{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:56:59Z","timestamp":1792457819453,"version":"4.5.0"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"7-8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,22]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Although malignant hyperthermia (MH) is a well-known complication of anesthesia, it presents unique considerations in the military health system. In this case report, the authors present a 26-year-old male active duty service member who experienced an MH crisis during a routine bilateral sagittal split osteotomy. The case presented here, which occurred at Brian D Allgood Army Community Hospital at Camp Humphreys, South Korea, highlights the challenges presented when caring for these patients in minimally staffed environments with frequent turnover of staff. The authors discuss the challenges to the military system such as the importance of adequate documentation of MH-susceptible service members, the benefits of rapidly dissolving dantrolene sodium nanosuspension, and the necessity for frequent training of military medical staff in the recognition and management of MH.<\/jats:p>","DOI":"10.1093\/milmed\/usab281","type":"journal-article","created":{"date-parts":[[2021,7,17]],"date-time":"2021-07-17T11:39:13Z","timestamp":1626521953000},"page":"e2681-e2686","source":"Crossref","is-referenced-by-count":2,"title":["Malignant Hyperthermia\u2014A Case From Camp Humphreys, South Korea, and Lessons for the Military Health System"],"prefix":"10.1093","volume":"188","author":[{"given":"Paige","family":"Wren","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Uniformed Services University , Bethesda, MD 20814, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung Min","family":"Chun","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Brian D Allgood Army Community Hospital , APO AP 96205-0054, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Vietor","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Uniformed Services University , Bethesda, MD 20814, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,7,17]]},"reference":[{"issue":"1","key":"2023072301083574900_R1","doi-asserted-by":"crossref","DOI":"10.1186\/s13023-015-0310-1","article-title":"Malignant hyperthermia: a review","volume":"10","author":"Rosenberg","year":"2015","journal-title":"Orphanet J Rare Dis"},{"issue":"1","key":"2023072301083574900_R2","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1097\/ALN.0000000000001878","article-title":"Malignant hyperthermia in the post-genomics era","volume":"128","author":"Riazi","year":"2018","journal-title":"Anesthesiology"},{"issue":"3","key":"2023072301083574900_R3","doi-asserted-by":"crossref","first-page":"e1854","DOI":"10.7205\/MILMED-D-16-00186","article-title":"Malignant hyperthermia susceptibility and fitness for duty","volume":"182","author":"Lee","year":"2017","journal-title":"Mil Med"},{"issue":"3","key":"2023072301083574900_R4","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1097\/00000542-199803000-00006","article-title":"The sensitivity and specificity of the caffeine-halothane contracture test","volume":"88","author":"Allen","year":"1998","journal-title":"Anesthesiology"},{"key":"2023072301083574900_R5","article-title":"Malignant Hyperthermia Association of the United States (MHAUS): recommendations"},{"issue":"1","key":"2023072301083574900_R6","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1097\/ALN.0b013e318190bb08","article-title":"Trends and outcomes of malignant hyperthermia in the United States, 2000 to 2005","volume":"110","author":"Rosero","year":"2009","journal-title":"Anesthesiology"},{"issue":"6","key":"2023072301083574900_R7","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.1097\/ALN.0000000000000256","article-title":"Malignant hyperthermia in the ambulatory surgery center","volume":"120","author":"Litman","year":"2014","journal-title":"Anesthesiology"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/188\/7-8\/e2681\/50937229\/usab281.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/188\/7-8\/e2681\/50937229\/usab281.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,23]],"date-time":"2023-07-23T01:09:40Z","timestamp":1690074580000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/188\/7-8\/e2681\/6323254"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,17]]},"references-count":7,"journal-issue":{"issue":"7-8","published-online":{"date-parts":[[2021,7,17]]},"published-print":{"date-parts":[[2023,7,22]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usab281","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,7,1]]},"published":{"date-parts":[[2021,7,17]]}}}