Soldier Without a Rifle

RIFLE is alive: long live RIFLE

Diagnosis and classification of acute kidney injury was addressed systematically only 8 years ago when the classification called RIFLE (acronym of Risk, Injury, Failure, Loss of function and End stage Kidney disease describing progressive severity of renal damage) was created. Since then, several studies have tried to apply, validate, criticize and modify this initial scheme: as a matter of fac...

RIFLE is not RIFLE: on the comparability of results

Page 1 of 2 (page number not for citation purposes) In the consensus RIFLE criteria [1] of acute kidney injury (AKI) the thresholds given for serum creatinine (sCr) increase and glomerular filtration rate (GFR) decrease (Table 1) do not correspond [2]. Direct measurement of GFR in clinical practice is difficult, and values are more often estimated (eGFR) by the Cockroft-Gault equation or the Mo...

Physician-soldier: a Moral Profession

Doctors performing brain surgery by flashlight during a blackout necessitated by a Japanese air raid. The austerity of the surroundings is evident in the lack of medical equipment and supplies. Just as the wounded soldier moves along a pathway from injury, to triage, to care, to recovery, military physicians need to travel along their own pathway of understanding themselves as both physician an...

Soldier rehabilitation.

The air rifle: a dangerous weapon.

The air rifle: a dangerous weapon Airgun injuries are common among children. Though several reports of eye and soft-tissue injuries have been published, intra-abdominal injuries are apparently rare. I report a case of gastric perforation by an airgun pellet, which exemplifies the potentially lethal injuries that these weapons can inflict. Though the current laws restricting the possession and u...