By William W. Hurd, John G. Jernigan, P.K.Jr. Carlton
The definitive therapy at the scientific evacuation and administration of injured sufferers in either peace- and wartime. Edited by means of eminent specialists within the box, this article brings jointly scientific experts from all 4 branches of the armed companies. It discusses the background of aeromedical evacuation, triage and staging of the injured sufferer, evacuation from website of damage to scientific facility, air-frame services, scientific services in-flight, reaction to in-flight emergencies, and mass emergency evacuation. particular health conditions are addressed intimately, together with such basic surgical casualties as stomach wounds and gentle tissue, vascular, maxillofacial, head and spinal twine accidents, ophthalmologic, orthopaedic, pediatric, obstetric-gynecologic casualties, burns, and extra. Over eighty illustrations offer a assessment of shipping apparatus and either scientific and surgery. vital reference for all armed compelled physicians and flight surgeons, for common and trauma surgeons, internists, extensive care experts, orthopaedic surgeons, and public well-being carrier physicians.
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The possibility of meaningful medical response with a virtually unlimited number of casualties was, at best, severely limited. Consequently, military medicine developed a “common-task” approach to nuclear, biologic, or chemical (ie, NBC) attacks, where all soldiers, medical or nonmedical, were expected to provide only the most basic care to these casualties. In the post-Cold War era, nuclear, biologic, or chemical weapons have proliferated. 6). 6. Nations known, suspected, seeking, or capable of producing nuclear, biologic, or chemical weapons.
This crew mix is advantageous when the majority of ﬂights are accident scene evacuations but is less suited for the transport of critically ill patients, where additional physiology and medical knowledge is needed. ” Unfortunately, a paramedic with this advanced training cannot be considered an equivalent replacement for a critical care nurse or a physician. D. F. Fallon, Jr. and expertise that is traditionally lacking in the nursing and physician education. Again, medical control is required as with any crew in which a physician is not present.
These expectations have been reinforced by the rapid treatment and evacuation of special forces and other troops wounded deep within Afganistan during the so-called war on terrorism against the Taliban. Traditional Combat Casualties Bullet and Shrapnel Wounds Gunshot (ballistic-type) injuries and shrapnel (fragment) injuries remain the largest threat on the traditional battleﬁeld. Data from the Vietnam War shows that 51% of combat deaths were due to ballistic-type injuries and 47% from shrapnel.
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