Imaging capabilities of fractures for a light maneuver medical team: A case report and review of current literature

Authors

DOI:

https://doi.org/10.5055/ajdm.0498

Keywords:

operational medicine, expeditionary medicine, field medicine, field radiography, improvised radiography, X-ray

Abstract

This case study highlights the critical need for radiographic imaging in the military medical field, especially for diagnosing orthopedic injuries. The absence of on-site X-ray equipment can lead to patient transport, resource expenditure, and misdiagnosis. This study presents a practical solution through the use of lightweight and portable X-ray systems, as employed by explosive ordnance disposal teams, which not only reduce transport time and resources but also offer high-quality imaging with low radiation risk. Alternative diagnostic tools like ultrasound are also discussed, emphasizing their limitations in terms of user-dependency and precision. In conclusion, the adoption of portable X-ray systems can significantly enhance patient safety, diagnostic capabilities, and overall force readiness in forward-deployed medical teams.

 

Author Biographies

LT Shane A. Green, BSN, NC USN

Naval Hospital Bremerton, USN Hospital, Bremerton, Washington

CAPT Ulrich H. Schmidt, MD, MC USNR

Department of Anesthesiology, University of California, San Diego, California

CAPT Mark R. DeBuse, MD, MC USN

Department of Emergency Medicine, Walter Reed National Military Medical Center, Bethesda, Maryland

CDR Ernest F. Block, MD, MC USNR

Department of Trauma and Acute Care Surgery, HCA Florida Osceola Hospital, Kissimmee, Florida

References

Cross JD, Ficke JR, Hsu JR, et al.: Battlefield orthopaedic injuries cause the majority of long-term disabilities. Am Acad Orthop Surg. 2011; 19: S1-S7. DOI: 10.5435/00124635-201102001-00002. DOI: https://doi.org/10.5435/00124635-201102001-00002

Recker AJ, Danelson K, Coates KE: Forward surgical teams as a model for humanitarian orthopedic surgical care: A review of current literature. Mil Med. 2021; 186(5-6): e505-e511. DOI: 10.1093/milmed/usaa451. DOI: https://doi.org/10.1093/milmed/usaa451

Golden Engineering Portable X-ray Technology: XR150 20V X-ray generator making the unseen seen. 2023. Available at https://safe.menlosecurity.com/doc/docview/viewer/docN30CC607D19D09d7b701a1694b42fb1961851b7220b7eed14fd46acd52216ab3a79c18d21e299. Accessed June 2023.

Opnav Instruction 3501.408: Available at https://www.secnav.navy.mil/doni/Directives/03000%20Naval%20Operations%20and%20Readiness/03-500%20Training%20and%20Readiness%20Services/3501.408.pdf. Accessed June 2023.

Walsh RS: MCRP 3-40A.5 health service support field reference guide. 2018. Available at https://www.marines.mil/News/Publications/MCPEL/Electronic-Library-Display/Article/1133355/mcrp-3-40a5/. Accessed June 2023.

Howard CM, Veach S, Lyon RF, et al.: Making use of your assets: Clinical use of EOD radiography in the forward-deployed setting. J Spec Oper Med. 2021; 21(1): 87. DOI: 10.55460/oj79-kowi. DOI: https://doi.org/10.55460/OJ79-KOWI

NRC Web: Doses in our daily lives. 2022. Available at https://www.nrc.gov/about-nrc/radiation/around-us/doses-daily-lives.html. Accessed November 1, 2023.

Endara-Mina J, Kumar H, Ghosh B, et al.: Comparative use of ultrasound and radiography for the detection of fractures: A systematic review and narrative synthesis. Ann Med Surg. 2023; 85(10): 5085-5095. DOI: 10.1097/ms9.0000000000001229. DOI: https://doi.org/10.1097/MS9.0000000000001229

Published

12/31/2024

How to Cite

Green, S. A., U. H. Schmidt, M. R. DeBuse, and E. F. Block. “Imaging Capabilities of Fractures for a Light Maneuver Medical Team: A Case Report and Review of Current Literature”. American Journal of Disaster Medicine, vol. 19, no. 4, Dec. 2024, pp. 359-62, doi:10.5055/ajdm.0498.

Issue

Section

Case Studies