existing levels of military medical care in modern warfare. Since the specialized treatment for spine trauma are no significant difference between civilian settings and modern war, the first aid, emergency treatment and early treatment of spine trauma are introduced separately in three levels in this consensus. In Level I facilities, the fast and accurate evaluation of spine trauma followed by fixation and stabilization are recommended during the first-aid stage. Re-evaluation, further treatment for possible hemorrhagic shock, dyspnea and infection are recommended at Level II facilities. At Level III facilities, it is recommended to strengthen the intensive care and the prevention of urinary system and lung infection for the wounded with severe spinal injury, however, spinal surgery is not recommended in a battlefield hospital. The grading standard for evidence evaluation and recommendation was used to reach this expert consensus.

关键词： Expert consensus Spinal injury combat injuries Treatment Modern combat

New development thoughts on the bio-inspired intelligence based control for unmanned combat aerial vehicle

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Science China(Technological Sciences) 2010年第8期53卷 2025-2031页

作者： DUAN HaiBin 1 ,SHAO Shan 2 ,SU BingWei 3 &ZHANG Lei 41 State Key Laboratory of Science and Technology on Holistic Flight Control,School of Automation Science and Electrical Engineering, Beijing University of Aeronautics and Astronautics,Beijing 100191,China 2 Flight Control Department,Shenyang Aircraft Design and Research Institute,Shenyang 110035,China 3 Beijing Institute of Near Space Vehicle’s System Engineering,Beijing 100076,China 4Integration and Project Section,Air Force Equipment Academy,Beijing 100085,China 1. State Key Laboratory of Science and Technology on Holistic Flight Control School of Automation Science and Electrical Engineering Beijing University of Aeronautics and Astronautics Beijing 100191 China2. Flight Control Department Shenyang Aircraft Design and Research Institute Shenyang 110035 China3. Beijing Institute of Near Space Vehicle’s System Engineering Beijing 100076 China4. Integration and Project Section Air Force Equipment Academy Beijing 100085 China

Bio-inspired intelligence is in the spotlight in the field of international artificial intelligence,and unmanned combat aerial vehicle(UCAV),owing to its potential to perform dangerous,repetitive tasks in remote and hazardous,is very promising for the technological leadership of the nation and essential for improving the security of *** the basis of introduction of bioinspired intelligence and UCAV,a series of new development thoughts on UCAV control are proposed,including artificial brain based high-level autonomous control for UCAV,swarm intelligence based cooperative control for multiple UCAVs,hy-brid swarm intelligence and Bayesian network based situation assessment under complicated combating environments, bio-inspired hardware based high-level autonomous control for UCAV,and meta-heuristic intelligence based heterogeneous cooperative control for multiple UCAVs and unmanned combat ground vehicles(UCGVs).The exact realization of the proposed new development thoughts can enhance the effectiveness of combat,while provide a series of novel breakthroughs for the intelligence,integration and advancement of future UCAV systems.

关键词： bio-inspired intelligence unmanned combat aerial vehicle(UCAV) artificial brain autonomous control bayesian network bio-inspired hardware heterogeneous cooperative control

Expert consensus on the evaluation and diagnosis of combat injuries of the Chinese People's Liberation Army

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Military Medical Research 2018年第3期5卷 189-198页

作者： Zhao-wen Zong Lian-yang Zhang Hao Qin Si-xu Chen Lin Zhang Lei Yang Xiao-xue Li Quan-wei Bao Dao-cheng Liu Si-hao He Yue Shen Rong Zhang Yu-feng Zhao Xiao-zheng Zhong representing the PLA Professional Committee and Youth Committee on Disaster Medicine State Key Laboratory of Trauma Burn and Combined InjuryDepartment of Trauma SurgeryDaping HospitalArmy Medical UniversityChongqingChina Special Slinic Department of Bethune Medical Profession Sergeant School ShijiazhuangChina Research Institute of Disaster Medicine General Hospital of Chinese People's Armed Police ForcesBeijingChina Military Medical Training Brigade of Chinese People's Liberation Army HutubiXinjiangUygur Autonomous RegionChina 不详

The accurate assessment and diagnosis of combat injuries are the basis for triage and treatment of combat casualties. A consensus on the assessment and diagnosis of combat injuries was made and discussed at the second annual meeting of the Professional Committee on Disaster Medicine of the Chinese People's Liberation Army(PLA). In this consensus agreement, the massive hemorrhage, airway, respiration, circulation and hypothermia(MARCH) algorithm, which is a simple triage and rapid treatment and field triage score, was recommended to assess combat casualties during the first-aid stage, whereas the abbreviated scoring method for combat casualty and the MARCH algorithm were recommended to assess combat casualties in level Ⅱ facilities. In level Ⅲ facilities, combined measures, including a history inquiry, thorough physical examination, laboratory examination, X-ray, and ultrasound examination, were recommended for the diagnosis of combat casualties. In addition, corresponding methods were recommended for the recognition of casualties needing massive transfusions, assessment of firearm wounds, evaluation of mangled extremities, and assessment of injury severity in this consensus.

关键词： combat injuries Assessment Diagnosis Expert consensus

Increasing Health Literacy in China to combat Noncommunicable Diseases

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China CDC weekly 2020年第51期2卷 987-991页

作者： Jing Yang Yang Gao Zhuoqun Wang National Center for Chronic and Noncommunicable Disease Control and Prevention China CDCBeijingChina Department of Epidemiology and Statistic Hebei Medical UniversityShijiazhuangHebeiChina

Health literacy involves knowledge,motivation,and competence to access,understand,appraise,and apply health information to make judgments and make decisions every day to maintain or improve quality of *** is of great importance to the health and wellbeing of individuals,families,and society and plays a crucial role in noncommunicable disease(NCD)prevention and *** that health literacy is a public health challenge in China,the Chinese government has been making great effort to address this *** paper presented a general overview of health literacy status in China with a focus on NCDs,described China’s challenges and practices in improving health literacy,and provided suggestions to decision makers,practitioners,and researchers to address the needs of health literacy in China.

关键词： motivation combat Health

Tensor-Centric Warfare III: combat Dynamics with Delta-Strikes

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Intelligent Control and Automation 2018年第4期9卷 107-122页

作者： Vladimir Ivancevic Peyam Pourbeik Darryn Reid Joint and Operations Analysis Division Defence Science & Technology Group Adelaide Australia Cyber and Electronic Warfare Division Defence Science & Technology Group Adelaide Australia

This paper is the third part of the complex combat dynamics series, called tensor-centric warfare (for the first two parts, see [1] [2]). In the present paper, we extend the tensor combat model from [1] and [2] to model the dynamics of delta-strikes/missiles , which are temporally confined strong kinetic effects . The scenarios analyzed here include both deterministic and random delta-strikes which mimic single, multiple and continuous-time missile attacks. We also look at the bidirectional random strike as well as the general Hamilton-Langevin dynamics framework and provide an interpretation of the results obtained through simulation.

关键词： Tensor-Centric Warfare combat Dynamics with Delta-Strikes/Missiles

Guangxi Baise Extends Industrial Chain to combat Loss in Aluminum Business

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China Nonferrous Metals Monthly 2014年第10期 4-5页

"For each tonne of aluminum being produced,the upstream enterprise on the aluminum industrial chain will suffer loss about 2000yuan."Said Liang Xiao,Deputy Director of Pingguo Industrial Park Management Committee unde... 详细信息

关键词： suffer Director upstream combat bases downstream m