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1.
Mil Med ; 185(11-12): e2158-e2161, 2020 12 30.
Article in English | MEDLINE | ID: mdl-32567656

ABSTRACT

For healthcare providers, specifically military and federal public health personnel, prompt and accurate diagnosis and isolation of SARS-CoV-2 novel coronavirus patients provide a two-fold benefit: (1) directing appropriate treatment to the infected patient as early as possible in the progression of the disease to increase survival rates and minimize the devastating sequelae following recovery and remission of symptoms; (2) provide critical information requirements that enable commanders and public health officials to best synchronize policy, regulations, and troop movement restrictions while best allocating scarce resources in the delicate balance of risk mitigation versus mission readiness. Simple personal protective measures and robust testing and quarantine procedures, instituted and enforced aggressively by senior leaders, physicians, and healthcare professionals at all levels are an essential aspect of the battle against the COVID-19 pandemic that will determine the success or failure of the overall effort. As consideration, the authors respectfully submit this vignette of the first confirmed positive COVID-19 case presenting to the Emergency Department at Winn Army Community Hospital, Fort Stewart, Georgia.


Subject(s)
COVID-19/diagnosis , Military Personnel/education , Adult , COVID-19/transmission , Georgia , Humans , Male , Military Facilities/organization & administration , Military Facilities/statistics & numerical data , Military Personnel/statistics & numerical data , Quarantine/methods , Radiography/methods , Teaching/statistics & numerical data , Tomography, X-Ray Computed/methods
2.
Am J Emerg Med ; 37(5): 1007.e5-1007.e7, 2019 05.
Article in English | MEDLINE | ID: mdl-30819580

ABSTRACT

Traumatic coronary artery dissection is an unusual injury following trauma. It is potentially life threatening and requires prompt recognition on presentation. We present a case report of a 42-year-old male who presented with ventricular tachycardia following a high-speed motorcycle collision that was found to have a coronary artery dissection. The patient had multiple complications, highlighting the importance of early recognition of this disease process.


Subject(s)
Accidents, Traffic , Aortic Dissection/etiology , Coronary Vessels/injuries , Myocardial Contusions/complications , ST Elevation Myocardial Infarction/etiology , Tachycardia, Ventricular/etiology , Adult , Aortic Dissection/diagnosis , Aortic Dissection/surgery , Coronary Vessels/surgery , Humans , Male , Motorcycles , Multiple Trauma , ST Elevation Myocardial Infarction/diagnosis , ST Elevation Myocardial Infarction/surgery , Tachycardia, Ventricular/diagnosis , Tachycardia, Ventricular/therapy
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