Grenade Explosion Leading to Penetrative Brain Trauma and Demise of Three Children during High Altitude Counter Insurgency Operations

Khan, Inam Danish

doi:10.5812/jamm.44324

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…One Health re-emphasizes on global health determinants of international human travel and wildlife trade, social health determinants of pets and livestock associated diseases, environmental health determinants of global warming, deforestation and rapid urbanization, evolutionary health determinants of emerging and re-emerging zoonotic diseases, and antimicrobial resistance, which has universal genomic connotations, and epidemiological correlates (9,10). While one health has furthered new paradigms of comparative, conservation, evolutionary, translational, and molecular medicine, there exists a felt need towards political commitment, intersectoral coordination, capacity building, and fostering expertise to inculcate transdisciplinarity (11,12).…”

Section: Discussionmentioning

confidence: 99%

Himalayan Wolf Attack of a Twelve-Year-Old Case at High Altitude

Khan¹

2017

J Arch Mil Med

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Introduction: Animal attack is a major public health problem worldwide with mortality reported to the centre for disease control and prevention. In the United States, a person is more likely to be killed by an animal than from lightning strike. Wolves are apex predators and have attacked humans since antiquity. Wolf attacks remain a reality in the US, Canada, Russia, and India, despite advances in security and surveillance technologies. Case Presentation: A 12-year-old male sustained multiple lacerations on his face and hands leading to extensive bleeding after a predatory wolf attack at high altitude. Tachycardia with feeble pulse, tachypnea, and mild hypothermia were present. The child was managed through resuscitation, rewarming, tetanus, rabies, and antimicrobial prophylaxis, and transferred to tertiary care. Wounds were not sutured. Conclusions: Wolf-human interactions require diligent efforts for threat assessment, mitigation measures, and community responses under one health approach. Communities in close proximity of wolf populations need to be supported with real time wildlife surveillance and containment systems.

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Section: Discussionmentioning

confidence: 99%

Himalayan Wolf Attack of a Twelve-Year-Old Case at High Altitude

Khan¹

2017

J Arch Mil Med

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“…Injuries sustained in war and conflict scenarios such as gunshots, mine-blast injuries, and grenadeexplosions have led to extensive tissue devitalization predisposing to health-care associated infections with multidrug resistant (MDR) organisms in wounded military personnel (6)(7)(8). Military personnel can be colonized by multidrug resistant pathogens after exposure to military deployments (9).…”

Section: Introductionmentioning

confidence: 99%

Emerging Antimicrobial Resistance and Evolving Healthcare: Dangerous Crossroads for the Community and the Military

Khan¹,

Gupta

Sen

et al. 2017

J Arch Mil Med

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Modern diagnostic and therapeutic procedures including advanced surgeries, organ transplants, and immunotherapy are pillared by antimicrobial therapy. Parallel to the rising incidence of infectious diseases, the menace of antimicrobial resistance (AMR) emerged worldwide. Developing countries are facing the brunt in epidemic proportions due to huge population, substandard housing, overcrowding, rapid unplanned urbanization, deterioration in water and waste management systems, strained public health infrastructure, and limited resource allocation to healthcare. Simultaneously, AMR has adversely affected the outcome of military injuries. The rising problem of AMR is discouraging the development of newer antimicrobials by the pharmaceutical industry. There has been a considerable impetus towards concept development; however, the magnitude of the problem overshadows the progress made towards the control of AMR worldwide. There is a dire need to identify this threat, develop concerted multipronged strategy, develop infrastructure, foster expertise, and take coordinated and urgent steps to tackle the serious public health challenge. An intensified commitment needs to be taken up on a war footing at individual, local, national, regional, and international levels. This article discusses the overall concept for developing countries.

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Grenade Explosion Leading to Penetrative Brain Trauma and Demise of Three Children during High Altitude Counter Insurgency Operations

Cited by 2 publications

References 9 publications

Himalayan Wolf Attack of a Twelve-Year-Old Case at High Altitude

Himalayan Wolf Attack of a Twelve-Year-Old Case at High Altitude

Emerging Antimicrobial Resistance and Evolving Healthcare: Dangerous Crossroads for the Community and the Military

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