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Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.
Florence Nightingale is famous as the “lady with the lamp” in the Crimean War, 1854—56. There is a massive amount of literature on this work, but, as editor Lynn McDonald shows, it is often erroneous, and films and press reporting on it have been even less accurate. The Crimean War reports on Nightingale’s correspondence from the war hospitals and on the staggering amount of work she did post-war to ensure that the appalling death rate from disease (higher than that from bullets) did not recur. This volume contains much on Nightingale’s efforts to achieve real reforms. Her well-known, and relatively “sanitized”, evidence to the royal commission on the war is compared with her confidential, much franker, and very thorough Notes on the Health of the British Army, where the full horrors of disease and neglect are laid out, with the names of those responsible.
This book focuses on an organization, the U.S. Army Nurse Corps, which the author has been privileged to be affiliated with – in one way or another – for the greatest part of her adult life. As an active duty officer, the author had first-hand knowledge about the Army Nurse Corps inner workings and spent the last years of her Army career (from 1992) researching and writing the Corps history. One of her goals in researching and writing this history was to intrigue and provide a sense of gratification for the reader. After the conclusion of the Vietnam War, several wide-ranging and significant changes exerted myriad effects on the Army Nurse Corps. The most influential of these phenomena included the dismantling of the Selective Service System, the reorganization of the Army, the launch of the Health Services Command (HSC), the opening of the Academy of Health Sciences, the transformation of the Office of the Army Surgeon General, the inauguration of improvements in the Army Reserve and National Guard, and the evolution in the roles and status of women.
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Specialty Volume of Textbooks of Military Medicine. TMM. Edited by Shawn Christian Nessen, Dave Edmond Lounsbury, and Stephen P. Hetz. Foreword by Bob Woodruff. Prepared especially for medical personnel. Provides the fundamental principles and priorities critical in managing the trauma of modern warfare. Contains concise supplemental material for military surgeons deploying or preparing to deploy to a combat theater.
Excerpt from Experiences of a Civilian in Eastern Military Hospitals: With Observations on the English, French and Other Medical Departments and the Organization of Military Medical Schools and Hospitals In writing this little volume I have had three objects in view: first, to give the general public some account of the introduction of "the civil element" and the anomalous position which it held in the Eastern Military Hospitals, 2. whilst deprecating the injustice which laid the blame of many evils, beyond their power to remedy, on some of my military confreres, to signalize defects in the organization of the Army-Medical-Department, which contributed to the general confusion and the deplorable state of the Army in the beginning of the late campaign, 3. to propose some changes in the Army-Medical-Department based on personal experience and information acquired in frequent intercourse with my colleagues of all nations. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works."