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This book presents carefully selected case reports that document some of the most important lessons learned at Ziv Medical Center, the northernmost Israeli hospital responsible for the medical care and support of wounded and patients from the Syrian civil war. The aim is to provide practitioners with new knowledge on effective ways of dealing with the emergencies encountered in the context of such conflicts. The case reports cover in particular the specialties of Trauma and Critical Care, Orthopedics, and Surgery, but also relate to Internal Medicine, Ophthalmology, Obstetrics and Gynecology, and Psychiatric Care. Some of the cases of trauma are of a nature not previously encountered by Western medicine, and include instances in which multidisciplinary care played a vital role. Featuring many informative illustrations, the book will be of value for all who work in emergency and military medicine and related disciplines, from novices to the more experienced.
Accompanying CD-ROM contains graphic footage of various war wound surgeries.
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.
This book is designed to meet the continued need to re-learn the principles of treatment of complex war injuries to the extremities in order to minimize post-traumatic and post-treatment complications and optimize functional recovery. Most of the chapters are based on the unique experience gained in the treatment of military personnel who have suffered modern combat trauma and civilian victims of terror attacks at a single, large level 1 trauma center. The remaining chapters present the experience of leading international authorities in trauma and reconstructive surgery. A staged treatment protocol is presented, ranging from primary damage control through to definitive functional limb reconstruction. The organization of medical aid, anesthesiology, diagnostic imaging, infection prophylaxis, and management of complications are reviewed, and a special chapter is devoted to the challenging dilemma of limb salvage versus amputation in the treatment of limbs at risk.
No detailed description available for "Wounds of War".
The surprising story of the Army’s efforts to combat PTSD and traumatic brain injury The wars in Iraq and Afghanistan have taken a tremendous toll on the mental health of our troops. In 2005, then-Senator Barack Obama took to the Senate floor to tell his colleagues that “many of our injured soldiers are returning from Iraq with traumatic brain injury,” which doctors were calling the “signature wound” of the Iraq War. Alarming stories of veterans taking their own lives raised a host of vital questions: Why hadn’t the military been better prepared to treat post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI)? Why were troops being denied care and sent back to Iraq? Why weren’t the Army and the VA doing more to address these issues? Drawing on previously unreleased documents and oral histories, David Kieran tells the broad and nuanced story of the Army’s efforts to understand and address these issues, challenging the popular media view that the Iraq War was mismanaged by a callous military unwilling to address the human toll of the wars. The story of mental health during this war is the story of how different groups—soldiers, veterans and their families, anti-war politicians, researchers and clinicians, and military leaders—approached these issues from different perspectives and with different agendas. It is the story of how the advancement of medical knowledge moves at a different pace than the needs of an Army at war, and it is the story of how medical conditions intersect with larger political questions about militarism and foreign policy. This book shows how PTSD, TBI, and suicide became the signature wounds of the wars in Iraq and Afghanistan, how they prompted change within the Army itself, and how mental health became a factor in the debates about the impact of these conflicts on US culture.
Foreign aid is about charity. International development is about technical fixes. At least that is what we, as donor publics, are constantly told. The result is a highly dysfunctional aid system which mistakes short-term results for long-term transformation and gets attacked across the political spectrum, with the right claiming we spend too much, and the left that we don't spend enough. The reality, as Yanguas argues in this highly provocative book, is that aid isn't – or at least shouldn't be – about levels of spending, nor interventions shackled to vague notions of ‘accountability’ and ‘ownership’. Instead, a different approach is possible, one that acknowledges aid as being about struggle, about taking sides, about politics. It is an approach that has been quietly applied by innovative development practitioners around the world, providing political coverage for local reformers to open up spaces for change. Drawing on a variety of convention-defying stories from a variety of countries – from Britain to the US, Sierra Leone to Honduras – Yanguas provides an eye-opening account of what we really mean when we talk about aid.
Healing War Trauma details a broad range of exciting approaches for healing from the trauma of war. The techniques described in each chapter are designed to complement and supplement cognitive-behavioral treatment protocols—and, ultimately, to help clinicians transcend the limits of those protocols. For those veterans who do not respond productively to—or who have simply little interest in—office-based, regimented, and symptom-focused treatments, the innovative approaches laid out in Healing War Trauma will inspire and inform both clinicians and veterans as they chart new paths to healing.
For every wounded warrior, there is a wounded home--an immediate and extended family and community impacted by their loved one's war experiences. Every day service members are returning from combat deployments to their families. And every day war comes home with them. When a combat veteran struggles with post-traumatic stress disorder (PTSD) and/or traumatic brain injury (TBI), every member of the family experiences the effects. Spouses, parents, and children must undergo changes on the home front, a process that resembles the phases of grief. Confusion, hurt, anger, guilt, fatigue, and fear lie behind their brave smiles and squared shoulders. Wounded Warrior, Wounded Home gives hurting families a look inside the minds and hearts of wounded warriors and guides them in developing their own personal plan for physical, emotional, and spiritual wholeness in the wake of war. The authors, one the wife of a career US Navy SEAL and the other a clinical psychologist and Vietnam veteran, speak from their own experiences of living with PTSD and TBI. They also share insights from dozens of families and careful research, offering readers a hope-filled way forward.
This text is designed to present a comprehensive and state-of the-art approach to dismounted complex blast injuries. Sections address care of these patients from the point of injury through rehabilitation. The specific areas addressed include blast mechanics, stabilization and hemorrhage control at the point of injury, early resuscitation at local hospitals, a systematic approach to surgical care, and finally reconstruction and rehabilitation. Specific chapters focus on operative management of pelvic, abdominal, genitourinary, orthopedic, neurological and thoracic injuries. The authors of each chapter, are experts in treating DCBIs that have had direct hands-on experience through military deployments in Iraq and Afghanistan. Each chapter describes patient presentation and an algorithm outlining treatment with support from the literature. The text will conclude with three chapters. The first explores new advances in care that can be applied to these injuries. The second highlights the organization and team approach to care of these patients. Finally, the last chapter describes an actual case, cared for by the editors, that encompasses points from the chapters in the text. Extensive illustrations and flow diagrams are used throughout the text. This text is specifically designed to be a “how to” guide for inexperienced military and civilian providers. The chapters are organized in a step-wise fashion that mirrors the patient’s course from point of injury through their hospital course. Combining authors’ experience with illustrations and algorithm diagrams creates a text that is easy to use as a reference text or basis of training for future military and civilian surgeons.