~ SSRsi's Hospital Procedures Page ~
Most of the medical techniques described here require extremely advanced training, if not an actual degree in medicine. It is not advised for the lay person to even attempt most of the information presented.

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Most of the medical techniques described here require extremely advanced training, if not an actual degree in medicine. It is not advised for the lay person to even attempt most of the information presented. HOWEVER, if there is enough interest in these topics (and provided I can find enough articles online), this section may be broken up into component pages for greater detail.

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MD0064 - INTRODUCTION TO RADIOLOGY With the complexity and expense of modern x-ray machines, and the potential risk to patients of incorrectly performed procedures, technologists must have a working knowledge of fundamental principles of anatomy, physiology, and radiation protection. In addition, technologists must understand certain aspects of math, physics, biology, computers, photographic processing, ethics and law, and much more. As a consequence of the broad-ranging knowledge required of technologists, the curriculum of schools of radiologic technology is very structured. This subcourse examines not only some of the reasons for this complexity and structure, but some of the important organizations involved in the continuing education of students and credentialing of technologists and training programs.

Dr. Quinn's Online Textbook of Otolaryngology: Grand Rounds Archive - 1995 - Present. See also "Earlier Grand Rounds - 1989-95" Most of these are available as pdf, doc, html text and/or slide shows. Great resource!

Military Medicine
Flight Surgeon Handbook 2nd edition, Society of US Naval Flight Surgeons
Flight Surgeon Manual 3rd edition, NAMI
Naval Flight Surgeon's Pocket Reference to Aircraft Mishap Investigation 5th edition, US Naval Safety Center - also in PDF [Links updated 6/21/11]
Performance Maintenance During Continuous Flight Operations - A Guide for Flight Surgeons: NAVMED P-6410, NSAWC (PDF)  [Links updated 6/21/11]
Textbook of Military Medicine: Medical Aspects of Harsh Environments - Volume 2, US Army and Volume 1
 
Biological Warfare
Defense Against Toxin Weapons, US Army
Field Management of Chemical Casualties Handbook 2nd Edition, USAMRICD (PDF)
Medical Management of Biological Casualties 6th Edition, USAMRIID - also 5th Ed Blue Book
NATO Handbook on the Medical Aspects of NBC Defensive Operations: NAVMED P-5059 | AFJMAN 44-151 | FM 8-9, US DOD - Part I, Part II, Part III
Textbook of Military Medicine: Medical Aspects of Chemical and Biological Warfare, US Army
Treatment of Biological Warfare Agent Casualties: NAVMED P-5042 | MCRP 4-11.1C | AFJMAN 44-156 | FM 8-284, US DOD (PDF) + updates
 
Chemical Warfare
Field Management of Chemical Casualties Handbook 2nd Edition, USAMRICD (PDF)
Medical Management of Chemical Casualties Handbook 3rd Edition, USAMRICD
NATO Handbook on the Medical Aspects of NBC Defensive Operations: NAVMED P-5059 | AFJMAN 44-151 | FM 8-9, US DOD - Part I, Part II, Part III
Textbook of Military Medicine: Medical Aspects of Chemical and Biological Warfare, US Army
Treatment of Chemical Agent Casualties and Conventional Military Chemical Injuries: NAVMED P-5041 | FMFM 11-11| AFJMAN 44-149 | FM 8-285 
 
General Medicine and Surgery
Armed Services Blood Program Joint Services: NAVMED P-6530, US Navy (PDF)  [Link updated 6/21/11]
Emergency War Surgery 3rd edition, US DOD - also in PDF (as a ZIP file)
Field Medical Service School Student Handbook, USMC
Guidelines for the Treatment of Sexually Transmitted Disease 2002, CDC - also in PDF  
Hospital Corpsman Sickcall Screener's Handbook, US Navy
Independent Duty Medical Technician Medical and Dental Treatment Protocols, USAF (PDF)
Prevention and Management of Sexually Transmitted Diseases: BUMEDINST 6222.10B, US Navy (PDF) [Link updated 6/21/11]
Ship's Medicine Chest, US Coast Guard - also in PDF [Link updated 6/21/11]
Shipwreck's Go-By Physical Examination Guide 2nd edition, US Navy

MD0353-ANESTHESIA APPARATUS One of the missions of the Army Medical Department is to provide medical support to the combat soldier under field conditions. Most clinical medical equipment is not rugged enough to survive the field environment, so field medical equipment was designed. The Ohmeda 885A Anesthesia Apparatus is a field anesthesia unit which is rugged, portable, and self-contained. It is your job to keep it operationally efficient. The material in this subcourse covers the preventive maintenance checks and services (PMCS), routine maintenance, calibration and verification, and repair procedures you use to accomplish this task.

MD0362-DEFIBRILLATOR MONITOR In this subcourse, you will learn how to service and repair the Medical Research Laboratories (MRL) Porta Pak 90 defibrillator/monitor. This system is an extremely portable, full-function electrocardiograph (ECG) monitor/defibrillator. It can be used as an emergency, bedside, office surgery, or 12-lead diagnostic ECG monitor/recorder. 

High Altitude Medicine
Medical Problems in High Mountain Environments: A Handbook for Medical Officers, USARIEM (PDF)  [Link updated 6/21/11]
Textbook of Military Medicine: Medical Aspects of Harsh Environments - Volume 2, US Army
 
Hot Weather Medicine
Heat Illness: A Handbook for Medical Officers, USARIEM [Link updated 6/21/11]
Heat Stress Control and Heat Casualty Management, USARIEM (PDF) [Link updated 6/21/11]
Textbook of Military Medicine: Medical Aspects of Harsh Environments - Volume 1, US Army
 
Humanitarian Medicine | Operations Other Than War
Famine-Affected, Refugee, and Displaced Populations: Recommendations for Public Health Issues, CDC
HA Multiservice Procedures for Humanitarian Assistance Operations: FM 100-23-1, US Army  [Link updated 6/21/11]
 
Medical Lab

MD0841-PARASITOLOGY I Parasitic infection can greatly interfere with a soldier's ability to complete his mission. The presence of parasites in a soldier's system can not only interfere with his ability to function, but also can make him susceptible to certain diseases. Since soldiers may serve in most areas of the world, you must be able to identify parasites that are found in the various parts of the globe. In your job as a medical laboratory specialist, you will perform a variety of test procedures on samples taken from humans. Some of these samples will include feces and tissue scrapings used in the diagnosis and treatment of parasitic infection. Therefore, you must be knowledgeable in several areas of parasitology. The knowledge you will need is reflected in the two subcourses you are about to study. Subcourses MD0841, Parasitology I, and MD0842, Parasitology II, address areas of particular importance in parasitology. Subcourse MD0841, Parasitology I, will give you a basic background in parasitology. An overview of parasitology; safety and quality control in the parasitology laboratory; taxonomy of parasites infecting humans; and microscopy are presented in this subcourse.

MD0842-PARASITOLOGY II The focus of this subcourse is the identification forms and life cycles of parasites which infect humans. Organisms which will be discussed include parasitic members of Phylum Protozoo, Platyhelminthes, Aschelminthes, and Acanthocephahelminthes. You will be provided with descriptions of the general characteristics of the phylum and detailed illustrations of the cycle forms of significant members of the phylum. This subcourse is the second of two subcourses which discuss parasitology. In Parasitology I, an overview of parasitology and information for the collection, preservation, and processing of clinical specimens were presented. The material provided in this subcourse will build on that information. It contains information that will help you gain knowledge and skill in the identification of human parasites. It does not attempt to cover parasitology in depth but is only intended to guide you toward becoming competent in the field. For your further learning a bibliography of supplemental sources of parasitology information is included in Appendix B.

MD0845-IMMUNOHEMATOLOGY AND BLOOD BANKING I Blood for transfusion is a biologically active, therapeutic substance. It has specific effects on the human organism and dosage requirements just as any other therapeutic substance. Blood differs, however, from other biologicals in that it must be
obtained from healthy individuals of the human race. At our present state of knowledge, human whole blood is a perishable substance, and being derived from human beings, must be collected in thousands of widely spread laboratories rather than being produced in a handful of qualified and well regulated laboratories. The responsibilities of those who collect, process, and issue whole blood for transfusion are tremendous. Subcourse MD0845, Immunohematology and Blood Banking I, will give you a
basic background and provide you with information concerning blood collection, processing, storage and shipment, and immunogenetics.

MD0846-IMMUNOHEMATOLOGY AND BLOOD BANKING II Blood transfusion attempts are recorded as far back as the 16th century. At first, animal blood was transfused to humans. Later, human blood was used. However, facts concerning the characteristics of even human blood were not known, and these early transfusions frequently caused severe reactions, and often death. It can be readily seen that immunohematology is a relatively new medical area, if one stops to consider that Landsteiner discovered three of the four blood groups in the ABO system in 1900. A year later the fourth blood group was discovered, but it was not until 1937 that the Rh factor was discovered. Since that time, tremendous strides have been made in the field of hematology and blood banking. The safety of blood transfusion is directly proportional to the knowledge, skill, and sense of responsibility of the laboratory technicians. It is not sufficient to establish appropriate procedures and techniques. Continuous instruction and training are required, to assure highest quality and safety in performance of blood bank procedures. That is why, in this subcourse, instruction is concerned with immunohematology, the newborn, and blood transfusion for such.

MD0852-URINALYSIS Due in part to the development of multiple reagent strips (dipstix) for urinalysis, more laboratory tests are now performed each year on urine than on any other body fluid. A typical urinalysis includes tests for glucose, protein, pH, ketone bodies, bilirubin, occult (unseen) blood, urobilinogen, and specific gravity and microscopic examination of urinary sediment. Many common abnormalities can be recognized by urine studies. Urine tests are the method of choice to monitor the treatment of diabetes. Urine is an excretion product, but it is usually clean and sterile. Its chief components are urea, sodium chloride, and water. The stench of stale urine is largely due to the decomposition of urea to ammonia by bacteria. The odor of fresh urine is not unpleasant to most persons. Urine is not a significant source of infection. The disagreeable characteristics arising from decomposition can usually be avoided. This subcourse will focus on the analysis of urine. The contents of the text will present and discuss the topics outlined above. However, you should remember that the subcourse is not intended to provide you with all that is known about urinalysis. For this reason, you should read other texts and journals, discuss the subcourse contents with your fellow workers and supervisors, and search other sources of knowledge to expand your knowledge of this important topic. 

Nuclear Warfare and Radiation Safety
Initial Management of Irradiated or Radioactively Contaminated Personnel: BUMEDINST 6470.10B, US Navy (PDF) [Link updated 6/21/11]
Medical Management of Radiological Casualties 2nd Edition, AFRRI (PDF)
NATO Handbook on the Medical Aspects of NBC Defensive Operations: NAVMED P-5059 | AFJMAN 44-151 | FM 8-9, US DOD - Part I, Part II, Part III
Pocket Guide to Terrorism With Ionizing Radiation, AFRRI (PDF) [Link updated 6/21/11]
Radiation Health Protection Manual: NAVMED P-5055, US Navy (PDF) [Link updated 6/21/11]
 
Nutrition
Force Health Protection: Nutrition and Exercise Resource Manual, USUHS [Link updated 6/21/11]
Nutrition for Health and Performance: Nutritional Guidance For Military Field Operations in Temperate and Extreme Environments, USARIEM (PDF) [Link updated 6/21/11]
Peak Performance Through Nutrition and Exercise, USUHS [Link updated 6/21/11]
 
Obstetrics and Gynecology | Women's Health
Operational Obstetrics & Gynecology 2nd Edition, US Navy and Textbook
Surgical Emergencies in Obstetrics and Gynecology, US Navy
 
Occupational Medicine
Emergency Response Guidebook, PHMSA - also in PDF [Links updated 6/21/11]
Emergency Response to Terrorism, FEMA (PDF) [Link updated 6/21/11]
Pocket Guide to Chemical Hazards, NIOSH - also in PDF [Links updated 6/21/11]
 
Ophthalmology
Prevention and Medical Management of Laser Injuries: FM 8-50, US Army - also in PDF [Links updated 6/21/11]
Textbook of Military Medicine: Ophthalmic Care of the Combat Casualty, US Army
 
Pediatrics
Pediatric Emergency Manual, USAF (PDF)

MD0355-PORTABLE VENTILATOR Most of the respirators and ventilators available on the market are designed for use with adults and provide volumes and pressures compatible with large, well developed lungs. When treating respiratory problems in children and infants, these units are too powerful, and it is difficult to adjust them for the volumes and pressures suitable for small, weak, or malformed lungs. To treat infant respiratory distress syndrome and other disorders in newborns, physicians needed a volume limited positive/negative pressure ventilator. The Babybird 5900 Pediatric Ventilator was developed to meet that need. Like any other pulmonary assistance device, the Babybird demands careful preventive maintenance and checks (PMCS) for accuracy and dependability.

Pharmacology

md0804-PHARMACOLOGY I A patient who visits a physician or physician extender frequently receives a prescription for a medication. That prescription is brought to the pharmacy to be filled. The patient expects professional attention at the pharmacy. Part of that expectation involves any caution or warning the patient should heed while taking the medication. In your role you will serve as a source of drug information. Patients and friends will ask you specific questions concerning the use of prescription and over-the-counter medications. You must know the trade and generic names of literally hundreds of medications. Furthermore, you must know the cautions and warnings associated with many agents. How are you to know this information about drugs? Certainly you have had instruction which presented the basics of anatomy, physiology, and pharmacology. This instruction has given you a sound foundation for learning more in these areas. This subcourse will present instruction in anatomy, physiology, and pharmacology. The material in anatomy and physiology is included to refresh your memory or to give you additional information so you can better understand the pharmacology material. This subcourse is not intended to be used as an authoritative source of drug information. As you know, new drugs are constantly being discovered and new uses for existing drugs are being found through research. Therefore, you must rely upon this subcourse to review concepts or to learn new information. You are then to use other sources (see lesson 1 of this subcourse) to gain new information as it is discovered.

MD0805, Pharmacology II, is intended to give you a review of certain essential anatomical and physiological concepts important to pharmacology and to introduce six categories of drugs. The review of anatomy and physiology should help you gain a better understanding of how the drugs work in the body and how they produce the side effects that are commonly associated with their use. Remember that this subcourse is not intended to be used as an authoritative source of drug information. New drugs are being discovered and new uses for existing drugs are being found through research. Therefore, you should rely on this subcourse to review concepts or to learn new information. You should then use other sources (see MD0804, Pharmacology I--Lesson 1) to gain additional information which will help you to do your job in a better way.

md0806-PHARMACOLOGY III Drugs that act upon the respiratory system, cardiovascular system, or urinary system are frequently dispensed in both military and civilian pharmacies. This is because conditions that affect these systems (that is, hypertension affecting the cardiovascular system) affect many people. Consequently, it is imperative that you have an understanding of these systems and the drugs that act on them. As with MD0804, Pharmacology I, and MD0805, Pharmacology II, anatomy, physiology, and pharmacology are presented in a combined perspective in this subcourse. This is done in order to help you to understand and remember the actions, uses, side effects, and patient warnings associated with the drugs included in the lessons. You should remember that this subcourse is not intended to replace accepted references in anatomy, physiology, or pharmacology. Instead, it is designed to help you gain a background in these areas so that you may continue learning in a self-directed manner. You are encouraged to read pertinent journals, study pharmacology texts, and talk to fellow health-care professionals in order to learn more about the topics presented in this subcourse.

MD0807-PHARMACOLOGY IV In this subcourse, MD0807, other systems of the body (for example, the digestive system) and the drugs used to treat conditions of those systems will be discussed. As
in the other pharmacology subcourses, you will be provided background material in anatomy, physiology, and pathology in order to help you learn about the specific drugs discussed in the subcourse. Remember, this subcourse is not intended to be used as an authoritative source of drug information. As you know, new drugs are being discovered and new uses for existing drugs are being found through research. Therefore, this subcourse can serve as a means for your review or initial learning of pharmacological concepts. You are strongly encouraged to use other references (see MD0804, Pharmacology I) to gain additional information which will help you to do your job in a better way. Knowing more about pharmacology can help you to better serve your patients.

Preventive Medicine
Field Hygiene and Sanitation: FM 21-10 | MRCP 4-11.1D, US Army and USMC (PDF) [Link updated 6/21/11]
Guide to Clinical Preventive Services 2005, USPSTF - also in PDF
Manual of Naval Preventive Medicine: NAVMED P-5010, US Navy [Link updated 6/21/11]
Personal Protective Measures Against Insects and Other Arthropods of Military Significance, AFPMB - also in PDF
Put Prevention into Practice, USPSTF
US Navy Shipboard Pest Control Manual, US Navy (PDF) [Link updated 6/21/11]

md0170-ARTHROPOD IDENTIFICATION AND SURVEYS II Each year, advances in modern technology and research reduce the incidence of disease in humans. Disease is still a problem, however, in many areas of the world, principally in underdeveloped countries. Arthropods play an active role in this problem as they are the primary vectors of disease. In many cases, the success of disease eradication depends upon a knowledge of the arthropod vector. It is imperative, then, that those individuals dealing with arthropod-borne diseases be able to identify medically important arthropods. Neither survey, collection, nor control programs can possibly be effective unless an individual knows what to look for and where to find it. The preventive medicine specialist, therefore, must be familiar with the bionomics (biology, behavior, and ecology) of a wide range of arthropod pests. A knowledge of the habits and habitats of medically important arthropods is a necessary basis for further entomological work. The objective of this subcourse is to provide the foundation required to develop field competence in medical entomology. Use of this information properly wiII assure success in survey, collection, and control of medically important arthropods.

md0171-ARTHROPOD CONTROL Arthropods are bilaterally symmetrical animals that have an exoskeleton and have jointed appendages. They comprise the largest group of animals in the world. However, the importance of this group of animals is not necessarily due to its size, but the diversity that exists among the many species. Because of this great diversity in structure and function, representatives of the arthropod world have been able to live in almost any environment found in the world and have been able to utilize a variety of items as sources of food. Unfortunately, some of these sources of food are often ornamental and food crops, livestock, pets, homes, and even humans. The potential problems are further complicated when we consider that arthropods may be carriers of diseases and may, themselves, be noxious due to irritating substances they produce or the venom they inject. The purpose of this subcourse is to instruct you in preventive and remedial control measures that you may employ to avoid, reduce, or eliminate the harmful effects of arthropods.

MD0172-RODENT BIOLOGY, SURVEY, AND CONTROL In order that we be prepared to handle rodent problems, we must first know something of the rodent's biology. It is the objective of this subcourse to provide the knowledge necessary to identify the murine rodents of military importance, survey to determine the degree of infestation, and control the rodent population in a given area.

Psychiatry
Battle Fatigue - Normal, Common Signs What to Do for Self & Buddy: GTA 21-3-4, US Army [Link updated 6/21/11]
Battle Fatigue - "More Serious" Signs Leader Actions: GTA 21-3-5, US Army [Link updated 6/21/11]
Battle Fatigue - Company Leader Actions and Prevention: GTA 21-3-6, US Army [Link updated 6/21/11]
Combat Stress: MCRP 6-11C | NTTP 1-15M | FM 90-44/6-22.5, US DOD (PDF)
Combat Stress Control in a Theater of Operations Tactics, Techniques and Procedures: FM 8-51, US Army - also in PDF [Link updated 6/21/11]
Leader's Manual for Combat Stress Control: FM 22-51, US Army - also in PDF [Link updated 6/21/11]
Planning for Health Service Support: FM 8-55, US Army - also in PDF [Link updated 6/21/11]
Textbook of Military Medicine: War Psychiatry, US Army
 
Travel and Tropical Medicine
Health Information for International Travel: Yellow Book 2010, CDC [Link updated 6/21/11]
Navy Medical Department Pocket Guide to Malaria Prevention and Control: NEHC-TM PM 6250.1, NEHC (PDF) [Link updated 6/21/11]
 
Undersea Medicine
Diving Manual Revision 6, US Navy [Link updated 6/21/11]
 
For medical information
MedicalStudent.com - a digital library of authoritative medical information for all students of medicine
Anatomy Atlases - a digital library of anatomy
 
For pediatric information
GeneralPediatrics.com - the general pediatrician's view of the Internet
PediatricEducation.org - a pediatric digital library and learning collaboratory intended to serve as a source of continuing pediatric education
PediatricRadiology.com - a pediatric radiology and pediatric imaging digital library
Virtual Pediatric Hospital - a digital library of pediatric information
 
For radiology information
RadiologyEducation.com - a digital library of radiology education resources
PediatricRadiology.com - a pediatric radiology and pediatric imaging digital library

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