scholarly journals Air Force Medical Personnel: Perspectives Across Deployment

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1632-e1639
Author(s):  
Brian A Moore ◽  
Willie J Hale ◽  
Jason L Judkins ◽  
Cynthia L Lancaster ◽  
Monty T Baker ◽  
...  

Abstract Introduction Contingency operations during the past 18 years have exposed millions of U.S. military service members to numerous combat and operational stressors. Despite this, a relative dearth of literature has focused on the experiences of deployed military medical personnel. As such, the present study aimed to address this gap in the literature by conducting individual and small group interviews with Air Force medical personnel who had recently returned from a deployment to Iraq. Interviews targeted self-reported factors related to psychological risk and resiliency across the deployment cycle, while also seeking recommendations for future military medical personnel preparing for medical deployments. Materials and Methods Inductive thematic analyses were conducted on transcripts from 12 individual and structured group interviews conducted with recently deployed U.S. Air Force medical personnel (N = 28). An interview script consisting of 18 prompts was carefully developed based on the experiences of study personnel. Two team members (n = 1 research psychologist; n = 1 military medical provider) coded exemplars from interview transcripts. A third team member (research psychologist) reviewed coded exemplars for consistency and retained themes when saturation was reached. Results In total we report on 6 primary themes. Participants reported feeling prepared to conduct their mission while deployed but often felt unprepared for the positions they assumed and the traumas they commonly experienced. Most participants reported deployment to be a rewarding experience, citing leader engagement, and social support as key protective factors against deployment-related stressors. Finally, following deployment, participants largely reported positive experiences reintegrating with their families but struggled to reintegrate into their workplace. Conclusion Findings from the present study indicate that the military is largely doing a good job preparing Air Force medical providers to deploy. Results of the present study indicate that military medical personnel would benefit from: (1) increased predictability surrounding deployment timelines, (2) improved cross-cultural training, (3) advanced training for atypical injuries in unconventional patient populations, and (4) improvements in postdeployment workplace reintegration. The present research has the potential to positively impact the overall quality of life for deploying military service members and their families; while simultaneously highlighting the successes and shortfalls in the deployment process for U.S. military medical personnel.

2020 ◽  
pp. 0095327X2091839
Author(s):  
Robert Ralston ◽  
Matthew Motta ◽  
Jennifer Spindel

Are Americans aware and concerned about White nationalism in the U.S. Military? Our large and demographically representative survey suggests that while most Americans suspect at least some presence of White nationalism in the military, many do not view it as a serious problem; particularly self-identified conservatives and respondents who hold highly favorable views toward military service members. However, in a between-/within-subjects experiment embedded in our survey, we show that providing information about the issue of White nationalism in the U.S. Military increases the public’s overall concern about White nationalism in the U.S. Military.


2014 ◽  
Vol 179 (9) ◽  
pp. 990-997 ◽  
Author(s):  
Michael McCrea ◽  
Kevin Guskiewicz ◽  
Selina Doncevic ◽  
Katherine Helmick ◽  
Jan Kennedy ◽  
...  

Author(s):  
Stephen F. Curran ◽  
Elizabeth O. Holt ◽  
Joseph H. Afanador

Over two million United States military service members have served in the theaters of Iraq and Afghanistan since 2001. Many of these military service members are seeking employment in law enforcement upon discharge from active duty. The skills acquired from military service are complementary to many of the essential job functions of a law enforcement officer, thus a natural fit. In addition, military reserve police officers have seen activations for deployment to combat regions. These National Guard and Reserve service members make a rapid transition from military fatigues to a police uniform upon their return from deployment. After outlining the scope of the military deployment cycle, reintegration programs and preemployment assessment challenges are described in this chapter. The comprehensive description will provide psychologists working with law enforcement and related public safety agencies the necessary tools for both assessing and supporting the success of those reintegrating to their law enforcement careers.


2017 ◽  
Vol 23 (3) ◽  
pp. 172-175
Author(s):  
Brenda Elliott

Nursing is a profession that affords many avenues in which to practice. Nurses who are married to military service members have unique challenges as they progress through their careers. A military spouse shares a personal perspective of challenges and insight on how to overcome and persevere that may be relevant to others within the greater nursing community.


2018 ◽  
Vol 10 (3) ◽  
pp. 352-359 ◽  
Author(s):  
Philip Held ◽  
Randy A. Boley ◽  
Niranjan S. Karnik ◽  
Mark H. Pollack ◽  
Alyson K. Zalta

2020 ◽  
Vol 13 (2) ◽  
pp. 133-137
Author(s):  
Andrew C. Jenzer ◽  
Bradley P. Storrs ◽  
Zachary Daniels ◽  
Jeremy J. Hanlon

Background and Overview: Gunpowder inclusion injuries are rare occurrences in the civilian sector but are more frequently encountered in the military setting. The authors report a case series of 3 active duty military service members treated by an Army hospital’s Oral & Maxillofacial Surgery service for the removal of embedded gunpowder particles so as to avoid traumatic tattooing. Case Description: Three otherwise healthy active duty military service members were treated for gunpowder inclusion injuries incurred while conducting live fire training exercises at a state-side military installation between 2018 and 2019. All 3 males presented with injuries of the same etiology: Their weapons malfunctioned, and while visually inspecting the action, a round exploded close to the face. This peppered the face with gunpowder particles that were both superficially and deeply embedded. Treatment focused on individual removal using fine forceps. The patients were followed up and healed quickly without any complications, specifically without traumatic tattooing from the gunpowder injuries. Conclusion and Practical Implications: Gunpowder inclusion injuries should be addressed quickly to remove the particles before epidermal healing occurs, thus avoiding the complication of traumatic tattooing. This surgical team recommends meticulous fine forceps removal as the treatment of choice for larger particles.


Author(s):  
Ann I Scher ◽  
David W Niebuhr ◽  
Darrell Singer

This chapter explores the opportunities and challenges in conducting epidemiologic research among US military personnel. The US military represents a unique opportunity for neurological and neuropsychiatric epidemiology. Comprised of a subset of the US population, military service members represent an open cohort who are exposed to a variety of occupational, physical, and psychological environments. While pre-accession socioeconomic status of individual military service members may vary, once in service, employment benefits and social support, including healthcare, are highly standardized. These attributes offer both strengths and constraints when conducting epidemiologic research among the military. Challenges (or possibly opportunities) associated with studying military populations include demographics, the ‘healthy warrior’ effect, and access. Meanwhile, opportunities include capture of medical encounter data in a standardized way as well as the size of the population, which makes it feasible to study relatively rare conditions. Indeed, the economic and ethnic diversity of the US military enhances the ability to study population subgroups. While the military population is predominantly young men, this is also a strength as young men are often under-represented in civilian population studies.


Author(s):  
Glenn W. Parkinson ◽  
Martin S. Chin

Sexual health and intimacy are universal aspects of the human experience that are deeply influenced by culture and community. Unique attributes of the military culture can impact the thoughts and feelings of service members and veterans. These thoughts and feelings may include those about sexuality or self-concept as sexual beings. It is critical to have an understanding of these issues, both policy-driven and cultural, when assessing or treating military service members. This chapter explores some historical, cultural, and policy issues that make military community and culture unique. Special consideration is given to lesbian, gay, bisexual, and transgender (LGBT) issues in this context. The background provided can serve as a context for clinicians trying to understand how military culture influences sexual health and intimacy.


PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0257539
Author(s):  
Chiping Nieh ◽  
James D. Mancuso ◽  
Teresa M. Powell ◽  
Marleen M. Welsh ◽  
Gary D. Gackstetter ◽  
...  

U.S. military Service members have consistently smoked more than the general population and the prevalence of smoking is even higher among U.S. veterans. Our study examined cigarette smoking patterns among Service members before and after military separation to better understand the disproportionate rate of smoking among veterans. Data from the Millennium Cohort Study were used. All study participants were in the military at baseline and some transitioned from the military to civilian life during the observation period. We investigated any impact of military separation on smoking, as well as other potential risk factors for smoking. Overall, we observed higher smoking prevalence among veterans than Service members. Additionally, we found that Service members smoked more while approaching their separation from the military. Longitudinal analysis revealed military separation was not a risk factor for smoking, as we had hypothesized. Baseline smoking was the most influential predictor of current smoking status. Other significant factors included alcohol consumption, life stressors, and mental health conditions, among others. Military separation was not a risk factor for smoking. However, Service members in the process of transitioning out of the military, as well as high alcohol consumers and Service members with mental health conditions, may be at higher risk of smoking. Including smoking prevention/cessation programs in pre-separation counseling sessions and developing smoking screening and cessation programs targeting specific high-risk subgroups may reduce smoking among Service members and veterans.


2020 ◽  
Vol 185 (11-12) ◽  
pp. e1968-e1976
Author(s):  
Casey L Straud ◽  
Brian A Moore ◽  
Willie J Hale ◽  
Monty Baker ◽  
Cubby L Gardner ◽  
...  

ABSTRACT Introduction Suicide is a significant problem in the U.S. military, with rates surpassing the U.S. general population as of 2008. Although there have been significant advances regarding suicide risk factors among U.S. military service members and veterans, there is little research about risk factors associated with suicide that could be potentially identified in theater. One salient study group consists of service members who receive a psychiatric aeromedical evacuation out of theater. The primary aims of this study were as follows: (1) determine the incidence of suicide-related aeromedical evacuation in deployed service members, (2) identify demographic and military characteristics associated with suicide-related aeromedical evacuation, and (3) evaluate the relationship between suicide-related aeromedical evacuation from a deployed setting and military separation. Materials and Methods This was an archival analysis of U.S. Transportation Command Regulating and Command and Control Evacuation System and Defense Manpower Data Center electronic records of U.S. military service members (N = 7023) who were deployed to Iraq or Afghanistan and received a psychiatric aeromedical evacuation out of theater between 2001 and 2013. χ2 tests of independence and standardized residuals were used to identify cells with observed frequencies and proportions, respectively, that significantly differed from what would be expected by chance. In addition, odds ratios were calculated to provide context about the nature of any significant relationships. Results For every 1000 psychiatric aeromedical evacuations that occurred between 2001 and 2013, 34.4 were suicide related. Gender, ethnicity, branch of service, occupation classification, and deployment theater were associated with suicide-related aeromedical evacuation (odds ratios ranged from 1.37 to 3.02). Overall, 53% of all service members who received an aeromedical evacuation for any psychiatric condition had been separated from the military for a variety of reasons (both voluntary and involuntary) upon record review in 2015. Suicide-related aeromedical evacuation was associated with a 37% increased risk of military separation compared to evacuation for another psychiatric condition (P < 0.02). Conclusions Findings provide novel information on risk factors associated with suicide-related aeromedical evacuation as well as military separation following a suicide-related aeromedical evacuation. In many cases, the psychiatric aeromedical evacuation of a service member for suicidal ideations and their subsequent separation from active duty is in the best interest of the individual and the military. However, the evacuation and eventual military separation can be costly for the military and the service member. Consequently, the military should focus on indicated prevention interventions for individuals who show sufficient early signs of crisis and functional problems so that specialized interventions can be used in theater to prevent evacuation. Indicated prevention interventions should start with leaders’ awareness and mitigation of risk and, when feasible, evidence-based interventions for suicide risk provided by behavioral health (eg, brief cognitive behavioral therapy for suicide). Future research should evaluate the feasibility, safety, and efficacy of delivering suicide-related interventions in theater.


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