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

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...

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...

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...

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...

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...

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...

Triage Derived from the French verb trier , triage means ‘to sort’ and is the cornerstone of the...