Military Experience Research Articles

Civilian walking blood bank emergency preparedness plan.

The current global pandemic has created unprecedented challenges in the blood supply network. Given the recent shortages, there must be a civilian plan for massively bleeding patients when there are no blood products on the shelf. Recognizing that the time to death in bleeding patients is less than 2h, timely resupply from unaffected locations is not possible. One solution is to transfuse emergency untested whole blood (EUWB), similar to the extensive military experience fine-tuned over the last 19 years. While this concept is anathema in current civilian transfusion practice, it seems prudent to have a vetted plan in place. During the early stages of the 2020 global pandemic, a multidisciplinary and international group of clinicians with broad experience in transfusion medicine communicated routinely. The result is a planning document that provides both background information and a high-level guide on how to emergently deliver EUWB for patients who would otherwise die of hemorrhage. Similar plans have been utilized in remote locations, both on the battlefield and in civilian practice. The proposed recommendations are designed to provide high-level guidance for experienced blood bankers, transfusion experts, clinicians, and health authorities. Like with all emergency preparedness, it is always better to have a well-thought-out and trained plan in place, rather than trying to develop a hasty plan in the midst of a disaster. We need to prevent the potential for empty shelves and bleeding patients dying for lack of blood.

Archetype Profiles of Military Spouses in Australia–Identifying Perfect Partners and Mean Girls

Military spouses are situated at the junction of the military and civilian worlds. They provide necessary support to military strategic and operational objectives and are also expected to perform a traditional spousal role of the ‘good’ military wife. This article demonstrates the existence of strong military partner archetypes which guide military community norms and expectations of spousal behaviour. In 14 qualitative interviews and five focus groups with Australian military partners, participants revealed many different, yet firm, sentiments related to identity, including fierce independence; a sense of belonging; self-reliance; a desire to help others; belief in fairness and pragmatism. The archetypes outlined in this article shape how partners see their role, and how they interact with other non-military partners and the military organization. This research delivers insights into optimizing military partner services to better support spouses through deployment, relocation and other military experiences.

Zoufalství, jaderné rakety a magické hory. Uchronický příběh bývalého vojáka základní služby

The text follows the post-cultural turn oral history paradigm, as expressed in concepts of Luisa Passerini, Alessandro Portelli, and others. It also makes use of the “dream stories” (Traumgeschichten) research by Reinhart Koselleck, to discover and interpret the cultural processes and forms related to the problematic historical subjectivity of an ex-Czechoslovak People’s Army conscript. The main historical source is the recorded oral-history narrative of a person, whose compulsory military service (1975–1977) led to a decidedly negative turn in his life. The narrator attempted to treat his shaken historical subjectivity through the creative construction of an elaborate uchronic story, merging his own military experience with motifs of imaginary service in units armed with nuclear weapons, with contemporary legends dealing with similar topics, and with older cultural strata, highlighting the phenomenon of “magical mountains” and apocalyptic military prophecies.

Military Experience and Elite Decision-Making: Self-Selection, Socialization, and the Vietnam Draft Lottery

Abstract Scholars across international relations (IR) debate the role military experience plays in elite decision-making. I argue there are two critical problems with this debate. First, it fails to adequately consider the underlying mechanisms linking military service to elite policy preferences. Second, it narrowly focuses on the use of force and largely ignores other ways in which military experience may shape elite behavior. I employ vulnerability to the Vietnam draft lottery to disentangle the impact of two key mechanisms linking military service to elite preferences: self-selection and socialization. I compare the foreign and defense policy roll call votes of Members of Congress (MCs) in the House of Representatives across the 94th–113th Congresses who were eligible for the draft and served in the military to those who were eligible for the draft but did not serve. I find significant differences in the roll call voting behavior between these groups, particularly on issues associated with arming and defense budget restrictions, as well as broader oversight of the military. These effects are heightened for MCs who served on active duty, in the military longer, and in combat, providing strong support for socialization effects. My study carries implications for civil–military relations, elite decision-making, and the study of leaders in IR.

Krew i kurzawa w greckiej historiografii klasycznej albo o zmarginalizowanych elementach Homerowego opisu pola bitwy

Contemporary historians believe that Greek historiography emerging on the eve of the classical period adopted numerous elements from the Homeric description of battle scenery. The aim of this paper is to analyze the earliest historical works while looking for the blood and dust, the two greatly important attributes of the Homeric world of warfare. However, it turns out that blood and dust, so intimately associated with the portrayal of the physical site of battle in Homer, did not become a per- manent element in the historical accounts of military clashes in Greek historiography, even though it was an inevitable component of the military experience of historians and their readers.

CEO Military Background and Investment Efficiency

ABSTRACT We identify an unexplored attribute of the CEO associated with corporate investment efficiency – military experience. We hypothesize that military experienced CEOs tend to reduce agency conflicts, are less likely to be self-interested, and have a higher tendency to take value-enhancing projects which lead to higher investment efficiency. We test our core hypotheses using a sample of Pakistani firms from 2009 to 2017 and find that CEOs’ with military experience have a positive influence on investment efficiency. This positive effect is more pronounced in reducing underinvestment problems, in the presence of strong competition, and when CEO has higher incentives, but weaker for state-owned firms. These conclusions remain valid to alternative measures, after addressing endogeneity issues, and additional analyses. Overall, our research advances the literature by providing new evidence that CEO military experience can have a significant influence on corporate decisions.

THE EFFECTIVENESS OF PLANNED TEACHING PROGRAMME ON SELECTED FIRST AID MEASURES AMONG B.Ed. STUDENTS

ABSTRACT From the perspective of the 21st century the need for first aid training seems self-evident, but the history of organized first aid span is only 120 years. There is evidence that Native Americans practiced first aid and taught it. Modern first aid evolved from military experience when surgeons taught soldiers how to splint and bandage battle field wound. Training in first aid was begun in United States in 1903 when Clara Borton was the President of the ARC, formed a committee to give instruction of first aid among the nation’s industrial workers, where dangerous conditions, accidents and death are too frequent. First aid is the immediate and temporary proper aid provided to a sick or injured person until medical treatment can be provided it generally consist of series of simple life saving medical techniques that a non-doctor or lay person can be trained to perform with minimal equipment. First aid can make the difference between life and death. Children are more active and adventurous and they are more vulnerable to accidents and injuries. Key Words: Vulnerable, Sickness, First Aid, Injuries.

An analysis of suicidal thoughts and behaviors among transgender and gender diverse adults.

Suicidal thoughts and behaviors (STBs) remain a pressing public health problem for transgender and gender diverse (TGD) persons. The goal of this study was to apply social-ecological and minority stress frameworks to identify individual and interpersonal-level TGD-specific STB risk and protective factors. This is a secondary analysis of the 2015 United States Transgender Health Survey, a comprehensive cross-sectional health assessment of a national sample of TGD adults (N = 27,658). Chi-square and Analysis of Variance (ANOVA) were used to identify bivariate correlates of 12-month and lifetime suicidal ideation (SI) and suicide attempt (SA). Logistic regression was employed to identify the strongest STB risk and protective factors across levels. Sexual minority identification, racial minority identification, and having a disability were lifetime STB risk factors. TGD identity, sexual minority identification, racial minority identification (SA only), lower education, lower income, military experience, having a disability, and being uninsured were 12-month STB risk factors. Psychological distress was the most robust STB risk factor. Workplace discrimination, family rejection, healthcare discrimination, and childhood bias-based victimization were lifetime STB risk factors. All forms of discrimination and victimization (with the exception of family rejection for SI) were 12-month STB risk factors. Family and coworker support were protective factors for lifetime SA (but not SI) and all 12-month STBs. Being less out about TGD identity was a protective factor for STBs (except for 12-month SI). Findings support social-ecological and minority stress STB risk frameworks. Recommendations are provided for a comprehensive approach to TGD suicide prevention.

Military parade in Mali: understanding Malian politics through spectacle

AbstractThis essay argues that the Independence Day's military parade in Mali has become a strategic site to negotiate fragile military and civil relations, and a repository to promote social change through the military experience. Drawing on field observations of the parade of the 50th anniversary of Independence in Bamako and the literature on political transitions, this essay demonstrates that military parades constitute meaningful sites for alternative engagements with democratic transitions. It examines the tactics and mechanisms deployed by the Malian national army to negotiate past human rights violations and authoritarian practices, as well as to seek the army's rehabilitation following the collapse of the military regime. By analysing military parades as a form and practice consolidating the ‘social contract’ between the army and the public after the political transition, this article contributes to the scholarship on transition and the study of military parades within the African continent.

COVID-19 pandemic moral injury in healthcare professionals: a systematic review

AimsMoral injury (MI) refers to psychological distress resulting from witnessing or participating in events which violate an individual's moral code. Originating from military experiences, the phenomenon also has relevance for healthcare professionals dealing with wars, natural disasters and infectious diseases. The deontological basis of medicine prioritises duty to the individual patient over duty to wider society. These values may place healthcare professionals at increased risk of moral injury, particularly in crisis contexts where they may be party to decisions to withdraw or divert care based on resource availability.We conducted a systematic review of medical literature to understand the extent and clinical and socio-demographic correlates of moral injury during the COVID-19 pandemic.MethodWe conducted a systematic review of reports included in MEDLINE, PsycINFO, BNI, CINAHL, EMBASE, EMCARE and HMIC databases using search terms: “moral injury” AND “covid” OR “coronavirus” OR “pandemic”. We also searched Google Scholar and Ovid Database and conducted reference searching. We searched for published quantitative primary research as well as advance online publications and pre-print research. Findings are reported in line with Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA). Two authors independently assessed the included studies’ methodological quality using a seven-item checklist.ResultOur databases search identified 498 records and other sources identified 4 records. We screened 391 records after removing duplicates. 4 reports met our protocol requirements.Three papers used cross-sectional designs. One reported longitudinal outcomes of their sample already described in one of the three papers. Only one study used a MI scoring system validated for healthcare professionals. Others used scoring validated in military populations. These papers reported outcomes from 3334 subjects, with a higher proportion of females. The largest study (3006 subjects) reported MI in 41.3% of their sample. Overall, factors associated with greater MI included: providing direct care to COVID-19 patients; sleep troubles; being unmarried; aged <30 years; female gender; and Buddhist/Taoist faith. Nurses reported a greater severity of MI than physicians. MI significantly correlated with anxiety, depression and burnout. The longitudinal study reported that more stressful and less supportive work environments predicted greater MI at 3 months follow-up.The average quality assessment score of these studies was 4/7.ConclusionIt is important that we are able to address moral injury awareness training as part of workforce preparedness and burnout prevention during the COVID-19 pandemic and other disaster responses across the globe.

АНАЛІЗ ПРОГРАМИ ФІЗИЧНОЇ ПІДГОТОВКИ КУРСАНТІВ ВІЙСЬКОВОЇ АКАДЕМІЇ США ВЕСТ-ПОЙНТ

The article offers the analysis of the physical training Program for cadets in the US Military Academy West Point. Recently, Ukraine gained access to the best military experience of NATO. An important factor in strengthening the combat potential of the army is the future officers’ physical training. The analysis of the physical training Program for cadets in the US Military Academy West Point will allow the gradual implementation of NATO standards in higher military education in Ukraine. West Point accepts boys and girls, U.S. citizens, ages 17-22. Applicants are recommended to pass the camp Summer Leaders Experience. The governing body that organizes, implements and controls the entire process of physical education is the Department of Physical Education. The guiding document for the entire process of physical education is the physical training Program. The strategic goals laid down in the physical training Program are: cadet skills, teaching staff responsibilities, military skills, program implementation. The physical training Program consists of three sections: the physical education curriculum or "training course"; physical fitness testing; and participation in sports competitions. The first section in the Program has three main courses for cadets’ working: basic motor activities; basic fitness; and daily physical activity. The second section in the Program is regular physical fitness testing, it provides cadets the opportunity to demonstrate personal physical perfection and emphasizes the importance of physical fitness for a military profession. The third section in the Program is participation in competitions, it encourages each cadet during every semester to participate in competitions according to their own abilities and interests: team, club, Inter-academic. The physical education curriculum has four levels for cadets’ training. The transition to a new level is allowed only if a cadet meets all the standards from the previous level. The fourth level provides the development of self-confidence that gives cadets the opportunity to meet the requirements of the Academy and the army in physical training in the future. The third level ensures cadets’ development of basic competence in movement and water skills. The second level designs a final combat experience that is closely related to the Army combat program in the modern army. The first level provides the culmination in one of many cycles in cadet’s physical activity that is cadet’s physical movement throughout life.

Safety and efficacy of low-titer O whole blood resuscitation in a civilian level I trauma center.

Military experience has shown low-titer O whole blood (LTOWB) to be safe and beneficial in the resuscitation of hemorrhaging trauma patients. However, few civilian centers use LTOWB for trauma resuscitation. We evaluated the early experience and safety of a LTOWB program at a level 1 civilian trauma center. We retrospectively reviewed our trauma registry from January 2018 to June 2020 for patients admitted in shock (defined as ≥1 of the following: heart rate, >120 beats per minute; systolic blood pressure, <90 mm Hg; or shock index, >0.9) who received blood products within 24 hours. Patients were grouped by resuscitation provided: LTOWB (group 1), component therapy (CT; group 2), and LTOWB-CT (group 3). Safety, outcomes, and variables associated with LTOWB transfusion and mortality were analyzed. 216 patients were included: 34 in Group 1, 95 in Group 2, and 87 in Group 3. Patientsreceiving LTOWB were more commonly male (p<0.001) and had a penetrating injury (p=0.005). Groups 1 and 3 had higher median ISS scores compared to Group 2 (19 and 20 vs 17; p=0.01). Group 3 received more median units of blood product in the first 4h (p<0.001) and in the first 24h (p<0.001). There was no difference between groups in 24h mortality or transfusion-related complications (all p>0.05). Arrival ED SBP was associated with LTOWB transfusion (odds ratio [OR] 0.98, 95% confidence interval [CI] 0.95-1.00, p=0.03). ED lactate was independently associated with 24h mortality. (OR 1.27, CI 1.02-1.58, p=0.03). LTOWB transfusion was not associated with mortality (p=0.49). Abstract. Severely injured patients received LTOWB-CT and more overall product units but had similar 24 h mortality when compared with the LTOWB or CT groups. No increase in transfusion-related complications was seen after LTOWB transfusion. Low-titer O whole blood should be strongly considered in the resuscitation of trauma patients at civilian centers. Retrospective, therapeutic, level IV.

A Veterans' Bachelor of Science in Nursing Initiative: Ten Valuable Tips.

This article describes a funded grant project whereby 10 tips are shared for those considering starting a veterans' bachelor of science in nursing initiative: secure the support of the institution; establish a point person for the initiative; maximize student success resources; acknowledge past academic work and military experience; hire prior-service Armed Forces Nurse Corps officers as faculty; deliver training opportunities for nonmilitary faculty to learn about veterans; offer students the opportunity to learn and socialize with their noncivilian peers; capitalize on the assets veterans bring to the classroom; provide a structured learning environment; and generate data-based publications.

Gender, memories, and national security: the making of a Cold War military heritage

ABSTRACT Cold War military remnants and experiences have recently been turned into museums and tourist attractions in many European countries. Recognizing such memory making as essentially political, we examine the role of gender and sexuality in the making of a Cold War military heritage. Combining critical feminist and intersectional Cold War research with gender perspectives on military memory, this article contributes to feminist conceptualizations of the relationship between gendered security and the production of memory. By highlighting narratives and spatial, visual, and acoustic arrangements, we investigate state-sponsored museum displays of two national security crises in the Swedish context: the 1952 Soviet downing of a DC-3 airplane and the submarine hunts in the Baltic Sea in the early 1980s. The analysis reveals how gender works to construct a geopolitical outlook, enable emotional identifications, and restore national order. Heterosexuality and hierarchical gender norms emerge as prerequisites for national security. We argue that when visitors are encouraged to feel gendered national security, opportunities to critically reflect upon Cold War histories decrease, promoting the depoliticization of security politics and militarism.

COED SPORTS AS AN ‘INTEGRATION TOOL’ IN HELLENIC MILITARY HIGHER EDUCATION INSTITUTIONS

&lt;p&gt;This study focuses on women’s integration in the military through sports, and particularly coed sports in the Hellenic Military Higher Education Institutions: 1) the Hellenic Army Academy, 2) the Hellenic Military Academy of Corps Officers, 3) the Hellenic Military Nursing Academy, 4) the Hellenic Naval Academy, and 5) the Hellenic Air Force Academy. We argue that coed sports (mixed-gender teams) can be used as an integration tool in military institutions, although research on this topic is scarce. Our study begins with a literature review on gender, the military, and sport combining a qualitative and quantitative approach to facilitate a better understanding of how women and men navigate and perceive the meaning of their mixed-gender military sport experience in the Hellenic Military Higher Education Institutions. Initially, twelve Greek women, active officers in the Armed Forces, took part in a series of semi-structured interviews. The twelve women, all high-ranking military officers today—between the ages of 25 to 49—were randomly chosen. Subsequently, a total of 120 active officers of both genders responded to the Greek version of the "Group Environment Questionnaire" (Angelonidis, 1995). From a total of 18 questions, nine were selected to examine gender integration through sport. The main research question is whether sport in the five military higher education academies/schools in Greece contributes to gender integration as perceived and understood by the 120 participants (female and male officers). The findings showed that integration is a process involving non-isolation, meaning acceptance of the gender subject (the officer cadet/military student) regardless of his/her gender into the team, as opposed to his/her exclusion, and as a result the union-unity-acceptance in a sport team of all the subjects (officer cadets of both genders). According to the results of the analysis, there is a statistically significant interaction between the variables 'joint participation of men and women in sports' and the 'integration of women' in the five Hellenic Military Higher Education Institutions. The results of this study indicate that mixed-gender military sport programs serve as a means for gender integration, unity, and cohesion. Other than strengthening physical capacity, fitness and performance, the findings confirm that coed military sport activities could prevent sexism; eliminate or reduce gender harassment, discrimination, and stereotypes; strengthen interpersonal communication/relationships and teamwork; reinforce team and social cohesion, unity, and cooperation skills.&lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;p&gt;&amp;lt;p&amp;gt; &amp;lt;/p&amp;gt;&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt; Article visualizations:&amp;lt;/strong&amp;gt;&amp;lt;/p&amp;gt;&amp;lt;p&amp;gt;&amp;lt;img src="/-counters-/edu_01/0765/a.php" alt="Hit counter" /&amp;gt;&amp;lt;/p&amp;gt;&lt;/p&gt;

The Key to Combat Readiness Is a Strong Military-Civilian Partnership.

In peacetime, it is challenging for Army Forward Resuscitative Surgical Teams (FRST) to maintain combat readiness as trauma represents <0.5% of military hospital admissions and not all team members have daily clinical responsibilities. Military surgeon clinical experience has been described, but no data exist for other members of the FRST. We test the hypothesis that the clinical experience of non-physician FRST members varies between active duty (AD) and Army reservists (AR). Over a 3-year period, all FRSTs were surveyed at one civilian center. Six hundred and thirteen FRST soldiers were provided surveys and 609 responded (99.3%), including 499 (81.9%) non-physicians and 110 (18.1%) physicians/physician assistants. The non-physician group included 69% male with an average age of 34 ± 11 years and consisted of 224 AR (45%) and 275 AD (55%). Rank ranged from Private to Colonel with officers accounting for 41%. For AD vs. AR, combat experience was similar: 50% vs. 52% had ≥1 combat deployment, 52% vs. 60% peri-deployment patient load was trauma-related, and 31% vs. 32% had ≥40 patient contacts during most recent deployment (all P > .15). However, medical experience differed for AD and AR: 18% vs. 29% had >15 years of experience in practice and 4% vs. 17% spent >50% of their time treating critically injured patients (all P < .001). These differences persisted across all specialties, including perioperative nurses, certified registered nurse anesthetists, operating room (OR) techs, critical-care nurses, emergency room (ER) nurses, licensed practical nurse (LPN), and combat medics. This is the first study of clinical practice patterns in AD vs. AR, non-physician members of Army FRSTs. In concordance with previous studies of military surgeons, FRST non-physicians seem to be lacking clinical experience as well. To maintain readiness and to provide optimal care for our injured warriors, the entire FRST, not just individuals, should embed within civilian centers.

Patient Characteristics and Perspectives of Firearm Safety Discussions in the Emergency Department

IntroductionFirearm injury prevention discussions with emergency department (ED) patients provide a unique opportunity to prevent death and injury in high-risk patient groups. Building mutual understanding of safe firearm practices between patients and providers will aid the development of effective interventions. Examining ED patient baseline characteristics, perspectives on healthcare-based safety discussions, and experience with and access to firearms, will allow practitioners to craft more effective messaging and interventions.MethodsUsing an institutional review board-approved cross-sectional survey modified from a validated national instrument, we recruited 625 patients from three large, urban, academically affiliated EDs in the South to assess patient baseline characteristics, perspectives regarding firearms and firearm safety discussions, and prior violence history, as well as firearm access and safety habits. We compared the degree to which patients were open to discussions regarding firearms across a variety of provider types and clinical scenarios between those with and without gun access.ResultsOf the 625 patients consented and eligible for the study, 306 had access to firearms. The patients with firearm access were predominantly male, were more likely to have military experience, live in an urban or suburban region, and have experienced prior violence when compared to those without firearm access. Patients with and without gun access view firearm safety discussions with their healthcare provider as acceptable and analogous to other behavioral health interventions (i.e., helmet/seat belt use, alcohol/cigarette use). Patients were also accepting of these firearm safety discussions in many clinical contexts and led by multiple provider types. Of the patients with gun access, storage of each type of firearm was reviewed and the primary reason for ownership was for personal protection across all firearm types.ConclusionPatients in the ED indicate openness to firearm safety discussions delivered by a variety of providers and in diverse clinical scenarios. Healthcare providers engaging firearm owners in appropriate risk-benefit discussions using a trauma-informed approach is a critical next step in research and intervention.

Pattern of upper limb amputation associated with lower limb amputation: the UK military experience from Iraq and Afghanistan

IntroductionThe conflicts in Iraq and Afghanistan resulted in large numbers of personnel sustaining extremity injuries. In the context of polytrauma, partial hand amputation is often unrecorded. The aim of this...

Accelerated resolution therapy and a thematic approach to military experiences in US Special Operations Veterans

Accelerated Resolution Therapy (ART) is an emerging therapeutic intervention that has demonstrated effectiveness in treating post-traumatic stress, anxiety and depression. The ART protocol aligns with first-line trauma-focused psychotherapies and clinical...

Rebel Leadership and the Specialisation of Rebel Operations

ABSTRACT Rebels groups adopt different organisational structures, emerging in various shapes and sizes. Some rebel groups construct distinct military and political wings, delegating their military and political operations to specialised units. While recent studies have made great strides towards understanding militant groups’ activities on and off the battlefield, the literature has been less attentive to the root causes of the structural arrangements which groups form for these purposes. I argue that rebel leaders’ pre-war military and political experiences shape the structure of the organisations they lead into war. Using original data, I find that differences in leaders’ pre-war military experience, rather than political experience, are associated with discernible probabilities of rebel operational specialisation. In addition to offering practitioners and academics a comparative framework with which to evaluate the patterns of militant leadership, this study demonstrates how leaders wield independent agency over group structure and operations in the civil war environment.