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Updated from the 2013 edition, this volume reflects lessons learned from recent US involvement in Iraq and Afghanistan, and represents state-of-the-art principles and practices of forward trauma surgery. Expertly addresses the appropriate medical management of blast wounds, burns, and multiple penetrating injuries, as well as other battle and non-battle injuries. Topics include triage, hemorrhage control, airway/breathing, shock and resuscitation, anesthesia, infections, critical care, damage control surgery, face and neck injuries, soft-tissue injuries, ocular injuries, head injuries, extremity fractures, thoracic injuries, amputations, abdominal injuries, pediatric care, and more. A new chapter provides Tactical Combat Casualty Care guidelines. Significant updates were also made to the blood collection and transfusion chapters. Other products produced by the U.S. Army, Borden Institute can be found here: https://bookstore.gpo.gov/agency/borden-institute
This book is a completely revised and updated version of the original Emergency War Surgery N.A.T.O. Handbook and reflects the major advances in medical technology and treatment methods that have been achieved since that time. Chapters include: General Considerations of Forward Surgery, Burn Injury, Cold Injury, Blast Injury, Chemical Injury, Mass Casualties in Thermonuclear Warfare, Multiple Injuries, Shock and Resuscitation, Amputations, Wounds and more.
This book offers an accessible introduction to the U.S. military as an institution and provides insights into the military’s structure and norms. Designed for undergraduate students, the book offers an interdisciplinary overview of America’s armed forces through three critical lenses. First, it introduces the military’s constitutional and historical context. Second, it presents concise factual information chosen for its relevance to the military’s structures, procedures, norms, and varied activities. Finally, it intersperses these facts with debates, theories, and questions to spark student interest, class discussion, and further research. The text is written for the beginner but covers complex topics such as force structure and the defense budget. With contributions informed by both scholarly approaches and long military careers, the book will prepare students for further studies in international relations, civil-military relations, or U.S. foreign policy. It also encourages critical thinking, elucidating an institution that undergraduates and other civilians too often perceive as both baffling and above reproach. This book will be of much interest to students of the U.S. military, civil-military relations, U.S. politics, and public policy.
Accompanying CD-ROM contains graphic footage of various war wound surgeries.
This 4th revision of this popular Borden Institute reference on emergency surgery includes everything from war wounds to anesthesia, even covering gynecologic and pediatric emergencies, making this a must-have medical reference for civilian emergency medical personnel as well as military doctors and nurses. Contents Front Matter Chapter 1: Weapons Effects and War Wounds Chapter 2: Roles of Medical Care (United States) Chapter 3: Mass Casualty and Triage Chapter 4: Aeromedical Evacuation Chapter 5: Airway/Breathing Chapter 6: Hemorrhage Control Chapter 7: Shock, Resuscitation, and Vascular Access Chapter 8: Anesthesia Chapter 9: Soft Tissue and Open Joint Injuries Chapter 10: Infections Chapter 11: Critical Care Chapter 12: Damage Control Surgery Chapter 13: Face and Neck Injuries Chapter 14: Ocular Injuries Chapter 15: Head Injuries Chapter 16: Thoracic Injuries Chapter 17: Abdominal Injuries Chapter 18: Genitourinary Tract Injuries Chapter 19: Gynecologic Trauma and Emergencies Chapter 20: Wounds and Injuries of the Spinal Column and Cord Chapter 21: Pelvic Injuries Chapter 22: Extremity Fractures Chapter 23: Amputations Chapter 24: Injuries to Hands and Feet Chapter 25: Vascular Injuries Chapter 26: Burns Chapter 27: Environmental Injuries Chapter 28: Radiological Injuries Chapter 29: Biological Warfare Agents Chapter 30: Chemical Injuries Chapter 31: Pediatric Care Chapter 32: Care of Enemy Prisoners of War/Internees Chapter 33: Battlefield Transfusions Chapter 34: Compartment Syndrome Chapter 35: Battlefield Trauma Sytems Chapter 36: Emergency Whole Blood Collection Envoi Appendix 1: Principles of Medical Ethics Appendix 2: Glasgow Coma Scale Appendix 3: Department of Defense Trauma Registry Abbreviations and Acronyms Significant Military Medical Terms Product Manufacturers Index
Trauma to the eye and associated structures account for a significant number of combat-related injuries, and combat ocular trauma has steadily risen in frequency over the last century. Ophthalmology in Military and Civilian Casualty Care comprehensively examines the accommodations and modifications that must be made in order to treat such ocular traumas in a military setting. Created by ophthalmology experts actively serving in the military at various levels, this book is designed to improve ophthalmic casualty outcomes across military settings. A history of military ophthalmology serves as the opening chapter, setting the stage for subsequent chapters examining the intricacies and advancements of damage control ophthalmology, prehospital care of combat eye injuries, neuro-ophthalmic manifestations of trauma, and further severe ocular conditions. Later chapters explore the preventative and proactive efforts to reduce and treat combat-related ocular trauma by developing “eye armor” for the American infantry and military-affiliated ophthalmic surgical missions. Complete with high-quality color illustrations and figures, this unique book will serve as an invaluable, practical reference for military physicians, military ophthalmologists, ophthalmology professors, residents, and fellows interested in combat medicine and eye trauma.
This 2004 Emergency War Surgery, 3rd United States Revision is written for the combat physician operating away from sophisticated medical support. This edition contains new material that updates the management of war wounds and is filled with over 150 specially drawn illustrations. Equally important is the use of an outline, bulleted format that is more concise than previous editions. The intent is that if given a choice of bringing a SINGLE book on a rapid or prolonged deployment, today's military surgeon would choose this edition over any other trauma book.
CONTENTS: 1. U.S. ARMY AEROMEDICAL EVACUATION CRITICAL CARE FLIGHT PARAMEDIC STANDARD MEDICAL OPERATING GUIDELINES - CY23 Version Published January 2023, 318 pages 2. TCCC Guidelines for Medical Personnel - 15 December 2021, 19 pages 3. JTS Clinical Practice Guidelines, 2,260 total pages - current as of 19 September 2023: INTRODUCTION The SMOG continues to go through significant improvements with each release as a result of the collaboration of Emergency Medicine professionals, experienced Flight Medics, Aeromedical Physician Assistants, Critical Care Nurses, and Flight Surgeons. There has been close coordination in the development of these guidelines by the Joint Trauma System, and the Defense Committees on Trauma. Our shared goal is to ensure the highest quality en route care possible and to standardize care across all evacuation and emergency medical pre-hospital units. It is our vision that all of these enhancements and improvements will advance en route care across the services and the Department of Defense. Unit medical trainers and medical directors should evaluate Critical Care Flight Paramedics (CCFP) ability to follow and execute the medical instructions herein. These medical guidelines are intended to guide CCFPs and prehospital professionals in the response and management of emergencies and the care and treatment of patients in both garrison and combat theater environments. Unit medical providers are not expected to employ these guidelines blindly. Unit medical providers are expected to manipulate and adjust these guidelines to their unit’s mission and medical air crew training / experience. Medical directors or designated supervising physicians should endorse these guidelines as a baseline, appropriately adjust components as needed, and responsibly manage individual unit medical missions within the scope of practice of their Critical Care Flight Paramedics, Enroute Critical Care Nurses, and advanced practice aeromedical providers. The medication section of this manual is provided for information purposes only. CCFPs may administer medications only as listed in the guidelines unless their medical director and/or supervising physician orders a deviation. Other medications may be added, so long as the unit supervising physician and/or medical director approves them. This manual also serves as a reference for physicians providing medical direction and clinical oversight to the CCFP. Treatment direction, which is more appropriate to the patient’s condition than the guideline, should be provided by the physician as long as the CCFP scope of practice is not exceeded. Any medical guideline that is out of date or has been found to cause further harm will be updated or deleted immediately. The Medical Evacuation Concepts and Capabilities Division (MECCD) serves as the managing editor of the SMOG and are responsible for content updates, managing the formal review process, and identifying review committee members for the annual review. The Standard Medical Operating Guidelines are intended to provide medical procedural guidance and is in compliment to other Department of Defense and Department of the Army policies, regulatory and doctrinal guidance. Nothing herein overrides or supersedes laws, rules, regulation or policies of the United States, DoD or DA.