keyword
https://read.qxmd.com/read/37735778/damage-control-resuscitation-in-adult-trauma-patients-what-you-need-to-know
#21
JOURNAL ARTICLE
Danny T Lammers, John B Holcomb
Death after injury is a worldwide epidemic. Hemorrhage as a cause of death represents the leading potentially preventable condition. Based on hard-won experience from the recent wars, and two decades of military and civilian research, damage-control resuscitation (DCR) is now widely used. This article will briefly describe the history of blood transfusion, outline "why we do DCR," and then discuss "how we do DCR." Modern DCR occurs both prehospital and in the hospital and has several main tenants. Currently, DCR focuses on the liberal use of temporary hemorrhage-control adjuncts, early use of whole blood or balanced blood product-based transfusions, mitigation of crystalloid use, hypotensive resuscitation to promote hemostasis and decrease coagulopathy, and correction of ongoing metabolic derangements, followed by rapid definitive hemorrhage control...
October 1, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37699734/epidemiology-of-traumatically-injured-yemeni-civilians-treated-at-the-omani-national-trauma-centre-over-a-2-year-period-a-retrospective-cohort-study
#22
JOURNAL ARTICLE
Prashanth Ramaraj, T Al-Buluchi, S Al-Shaqsi, A Al-Kashmiri, Z B Perkins, H D De'Ath
INTRODUCTION: Armed conflict is a growing global cause of death, posing a significant threat to the resilience of global health systems. However, the burden of disease resulting from the Yemeni Civil War remains poorly understood. Approximately half of healthcare facilities in Yemen are non-operational, and around 15% of the population has been displaced. Consequently, neighbouring countries' trauma systems have been providing care to the injured. The objective of this study was to investigate the epidemiology and management of Yemeni civilian victims injured during the war who were subsequently extracted and treated at the study centre in Oman...
September 12, 2023: BMJ military health
https://read.qxmd.com/read/37681717/risk-factors-for-mortality-and-morbidity-in-syrian-refugee-children-with-penetrating-abdominal-firearm-injuries-an-1-year-experience
#23
JOURNAL ARTICLE
Mustafa Tuşat, İsmail Özmen, Mehmet Semih Demirtaş, Can Ateş, Ayse Betül Öztürk, Nazım Abdulkadir Kankılıç, Dilek Başar
BACKGROUND: Despite improvements in technology and surgical techniques, abdominal injuries caused by firearms in children are traumatic with high complication rates and mortality. In this study, factors affecting mortality and complications in penetrating abdominal firearm injuries caused by high-velocity bullets and shrapnel in children as a result of the civil war in Syria were evaluated. METHODS: This study was conducted as a case series with 53 patients admitted to Kilis State Hospital with penetrating abdominal firearm injuries between January 2016 and February 2017...
September 2023: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/37678162/rethinking-limb-tourniquet-conversion-in-the-prehospital-environment
#24
JOURNAL ARTICLE
John B Holcomb, Warren C Dorlac, Brendon G Drew, Frank K Butler, Jennifer M Gurney, Harold R Montgomery, Stacy A Shackelford, Eric A Bank, Jeff D Kerby, John F Kragh, Michael A Person, Jessica L Patterson, Olha Levchuk, Mykola Andriievskyi, Glib Bitiukov, Oleksandr Danyljuk, Oleksandr Linchevskyy
We have highlighted the issue of overuse of tourniquets and described why tourniquet conversion and replacement should be taught and done in the prehospital setting.
December 1, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37647607/prehospital-lessons-from-the-war-in%C3%A2-ukraine-damage-control-resuscitation-and%C3%A2-surgery-experiences-from-point-of-injury-to-role-2
#25
JOURNAL ARTICLE
John Quinn, Serhii I Panasenko, Yaroslav Leshchenko, Konstantyn Gumeniuk, Anna Onderková, David Stewart, A J Gimpelson, Mykola Buriachyk, Manuel Martinez, Tracey A Parnell, Leonid Brain, Luke Sciulli, John B Holcomb
The ongoing war in Ukraine presents unique challenges to prehospital medical care for wounded combatants and civilians. The purpose of this article is to identify, describe, and address gaps in prehospital care, casualty evacuation, and medical evacuation throughout Ukraine to share lessons for other providers. Observations and experiences of medical personnel were collected and analyzed, focusing on pain management, antibiotic use, patient assessment, mass casualty triage, blood loss, hypothermia, transport immobilization, and clinical governance...
August 30, 2023: Military Medicine
https://read.qxmd.com/read/37620806/retrieval-of-ferromagnetic-fragments-from-the-lung-using-video-assisted-thoracoscopic-surgery-and-magnetic-tool-a-case-report-of-combat-patient-injured-in-the-war-in-ukraine
#26
JOURNAL ARTICLE
Igor Lurin, Eduard Khoroshun, Volodymyr Negoduiko, Volodymyr Makarov, Serhii Shypilov, Volodymyr Boroday, Maksym Gorobeiko, Andrii Dinets
BACKGROUND: Gunshot wounds injury to the thorax is common in armed conflicts or war, including the war of Russia against Ukraine. Injury to the chest is associated with a high mortality or physical disability due to damage to the lungs, heart, and major vessels. The aim of this report is to demonstrate a case of successful management of severe gunshot injury to the lungs using video-assisted thoracoscopic surgery and magnetic tool for a combat patient injured in the war in Ukraine. CASE PRESENTATION: A 51-year-old soldier of the Armed Forces of Ukraine received a gunshot injury due to shelling from artillery strikes in the Donbas battlefield area...
August 24, 2023: International Journal of Emergency Medicine
https://read.qxmd.com/read/37609791/sir-benjamin-william-rycroft-obe-1902-1967-british-ophthalmologist-and-pioneer-in-corneal-surgery
#27
JOURNAL ARTICLE
Josh Wilcox, Maxwell Cooper
An unsung hero of British ophthalmology is the largely forgotten Sir Benjamin Rycroft (1902-1967). This paper will discuss and analyse the undervalued career of this great man. Upon graduating from medical school, Rycroft became a General Practitioner. Rycroft then decided to train to become an ophthalmologist. Rycroft began his ophthalmology career in 1930s London focusing on the new ground-breaking surgery of keratoplasty (corneal grafting) before serving with distinction in the medical corps during the Second World War...
August 23, 2023: Journal of Medical Biography
https://read.qxmd.com/read/37601473/beauty-borne-out-of-chaos-molding-a-surgical-subspecialty-through-the-world-wars
#28
JOURNAL ARTICLE
Tina Bharani, Charles J Yeo
The chaos during the Great Wars provided the impetus for the genesis of modern plastic surgery. Collectively, the World Wars caused disfiguring injuries to thousands of American soldiers, which challenged their acceptance into society. The Wars, however, propelled 2 leaders in the field of plastic surgery-Vilray P. Blair and James Barrett Brown. These two American pioneers used their surgical acumen and artistic skills to heal the wounds of the soldiers. During World War I, the wounds of injured soldiers were often poorly managed by inadequately trained surgeons and dentists...
June 2023: Annals of surgery open: perspectives of surgical history, education, and clinical approaches
https://read.qxmd.com/read/37469849/telemedicine-support-aids-lower-limb-reconstruction-after-combat-injury-in-ukraine
#29
Igor P Khomenko, Igor A Lurin, Konstiantyn V Gumeniuk, Gerard McKnight, Vitaliy V Makarov, Volodymyr V Nehoduyko, Eduard Khoroshun, Serhii V Tertyshnyi
Since the destructive and illegal full-scale invasion of Ukraine in February 2022, caring for the victims of war trauma has been an essential function of Ukrainian clinicians [ 1, 2]. The authors present a case where using novel dynamic digital thermography (DDT), combined with international telemedicine support, contributed to saving the lower limb of an injured Ukrainian soldier. A male soldier in his 30s presented with a 'through and through' fragmentation wound to the right thigh from an artillery shell exploding nearby...
July 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/37420334/casualty-care-implications-of-large-scale-combat-operations
#30
JOURNAL ARTICLE
Mason H Remondelli, Kyle N Remick, Stacy A Shackelford, Jennifer M Gurney, Jeremy C Pamplin, Travis M Polk, Benjamin K Potter, Danielle B Holt
Analysis and review of combat casualty care challenges in future large-scale and medical multi-domain operations from the perspective of past, present, and potential future conflicts.
August 1, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37392230/extremity-injuries-in-the-sahelian-conflict-lessons-learned-from-a-french-forward-surgical-team-deployed-in-gao-mali
#31
JOURNAL ARTICLE
Georges Pfister, Philippe Aries, Henri de Lesquen, Laurent Mathieu
PURPOSE: This study aimed to analyse extremity combat-related injuries (CRIs) and non-combat related injuries (NCRIs) treated in the French Forward Surgical Team deployed in Gao, Mali. PATIENTS AND METHODS: A retrospective study was conducted using the French surgical database OpEX (French Military Health Service) from January 2013 to August 2022. Patients operated on for an extremity injury less than one month old were included. RESULTS: During this period, 418 patients with a median age of 28 years [range 23-31 years] were included and totalized 525 extremity injuries...
July 1, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37364068/treatment-of-combat-gunshot-shrapnel-trauma-of-large-defects-of-the-soft-tissues-of-the-lower-extremities-with-plastic-surgery-in-combination-with-vacuum-assisted-wound-closure-vac
#32
JOURNAL ARTICLE
Andrii M Formanchuk, Volodymyr O Shaprynskyi, Sergiy P Dmytryshin, Yuriy P Hnatiyk, Olexandr V Moskaliuk, Tetiana O Vozniuk, Tetiana V Formanchuk
OBJECTIVE: The aim: To evaluate efficacy of the tissue defect closure techniques in combination with VAC in the treatment of battle casualities of the lower extremities. PATIENTS AND METHODS: Materials and methods: The results of wound healing until complete wound closure, of 62 patients with shrapnel defects of the lower extremities where assessed. RESULTS: Results: Treatment of patients with soft tissue defects of the lower extremities using rotational flaps on the vascular pedicle and VAC significantly reduces the incidence of infectious complications (18...
2023: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://read.qxmd.com/read/37257063/committee-on-surgical-combat-casualty-care-position-statement-neurosurgical-capability-for-the-optimal-management-of-traumatic-brain-injury-during-deployed-operations-including-invited-commentaries
#33
JOURNAL ARTICLE
Jennifer M Gurney, Matthew D Tadlock, Bradley A Dengler, Brian J Gavitt, Michael S Dirks, John B Holcomb, Russ S Kotwal, Linda C Benavides, Jeremy W Cannon, Theodore Edson, John C Graybill, Brian J Sonka, Donald W Marion, Matthew J Eckert, Martin A Schreiber, Travis M Polk, Shane D Jensen, Matthew J Martin, Bellal A Joseph, Alex Valadka, Jeffrey D Kerby
BACKGROUND: Experiences over the last 3 decades of war have demonstrated a high incidence of Traumatic Brain Injury (TBI) resulting in a persistent need for a neurosurgical capability within the deployed theatre of operations. Despite this, no doctrinal requirement for a deployed neurosurgical capability exists. Through an iterative process, the Joint Trauma System Committee on Surgical Combat Casualty Care (CoSCCC) developed a Position Statement to inform medical and non-medical military leaders about the risks of the lack of a specialized neurosurgical capability...
June 1, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37244868/some-reflections-on-war-for-countries-at-peace-would-we-know-what-to-do
#34
EDITORIAL
Yvette Godwin, Ahmad Shamsaldin
In the west we have enjoyed peace for decades, but war is globally always present. Recent events have brought this into clear evidence. Once mass casualties occur, war enters civilian hospitals. As civilian Surgeons, used to our sophisticated elective work, would we know how to step up to the mark if required? Ballistic and blast wounds pose problems that need reflection before treatment starts. Delivery of early and complete debridement to high numbers of casualties, stabilising bone and closing the wounds becomes the role of the Ortho-plastic team...
May 10, 2023: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/37219539/pediatric-trauma-surgery-in-iraq-and-afghanistan-mortality-indicators-and-most-common-operating-room-interventions-from-2007-2016
#35
JOURNAL ARTICLE
Andrew S Oh, Steve G Schauer, Kathleen Adelgais, John L Fletcher, Fritz Karrer
BACKGROUND: The wars in Afghanistan and Iraq produced thousands of pediatric casualties, utilizing substantial military medical resources. We sought to describe characteristics of pediatric casualties that underwent operative intervention in Iraq and Afghanistan. METHODS: This is a retrospective analysis of pediatric casualties treated by US Forces in the Department of Defense Trauma Registry (DoDTR) with at least one operative intervention during their course. We report descriptive, inferential statistics, and multivariable modeling to assess associations for receiving an operative intervention and survival...
May 23, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37166192/a-scoping-review-of-two-decades-of-pediatric-humanitarian-care-during-wartime
#36
JOURNAL ARTICLE
Veronica I Kocik, Matthew A Borgman, Michael D April, Steven G Schauer
Humanitarian care is a vital component of the wartime mission. Children comprise a significant proportion of casualties injured by explosives and penetrating weapons. Children face a variety of unique injury patterns in the combat setting as high-powered firearms and explosives are rarely seen in the civilian setting. We sought to perform a scoping review of pediatric research from the recent US-led wars in Afghanistan, and Iraq conflicts beginning in 2001. We used Google Scholar and PubMed to identify pediatric combat literature published between 2001 and 2022...
May 12, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37149374/introduction-the-multidisciplinary-team-approach-to-burn-care
#37
REVIEW
David N Herndon
Since the first burn units were established following World War II, great advances in understanding and treating burn shock, smoke inhalation injury, pneumonia, and invasive burn wound infections, and in achieving early burn-wound closure, have greatly decreased postburn morbidity and mortality. These advances were the result of closely integrated multidisciplinary teams of clinicians and researchers. The team approach to burns is a model for success in the care of any challenging clinical problem.
June 2023: Surgical Clinics of North America
https://read.qxmd.com/read/37145055/the-correlation-between-hemostatic-blood-parameters-and-sepsis-in-patients-with-gunshot-wounds-referred-to-a-training-and-research-hospital
#38
JOURNAL ARTICLE
Derya Can, Mehmet Eryılmaz
BACKGROUND: War injuries are different among the causes of trauma compared to cases in normal life. Patients with multi-trauma due to war injury are prone to develop infective complications such as sepsis or septic shock. Septic complications are one of the leading causes of late death in multi-trauma patients. Prompt, appropriate, and effective management of sepsis has been shown to prevent multiorgan dysfunction and improve mortality and clinical outcomes. However, there is no ideal biomarker to predict sepsis...
May 2023: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/37084531/neurosurgical-management-of-penetrating-brain-injury-during-world-war-i-a-historical-cohort
#39
JOURNAL ARTICLE
Rayan Fawaz, Mathilde Schmitt, Philémon Robert, Nathan Beucler, Jean-Marc Delmas, Nicolas Desse, Aurore Sellier, Arnaud Dagain
During World War I, 25% of penetrating injuries were in the cephalic region. Major Henri Brodier described his surgical techniques in a book in which he reported every consecutive penetrating brain injury (PBI) that he operated on from August 1914 to July 1916. The aim was to collate his data and discuss significant differences in management between soldiers who survived and those who died. We conducted a retrospective survey that included every consecutive PBI patient operated on by Henri Brodier from August 1914 to April 1916 and recorded in his book...
May 2023: Neuro-Chirurgie
https://read.qxmd.com/read/37045540/understanding-the-burden-of-injury-in-children-from-conflict-an-analysis-of-radiological-imaging-from-a-role-3-hospital-in-afghanistan-in-2011
#40
JOURNAL ARTICLE
Will Sargent, P Mahoney, J Clasper, A Bull, P Reavley, I Gibb
INTRODUCTION: There is a need for quality medical care for children injured in conflict, but a description of injuries and injury burden from blast and ballistic mechanisms is lacking. The radiology records of children imaged during the war in Afghanistan represent a valuable source of information about the patterns of paediatric conflict injuries. METHODS: The UK military radiological database was searched for all paediatric presentations to Camp Bastion during 2011...
April 12, 2023: BMJ military health
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