EMERGENCY WAR SURGERY

10,2
MB

828
stron

5669
ID Department of Defense

2005
rok

Contents

Editorial & Production xvi

Editorial Board xvii

Contributors xviii

Acknowledgments xx

Foreword xxi

Preface xxiii

Prologue xxvii

Chapter 1: Weapons Effects and Parachute Injuries

Epidemiology 1.1

Mechanism of Injury 1.2

Antipersonnel Landmines 1.6

Small Arms 1.7

Armored Vehicle Crew Casualties 1.9

Unexploded Ordnance 1.13

Parachute Injuries 1.14

Chapter 2: Levels of Medical Care

Level I 2.1

Level II 2.2

Forward Surgical Team (FST) 2.3

Level III 2.6

Level IV 2.9

Level V 2.10

Chapter 3: Triage

Categories 3.2

Special Categories 3.4

Combat Stress 3.4

Triage Decision Making 3.8

Setup, Staffing, and Operation of Triage System 3.10

Chapter 4: Aeromedical Evacuation

Medical Considerations/Requirements 4.2

Medical Evacuation Precedences 4.5

Phone Numbers 4.7

Critical Care Air Transport Teams (CCATT) 4.9

Chapter 5: Airway/Breathing

Initial Management 5.1

Orotracheal Intubation 5.3

Rapid Sequence Intubation (RSI) 5.3

Difficult Airway 5.5

Surgical Cricothyrotomy 5.6

Blind Intubation 5.8

Chapter 6: Hemorrhage Control

Stop the Bleeding 6.1

Tourniquet 6.3

Internal Bleeding 6.5

Hemostatic Agents 6.6

Chapter 7: Shock and Resuscitation

Recognition and Classification 7.1

Control Bleeding 7.2

Controlled Resuscitation 7.4

Transfusion Therapy 7.6

Walking Blood Bank 7.7

Chapter 8: Vascular Access

Subclavian Vein or Internal Jugular Vein 8.1

Greater Saphenous Vein 8.3

Chapter 9: Anesthesia

Induction of General Anesthesia 9.2

Rapid Sequence Intubation 9.3

Chapter 10: Infections

Diagnosis 10.1

Common Microorganisms 10.2

Treatment 10.3

Empiric Coverage 10.5

Soft Tissue Infections 10.6

Intraabdominal Infections 10.7

Pulmonary Infections 10.7

Sepsis 10.8

Dosages 10.11

Chapter 11: Critical Care

Damage Control 11.1

Resuscitation From Shock 11.2

Traumatic Brain Injury 11.3

Pulmonary System and Ventilators 11.5

Cardiovascular System 11.7

Renal System and Electrolytes 11.9

Hematologic System 11.10

Gastrointestinal System and Nutrition 11.10

Immune System and Infections 11.14

Endocrine System 11.14

Musculoskeletal System 11.15

Preparation for Evacuation 11.15

Chapter 12: Damage Control Surgery

Phases 12.1

Chapter 13: Face and Neck Injuries

Airway 13.1

Bleeding 13.2

Fracture Management 13.3

Soft Tissue Injuries 13.9

Penetrating Neck Trauma 13.12

Specific Face and Neck Injuries 13.14

Vertebral Artery 13.15

Internal Carotid Artery 13.15

Internal Jugular Vein 13.15

Trachea 13.16

Esophagus 13.16

Otologic Injury 13.19

Chapter 14: Ocular Injuries

Triage 14.1

Open Globe 14.2

Anterior Segment Injuries 14.3

Cornea Chemical Injuries 14.3

Corneal Abrasions 14.4

Corneal Ulcer and Keratitis 14.5

Foreign Bodies 14.6

Hyphema 14.7

Retrobulbar Hemorrhage 14.7

Lateral Canthotomy 14.8

Orbital Floor (Blowout) Fractures 14.9

Lid Lacerations 14.10

Laser Eye Injuries 14.12

Enucleation 14.13

Chapter 15: Head Injuries

Types 15.1

Classification 15.2

Glasgow Coma Scale 15.5

Management, Medical 15.7

Management, Surgical 15.11

Chapter 16: Thoracic Injuries

Life-Threatening Injuries 16.3

Tube Thoracostomy 16.4

Resuscitative Thoracotomy 16.6

Median Sternotomy 16.9

Specific Injuries:

Vascular 16.11

Heart 16.12

Lung 16.12

Esophagus 16.14

Diaphragm 16.15

Chapter 17: Abdominal Injuries

Indication for Laparotomy 17.2

Diagnostic Adjuncts 17.2

Abdominal Ultrasound 17.3

Diagnostic Peritoneal Lavage 17.7

CT Scan 17.7

Wound Exploration 17.8

Stomach Injuries 17.9

Duodenum Injuries 17.9

Pancreas Injuries 17.10

Liver Injuries 17.11

Spleen Injuries 17.12

Colon Injuries 17.12

Rectum Injuries 17.14

Retroperitoneal Injuries 17.15

Abdominal Closure 17.16

Chapter 18: Genitourinary Tract Injuries

Renal Injuries 18.1