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https://www.readbyqxmd.com/read/27724088/advances-in-military-resuscitation
#1
Sharon Edwards, Jason Smith
Trauma is a leading cause of death and disability worldwide, in civilian environments and on the battlefield. Trauma-induced haemorrhage is the principal cause of potentially preventable death, which is generally attributable to a combination of vascular injury and coagulopathy. Survival rates following severe traumatic injury have increased due to advanced trauma management initiatives and treatment protocols, influenced by lessons learned from recent conflicts in Iraq and Afghanistan. The use of tourniquets and intraosseous needles, early blood and blood product transfusion, administration of tranexamic acid in pre-hospital settings, and consultant-led damage control resuscitation incorporating damage control surgery have all played their part...
October 6, 2016: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/27613217/grace-under-fire-the-army-nurses-of-pearl-harbor-1941
#2
Gwyneth R Milbrath
OBJECTIVE: Much has been written about the military events of December 7, 1941; however, little has been documented about the nurses' work and experience at Pearl Harbor, Hawaii. The aerial assault on Pearl Harbor was the first time in US history that Army nurses had been on the front line of battle. Nurses quickly triaged and stabilized those who could be saved, and provided compassion and comfort to those who were dying, in an environment where the nurses were unsure of their own survival...
October 2016: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/27318022/total-phallic-reconstruction-using-the-radial-artery-based-forearm-free-flap-after-traumatic-penile-amputation
#3
Marco Falcone, Giulio Garaffa, Amr Raheem, Nim A Christopher, David J Ralph
INTRODUCTION: Although genital injuries in civilian centers are rare, the scenario is completely different in the battlefield. If the penile distal stump is not adequate for primary reimplantation or it cannot be found, then delayed penile reconstruction needs to be considered. AIM: To report a single-center experience with total phallic reconstruction using radial artery based forearm free flap (RAFFF) after penile traumatic loss. METHODS: We retrospectively reviewed the clinical records of 10 patients who underwent total phallic reconstruction with the use of the RAFFF from September 2001 through August 2015 after traumatic amputation of the penis...
July 2016: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/27162294/-the-evolution-of-the-emergency-medical-services-system-from-ancient-to-modern-times
#4
Mariusz Goniewicz, Krzysztof Goniewicz
The paper discusses the historical perspective - from ancient to modern times - on the evolution of military medicine and its support during the wars and battles as well as its impact on the development of civilian health care and emergency medical services. Indicated breakthroughs related to conducting military operations and pointed to the visionaries who have developed new paradigms of medical care, including programs designed to assess the health status of patients, treatment in the battlefield, medical transport, anesthesia, surgery and emergency procedures...
2016: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/26965807/lead-follow-or-get-out-of-the-way-how-bold-young-surgeons-brought-vascular-surgery-into-clinical-practice-from-the-korean-war-battlefield
#5
REVIEW
Michael S Baker
The maturation of vascular surgery into widespread clinical practice was accelerated by events that took place in Korea during the conflict of 1950-1953. Early research and anecdotal clinical trials were just then resulting in publication of cases of the successful vascular repairs and replacements. Noncrushing vascular clamps were being developed and limited manufacture begun. The stage was set for a major advance in the treatment of arterial injury, just as war commenced in Korea, which provided a clinical laboratory...
May 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/26921106/-norman-bethune-1890-1939-an-involved-doctor-icon-of-the-blood-transfusion-history
#6
M E Gentili
Norman Bethune was born in 1890, in Gravenhurst (Ontario, Canada). Thereafter a strong surgical training, he implied in thoracic surgery and fight against tuberculosis. His political opinions led him to join the Republicans in the Spanish Civil War. He played an important part in the development of blood transfusion on the battlefield. Then he joined China with communist troops and therein developed surgical units and accelerated training for health personal. He died of septicemia in 1939.
May 2016: Transfusion Clinique et Biologique: Journal de la Société Française de Transfusion Sanguine
https://www.readbyqxmd.com/read/26633674/unusual-late-presentation-of-hemophilia-a-in-an-active-duty-u-s-marine-following-open-shoulder-surgery
#7
Bennett H Shapiro, Alex R Minter, Lucas S McDonald
Hemophilia A is clotting disorder affecting 8:100,000 males in the United States. It is an X-linked recessive genetic disorder, although about one-third of cases occur spontaneously without known family history. Because of the risk of uncontrolled hemorrhage on the battlefield, hemophilia and other bleeding disorders exclude individuals from service in the U.S. military. We report a case of an active duty U.S. Marine whose underlying diagnosis of Hemophilia A was discovered and treated by a multidisciplinary team of orthopedic surgeons and hematologists following recurrent hematomas after open rotator cuff surgery...
December 2015: Military Medicine
https://www.readbyqxmd.com/read/26390742/combat-anesthesia-a-case-report-of-a-gunshot-wound-and-new-trauma-protocols
#8
Peter D Strube, Andrew D Perkins
Revolutionary innovations and technical advances in the disciplines of medicine, surgery, and anesthesia are inextricably connected to military conflict. The demonstrated lifesaving value of these novel approaches in high-acuity trauma has provided the impetus for translation of these elements into injury care in the civilian environment. One element of this battlefield medical revolution is the implementation and refinement of forward surgical care. All US military services have unique configurations of this surgical team to match their expeditionary capacity...
August 2015: AANA Journal
https://www.readbyqxmd.com/read/26327542/resqfoam-for-the-treatment-of-non-compressible-hemorrhage-on-the-front-line
#9
Julius C Chang, Brian C Holloway, Monica Zamisch, Matthew J Hepburn, Geoffrey S F Ling
Noncompressible torso hemorrhage is the leading cause of potentially survivable death on the battlefield. While medical advances have decreased the rate of "died of wounds" to less than 5%, significant treatment limitations in pre-hospital care remain. To address this persistent capability gap, the Defense Advanced Research Projects Agency launched the Wound Stasis System program in 2010. Under that program, Arsenal Medical, in collaboration with Massachusetts General Hospital and Harvard Medical School, developed a novel, self-expanding polyurethane foam that rapidly treats major abdominal bleeding due to trauma, for use at the point of care...
September 2015: Military Medicine
https://www.readbyqxmd.com/read/26263932/human-factors-in-decision-making-in-major-trauma-in-camp-bastion-afghanistan
#10
G S Arul, H E J Pugh, S J Mercer, M J Midwinter
INTRODUCTION: The concentration of major trauma experience at Camp Bastion has allowed continuous improvements to occur in the patient pathway from the point of wounding to surgical treatment. These changes have involved clinical management as well as alterations to the physical layout of the hospital, training and decision making. Consideration of the human factors has been a major part of these improvements. METHODS: We describe the Camp Bastion patient pathway with the communication template that focused decision making at various key moments during damage control resuscitation and damage control surgery (DCR-DCS)...
May 2015: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/26204320/syria-civil-war-outcomes-of-humanitarian-neurosurgical-care-provided-to-syrian-wounded-refugees-in-israel
#11
Masad Barhoum, Samuel Tobias, Moshe Elron, Aviram Sharon, Tariq Heija, Jean F Soustiel
BACKGROUND: As an expected consequence of the civil war in Syria, emergent neurosurgical care for battlefield trauma has been provided for severely head-injured Syrians transferred to Northern Israel. METHODS: Sixty-six patients suffering from brain injury were brought to the border and then referred to the institution after initial resuscitation. Both the time and type of injury were recorded based on paramedic testimony, forensic material or on details provided by patients...
2015: Brain Injury: [BI]
https://www.readbyqxmd.com/read/26156720/medieval-orthopaedic-history-in-germany-hieronymus-brunschwig-and-hans-von-gersdorff
#12
Philippe Hernigou
Hans von Gerssdorff and Hieronymus Brunschwig, who flourished in Germany in the latter half of the fifteenth century, have both left early printed treatises on Surgery which give excellent woodcuts showing pictures of instruments, operations, and costumes, at the end of the medieval period. Hieronymus Brunschwig or Hieronymus Brunschwygk (ca. 1450 - ca. 1512), was a German surgeon (wundartzot), alchemist and botanist. He was notable for his methods of treatment of gunshot wounds. His most influential book was the Buch der Cirurgia...
October 2015: International Orthopaedics
https://www.readbyqxmd.com/read/26143820/-wounded-in-action-the-platinum-ten-minutes-and-the-golden-hour
#13
Jean-Louis Daban, Elisabeth Falzone, Mathieu Boutonnet, Vincent Peigne, Bernard Lenoir
In the battlefield, the majority of casualties die within ten minutes of the trauma. Most injuries result from an explosion and haemorrhage plays a central role. To improve survival rates, the French Army Health Service has developed a chain of survival from the battlefield to France based on prehospital combat casualty care, forward medical support during the first hour and damage control surgery.
September 2014: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/26100784/advances-in-damage-control-resuscitation-and-surgery-implications-on-the-organization-of-future-military-field-forces
#14
REVIEW
Homer Tien, Andrew Beckett, Naisan Garraway, Max Talbot, Dylan Pannell, Thamer Alabbasi
Medical support to deployed field forces is increasingly becoming a shared responsibility among allied nations. National military medical planners face several key challenges, including fiscal restraints, raised expectations of standards of care in the field and a shortage of appropriately trained specialists. Even so, medical services are now in high demand, and the availability of medical support may become the limiting factor that determines how and where combat units can deploy. The influence of medical factors on operational decisions is therefore leading to an increasing requirement for multinational medical solutions...
June 2015: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/26035580/-endovascular-surgery-in-the-war
#15
REVIEW
V A Reva, I M Samokhvalov
Rapid growth of medical technologies has led to implementation of endovascular methods of diagnosis and treatment into rapidly developing battlefield surgery. This work based on analysing all available current publications generalizes the data on using endovascular surgery in combat vascular injury. During the Korean war (1950-1953) American surgeons for the first time performed endovascular balloon occlusion of the aorta - the first intravascular intervention carried out in a zone of combat operations. Half a century thereafter, with the beginning of the war in Afghanistan (2001) and in Iraq (2003) surgeons of central hospitals of the USA Armed Forces began performing delayed endovascular operations to the wounded...
2015: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/25966535/-can-we-speak-of-the-management-of-pain-under-the-empire
#16
Pierre Le Dantec
It is essential first to disregard all our knowledge and current certainties to plunge two centuries behind. Pain is recognized: physical, moral, chronic, acute. The story of analgesia finds the use of poppy, but with equal components, in variable quantity, the analgesic potion could be transformed into a poison. In the 17th century Sydenham vulgarizes the use of the laudanum known since the 16th, and the first general anesthesia will take place in 1846, we can say that, under the Empire, we are in the prehistory of the anesthesia...
July 2014: Histoire des Sciences Médicales
https://www.readbyqxmd.com/read/25757118/efficacy-of-a-prehospital-self-expanding-polyurethane-foam-for-noncompressible-hemorrhage-under-extreme-operational-conditions
#17
Adam P Rago, Andreas Larentzakis, John Marini, Abby Picard, Michael J Duggan, Rany Busold, Marc Helmick, Greg Zugates, John Beagle, Upma Sharma, David R King
BACKGROUND: Noncompressible abdominal hemorrhage is a significant cause of battlefield and civilian mortality. We developed a self-expanding polyurethane foam intended to provide temporary hemorrhage control and enable evacuation to a definitive surgical capability, for casualties who would otherwise die. We hypothesized that foam treatment would be efficacious over a wide range of out-of-hospital operational conditions. METHODS: The foam was tested in an established lethal, closed-cavity hepatoportal injury model in four groups as follows...
February 2015: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/25508259/-wounded-in-action-the-platinum-ten-minutes-and-the-golden-hour
#18
Jean-louis Daban, Elisabeth Falzone, Mathieu Boutonnet, Vincent Peigne, Bernard Lenoir
In the battlefield, the majority of casualties die within ten minutes of the trauma. Most injuries result from an explosion and haemorrhage plays a central role. To improve survival rates, the French Army Health Service has developed a chain of survival from the battlefield to France based on prehospital combat casualty care, forward medical support during the first hour and damage control surgery.
September 2014: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/25464628/-wounded-in-action-the-platinum-ten-minutes-and-the-golden-hour
#19
Jean-louis Daban, Elisabeth Falzone, Mathieu Boutonnet, Vincent Peigne, Bernard Lenoir
In the battlefield, the majority of casualties die within ten minutes of the trauma. Most injuries result from an explosion and haemorrhage plays a central role. To improve survival rates, the French Army Health Service has developed a chain of survival from the battlefield to France based on prehospital combat casualty care, forward medical support during the first hour and damage control surgery.
September 2014: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/25415020/british-dental-surgery-and-the-first-world-war-the-treatment-of-facial-and-jaw-injuries-from-the-battlefield-to-the-home-front
#20
K D Hussey
When Britain went to war in 1914, the British Expeditionary Force was deployed without a single dentist. Initially considered combatants, the only dental professionals who could serve at the Front were medically qualified dental surgeons in the Royal Army Medical Corps. In treating the traumatic facial and jaw injuries caused by trench warfare, the dental surgeons of this era earned their place on specialist surgical teams and established the principles of oral and maxillofacial surgery. This article will examine the contribution of specialist dental surgeons to the management of facial and jaw wounds in the First World War along the chain of evacuation from the battlefield to the home front, using illustrative examples from the Hunterian Museum at the Royal College of Surgeons of England...
November 2014: British Dental Journal
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