Thoracic Trauma: a Combat and Military Perspective

被引:9
作者
Kuckelman J. [1 ]
Cuadrado D. [1 ]
Martin M. [1 ,2 ]
机构
[1] Department of Surgery, Madigan Army Medical Center, 9040 Fitzsimmons Drive, Tacoma, 98431, WA
[2] Trauma and Emergency Surgery Service, Legacy Emanuel Medical Center, Portland, OR
关键词
Austere environments; Combat trauma; High velocity injury; Operational medicine; Thoracic blast injury; Thoracic trauma;
D O I
10.1007/s40719-018-0112-8
中图分类号
学科分类号
摘要
Purpose of Review: This article reviews the finer points of thoracic trauma seen during combat and provides parallels to the civilian sector for potential implementation. Recent Findings: Lessons learned during recent conflicts in Iraq (Operation Iraqi Freedom), Afghanistan (Operation Enduring Freedom) as well as the ongoing military actions targeting the Islamic State (ISIS) have equipped combat surgeons with a breadth of knowledge concerning the management of complex thoracic trauma. The unique environment provided by war inherently fosters the development of innovation. Management of combat injuries has become more crucial to all trauma surgeons, as high-velocity weaponry and global terrorism can produce similar injury patterns in the civilian trauma setting. Summary: This review focuses on unique injuries seen in austere war-time environments with focus on thoracic trauma. Applications to civilian trauma are highlighted throughout the article with the hope that the experience gained by combat surgeons may aide in the advancement of trauma care. © 2018, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.
引用
收藏
页码:77 / 87
页数:10
相关论文
共 64 条
[1]  
Butler F.K., Bennett B., Wedmore C.I., Tactical Combat Casualty care and wilderness medicine: advancing trauma care in austere environments, Emerg Med Clin North Am, 35, 2, pp. 391-407, (2017)
[2]  
Martin M.J., Dubose J.J., Rodriguez C., Et al., One front and one battle": civilian professional medical support of military surgeons, J Am Coll Surg, 215, 3, pp. 432-437, (2012)
[3]  
Dharm-Datta S., McLenaghan J., Medical lessons learnt from the US and Canadian experience of treating combat casualties from Afghanistan and Iraq, J R Army Med Corps, 159, 2, pp. 102-109, (2013)
[4]  
Schrager J.J., Branson R.D., Johannigman J.A., Lessons from the tip of the spear: medical advancements from Iraq and Afghanistan, Respir Care, 57, 8, pp. 1305-1313, (2012)
[5]  
Littlejohn L.F., Treatment of thoracic trauma: lessons from the battlefield adapted to all austere environments, Wilderness Environ Med, 28, 2s, pp. S69-s73, (2017)
[6]  
Holcomb J.B., Mcmullin N.R., Pearse L., Caruso J., Wade C.E., Oetjen-Gerdes L., Causes of death in U.S. special operations forces in the global war on terrorism: 2001-2004. Ann Surg, (2007)
[7]  
Owens B.D., Kragh J.F., Wenke J.C., Macaitis J., Wade C.E., Holcomb J.B., Combat wounds in operation Iraqi freedom and operation enduring freedom, J Trauma, 64, 2, pp. 295-299, (2008)
[8]  
Kelly J.F., Ritenour A.E., McLaughlin D.F., Et al., Injury severity and causes of death from Operation Iraqi Freedom and Operation Enduring Freedom: 2003–2004 versus 2006, J Trauma, 64, pp. S21-S26, (2008)
[9]  
Holcomb J., Caruso J., Mcmullin N., Et al., Causes of death in US Special Operations Forces in the global war on terrorism: 2001-2004. U S Army Med Dep J, (2007)
[10]  
White J.M., Cannon J.W., Stannard A., Spencer J.R., Hancock H., Williams K., Et al., A porcine model for evaluating the management of noncompressible torso hemorrhage, J Trauma, 71, pp. S131-S138, (2011)