34 Con f_l ict surgery

BLAST INJURIES Blast injuries are classified by the blast mechanism ( Table 34.3 BLAST INJURIES Bl...

BLAST As already discussed, blast has become the predominant mechanism of injury in recent confli...

Ballistic injuries Terminal ballistics (or wound ballistics) describes the interac tion between p...

CONSIDERATIONS International Humanitarian Law (IHL) regulates humanitar - ian issues during armed...

Complex dismounted blast injury In contrast, the dismounted IED casualty may sustain a char acter...

DAMAGE CONTROL SURGERY 15 DCS was first described by Rotondo et al ., although the idea of an ab...

DECISION MAKING WITHIN THE DEPLOYED ENVIRONMENT The damage control approach is vital in a proport...

ETHICAL AND LEGAL ETHICAL AND LEGAL ETHICAL AND LEGAL

Environmental effects As already alluded to, the shockwave of blast overpressure is modified by a...

HOW IS WAR SURGERY DIFFERENT? While civilian trauma surgery bears some of the hallmarks of the b...

INFECTION Battlefield wounds are by their very nature grossly contami - nated and the treatment an...

Improvised explosive devices The characteristic weapon of modern warfare has been the IED, which...

INTRODUCTION The treatment of war wounds is as ancient as warfare itself. The Edwin Smith papyru...

Learning objectives To understand and appreciate: Fundamental differences of war surgery • Injury...

MANAGEMENT OF GUNSHOT WOUNDS The management of gunshot wounds in a conflict setting may - di ff er...

MASSIVE TRANSFUSION While haemorrhage control prior to the need for massive transfusion is ideal,...

MEDICAL EVACUATION Medical evacuation refers to the movement and en route care of casualties wit...

MEDICAL SUPPORT ROLES The term ‘role’ is used to designate the tiers of medical support 2 that i...

PRINCIPLES OF WAR SURGERY Battlefield death occurs early (or immediately) because of devastating c...

Primary blast injury Primary blast injuries result from the overpressure and are, as such, unique...

Quaternary and quinary injury Quaternary blast injury refers to a miscellaneous group of injuries...

REFERENCES 1 Atta HM. Edwin Smith Surgical Papyrus: the oldest known surgi - cal treatise. Am Sur...

SURGERY Modern warfare has changed over recent decades. The causes of injury are particular to t...

Secondary blast injury Secondary blast injury refers to the e ff ect of fragments that are accele...

Tertiary blast injury Tertiary blast injury is the result of gross movement of person - nel, ob...

WEAPON EFFECTS Ballistics The ability to manage conflict injuries relies on an under - standing...