No abstract

Migration is a rare complication of venticuloperitoneal shunts and is thought to be associated with the "memory" of the plastic tubing and the windlass effect of neck flexion and extension. The purpose of this case report is to detail a very rare case of complete distal to proximal shunt migration.

After-action reports on the 2005 hurricane relief efforts pointed to the need for effective and efficient civilian/military operational cooperation. Cited for particular attention was the interface with National Guard units. This article describes an exercise conducted with National Guard units and members of the Central New York Medical Reserve Corps to educate all participants in effective interaction during disaster responses. Using a unique health care facility located at the New York State Fairgrounds, this 2-day operation demonstrated that jointly trained civilian and military units become well prepared for the conduct of joint relief and rescue operations.