By William W. Hurd, John G. Jernigan, P.K.Jr. Carlton

ISBN-10: 0387226990

ISBN-13: 9780387226996

ISBN-10: 0387986049

ISBN-13: 9780387986043

The definitive remedy at the scientific evacuation and administration of injured sufferers in either peace- and wartime. Edited by means of eminent specialists within the box, this article brings jointly scientific experts from all 4 branches of the armed companies. It discusses the background of aeromedical evacuation, triage and staging of the injured sufferer, evacuation from web site of harm to clinical facility, air-frame features, clinical functions in-flight, reaction to in-flight emergencies, and mass emergency evacuation. particular health conditions are addressed intimately, together with such common surgical casualties as stomach wounds and smooth tissue, vascular, maxillofacial, head and spinal wire accidents, ophthalmologic, orthopaedic, pediatric, obstetric-gynecologic casualties, burns, and extra. Over eighty illustrations supply a evaluate of delivery apparatus and either clinical and surgery. essential reference for all armed compelled physicians and flight surgeons, for normal and trauma surgeons, internists, in depth care experts, orthopaedic surgeons, and public well-being carrier physicians.

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Extra info for Aeromedical Evacuation - Management of Acute and Stabilized Patients

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Improvements in both medical care and evacuation have the potential to decrease the number of combatants who survived the initial injury but died subsequently in the medical system. 3). Over one third of head and thoracic wound deaths occur in the medical system. Increased attention to treatable problems, such as airway obstruction, tension pneumothorax, and shock, may improve this rate. Although abdominal wounds show a relatively low lethality, early surgery and prevention of late deaths from sepsis may further improve outcome.

Outcome Killed immediately Died of wounds Survived Head Neck Thorax Abdomen Extremity 34 46 17 8 8 17 41 34 9 10 7 6 7 5 69 Figures add up to >100% because of overlapping injuries. 22 4. 4. Comparison of the characteristics of combat and civilian trauma. Factor Bullet velocity Frequency of shrapnel injury Anatomic location Comorbid disease Contamination of wounds Evacuation time Military Civilian High High Low Low Extremities Low High Torso High Low Long (>2 h) Short (<30 min) crucial, intubation is a consideration in any burn patient at serious risk for airway compromise.

2 More recently, the shift in US operations has been toward stability support operations such as peacekeeping and humanitarian missions. These types of operations tend to be prolonged, involve only sporadic conflicts, and generate few combat casualties. Consequently, the need for a large surgical presence is diminished. 11 Humanitarian missions, in particular, can present a real challenge for a military medical system designed for combat trauma. The Cuban 4. 3. A child is examined at the 86th Combat Support Hospital in El Salvador (USA photo by Specialist Aaron Reed).

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Aeromedical Evacuation - Management of Acute and Stabilized Patients by William W. Hurd, John G. Jernigan, P.K.Jr. Carlton


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