Prolonged Care: Understanding the Long Journey

April 24, 2025

The healthcare landscape is constantly evolving, and with increasing lifespans and complex medical needs, prolonged care has never been more critical. The Borden Institute, a renowned name in military medical research and education, has just released a significant new publication, simply entitled Prolonged Care.

Prolonged Care bridges a critical gap in the 6–72-hour post-injury phase of casualty care, particularly in resource-limited, non-surgical settings like battalion aid stations. It equips non-surgeon prehospital providers with the essential skills to manage stabilized combat casualties requiring extended care before evacuation to advanced medical facilities.

It signals a fresh and comprehensive deep dive into the multifaceted aspects of extended medical care. This new resource is highly anticipated given the institute’s commitment to evidence-based practices and focus on the unique challenges faced in various operational environments.

It addresses key areas such as:

  • Strategies for managing long-term illnesses and injuries: This could include best practices in treatment, rehabilitation, and maintaining quality of life over extended periods.
  • Resource allocation and logistical considerations: These are especially relevant in situations with limited resources or during prolonged deployments.
  • The psychological and emotional impact on patients and caregivers: Recognizing the significant burden and offering insights into support and resilience.
  • Ethical considerations in prolonged care scenarios: Navigating complex decisions that may arise during long-term treatment.

This publication promises to be a valuable resource for medical professionals, caregivers, policymakers, and anyone seeking a deeper understanding of prolonged medical care’s complexities. Don’t miss out on this new book from the Borden Institute.

The GPO Online Bookstore – Easy Access to Federal Publications

HOW DO I OBTAIN THIS RESOURCE?

Sign up to receive promotional bulletin emails from the US Government Online Bookstore.

Shop Online Anytime: You can buy a vast majority of eBooks or print publications —with FREE Standard Shipping worldwide— from the U.S. Government Online Bookstore at https://bookstore.gpo.gov.

Order by Phone or Email: Call our Customer Contact Center Monday through Friday, 8 am to 4:30 pm Eastern (except US Federal holidays). From US and Canada, call toll-free 1.866.512.1800. DC or International customers call +1.202.512.1800.  Email orders to ContactCenter@gpo.gov

Visit a Federal depository library: Search for U.S. Government publications in a nearby Federal depository library. You can find the records for most titles in GPO’s Catalog of U.S. Government Publications.

Find more than a million official Federal Government publications from all three branches at www.govinfo.gov.

About the author: Blogger contributor Trudy Hawkins is the Senior Marketing & Promotions Specialist in GPO’s Publication & Information Sales Office supporting the U.S. Government Online Bookstore (https://bookstore.gpo.gov).

2 Comments | U.S. Army, U.S. Army Medical Department | Tagged: , , , , | Permalink
Posted by Trudy Hawkins

The Premier Handbook for Anyone Contributing to the Rehabilitation of America’s Wounded Warriors

November 7, 2018

Soldiers returning from the wars in Iraq and Afghanistan face enormous challenges to successfully re-enter society.

To achieve a life of self-sufficiency, former soldiers are challenged with overcoming difficult emotional, psychological and physical impairment issues. The path to recovery is often hindered by Posttraumatic Stress Disorder and brain injuries.

The Borden Institute, an organization within the Department of the Army dedicated to providing the military community with the medical information needed to address the many service-related medical issues faced by active duty and veterans, has released a new eBook.

Promoting Successful Integration

This Borden Institute handbook, offered in free eBook format, is intended to be a comprehensive source of information for the broad military community, including uniformed military personnel, family members, civilian personnel of federal agencies, veterans, and all people who contribute to the success of wounded, injured, and ill service members.

The information in the book addresses the reality that there is no one solution. It provides a multi-faceted approach for those impacted by service-related medical issues to consider in seeking out the pathways to success that best suit their individual situation.

This free downloadable eBook is available from the US Government Online Bookstore in an ePub, MOBI or PDF format. It’s also available in PDF format for free from EBSCOhost, and ProQuest. Additionally, it can be found within the Apple iBookstore/iTunes, Barnes and Noble Nook site, Google Play eBookstore, and Overdrive platforms by searching ePub ISBN: 9780160939839.

The GPO Online Bookstore – Easy Access to Federal Publications

HOW DO I OBTAIN THIS RESOURCE?

Shop Online Anytime: You can buy eBooks or print publications —with FREE Standard Shipping worldwide— from the U.S. Government Online Bookstore at https://bookstore.gpo.gov.

Shop our Retail Store: Buy a copy of any print editions from this collection at GPO’s retail bookstore at 710 North Capitol Street NW, Washington, DC 20401, open Monday–Friday, 9 a.m. to 4 p.m., except Federal holidays, Call (202) 512-0132 for information or to arrange in-store pick-up.

Order by Phone: Call our Customer Contact Center Monday through Friday, 8 am to 5:30 pm Eastern (except US Federal holidays). From US and Canada, call toll-free 1.866.512.1800. DC or International customers call +1.202.512.1800.

Visit a Federal depository library: Search for U.S. Government publications in a nearby Federal depository library. You can find the records for most titles in GPO’s Catalog of U.S. Government Publications.

Find more than a million official Federal Government publications from all three branches at www.govinfo.gov.

About the author: Blogger contributor Ed Kessler is a Promotions Specialist in GPO’s Publication and Information Sales program office.

Leave a Comment » | Department of Defense, ebooks, U.S. Army | Tagged: , , , , , , | Permalink
Posted by Trudy Hawkins

How the Army Cares for Its Warriors

April 5, 2016

April 6 is the anniversary of the United States’ entry into World War I. It’s also Army Day, a time to appreciate our national defense and support military preparedness. Nothing bolsters those two things better than a healthy, ready soldier force. GPO makes available several resources for warrior rehabilitation and transition professionals.

9780160926761Mild Traumatic Brain Injury Rehabilitation Toolkit

In this U.S. Army Medical Department’s Borden Institute publication, rehabilitation professionals review the best research-driven treatment practices for concussions, or mild traumatic brain injuries (mTBI). Recent conflicts in Iraq and Afghanistan prompted the military’s rehabilitative community to advance care excellence for service members with mTBIs. Concussions are sustained on and off the battlefield, thus, post-concussive clinical guidance is ever more imperative. Although this work of clinicians and therapists is intended for clinicians and therapists, the research on balance, vision, post-traumatic headache, cognition, fitness and other functions is an education for non-medical types as well. This toolkit is evidence of “significant contributions to the recovery, rehabilitation, and reintegration of Service Members who are symptomatic after sustaining an mTBI.” It’s an “Army strong” addition to the medical body of knowledge.

9780160893667Warrior Transition Leader: Medical Rehabilitation Handbook

The U.S. Army has a comprehensive rehabilitation and reintegration system for what it terms Warriors in Transition (WTs). In the words of the Warrior Transition Command mission, Army healthcare professionals “establish conditions for healing and promote the timely return to the force or transition to civilian life.” This Army medicine handbook charts the modern soldier rehabilitation practices. Several chapters address the essential topics of military-related disability rights, self-medication and suicide risks, assistive technologies, and resilience development. Accounts from real soldiers show that  “wounded, injured, and ill” service member care is focused, collaborative, and innovative. Engagement of soldiers and family throughout transition and rehabilitation programs certifies this system’s world-class status.

008-000-01151-6A Shared Burden: The Military and Civilian Consequences of Army Pain Management Since 2001

According to author Craig Trebilcock, “the Army has an opioid drug problem.” It’s not a simply a matter of recreational misuse or delinquent soldiers. Prescription opioid pain medications do have a legitimate rehabilitative application. However, usage tracking is failing and knowledge gaps need patching up. This U.S. Army War College, Strategic Studies Institute paper gives Army leadership “a new way of thinking about…impact on combat readiness and civil-military relations.” A survey of senior officers reveals that greater opioid medication monitoring, training, and education is one strategy for consideration. Just as service doesn’t end when a solider becomes a veteran, medical monitoring and rehabilitation should accompany veterans for the long-term. To contravene the impact of opioid dependency on civilian society, military policy needs to proactively address this “shared burden.”

HOW DO I OBTAIN THESE RESOURCES?

Shop Online Anytime: You can buy eBooks or print publications —with FREE Standard Shipping worldwide— from the U.S. Government Online Bookstore at http://bookstore.gpo.gov.

 Shop our Retail Store: Buy a copy of any print editions from this collection at GPO’s retail bookstore at 710 North Capitol Street NW, Washington, DC 20401, open Monday–Friday, 9 a.m. to 4 p.m., except Federal holidays, Call (202) 512-0132 for information or to arrange in-store pick-up.

Order by Phone: Call our Customer Contact Center Monday through Friday, 8 am to 5:30 pm Eastern (except US Federal holidays). From US and Canada, call toll-free 1.866.512.1800. DC or International customers call +1.202.512.1800.

Visit a Federal depository library: Search for U.S. Government publications in a nearby Federal depository library. You can find the records for most titles in GPO’s Catalog of U.S. Government Publications.

About the author: Our guest blogger is Chelsea Milko, Public Relations Specialist in GPO’s Public Relations Office.

Leave a Comment » | Afghanistan, Army War College, Center of Military History, Department of Defense, Iraq, Military History, U.S. Army, U.S. Army Medical Department, U.S. Marines, U.S. National Guard, U.S. Navy, World War I | Tagged: , , , , , , , , , | Permalink
Posted by Trudy Hawkins

The Real stories of MASH and disease-fighting Armed Forces medical scientists

April 9, 2014
TV Week final episode cover depicting M*A*S*H television show cast

TV Week final episode cover depicting M*A*S*H television show cast. Did you know that the character of MASH 4077th’s head nurse “Hot Lips” Margaret Houlihan was inspired by two real-life Korean War Army MASH head nurses “Hotlips” Hammerly and Janie Hall?

The music starts. The lyrics to the haunting song “Suicide is Painless” play in your head. The sound and sight of helicopters enter and then you are looking down from the helicopters view on a village of tents and red crosses. The television series M*A*S*H, based on the 1970 movie that was set during the Korean War at the fictitious 4077th Mobile Army Surgical Hospital or M*A*S*H, established itself as one of the greatest shows in history. The show was on air from 1972-1983, and it still lives on today in syndication.

The series finale was broadcasted on February 28, 1983 to 105.9 million viewers, becoming the most watched television broadcast of all time. The record held for nearly three decades until the 2010 Superbowl surpassed M*A*S*H’s record with 106.5 million viewers. The show had the ability to make you cry from both a comedic and emotional standpoint striking a unique balance unlike many shows.

But sometimes real life can be as fascinating as fiction. Learn about the real-life exploits of a genuine Army MASH unit and of brave medical researchers fighting tropical diseases in southeast Asia with two recent Armed Forces medical history publications from the U.S. Army Medical Center and School’s Borden Institute.

Skilled and Resolute: A History of the 12th Evacuation Hospital and the 212th MASH, 1917-2006 ISBN: 9780160922534Skilled and Resolute: A History of the 12th Evacuation Hospital and the 212th MASH, 1917-2006 follows the 90-year history of a medical unit, the 12th Evacuation Hospital and its successor the 212th Mobile Army Surgical Hospital, which served in military engagements from World War I to Operation Iraqi Freedom as well as many peacekeeping and humanitarian missions. The unit’s goal is to be trained, equipped, and deployable at a moment’s notice.

There are some gruesome pictures in the Vietnam War section, but overall the book is a fascinating read about how medical techniques evolved with warfare practices in makeshift hospitals close to front lines. In 2006, the unit transformed once again to the 212th Combat Support Hospital and was deployed to Afghanistan.

Lt. General George S. Patton visits the US Army 12th Evacuation Hospital (MASH) to award decorations to the World War 2 wounded. (Photo courtesy U.S. Army Medical Department, Office of Medical History)

Lt. General George S. Patton visits the US Army 12th Evacuation Hospital (MASH) to award decorations to the wounded. Patton would later infamously get in trouble for slapping a soldier at another World War 2 hospital who was suffering from post-traumatic stress disorder (PTSD) or combat stress reaction (CSR), which was called shell shock starting in WW 1.  (Photo courtesy U.S. Army Medical Department, Office of Medical History)

The photos in the book look like scenes out of the M*A*S*H television series; you can picture Radar turning is head to the side, pausing to listen and exclaiming “Choppers!” to be followed by the sound of helicopters.

Getting the sick and wounded from the front to a MASH unit during the Korean War. (Image courtesy http://www.koreanwar60.com/army)

Army helicopters were critical for evacuating the sick and wounded from the front to a MASH unit ambulance during the Korean War. (Image courtesy http://www.koreanwar60.com/army)

The Armed Forces Research Institute of Medical Sciences (AFRIMS), 1960-2010: a 50th Anniversary Photographic History ISBN: 9780160918315The Armed Forces Research Institute of Medical Sciences (AFRIMS), 1960-2010: a 50th Anniversary Photographic History is a lean coffee table book organized by decade. The black and white and color photographs tell the story of AFRIMS – a medical military partnership between the United Sates and Thailand that was founded in response to a cholera epidemic in Thailand in 1959. Within 10 years, a laboratory was built and AFRIMS established the reputation of being a major force in tropical medical research. In the 1970s, the lab played a crucial role in researching and developing treatment for tropical diseases inflicting the military serving in the Vietnam War.

Technology advancements in the 1980s were adapted by AFRIMS and helped with storing and organizing research. In the 1990s and the first decade of the new century, AFRIMS conducted trials impacting the research on vaccines for hepatitis A, malaria, and HIV. The photographs are very compelling and effectively share history while showing the way they conducted research and interacted with the Thai community.

AFRIMS Captain Michael "Mike" Benenson (future USAMC director) returns a “wai” while the study team prepares medications in the 1973 malaria drug prophylaxis study. (Photograph courtesy of Dr. Michael Benenson)

AFRIMS Captain Michael “Mike” Benenson (future USAMC director) returns a child’s “wai” greeting while the study team prepares medications in the 1973 malaria drug prophylaxis study. (Book photograph courtesy of Dr. Michael Benenson)

HOW DO I GET A COPY OF THESE BOOKS?

About the author: Our guest blogger is Emma Wojtowicz, Public Relations Specialist in GPO’s Office of Public Affairs. 

Additional images and content provided by Government Book Talk Editor Michele Bartram is Promotions and Ecommerce Manager for GPO’s Publication and Information Sales Division in Washington, DC, and is responsible for online and offline marketing of the US Government Online Bookstore (http://bookstore.gpo.gov) and promoting Federal government content to the public.

Leave a Comment » | Afghanistan, Department of Defense, Emergency Response, Gifts, Health care, International, Military History, U.S. Army, U.S. Army Medical Department, Vietnam, World History, World War I, World War II | Tagged: , , , , , , , , , , , , , , , , , , , , , , , , , | Permalink
Posted by Michele Bartram, U.S. Government Online Bookstore

Keeping Her “Army Strong”: Musculoskeletal Injuries in Military Women

July 30, 2012

Guest blogger, GPO Public Relations Specialist Emma Wojtowicz, reviews a new publication addressing the prevention, diagnosis, treatment, and rehabilitation of musculoskeletal injuries in women serving in the Army and National Guard.

The transition in the 1970’s from a drafted military to a volunteer-based military opened up more opportunities for women to join the military and serve in different capacities. As of September 2010, women account for 14% of active duty service members and 18% of Reserve and National Guard service members. With the opportunity to serve comes the risk of being injured.

Musculoskeletal Injuries in Military Women by the United States Army Borden Institute focuses on risk factors, prevention, diagnosis, treatment, and rehabilitation of musculoskeletal injuries in women. This is the most recently released publication of the Borden Institute Monograph Series.

This publication is slim and targeted to a specific audience of the medical community, military, and those afflicted by the described injuries, including athletes and soldiers alike. It is of particular value to those who work with this sort of injury, from diagnosis to treatment to rehabilitation, including physical therapists, orthopedists and sports medicine professionals, both civilian and military.

According to the publication, women serving in the Army have a higher incidence of injury compared to men due to the female anatomy and physiology. More women become injured during the Army’s basic combat training and associated activities compared to men and their female counterparts in the Air Force and Navy.

Image: Female soldiers negotiate obstacles during the U.S. Army Special Operations Command’s cultural support program which prepares all-female Soldier teams to serve as enablers supporting Army special operations combat forces in and around secured objective areas. The Army is working to improve women’s health throughout the Army, thus contributing to force readiness. (Photo by Staff Sgt. Russell Klika, USAJFKSWCS. Source: Soldiers Magazine)

Overuse injuries, primarily in the bone and tendons, account for 75 percent of women’s injuries from activities like running, marching, and repetitive jumping. The book’s authors identify running shoes as the most important equipment during training to prevent injury and give advice on how to select the right running shoe (See image below).

Musculoskeletal Injuries in Military Women thoroughly and succinctly details each potential musculoskeletal injury. The musculoskeletal system provides form, support, stability, and movement to the body. The injury descriptions are broken down by risk factors, prevention, diagnosis, treatment, and rehabilitation. Most injury descriptions are accompanied by detailed instructions and pictures showing what the injury looks like, ways to test for the injury, and appropriate therapeutic exercises.

The content of the publication is not limited only to only military women, but can be beneficial to female athletes and physically active women who suffer from the described injuries and require physical therapy or rehabilitation.

Military injuries, whether suffered by men or women, have an effect on the readiness of the military and force levels. Musculoskeletal Injuries in Military Women reminds readers that injury is possible at any time, not only in combat.

HOW DO I OBTAIN Musculoskeletal Injuries in Military Women?

  • Buy it online 24/7 at GPO’s Online Bookstore.
  • Buy it at GPO’s retail bookstore at 710 North Capitol Street NW, Washington, DC 20401, open Monday-Friday, 9am to 4pm, except Federal holidays, (202) 512-0132.
  • Find it in a library.

Other Titles about Rehabilitation and Physical Therapy

You may also be interested in the Journal of Rehabilitation Research and Development.  This journal is known in the industry as the JRRD and is an international, peer-reviewed rehabilitation research journal sponsored by the U.S. Department of Veterans Affairs. The JRRD accepts original manuscripts from domestic and international researchers on a broad range of topics, including assistive technology, cognitive disorders, rehabilitation, prosthetics, SCI, traumatic brain injury, and telemedicine, and more.

The JRRD is available via subscription from the U.S. Government Printing Office in two formats:

1) Print Journal: Buy a year’s subscription to the JRRD from our GPO Online Bookstore

2) Digital Journal:  The electronic subscription (ISSN: 0748-7711) for tablets, desktop computers and smartphones can be purchased through our e-magazine partner, Zinio.com:

6 Comments | Health care, Office of Women's Health, U.S. Army Medical Department, U.S. National Guard, Women | Tagged: , , , , , , , , , , , , , , , , , , , | Permalink
Posted by Michele Bartram, U.S. Government Online Bookstore