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At least 55 records · Page 3

Compensatory reserve detects subclinical shock with more expeditious prediction for need of life‐saving interventions compared to systolic blood pressure and blood lactate

Abstract Introduction We conducted a prospective observational study on 205 trauma patients at a level I trauma facility to test the hypothesis that a compensatory reserve measurement (CRM) would identify higher risk for progression to shock and/or need a life‐saving interventions (LSIs) earlier than systolic blood pressure (SBP) and blood lactate (LAC). Methods A composite outcome metric included blood transfusion, procedural LSI, and mortality. Discrete measures assessed as abnormal (ab) were SBP <90 mmHg, CRM <60%, and LAC >2.0. A graded categorization of shock was defined as: no shock (normal [n] SBP [n‐SBP], n‐CRM, n‐LAC); sub‐clinical shock (ab‐CRM, n‐SBP, n‐LAC); occult shock (n‐SBP, ab‐CRM, ab‐LAC); or overt shock (ab‐SBP, ab‐CRM, ab‐LAC). Results Three patients displayed overt shock, 53 displayed sub‐clinical shock, and 149 displayed no shock. After incorporating lactate into the analysis, 86 patients demonstrated no shock, 25 were classified as sub‐clinical shock, 91 were classified as occult shock, and 3 were characterized as overt shock. Each shock subcategory revealed a graded increase requiring LSI and transfusion. Initial CRM was associated with progression to shock (odds ratio = 0.97; p < .001) at an earlier time than SBP or LAC. Conclusions Initial CRM uncovers a clinically relevant subset of patients who are not detected by SBP and LAC. Our results suggest CRM could be used to more expeditiously identify injured patients likely to deteriorate to shock, with requirements for blood transfusion or procedural LSI.

Convertino, Victor A.↗

The structure of cluster merger shocks: turbulent width and the electron heating time-scale

We present a new 2MsChandra observation of the cluster merger Abell 2146, which hosts two huge M ~ 2 shock fronts each ~500 kpc across. For the first time, we resolve and measure the width of cluster merger shocks. The best-fitting width for the bow shock is 17 ± 1kpc and for the upstream shock is 10.7 ± 0.3 kpc. A narrow collisionless shock will appear broader in projection if its smooth shape is warped by local gas motions. We show that both shock widths are consistent with collisionless shocks blurred by local gas motions of 290 ± 30 km s –1 . The upstream shock forms later on in the merger than the bow shock and is therefore expected to be significantly narrower. From the electron temperature profile behind the bow shock, we measure the time-scale for the electrons and ions to come back into thermal equilibrium. We rule out rapid thermal equilibration of the electrons with the shock-heated ions at the 6σ level. The observed temperature profile instead favours collisional equilibration. For these cluster merger shocks, which have low sonic Mach numbers and propagate through a high β plasma, we find no evidence for electron heating over that produced by adiabatic compression. Our findings are expected to be valid for collisionless shocks with similar parameters in other environments and support the existing picture from the solar wind and supernova remnants. Furthermore, the upstream shock is consistent with this result but has a more complex structure, including a ~2ke V increase in temperature ~50 kpc ahead of the shock.

79 ASTRONOMY AND ASTROPHYSICS↗

A theoretical approach for transient shock strengthening in high-energy-density laser compression experiments

In high-energy-density shock compression experiments, the desired state of compression is typically achieved by passing shock waves through a sequence of different materials. Here, a theoretical approach for transiently strengthening such shocks passing through interfaces of experimentally relevant impedance ratios is examined. A semi-analytical method based on characteristics analysis is used to solve the problem of a shock passing from one material to another through an intermediate region of non-uniform impedance; by appropriately designing this region, a greater shock strength can be achieved in the second material for a finite duration than in the absence of this region. When a shock passes into a material of higher impedance, the shock strengthening increases to a maximum before decreasing to an asymptotic value as the strength of the incident shock is increased. For shocks passing into materials of decreasing impedance, the shock strengthening increases monotonically as the strength of the incident shock is increased when the impedance ratio is above a critical threshold. Incorporating multiple intermediate materials can further increase the strength of the transmitted shock, with an exponential discretization of intermediate material impedances being the most effective distribution for strengthening strong shocks. The results suggest that up to 25% and 9% increases in pressure behind the leading shock can be achieved for materials of increasing and decreasing impedance, respectively. The technique is applied to the design of laser-driven dynamic compression experiments, and the results of the analysis are verified via comparison to simulations performed with the HYADES hydrodynamics code.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

A Study of Slow-mode Shocks in the Near-Earth Magnetotail with MMS Observations and Hybrid Simulations

The structure of the magnetic reconnection boundary, particularly the presence of slow-mode shocks in the near-Earth magnetotail was studied by using magnetospheric multiscale (MMS) observations and 2.5D hybrid simulations. A total of 51 crossings of MMS from 2017 to 2021 were analyzed. We found that the detection percentage of slow-mode shocks in the near-Earth magnetotail is 41%–55%. Previous studies have only reported one slow-mode shock event in the near-Earth magnetotail and a slow-mode shock detection percentage of 10% or lower in the mid-to-distant magnetotail. It was observed that if the high-energy beam region data is removed from the slow-mode shock downstream observations then the detection of slow-mode shocks reduces, implying that the kinetic effects play an important role in the detection of slow-mode shocks. For the crossings where the interface was not identified as a slow-mode shock, it was found that the turbulence in those crossings can change the mass flux values and disrupt the detection of slow-mode shock. However, the macroscopic slow-mode shock-like structure stably exists around the magnetic reconnection interface, as most of the conditions for slow-mode shocks were satisfied. This result suggests that slow-mode shocks are a general feature of magnetic reconnection geometry. We find that the lack of detection of slow-mode shocks in previous observations and simulations can be explained by taking into account the kinetic structure of slow-mode shocks and the presence of turbulence.

79 ASTRONOMY AND ASTROPHYSICS↗

Controlled Pyroshock Test Transients Can Be Used To Better Match Operational Shock Transients and Reduce Artificial Pyroshock Test Failures [Slides]

Shock analysis is typically done via SRS (shock response spectrum). Oftentimes shock analysis is not performed because most loads specifications only supply SRS requirements with no representative shock transients that can be used for analysis. SRS analysis is too conservative. There is no structural dynamics involved as all modes are assumed to have peak responses simultaneously and in-phase with each other. It is possible that all other loads and combination of loads show the design to be good, whereas SRS analysis (1000 g’s are involved) results may require redesign. Multiple shock transients can satisfy a SRS, yet most loads documents don’t provide a representative shock transient that could be used for shock analysis. Shock testing is less common than harmonic and random vibration testing. Engineers typically go into shock tests with very little knowledge of what to expect. A pass/fail type of approach with very little engineering done to prepare for the test or to control the type of shock transient is used. Most engineers will not model the shock test fixture due to lack of knowledge about the details of the test setup. Shock analysis and testing is often an open loop type situation with no test setup modeling, no test correlation, and no control over the test shock transient. In this work, if we can create applied test force transient that comes close to matching calculated force transient then a more reasonable acceleration transient will be created at the test reference accelerometer that better matches operational shocks.

42 ENGINEERING↗