Air Force clinicians at David Grant USAF Medical Center have led advances in critical care, trauma resuscitation, long-term health outcomes for combat soldiers, traumatic brain injury, effects of energy drink consumption, evidence-based practice / continuous process improvement, as well as fitness and nutrition. Research performed at DGMC is intended to project benefits of innovative care around the globe. Results from these studies can be accessed using the links below.

Critical Care

• Endovascular Perfusion Augmentation for Critical Care: Partial Aortic Occlusion for Treatment of Severe Ischemia-Reperfusion Shock
• Presenting hypertension, burn injury, and mortality in combat casualties
• Acute Kidney Injury in Critically Injured Combat Veterans: A Retrospective Cohort Study
• Review of 54 Cases of Prolonged Field Care
• Urinary Biomarkers are Associated with Severity and Mechanism of Injury
• Reciprocal Risk of Acute Kidney Injury and Acute Respiratory Distress Syndrome in Critically Ill Burn Patients
• Rhabdomyolysis among critically ill combat casualties: Associations with acute kidney injury and mortality
• The potential utility of urinary biomarkers for risk prediction in combat casualties: a prospective observational cohort study
• A pilot study of chest tube versus pigtail catheter drainage of acute hemothorax in swine
• Damage control operations in non-trauma patients: Defining criteria for the staged rapid source control laparotomy in emergency general surgery
• A comparison of acute respiratory distress syndrome outcomes between military and civilian burn patients

Austere Environment Trauma Resuscitation

• Hyperkalemia and Dialysis in the Deployed Setting
• Field and en route resuscitative endovascular occlusion of the aorta: A feasible military reality?
• The Role I Resuscitation Team and Resuscitative Endovascular Balloon Occlusion of the Aorta
• Field and en route REBOA: A feasible military reality?
• A Modern Case Series of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in an Out-of-Hospital, Combat Casualty Care Setting

Trauma Resuscitation

• Using the injury severity score to adjust for comorbid trauma may be double counting burns: Implications for burn research
• Hyperkalemia in Combat Casualties: Implication for Delayed Evacuation
• The pitfalls of resuscitative endovascular balloon occlusion of the aorta: Risk factors and mitigation strategies
• Coagulopathy and Mortality in Combat Casualties: Do the Kidneys Play a Role?
• Lower extremity cooling reduces ischemia-reperfusion injury following Zone 3 REBOA in a porcine hemorrhage model
• Red tides: Mass casualty and whole blood at sea
• Location is everything: The hemodynamic effects of REBOA in Zone 1 versus Zone 3 of the aorta
• Endovascular variable aortic control (EVAC) versus resuscitative endovascular balloon occlusion of the aorta (REBOA) in a swine model of hemorrhage and ischemia reperfusion injury
• Renal Replacement Therapy Capability for the Treatment of Combat-Associated Acute Kidney Injury: A Historical Perspective to Plan for Future Conflicts
• A novel model of highly lethal uncontrolled torso hemorrhage in swine
• Combat Casualties and Severe Shock: Risk Factors for Death at Role 3 Military Facilities
• Comparison of direct site endovascular repair utilizing expandable polytetrafluoroethylene stent grafts versus standard vascular shunts in a porcine (Sus scrofa) model
• Multicenter retrospective study of noncompressible torso hemorrhage: Anatomic locations of bleeding and comparison of endovascular versus open approach
• Incremental balloon deflation following complete resuscitative endovascular balloon occlusion of the aorta results in steep inflection of flow and rapid reperfusion in a large animal model of hemorrhagic shock
• Small changes, big effects: The hemodynamics of partial and complete aortic occlusion to inform next generation resuscitation techniques and technologies
• Automated variable aortic control vs. complete aortic occlusion in a swine model of hemorrhage
• Direct-site endovascular repair (DSER): A novel approach to vascular trauma
• Design of a cost-effective, hemodynamically adjustable model for resuscitative endovascular balloon occlusion of the aorta (REBOA) simulation
• Damage control resuscitation in patients with severe traumatic hemorrhage: A practice management guideline from the Eastern Association for the Surgery of Trauma
• Emerging Endovascular Therapies for Non-Compressible Torso Hemorrhage
• Partial Resuscitative Endovascular Balloon Occlusion of the Aorta in Swine Model of Hemorrhagic Shock
• Extending resuscitative endovascular balloon occlusion of the aorta: Endovascular variable aortic control in a lethal model of hemorrhagic shock
• Extending the golden hour: Partial resuscitative endovascular balloon occlusion of the aorta in a highly lethal swine liver injury model
• Comparison of AlloDerm and AlloMax tissue incorporation in rats
• Extracorporeal organ support following trauma: the dawn of a new era in combat casualty critical care
• A pilot study of the use of kaolin-impregnated gauze (Combat Gauze) for packing high-grade hepatic injuries in a hypothermic coagulopathic swine model

Long-term Health Outcomes for Combat Soldiers

• Associations of Initial Injury Severity and Posttraumatic Stress Disorder Diagnoses With Long-Term Hypertension Risk After Combat Injury
• Hypertension after injury among burned combat veterans: A retrospective cohort study
• Retrospective Analysis of Long-Term Outcomes After Combat Injury: A Hidden Cost of War

Traumatic Brain Injury

• Neuroimaging of brain trauma
• Perfusion Imaging in Acute Traumatic Brain Injury
• The effect of resuscitative endovascular balloon occlusion of the aorta, partial aortic occlusion and aggressive blood transfusion on traumatic brain injury in a swine multiple injuries model
• Effect of fish oil supplementation in a rat model of multiple mild traumatic brain injuries

Effects of Energy Drink Consumption

• Randomized Controlled Trial of High-Volume Energy Drink Versus Caffeine Consumption on ECG and Hemodynamic Parameters
• The Impact of Acute Energy Drink Consumption on Blood Pressure Parameters: A Meta-Analysis
• Effects of Single and Multiple Energy Shots on Blood Pressure and Electrocardiographic Parameters
• Electrocardiographic and blood pressure effects of energy drinks and Panax ginseng in healthy volunteers: A randomized clinical trial
• Impact of High Volume Energy Drink Consumption on Electrocardiographic and Blood Pressure Parameters
• Air Force Pharmacy Uses Survey to Track Energy Drink Consumption
• Effects of caffeinated versus decaffeinated energy shots on blood pressure and heart rate in healthy young volunteers

Evidence Based Practice/Continuous Process Improvement

• Implementing Evidence-Based Neonatal Skin Care With Parent-Performed, Delayed Immersion Baths
• Improving Performance of Mammographic Breast Positioning in an Academic Radiology Practice

Fitness

• Effectiveness of an Injury Prevention Warm-up for Unit Physical Training: A Case Series of Two Flying Squadrons
• Training for the Air Force fitness assessment: The experience of postpartum women
• Changes in Air Force fitness measurements pre- and post-childbirth
• The effect of heat acclimation on sweat microminerals: Artifact of surface contamination
• Indicators of sequential fitness assessment failures for Travis Air Force Base airmen who attend the Be Well Course

Nutrition

• Reduction of Fasting Blood Glucose and Hemoglobin A1c Using Oral Aloe Vera: A Meta-Analysis
• Impact of avocado-enriched diets on plasma lipoproteins: A meta-analysis
• Effects of oral Aloe vera on electrocardiographic and blood pressure measurements

Hyperbaric Medicine

• Pain improvement in rheumatoid arthritis with hyperbaric oxygen: Report of three cases
• Adjunctive hyperbaric oxygen therapy in the treatment of thermal burns

Facial Procedures

• Patient Preference for Preprocedural Anesthetic Prior to Facial Cosmetic Injectable Fillers
• Serum lidocaine levels and cutaneous side effects after application of 23% lidocaine 7% tetracaine ointment to the face

Cardiovascular Medicine

• Current concepts in repair of extremity venous injury
• Impact of Antihypertensive Agents on Central Systolic Blood Pressure and Augmentation Index: A Meta-Analysis
• Technical and early outcomes using ultrasound-guided reentry for chronic total occlusions
• Quantitative modeling of the accuracy in registering preoperative patient-specific anatomic models into left atrial cardiac ablation procedures
• Impact of enhanced external counterpulsation on Canadian Cardiovascular Society angina class in patients with chronic stable angina: A meta-analysis

International Humanitarian Medicine

• Elective pediatric surgical care in a forward deployed setting: What is feasible vs. what is reasonable
• Imaging of pediatric pathology during the Iraq and Afghanistan conflicts
• Clearly defining pediatric massive transfusion: cutting through the fog and friction with combat data

Military Health Care Practices

• A novel flight surgeon training model at a joint military and civilian surgical residency program
• Sun exposure knowledge and practices survey of maintenance squadrons at Travis AFB
• Efficacy of medical grade honey against multidrug-resistant organisms of operational significance: Part I
• Impact of military physician rank and appearance on patient perceptions of clinical competency in a primary care setting
• Evaluation of type-specific real-time PCR assays using the LightCycler and J.B.A.I.D.S. for detection of adenoviruses in species HAdV-C
• Adolescent caesarean delivery in the US military health care system
• A pilot study describing knowledge and practices in the health care of men who have sex with men by U.S. Air Force primary care providers
• Brain magnetic resonance imaging anomalies in U-2 pilots with neurological decompression sickness
• Adherence to imported fire ant subcutaneous immunotherapy