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Opportunity at U.S. Army Medical Research & Materiel Command (AMRMC)

Combat Casualty Care Research for the Prehospital Setting

Location

U.S. Army Institute of Surgical Research, US Army Institute of Surgical Research

RO# Location
97.40.00.B8491 Fort Sam Houston, TX 782346315

Advisers

Name E-mail Phone
Ryan, Kathy L. kathy.l.ryan.civ@mail.mil 210.539.4366

Description

In the current wars, most potentially survivable deaths have occurred in the prehospital setting; hemorrhage and failure to manage airways properly are the first and second leading causes of death on the battlefield. Highly skilled medical personnel are often not found in this setting. Our laboratory focuses on providing new knowledge, procedures, devices and drugs that would enable combat medics to improve survivability on the battlefield, particularly in the case in which a casualty cannot be transported through traditional levels of care (i.e., prolonged field care), Our laboratory currently focuses on (1) understanding the pathophysiological sequelae of obstructed airways and developing new airway management tools; (2) testing currently used battlefield analgesics, as well as developing analgesics to determine cardiovascular effects of these drugs during hemorrhage; (3) prevention of acute kidney injury following ischemia/reperfusion (e.g., hemorrhage/resuscitation; crush injury; prolonged tourniquet use); and (4) prevention of brain injury in polytrauma models (e.g., blast injury + hemorrhage). We use retrospective analyses of battlefield casualty databases to define research problems and then design experiments to address these issues. We develop both large and small animal models, which are then used for testing devices and drugs. While the current foci of research are listed above, it should be noted that we are responsive to the research needs of the Committee on Tactical Combat Casualty Care and additional research aims may be pursued. The eventual goal of the laboratory is to reduce morbidity and mortality in the prehospital setting following traumatic injury.

 

References

Nawn CD, et al: Distinguishing tracheal and esophageal tissues with hyperspectral imaging and fiber-optic sensing. Journal of Biomedical Optics 21(11): 1 7004, 2016

 

Keywords:
Pain; Cardiovascular physiology; Analgesia; Airway management; Hemorrhage; Respiratory physiology; acute kidney injury; blast injury

Eligibility

Citizenship:  Open to U.S. citizens, permanent residents and non-U.S. citizens
Level:  Open to Postdoctoral and Senior applicants
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