Protocol for the assessment of potential health effects from embedded metal fragments
Potential health issues arising from embedded metal fragment injuries are an operational health issue in the military medical community. Embedded fragment injuries can occur not only from standard-use munitions, but also from improvised explosive devices (IEDs). With few exceptions, the behavior of...
Gespeichert in:
Veröffentlicht in: | Military medicine 2009-03, Vol.174 (3), p.265 |
---|---|
Hauptverfasser: | , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | |
---|---|
container_issue | 3 |
container_start_page | 265 |
container_title | Military medicine |
container_volume | 174 |
creator | Kane, Michele A Kasper, Christine E Kalinich, John F |
description | Potential health issues arising from embedded metal fragment injuries are an operational health issue in the military medical community. Embedded fragment injuries can occur not only from standard-use munitions, but also from improvised explosive devices (IEDs). With few exceptions, the behavior of metal fragments, when embedded in the body, is not known. Herein, we propose a multitiered assessment protocol that can be used to both determine future health issues associated with newly developed munitions and, once the composition has been identified, determine potential toxicity of embedded fragments as a result of an IED event. The main premise of this assessment protocol is to view the embedded fragment as an implanted medical device and to utilize the guidelines already in place for testing the safety of such materials. Use of this structured, tiered approach will yield information critical for informed medical decisions. |
doi_str_mv | 10.7205/MILMED-D-02-2808 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_journals_217051548</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1668047191</sourcerecordid><originalsourceid>FETCH-LOGICAL-p236t-ea7e71fca8e6c8fd7152ba920e81f443c33f6e1bafa8eb58d41d50d6c28367a13</originalsourceid><addsrcrecordid>eNo10DFPwzAQBWALgWgp7EzIYjec7ThxRtQWqNQKBiqxRU58pq2SOtju0H9PEGW6N3x3TzpCbjk8FALU42qxXM1nbMZAMKFBn5ExLyWwnMvPczIGEDnLoFAjchXjDoBnpeaXZDQglUEJY7J-Dz75xrfU-UDTBqmJEWPscJ-od7T3aUhb09INmjZtKDqHTYrUBd9R7Gq0Fi3tMA3EBfP1uxivyYUzbcSb05yQ9fP8Y_rKlm8vi-nTkvVC5omhKbDgrjEa80Y7W3AlalMKQM1dlslGSpcjr40bRK20zbhVYPNGaJkXhssJuf-72wf_fcCYqp0_hP1QWQlegOIq0wO6O6FD3aGt-rDtTDhW_0-QPyFsX_A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>217051548</pqid></control><display><type>article</type><title>Protocol for the assessment of potential health effects from embedded metal fragments</title><source>MEDLINE</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Kane, Michele A ; Kasper, Christine E ; Kalinich, John F</creator><creatorcontrib>Kane, Michele A ; Kasper, Christine E ; Kalinich, John F</creatorcontrib><description>Potential health issues arising from embedded metal fragment injuries are an operational health issue in the military medical community. Embedded fragment injuries can occur not only from standard-use munitions, but also from improvised explosive devices (IEDs). With few exceptions, the behavior of metal fragments, when embedded in the body, is not known. Herein, we propose a multitiered assessment protocol that can be used to both determine future health issues associated with newly developed munitions and, once the composition has been identified, determine potential toxicity of embedded fragments as a result of an IED event. The main premise of this assessment protocol is to view the embedded fragment as an implanted medical device and to utilize the guidelines already in place for testing the safety of such materials. Use of this structured, tiered approach will yield information critical for informed medical decisions.</description><identifier>ISSN: 0026-4075</identifier><identifier>EISSN: 1930-613X</identifier><identifier>DOI: 10.7205/MILMED-D-02-2808</identifier><identifier>PMID: 19354090</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Alloys ; Bombs ; Corrosion ; Cytotoxicity ; Explosions ; Explosive Agents - adverse effects ; Explosives ; Foreign Bodies - complications ; Foreign Bodies - etiology ; Foreign-Body Migration - complications ; Humans ; Injuries ; Mass Screening ; Medical equipment ; Medical personnel ; Metals ; Metals - toxicity ; Military Medicine ; Military Personnel ; Military supplies ; Toxicity</subject><ispartof>Military medicine, 2009-03, Vol.174 (3), p.265</ispartof><rights>Copyright Association of Military Surgeons of the United States Mar 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19354090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kane, Michele A</creatorcontrib><creatorcontrib>Kasper, Christine E</creatorcontrib><creatorcontrib>Kalinich, John F</creatorcontrib><title>Protocol for the assessment of potential health effects from embedded metal fragments</title><title>Military medicine</title><addtitle>Mil Med</addtitle><description>Potential health issues arising from embedded metal fragment injuries are an operational health issue in the military medical community. Embedded fragment injuries can occur not only from standard-use munitions, but also from improvised explosive devices (IEDs). With few exceptions, the behavior of metal fragments, when embedded in the body, is not known. Herein, we propose a multitiered assessment protocol that can be used to both determine future health issues associated with newly developed munitions and, once the composition has been identified, determine potential toxicity of embedded fragments as a result of an IED event. The main premise of this assessment protocol is to view the embedded fragment as an implanted medical device and to utilize the guidelines already in place for testing the safety of such materials. Use of this structured, tiered approach will yield information critical for informed medical decisions.</description><subject>Alloys</subject><subject>Bombs</subject><subject>Corrosion</subject><subject>Cytotoxicity</subject><subject>Explosions</subject><subject>Explosive Agents - adverse effects</subject><subject>Explosives</subject><subject>Foreign Bodies - complications</subject><subject>Foreign Bodies - etiology</subject><subject>Foreign-Body Migration - complications</subject><subject>Humans</subject><subject>Injuries</subject><subject>Mass Screening</subject><subject>Medical equipment</subject><subject>Medical personnel</subject><subject>Metals</subject><subject>Metals - toxicity</subject><subject>Military Medicine</subject><subject>Military Personnel</subject><subject>Military supplies</subject><subject>Toxicity</subject><issn>0026-4075</issn><issn>1930-613X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNo10DFPwzAQBWALgWgp7EzIYjec7ThxRtQWqNQKBiqxRU58pq2SOtju0H9PEGW6N3x3TzpCbjk8FALU42qxXM1nbMZAMKFBn5ExLyWwnMvPczIGEDnLoFAjchXjDoBnpeaXZDQglUEJY7J-Dz75xrfU-UDTBqmJEWPscJ-od7T3aUhb09INmjZtKDqHTYrUBd9R7Gq0Fi3tMA3EBfP1uxivyYUzbcSb05yQ9fP8Y_rKlm8vi-nTkvVC5omhKbDgrjEa80Y7W3AlalMKQM1dlslGSpcjr40bRK20zbhVYPNGaJkXhssJuf-72wf_fcCYqp0_hP1QWQlegOIq0wO6O6FD3aGt-rDtTDhW_0-QPyFsX_A</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Kane, Michele A</creator><creator>Kasper, Christine E</creator><creator>Kalinich, John F</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88F</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M1Q</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope></search><sort><creationdate>20090301</creationdate><title>Protocol for the assessment of potential health effects from embedded metal fragments</title><author>Kane, Michele A ; Kasper, Christine E ; Kalinich, John F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p236t-ea7e71fca8e6c8fd7152ba920e81f443c33f6e1bafa8eb58d41d50d6c28367a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Alloys</topic><topic>Bombs</topic><topic>Corrosion</topic><topic>Cytotoxicity</topic><topic>Explosions</topic><topic>Explosive Agents - adverse effects</topic><topic>Explosives</topic><topic>Foreign Bodies - complications</topic><topic>Foreign Bodies - etiology</topic><topic>Foreign-Body Migration - complications</topic><topic>Humans</topic><topic>Injuries</topic><topic>Mass Screening</topic><topic>Medical equipment</topic><topic>Medical personnel</topic><topic>Metals</topic><topic>Metals - toxicity</topic><topic>Military Medicine</topic><topic>Military Personnel</topic><topic>Military supplies</topic><topic>Toxicity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kane, Michele A</creatorcontrib><creatorcontrib>Kasper, Christine E</creatorcontrib><creatorcontrib>Kalinich, John F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Military Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Military Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><jtitle>Military medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kane, Michele A</au><au>Kasper, Christine E</au><au>Kalinich, John F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Protocol for the assessment of potential health effects from embedded metal fragments</atitle><jtitle>Military medicine</jtitle><addtitle>Mil Med</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>174</volume><issue>3</issue><spage>265</spage><pages>265-</pages><issn>0026-4075</issn><eissn>1930-613X</eissn><abstract>Potential health issues arising from embedded metal fragment injuries are an operational health issue in the military medical community. Embedded fragment injuries can occur not only from standard-use munitions, but also from improvised explosive devices (IEDs). With few exceptions, the behavior of metal fragments, when embedded in the body, is not known. Herein, we propose a multitiered assessment protocol that can be used to both determine future health issues associated with newly developed munitions and, once the composition has been identified, determine potential toxicity of embedded fragments as a result of an IED event. The main premise of this assessment protocol is to view the embedded fragment as an implanted medical device and to utilize the guidelines already in place for testing the safety of such materials. Use of this structured, tiered approach will yield information critical for informed medical decisions.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>19354090</pmid><doi>10.7205/MILMED-D-02-2808</doi></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0026-4075 |
ispartof | Military medicine, 2009-03, Vol.174 (3), p.265 |
issn | 0026-4075 1930-613X |
language | eng |
recordid | cdi_proquest_journals_217051548 |
source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals |
subjects | Alloys Bombs Corrosion Cytotoxicity Explosions Explosive Agents - adverse effects Explosives Foreign Bodies - complications Foreign Bodies - etiology Foreign-Body Migration - complications Humans Injuries Mass Screening Medical equipment Medical personnel Metals Metals - toxicity Military Medicine Military Personnel Military supplies Toxicity |
title | Protocol for the assessment of potential health effects from embedded metal fragments |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T20%3A05%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Protocol%20for%20the%20assessment%20of%20potential%20health%20effects%20from%20embedded%20metal%20fragments&rft.jtitle=Military%20medicine&rft.au=Kane,%20Michele%20A&rft.date=2009-03-01&rft.volume=174&rft.issue=3&rft.spage=265&rft.pages=265-&rft.issn=0026-4075&rft.eissn=1930-613X&rft_id=info:doi/10.7205/MILMED-D-02-2808&rft_dat=%3Cproquest_pubme%3E1668047191%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=217051548&rft_id=info:pmid/19354090&rfr_iscdi=true |