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Complex dismounted blast injury
Complex dismounted blast injury In contrast, the dismounted IED casualty may sustain a char acteristic pattern of injuries, including lower limb amputation, pelvic fracture and genital, perineal and rectal injuries. The most common cause of death in such cas...
063 - section 8 Infectious diseases
DAMAGE CONTROL SURGERY
DAMAGE CONTROL SURGERY 15 DCS was first described by Rotondo et al ., although the idea of an abbreviated laparotomy for the unwell patient was not totally novel. The concepts of DCS were initially applied to complex trauma patients with combined vascular an...
064 - Pages 1576-1600
DECISION MAKING WITHIN THE DEPLOYED ENVIRONMENT
DECISION MAKING WITHIN THE DEPLOYED ENVIRONMENT The damage control approach is vital in a proportion of war injuries, but thought must be given to available resources. Within a well-established role 3 unit, both DCS and definitive procedures are likely to be p...
065 - section 8 Infectious diseases
ETHICAL AND LEGAL
ETHICAL AND LEGAL ETHICAL AND LEGAL ETHICAL AND LEGAL
066 - Pages 1626-1650
Environmental effects
Environmental effects As already alluded to, the shockwave of blast overpressure is modified by an enclosed or partially enclosed space. Envi ronmental variations may make marked di ff erences to injury rates and clinical presentations following blast. Higher r...
067 - section 8 Infectious diseases
HOW IS WAR SURGERY DIFFERENT
HOW IS WAR SURGERY DIFFERENT? While civilian trauma surgery bears some of the hallmarks of the battlefield, there are fundamental contrasts in environment and injury pattern that must be appreciated: /uni25CF The environment of war is likely to be austere. Wh...
068 - Pages 1676-1700
INFECTION
INFECTION Battlefield wounds are by their very nature grossly contami - nated and the treatment and prevention of infection is one of the basic functions of war surgery . Wounds sustained during warfare are high-energy wounds with large areas of devitalised ...
069 - Section 9 Sexually transmitted diseases
Improvised explosive devices
Improvised explosive devices The characteristic weapon of modern warfare has been the IED, which was the leading cause of death among coalition 22 troops during conflicts in Iraq and Afghanistan. devices may range from rudimentary homemade explosives to sophi...
070 - Pages 1726-1750
Introduction
INTRODUCTION The treatment of war wounds is as ancient as warfare itself. The Edwin Smith papyrus has been dated to 1600 /uni00A0 /b.sc/c.sc/e.sc is the oldest known treatise on trauma surgery and anatomy . The history of battlefield surgery is the history of...